A teenage girl with psoriasis tells the nurse that she is so embarrassed by the plaque on her skin that she doesn't want to go to school. What is the best response by the nurse?
A) "Have you been applying your medication and emollients to your skin as directed by your physician?"
B) "It must be really difficult for you. Tell me how you are taking care of your skin on a daily basis."
C) "Sunlight really helps the plaque areas heal. Maybe going to a tanning bed routinely will help."
D) "You can't miss school because of your skin. Can you wear clothes that will cover the areas?"
Ans: B
"It must be really difficult for you. Tell me how you are taking care of your skin on a daily basis" shows empathy and allows the nurse to determine how the girl is taking care of the psoriasis and if any suggestions to the treatment plan can be helpful. Questioning the client if she is doing what the physician has prescribed may make her defensive and does not show empathy. Suggesting tanning can cause too much exposure to unwanted UV rays. Telling the girl that she can't miss school and to cover the areas does not elicit open discussion and does not promote self-esteem.
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