A male client who suffered a stroke completed his physical therapy and is returning to work. The client is in which stage of the illness experience?

Medical care

Recovery and rehabilitation

Wellness care

Termination of care

Answer and Explanation

The Correct Answer is B

B. This stage follows the acute phase of illness and involves efforts to restore functioning, improve quality of life, and regain independence through therapies such as physical therapy, occupational therapy, and speech therapy. Returning to work is a significant milestone in this phase, indicating progress in functional recovery.

A. This stage typically involves initial diagnosis, treatment, and acute management of the illness or condition. It focuses on stabilizing the patient's health and addressing immediate medical needs.

C. This stage emphasizes maintaining health and preventing recurrence or complications once the acute phase and recovery are complete. It involves strategies such as regular check-ups, lifestyle modifications, and adherence to health-promoting behaviors.

D. This stage typically refers to the closure of formal medical or rehabilitative services when the patient no longer requires ongoing professional intervention for the condition.

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Correct Answer is C

Explanation

C This is a common and potentially life-threatening complication in individuals with anorexia nervosa who are undergoing treatment. It can lead to cardiac arrhythmias.

A. Anorexia nervosa can lead to electrolyte imbalances, including hyponatremia (low serum sodium level), due to inadequate intake of sodium and fluid restriction. Antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), can also contribute to hyponatremia by causing the syndrome of inappropriate antidiuretic hormone secretion (SIADH), which leads to water retention and dilutional hyponatremia. However, it is not as life-threatening as hypokalemia.

B. Anorexia nervosa can lead to electrolyte imbalances, including hyponatremia (low serum sodium level), due to inadequate intake of sodium and fluid restriction. However, it is not as life-threatening as hypokalemia.

D. Anorexia nervosa typically does not lead to hyperkalemia (high serum potassium level), as potassium is usually lost through purging behaviors or inadequate intake. Antidepressants also do not commonly cause hyperkalemia as a side effect.

A. Anger B. Anxiety C. Withdrawal D. Denial

Correct Answer is D

Explanation

D. Denial is a defense mechanism where individuals refuse to acknowledge or accept a painful or distressing reality. In this case, despite objective medical evidence (biopsy results and MRI findings), the client persists in believing that the diagnosis of terminal cancer is incorrect. This refusal to accept the reality of the situation is characteristic of denial.

A. Anger typically involves feelings of frustration, resentment, or hostility towards others or the situation. While anger can be a reaction to receiving a terminal diagnosis, it is not reflective of refusing to accept the diagnosis itself.

B. Anxiety involves feelings of worry, fear, or unease about future events or uncertainties. While anxiety can accompany a terminal diagnosis, it does not manifest as outright refusal or disbelief in the diagnosis itself.

C. Withdrawal refers to a retreat or disengagement from social interactions or activities. It can be a coping mechanism in response to stress or difficult emotions. However, withdrawal does not specifically relate to refusing to accept a diagnosis like terminal cancer.

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A male client who suffered a stroke completed his physical therapy and is returning to work. The client is in which stage of the illness experience?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A female client with anorexia nervosa and a cardiac condition was prescribed an antidepressant before she regained weight during her treatment course. The nurse should be aware of the possibility of which condition in this client?

Correct Answer is C

Explanation

A hospitalized client is told that he has terminal cancer. The client adamantly believes that the physician is wrong despite biopsy results and MRI findings. This is an example of which of the following?

Correct Answer is D

Explanation

Which of the following is true of a person who assumes the sick role?

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