Which patient should a nurse consider as being the most ill? ...

[ap345]

Which patient 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 13-year-old adolescent with newly diagnosed diabetes who does not want to check 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 alcohol hepatitis who attends weekly Alcoholics Anonymous meetings

Question 2

A nurse has been temporarily assigned to the night shift. A change in this circadian rhythm may cause which of the following? (Select all that apply.)
 
  a. Anxiety
  b. Weight gain
  c. Decreased appetite
  d. Increased periods of sleep
  e. Impaired judgment

[Carliemb17]

Answer to Question 1

B
A 13 year old who does not want to check blood sugar is the most ill out of the patients listed because 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. The 25 year old, the 43 year old, and the 77 year old are taking actions to improve their overall health.

Answer to Question 2

A, C, E
When the sleep-wake cycle becomes disrupted (e.g., by working rotating shifts), other physiological functions change as well. For example, a new nurse who starts working the night shift experiences a decreased appetite and loses weight, not weight gain. Anxiety, restlessness, irritability, and impaired judgment are other common symptoms of sleep cycle disturbances. Decreased, not increased, periods of sleep can occur. Failure to maintain an individual's usual sleep-wake cycle negatively influences the person's overall health.