A patient tells the nurse that he is sick and will do whatever he is told to do. How should the nurse evaluate this statement?
1. The patient is exhibiting an internal locus of control.
2. The patient is responding to a perceived crisis.
3. The patient is demonstrating sick role behavior.
4. The patient is using denial as a coping mechanism.
3
Rationale 1: An internal locus of control is the perception that people have control over events that happen in their lives.
Rationale 2: There is no indication that the patient perceives this illness as a crisis.
Rationale 3: When individuals become ill and must be hospitalized, they are expected to behave in certain ways and assume a sick role. A sick role is a set of expectations that people who are ill must meet and that society, including caregivers, expects of them. The patient is expected to be cooperative, dependent, and undemanding.
Rationale 4: There is no indication that this patient is in denial.
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