Answer to Question 1
B
Older adults in most cultures usually have had experience with traditional methods that have worked as well as expected. After these treatments fail, older adults turn to the formal health care system. Even in the United States, it is not uncommon for older adults to pray for cures or wonder what they did to incur an illness as punishment. The Ayurvedic system is a naturalistic health belief system practiced in India and in some neighboring countries. This belief is characteristic of a holistic or naturalistic approach.
Answer to Question 2
D
The Hgb A1c is an indicator of serum glucose control over the last 90 days. A Hgb A1c level over 8 indicates that this older adult had poor glucose control in that time frame. As a reliable indi-cator of hyperglycemia, it can indicate the reason this man experiences erectile dysfunction; hyperglycemia is associated with peripheral arterial disease. An erection occurs as the penile shaft becomes engorged with blood. This process can be impaired if the vessels are damaged from hyperglycemia because hyperglycemia damages the lining of blood vessels and leads to progressive occlusion of the damaged vessels. Many of the vessels involved in causing an erec-tion are fine vessels and are among the first vessels occluded in arterial disease. The potassium level, the prothrombin time, and the ALT are all within normal limits.
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