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. Dementia related to HIV infection typically involves more neurological symptoms and may include other systemic symptoms.
B. Prion disease (e.g., Creutzfeldt-Jakob disease) usually involves rapid progression and severe neurological decline rather than just sleep and appetite issues.
C. Traumatic brain injury can cause various cognitive issues but is not specific to a particular type of dementia with these symptoms.
D. Frontotemporal lobar dementia often presents with changes in behavior, personality, and difficulty with concentration and can include symptoms like lack of sleep and appetite changes.
Correct Answer is D
Explanation
Rationale:
A. An elevated heart rate alone is not commonly associated with depression.
B. While renal dysfunction can impact mood, the direct link between it and depression is not as strong as other factors.
C. High blood pressure is not a direct cause of depression, though it can contribute to overall health issues.
D. Stress from a new job is a common and recognizable factor that can lead to or exacerbate depressive symptoms, showing an understanding of how situational stress can impact mood.