A nurse cares for a client with ulcerative colitis. The client states, "I feel like I am tied to the toilet. This disease is controlling my life." How should the nurse respond?
a. "Let's discuss potential factors that increase your symptoms."
b. "If you take the prescribed medications, you will no longer have diarrhea."
c. "To decrease distress, do not eat anything before you go out."
d. "You must retake control of your life. I will consult a therapist to help."
ANS: A
Clients with ulcerative colitis often express that the disorder is disruptive to their lives. Stress factors can increase symptoms. These factors should be identified so that the client will have more control over his or her condition. Prescription medications and anorexia will not eliminate exacerbations. Although a therapist may assist the client, this is not an appropriate response.
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