A nurse is speaking with a newly licensed nurse who reports that they fear a client might be dangerous to others due to the client's diagnosis of schizophrenia. Which of the following types of stigma should the nurse identify as being associated with this fear?
Self
Institutional
Cultural
Public
The Correct Answer is D
Rationale:
A. Self-stigma refers to the internalized negative beliefs a person may have about their own mental illness, not external fears about others.
B. Institutional stigma involves policies or practices within organizations that discriminate against those with mental illness, not individual fears.
C. Cultural stigma refers to societal attitudes and beliefs about mental illness within a specific culture, not individual fears about safety.
D. Public stigma involves widespread negative beliefs and stereotypes about mental illness, which can contribute to fears that individuals with schizophrenia are dangerous to others.
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Correct Answer is C
Explanation
Rationale:
A. A drug recovery support group can be beneficial for ongoing support but does not specifically address the work-related needs of a nurse returning to practice.
B. An early-release incarceration program is not relevant to the context of a nurse returning to work after completing treatment for substance abuse.
C. An Alternative-to-Discipline (ATD) program is designed to support healthcare professionals returning to work after treatment for substance use disorders. These programs focus on monitoring and supporting the nurse while ensuring public safety.
D. An involuntary long-term residential treatment is not applicable to a nurse who has already completed a treatment program and is preparing to return to work.
Correct Answer is C
Explanation
Rationale:
A. Narrative therapy is a therapeutic approach that focuses on reshaping personal narratives and is not typically associated with increased risk of self-harm.
B. Dialectical behavior therapy (DBT) is specifically designed to help individuals with borderline personality disorder manage self-harm behaviors and emotional dysregulation, so it would generally reduce, not increase, risk.
C. The period following hospital discharge is often associated with a higher risk of self-harm due to potential lack of support, instability, or feelings of abandonment.
D. While significant life events such as getting married can be stressful, they are not typically associated with the highest risk of self-harm compared to the transitional phase post-discharge.