While conducting a rapid assessment for a client who has diabetes, the student nurse notes that the client is experiencing emotional stress following the recent death of the spouse. When discussing the client with the nurse preceptor, which statement by the student nurse student indicates the need for further education?
1. "Emotional stress can negatively impact the immune system's ability to function."
2. "The client has probably not been eating well recently."
3. "I should not ask about the use of drugs or alcohol at this time."
4. "The client may be hyperglycemic."
Correct Answer: 3
Some individuals use alcohol, tobacco, or drugs to "feel better." The nurse must assess the client's use of drugs or alcohol at this time. Emotional stress affects the immune system, resulting in increased susceptibility to infection. During periods of stress or change, individuals are less likely to attend to habits that promote health such as eating nutritious meals or following an exercise routine. The client who is experiencing emotional stress is more likely to develop an increased serum glucose level due to the increased level of circulating stress hormones.
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