A patient tells the nurse, "I know that I should reduce the stress in my life, but I have no idea where to start." What would be the best initial nursing response?
a. "Physical exercise works to elevate mood and reduce anxiety."
b. "Reading about stress and how to manage it might be a good place to start."
c. "Why not start by learning to meditate? That technique will cover everything."
d. "Let's talk about what is going on in your life and then look at possible options."
ANS: D
In this case, the nurse lacks information about what stressors the patient is coping with or about what coping skills are already possessed. Further assessment is indicated before potential solutions can be explored. Suggesting exploration of the stress facing the patient is the only option that involves further assessment rather than suggesting a particular intervention.
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