Answer to Question 1
D
Perceived losses are uniquely experienced by a grieving person and are often less obvious to others. A perceived loss is very real to the person who has had a loss. For example, a person perceives she is less loved by her parents and experiences a loss of self-esteem. People experience maturational losses as they go through a lifetime of normal developmental processes. For example, when a child goes to school for the first time she will spend less time with her parents, leading to a change in the parent-child relationship. Situational loss occurs as a result of an unpredictable life event. A situational loss often involves multiple losses. A divorce, for example, begins with the loss of a life companion, but often leads to financial strain, changes in living arrangements. People experience an actual loss when they can no longer touch, hear, see, or have near them valued people or objects. Examples include job loss.
Answer to Question 2
B
Persistent cough and night sweats are symptoms of tuberculosis (TB). Review risk factors for TB and/or HIV infection and assess for symptoms, including persistent cough, hemoptysis, unex-plained weight loss, fatigue, anorexia, night sweats, and fever. Ask the patient about persistent cough (productive or nonproductive), blood-streaked sputum, voice change, chest pain, shortness of breath, orthopnea (must be in upright position to breathe), dyspnea (breathlessness) during exertion or at rest, poor activity tolerance, or recurrent pneumonia or bronchitis. This may reveal cardiopulmonary problems or warning signs for lung cancer (symptoms in italics).
Normal development of posture and spinal curves. (A) Toddler: Protruding abdomen; lumbar lordosis. (
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