Jimmy has been hospitalized three times for schizophrenia. Typically, he is very disorganized, spends his money irresponsibly, and loses his housing when he does not pay the rent. In turn, Jimmy cannot be located by his case manager, which leads to treatment nonadherence and relapse. Which response would be most therapeutic? Select all that apply.

Correct Answer: C

Rationale: Rationale: Option C is the most therapeutic response because long-acting injectable antipsychotic medication can help address Jimmy's treatment nonadherence, as he may forget or choose not to take oral medications. This option also involves collaboration with his prescribing clinician, ensuring a comprehensive approach to his care. Summary: A: This response focuses on punishment rather than therapeutic intervention, which may worsen Jimmy's symptoms. B: While having a guardian could help manage his finances, it does not directly address his treatment nonadherence and relapse issues. D: Allowing periods of homelessness as a natural consequence is not a therapeutic approach and may exacerbate Jimmy's situation.

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: A

Rationale: The correct answer is A. This is because providing clear reasons for policies and procedures helps establish transparency and fosters trust in the nurse-client relationship. By explaining the rationale behind actions taken, the nurse shows respect for the client's autonomy and promotes understanding. Choice B focuses on interpersonal communication but may not directly contribute to trust-building. Choice C involves empathy but does not necessarily directly address trust. Choice D involves collaboration but may not specifically address trust-building through transparent communication.

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.