A client who was just diagnosed with Type 2 diabetes mellitus says, "I can't believe I have diabetes. I have always watched my diet and I exercise regularly." What is the nurse's best response?
1. "You probably could have eaten anything you wanted."
2. "Your genes just failed you."
3. "We are beginning to understand that genetics plays a big part in the development of Type 2 diabetes."
4. "Don't be ashamed to have diabetes. It is mostly an inherited disorder."
3
Rationale 1: This is not a therapeutic statement. The client has tried to maintain health and is frustrated by the development of this disease.
Rationale 2: This is not a therapeutic statement.
Rationale 3: More than 70 mutations affecting the insulin receptor, as well as other mutations affecting insulin secretion and utilization, have been identified.
Rationale 4: The client has not mentioned being ashamed, and the nurse should not suggest this is a shameful illness.
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a. "This often happens when an individual takes this drug. You now have Cushing's disease." b. "When you stop taking this drug, the changes will disappear, but it may take a while." c. "You can make use of different styles of clothes to minimize changes in appearance." d. "Changes in your diet and an exercise program will eliminate these changes while you are on this drug."
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Amblyopia is a decrease or loss of vision caused by:
a. The brain turning off confusing visual images b. Structural eye damage c. Clouding of the retina d. Ocular occlusion