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 D
Explanation
Rationale:
A. Beneficence refers to actions that promote the well-being of others, which is not the primary focus of this scenario.
B. Nonmaleficence involves the duty to do no harm, which is important in all nursing actions but is not specifically demonstrated here.
C. Justice involves fairness and equality in providing care, which is not the central ethical principle in this context.
D. Autonomy refers to respecting a client's right to make their own decisions. By asking the client to choose between morning or afternoon group therapy, the nurse is supporting the client's autonomy by allowing them to make decisions about their care.
Correct Answer is ["B","D","E","F"]
Explanation
Rationale:
A. The ECG shows persistent sinus bradycardia on both December 1 and December 15. While sinus bradycardia is common in anorexia nervosa, its persistence may not necessarily reflect a therapeutic response.
B. The respiratory rate improved from 24/min to 20/min and the respirations are described as even and unlabored on December 15. This indicates a positive response to treatment.
C. The temperature data for December 15 is not provided. However, an increase toward normal temperature would indicate a therapeutic response, but without this data, we cannot confirm.
D. The weight increased from 34.5 kg (76 lb) to 37.2 kg (82 lb), which is a significant therapeutic improvement, reflecting progress in treatment.
E. The sodium level improved from 128 mEq/L to 130 mEq/L. Although the level is still slightly below normal, the upward trend indicates improvement.
F. The creatinine level decreased from 1.2 mg/dL to 0.9 mg/dL, showing improvement in kidney function and response to treatment.