Psychosocial Integrity Q 9
A priority goal of involuntary hospitalization of the severely mentally ill client is
A. Re-orientation to reality
B. Elimination of symptoms
C. Protection from harm to self or others
D. Return to independent functioning
Correct Answer: C. Protection from self-harm and harm to others.
Involuntary hospitalization may be required for persons considered dangerous to self or others or for individuals who are considered gravely disabled.
Option A: Mentally ill clients should be kept safe first before reorienting them back to reality. In keeping with emergent mental health public policy and nursing professional ethics, the articulated aims of deinstitutionalization included returning individuals to home communities to restore freedom and autonomy and reducing or eliminating nursing practices grounded in punishment that was being societally reconceptualized as harmful.
Option B: Gradual elimination of the symptoms is not the primary goal in the hospitalization of a mentally ill client. There are two important concepts of psychological treatment. First, although it is called “psychological” treatment, the ultimate effect of these treatments is to bring some changes in the very delicate change in the structure and function of neurons by changing the way a person habitually thinks and behaves. They also promote the healing of the brain by reducing the stress experienced by the patients in daily life. In psychological treatment, all treatment effects come from the effort to take new behavior and adopt new ways of thinking.
Option D: The client should be kept safe from himself and others first before he can return to independent functioning. The measurement of functional capacity in mental illness is an important recent development. Determination of functional capacity may serve as a surrogate marker for real-world functioning, thereby aiding clinicians in making important treatment determinations.