I am a nursing student in the last semester of my nursing program and I am currently in my psychiatric rotation at a (locked) long-term inpatient facility with 210 beds. Most patients have schizophrenia, major depression, bipolar disorder, or a combination of a few disorders. Since this is my only experience with this type of environment, I wanted to ask if the following two practices this facility allows are commonplace in most long-term inpatient psych facilities:1. They can have sex with each other at the facilityThe sex concerns me because what happens in the event that a female becomes pregnant. The women here are not capable of taking care of themselves, so, who would take care of the baby? Another issue with the sex is how can it be assured that people aren't getting taken advantage of. Since these individuals are not thinking clearly at times, can they really consent to sex?2. They are provided cigarettes by the staff and can smoke INSIDE the building during frequent smoke breaks throughout the day (in the common areas)The smoking inside is a hazard to everyone in the facility, why would a health care facility agree with this? My instructor keeps saying, "it is their right to smoke." I keep thinking, isn't it the right of the non-smoking residents (doesn't seem to be many of these) and staff (doesn't seem to be many of these either) to have a smoke free environment?Most of the residents are on Medicaid, why would Medicaid pay for these individuals to smoke? I would understand if they provided them with patches or gum, but cigarettes? *I should mention I live in a state that does not allow smoking in restaurants or bars. So, it seems really strange to me that a health care facility would be exempt from this law. Any insight? Thanks!