A patient being assessed for cardiac illness states, "My previous doctor told me I had a type D personality.". How would the nurse interpret this information?
1. The last physician must have been a psychiatrist.
2. The patient thrives in a high-stress environment.
3. The patient probably avoids social contact and focuses on negative emotions.
4. This patient has been treated for depression.
3
Rationale 1: Type D personality can be diagnosed by physicians in other specialties besides psychiatry.
Rationale 2: Type D personality types do not tolerate high-stress environments well.
Rationale 3: Type D personalities are "distressed" and tend to focus on negative emotions. They avoid social contact.
Rationale 4: Type D persons are "distressed" but may or may not have been treated professionally for depression.
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