To accurately determine which idea the evidence from the text supports, we would need to analyze the specific details provided in the excerpt. However, based on common themes in articles about Nellie Bly's investigation into mental asylums, it is likely that the relevant ideas would revolve around the neglect and mistreatment of patients, as well as the secretive practices of psychiatrists.
If the excerpt indicates that psychiatrists were attempting to hide or control the narrative around their practices, it would support the idea that "Psychiatrists knew their secrets were being exposed and were trying to do 'damage control' to repair their image."
If it discusses neglect or a lack of proper care for patients, it could point toward the idea that "Psychiatrists did not care about their patients and found them to be a nuisance."
Without the specific text, I suggest considering these themes to select the correct response.