An older female adult has diabetes mellitus. Which patient assessment validates the nurse's conclusion that she is in the foreground perspective of the shifting perspectives model of chronic illness?
a. Has an amputation of two toes
b. Lives at home with her husband
c. Self-checks blood sugar frequently
d. Changes battery in her glucometer
A
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A Correct. An older adult thinks and acts about diabetes mellitus in the foreground perspective when signs of disease progression occur. This is evidenced by the need for the amputations because hyperglycemia damages the lining of vessels and can lead to peripheral artery disease. The perfusion to this woman's toes has deteriorated to the extent that the tissue has died; the dead tissue must be re-moved to avoid infection.
B Incorrect. Living at home indicates she has a functional status that is sufficient to maintain independent living.
C Incorrect. This woman is able to monitor her blood sugar independently.
D Incorrect. This woman retains enough functional ability to change a battery.
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