Which of the following statements illustrates the effect of the sociocultural dimension on health and illness?
- A. Why shouldnt I drink and drive? Everyone else does.
- B. My mother has sickle cell anemia, and so do I.
- C. I know I have heart problems, so I have changed my diet.
- D. I used biofeedback to lower my blood pressure.
Correct Answer: A
Rationale: The sociocultural dimension includes social norms and peer influences, such as the perception that drinking and driving is acceptable because others do it.
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A nurse caring for patients with diabetes knows that the following is a characteristic of a chronic illness:
- A. It is a temporary change.
- B. It causes reversible alterations in A&P.
- C. It requires special patient education for rehabilitation.
- D. It requires a short period of care or support.
Correct Answer: C
Rationale: Chronic illnesses, like diabetes, require ongoing patient education for management and rehabilitation to maintain quality of life and manage symptoms.
Which of the following is an example of a characteristic of the Stage 2 of illness?
- A. A person tells his family that he is sick and allows them to take care of him.
- B. A person experiences a headache and sore throat and takes an aspirin.
- C. A person visits a physician to receive treatment for symptoms of an infection.
- D. A person begins rehabilitation following a stroke that left him paralyzed on one side.
Correct Answer: A
Rationale: Stage 2 involves assuming the sick role, where a person acknowledges their illness to others and may seek support from family.
A nurse is caring for a 17-year-old female patient whose left leg was amputated after being crushed in a motor vehicle accident. Which of the following interventions might the nurse perform to accommodate the patients intellectual dimension?
- A. considering the patients developmental stage when planning nursing care
- B. encouraging friends and relatives to visit often and bring games to distract her
- C. teaching her how to care for the stump and explaining the rehabilitation program
- D. providing the opportunity for a counselor to come in and talk to her about her loss
Correct Answer: C
Rationale: The intellectual dimension involves cognitive abilities and understanding, so teaching the patient about stump care and rehabilitation supports this dimension.
A middle-aged woman is 40 pounds over her ideal weight. Which of the following statements best illustrates the effect of her self-concept on health and illness?
- A. I am just too busy with my kids to bother about a diet.
- B. Why should I lose weight? Ill still be fat.
- C. My sister is thin, but I dont think she looks that good.
- D. My husband loves me this way.
Correct Answer: B
Rationale: Self-concept affects health behaviors; a negative self-concept, like believing weight loss won't change her perceived fatness, can hinder health efforts.
Which of the following statements accurately describes the concepts of disease and illness?
- A. A disease is traditionally diagnosed and treated by a nurse.
- B. The focus of nurses is the person with an illness.
- C. A person with an illness cannot be considered healthy.
- D. Illness is a normal process that affects level of functioning.
Correct Answer: B
Rationale: Nurses focus on the holistic care of individuals with an illness, addressing their physical, emotional, and social needs, rather than just the disease.
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