Which of the following patients should a nurse consider as being the most ill?
A. A 25-year-old patient with cystic fibrosis who is attending yoga classes
B. A 12-year-old adolescent with newly diagnosed diabetes who is concerned about checking his blood sugar at school
C. A 43-year-old patient with breast cancer who has recently adopted a vegetarian diet
D. A 77-year-old patient with AIDS and hepatitis who attends weekly AA meetings
B
Illness is not synonymous with disease; it includes not only the disease but also the effects on functioning and well-being in all dimensions. Illness is a state in which a person's physical, emotional, intellectual, social, developmental, or spiritual functioning is diminished or impaired compared with previous experience.
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A nurse is conducting a health history on an older adult client in a medical practice. Which assessment finding places the client at risk for osteoporosis?
A) Having a BMI that indicates obesity B) Using corticosteroids for ten years due to a chronic lung disorder C) Eating 3-5 servings of shrimp and liver per week D) Drinking three glasses of skim milk daily
A patient is in the intensive care unit with multiple organ dysfunction syndrome. Which of the following assessment finding would indicate that the patient is experiencing failure of the gastrointestinal system?
1. abdominal cramps 2. absent bowel sounds 3. increased flatus 4. complaint of epigastric burning
The alcoholic patient says to the nurse, "I am not an alcoholic. I can quit any time I want to." The nurse recognizes that the patient is using which defense mechanism?
a. Repression b. Denial c. Rationalization d. Intellectualization
The nurse is visiting the home of a patient who recently immigrated to the United States from Buenos Aires. Which observations in the patient's home should the nurse question to determine the patient's health beliefs? (Select all that apply.)
a. Black bracelet woven with a cross being worn on the patient's left wrist b. A lit candle burning near a picture of a saint on a side table in the living room c. Cup of hot black liquid that the patient is sipping from periodically during the visit d. A copy of a magazine printed in Spanish sitting on the coffee table in the living room e. A pillow placed between the patient and the nurse after the nurse sits down on the couch