A patient who has experienced a rapid progression of osteoarthritis has lost a significant amount of function in his hands.
This pathophysiological process has been accompanied by obvious physical changes, to which the patient has stated, I try to keep these gnarled old hands out of sight so no one has to look at them. How can the nurse best respond to this patient's statement about body image?
A) Help him to focus on his strength of character more than his physical appearance.
B) Tell him that people are not normally as judgmental and superficial as he may think they are.
C) Encourage him to focus on the function that remains rather than the function that has been lost.
D) Encourage him to verbalize his feelings about his appearance in more detail.
Question 2
A patient asks the home health nurse from what the distressing symptoms of dumping syndrome result. What physiological occurrence should the nurse explain?
A) Irritation of the phrenic nerve due to diaphragmatic pressure
B) Chronic malabsorption of iron and vitamins A and C
C) Reflux of bile into the distal esophagus
D) Osmotic transport of extracellular fluid into the gastrointestinal tract
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