A client has presented to the ambulatory care clinic with complaints of back pain, nausea, and fatigue. When the nurse questions the client about recent stressors the client becomes irritated and states,
"I am sick. Why are you asking me about all of this stress stuff?" Which of the following responses by the nurse is most appropriate?
1. "Stress can impact our body by producing a variety of symptoms."
2. "Your nausea and fatigue are most often related to an overabundance of stress in life."
3. "Asking about stress is required for every client."
4. "We all have stress and I need to see how much you have."
1
Rationale 1: Stress is associated with a variety of physical ailments, including back pain, nausea, and fatigue. The nurse has a responsibility to provide education to the client concerning the reasons behind the questions being asked.
Rationale 2: The final diagnosis as to the cause of the ailments being reported has not been completed. It is premature for the nurse to equate an overabundance of stress to the physical concerns reported.
Rationale 3: Stress assessment may be a requirement for many data collections but this does not provide an adequate response to the client.
Rationale 4: Telling the client that all people have stress downplays the client's individual needs and is inappropriate.
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