A person with mental illness does not want to seek care because of the shame they feel for being sick. What type of stigma is this related to?

Correct Answer: A

Rationale: The correct answer is A: self-stigma. Self-stigma occurs when individuals internalize negative beliefs and attitudes about themselves due to their mental illness. In this scenario, the person feels shame for being sick, indicating self-stigma. Caregiver stigma (B) refers to stigma experienced by those caring for individuals with mental illness. Institutional stigma (C) pertains to stigma within organizations or systems. Public stigma (D) involves societal attitudes and discrimination towards individuals with mental illness. In this case, the individual's shame is self-directed, making self-stigma the most appropriate choice.

Correct Answer: B

Rationale: The correct answer is B because helping the patient identify incidents that trigger impulsive anger addresses the root cause of the behavior. By understanding triggers, the patient can learn to anticipate and manage their anger more effectively. This intervention promotes self-awareness and empowers the patient to develop coping strategies. Choice A is incorrect because herbal preparations may not address the underlying causes of the impulsive anger. Choice C is inappropriate as using restraint and seclusion should be a last resort and not the primary intervention. Choice D is not as effective as helping the patient identify triggers, as one-on-one supervision does not necessarily address the root cause of the behavior.

Correct Answer: C

Rationale: The most appropriate housing for Mr. Jones is group housing (Choice C) as it provides a supportive environment crucial for his recovery. Group housing offers peer support, structured routines, and access to counseling services, which can help him maintain sobriety and prevent relapse. Detoxification unit (Choice A) is not suitable as Mr. Jones has already been discharged from treatment. Nursing home (Choice B) is not appropriate as he does not require long-term care. Homeless shelter (Choice D) does not provide the necessary support for his complex needs. Group housing is the best option for Mr. Jones to ensure his continued recovery and well-being.

Correct Answer: A

Rationale: The correct answer is A because the 21-year-old client who is hearing and seeing things that others do not is of legal age to provide informed consent. They have the capacity to make decisions about their own treatment. Choice B is incorrect because a client diagnosed with severe intellectual development disorder may lack the capacity to provide informed consent. Choice C is incorrect because a client declared legally incompetent does not have the capacity to give informed consent. Choice D is incorrect because a 14-year-old client is typically considered a minor and may not have the legal capacity to provide informed consent.

Correct Answer: D

Rationale: The correct answer is D. Clinical pathways in managed care settings aim to streamline the care process and reduce costs by standardizing care, improving efficiency, and promoting evidence-based practices. This helps in achieving better outcomes and cost-effective care delivery. A, B, and C are incorrect because clinical pathways do not specifically focus on stabilizing aggressive patients, identifying obstacles to care, or relieving nurses of planning responsibilities. These functions may be part of the overall care process but are not the primary purpose of implementing clinical pathways in managed care settings.