A patient with an exacerbation of systemic lupus erythematosus (SLE) has been hospitalized on the medical unit. The nurse observes that the patient expresses angerand irritation when her call bell isn't answered immediately
What would be the most appropriate response?
A) "You seem like you're feeling angry. Is that something that we could talk about?"
B) "Try to remember that stress can make your symptoms worse."
C) "Would you like to talk about the problem with the nursing supervisor?"
D) "I can see you're angry. I'll come back when you've calmed down."
Ans: A
Feedback:
The changes and the unpredictable course of SLE necessitate expert assessment skills and nursing care, as well as sensitivity to the psychological reactions of the patient. Offering to listen to the patient express anger can help the nurse and the patient understand its cause and begin to deal with it. Although stress can exacerbate the symptoms of SLE, telling the patient to calm down doesn't acknowledge her feelings. Ignoring the patient's feelings suggests that the nurse has no interest in what the patient has said. Offering to get the nursing supervisor also does not acknowledge the patient's feelings.
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