To determine which idea is supported by the excerpt, one would need to analyze the specific evidence presented in the text regarding the attitudes and actions of psychiatrists as depicted by Nellie Bly.
Based on the context, if the excerpt describes neglectful or abusive practices towards patients and portrays psychiatrists as indifferent or overwhelmed, it could support the statement that "Psychiatrists did not care about their patients and found them to be a nuisance."
If it alludes to attempts by psychiatrists to control the narrative or manage public perception in light of the exposure of mistreatment, it could support the idea that "Psychiatrists knew their secrets were being exposed and were trying to do 'damage control' to repair their image."
If it suggests that there were efforts to suppress information or prevent external scrutiny of the asylum's practices, it would correspond with the notion that "Psychiatrists were trying to stop information about their practice at the asylum from reaching the public."
On the other hand, if the text indicates a high patient volume leading to a lack of thorough care, it would align with the idea that "Psychiatrists were overwhelmed with patients and could not conduct their practice thoroughly."
In summary, the appropriate response would depend on the specific content of the excerpt in question. If it emphasizes neglect or dismissiveness, the first option may be correct. If it conveys a defensive stance by the psychiatrists, the second option would be supported. If it addresses attempts to limit public access to information, then the third option may be valid. Lastly, if it indicates a strain due to patient volume, then the fourth option would fit.