A patient who suffers from frequent migraines tells the nurse, "My life feels chaotic and out of my control. I will not be able to manage if anything else happens." Which response should the nurse make initially?
a. "Regular exercise may get your mind off the pain."
b. "Guided imagery can be helpful in regaining control."
c. "Tell me more about how your life has been recently."
d. "Your previous coping strategies can be very helpful to you now."
ANS: C
The nurse's initial strategy should be further assessment of the stressors in the patient's life. Exercise, guided imagery, or understanding how to use coping strategies that worked in the past may be of assistance to the patient, but more assessment is needed before the nurse can determine this.
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