A client with chronic obstructive pulmonary disease (COPD) reports social isolation. What does the nurse encourage the client to do?
a. Join a support group for people with COPD.
b. Ask the client's physician for an antian-xiety agent.
c. Verbalize his or her thoughts and feelings.
d. Participate in community activities.
C
Many clients with moderate to severe COPD become socially isolated because they are embar-rassed by frequent coughing and mucus production. They also can experience fatigue, which limits their activities. The nurse needs to encourage the client to verbalize thoughts and feelings so that appropriate interventions can be selected. Joining a support group would not decrease feelings of social isolation if the client does not verbalize feelings. Antianxiety agents will not help the client with social isolation. Encouraging a client to participate in activities without ver-balizing concerns also would not be an effective strategy for decreasing social isolation.
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