Over the last few years, in several countries, there have been large outbreaks of the influenza virus. which statement correctly describes the outbreaks?

this represents an epidemic because the outbreaks were a viral, not a bacterial, illness.
this represents a pandemic because it involves an illness that has no known cure.
this represents an epidemic because the outbreaks were contained to the individual countries.
this represents a pandemic because the outbreaks took place in several different countries.

Mrs. h, age 42 years, is experiencing severe rheumatoid arthritis in her wrists, fingers, and knees. the joints are quite inflamed, red, and swollen. she is sitting rigidly in a chair and refuses to put on a sweater, even though she is shivering, or let anyone touch her arms. she has been prescribed an analgesic and an anti-inflammatory drug, but her dose is not due for another hour. she is feeling nauseated, so she has not eaten for the past 8 hours. based on patient history and the signs and symptoms, discuss how the effects of pain are exacerbating her condition.