A patient tells the nurse, "I had this arthritis pain under control, but then I learned I might lose my job." How should the nurse respond?
1. "Well, we'd better do everything to help you before you lose your health benefits."
2. "I'm sure you'll find another job."
3. "Stress can exacerbate arthritis."
4. "Have you considered going on disability?"
Correct Answer: 3
The onset of an autoimmune disorder is frequently associated with an abnormal stressor, either physical or psychological. Autoimmune disorders are frequently progressive relapsing–remission disorders characterized by periods of exacerbation and remission. The nurse should not compound the patient's anxiety by appearing to assume the patient will lose the job or health benefits. Arthritis is a condition associated with periods of remission and exacerbation. The patient should be encouraged to remain as active as possible and avoid giving up.
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