A client states, "I'm sure that I am suffering from PMS. How can I get my doctor to take this seriously?" The nurse's best response is:
a. "Men are not usually sympathetic to PMS sufferers."
b. "You are probably right. You should remind your doctor of your symptoms every time you visit."
c. "Since you feel certain you are right, you should just treat yourself with over-the-counter medications."
d. "You should keep a daily record of the occurrence and severity of your symptoms for 3 months."
ANS: D
Symptom charting for at least 3 months is necessary to make an accurate diagnosis of PMS. Suggesting lack of sympathy from men is an inaccurate statement and will not help the client with the present problem. Reminding the physician of the symptoms will not assist in making a diagnosis. Listing symptoms for 3 months will help the physician make the diagnosis better. The client should not treat herself with over-the-counter medications.
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