The nurse knows that because people with mental illness continue to be ostracized by mainstream society, families must cope with the burden of:
1. Dementia.
2. Shame.
3. Isolation.
4. Stigma.
4
Rationale: Family burden refers to the difficulties and responsibilities of family members who assume a caretaking function for relatives with psychiatric disability. Stigma is one example of family burden. Other family burdens reported most often are financial strain, violence in the household, reductions in the physical and mental health of family caregivers, disruption of family routines, worry about the future, the mental health system itself as a stressor, and feeling overwhelmed or unable to cope. Isolation is more of an issue for the person with mental illness than for the family. Dementia and shame are not considered family burdens.
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