A patient who has been hospitalized for 3 days with a serious mental illness says, "I've got to get out of here and back to my job. I get 60 to 80 messages a day, and I'm getting behind on my email correspondence."

What is this patient's perspective about health and illness?

a. Fateful, magical
b. Eastern, holistic
c. Western, biomedical
d. Harmonious, religious


ANS: C
The Western biomedical perspective holds the belief that sick people should be as independent and self-reliant as possible. Self-care is encouraged; one gets better by "getting up and getting going." An ability to function at a high level is valued. See relationship to audience response question.

Nursing

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An 80-year-old man has been diagnosed with early-stage Alzheimer's disease and has begun treatment with donepezil (Aricept). When providing health education to the patient and his wife, the nurse should identify what goal of treatment?

A) Remission of Alzheimer's disease B) Cure of Alzheimer's disease C) Improvement of cognition and function D) Resolution of memory and cognitive deficits

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A patient with type 2 diabetes mellitus experiences a hypoglycemic reaction. The capillary blood glucose level is 60 mg/dL, and the patient is given 4 ounces of apple juice. What should the nurse do next?

1. Recheck the patient's blood glucose in 15 minutes. 2. Mark the medication administration record to hold the next scheduled dose of insulin. 3. Recheck the blood glucose before the next meal. 4. Give the patient another 4 ounces of apple juice in 30 minutes.

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Of the assessments made by the nurse, the one indicating the immune system is functioning to combat an abscessed tooth is:

a. anorexia. b. purulent expectorate. c. foul breath. d. enlarged cervical lymph node.

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The pediatric nurse is familiar with Kubler-Ross's stages of grief. Parents who are feeling guilty and try to find any cause for their child's illness or blame others for the illness are in which stage of grief?

A) Denial B) Grief C) Bargaining D) Acceptance

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