A patient with an exacerbation of his chronic systemic lupus erythematosus (SLE) has been hospitalized on your unit. He gets angry when his call bell isn't answered immediately. What would be the most appropriate response?
A) "You seem angry. Would you like to talk about it?"
B) "Calm down. You know that stress will 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 and 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 his 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 doesn't acknowledge the patient's feelings.
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