A patient is hospitalized with an exacerbation of her chronic systemic lupus erythematosus (SLE). She gets angry when her call bell isn't answered immediately. The most appropriate response to her would be:
A) "You seem angry. Would you like to talk about it?"
B) "Calm down. You know that stress will make your symptoms worse."
C) "Would you like to talk about the problem with the nursing supervisor?"
D) "I can see you're angry. I'll come back when you've calmed down."
Ans: A
Feedback: Verbalizing the observed behavior is a therapeutic communication technique in which the nurse acknowledges what the patient is feeling. Offering to listen to the patient express her anger can help the nurse and the patient understand its cause and begin to deal with it. Although stress can exacerbate the symptoms of SLE, telling the patient to calm down doesn't acknowledge her feelings. Ignoring the patient's feelings suggests that the nurse has no interest in what the patient has said. Offering to get the nursing supervisor also doesn't acknowledge the patient's feelings.
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