A patient tells the nurse that she never had "bowel problems" until she started a new job that is highly demanding. How should the nurse respond to this patient?
1. "The new job might be a trigger for a stress reaction to occur in your body, causing the new bowel problems.".
2. "Stress causes gastrointestinal problems.".
3. "You might have had the bowel problems all along but didn't realize it until recently.".
4. "There really isn't any connection between the new bowel problems and the new job.".
"The new job might be a trigger for a stress reaction to occur in your body, causing the new bowel problems.".
Rationale: Stress can be a trigger to cause gastrointestinal problems, but stress does not cause gastrointestinal problems directly. The stress circuit influences the stomach and intestines and can lead to problems such as diarrhea, constipation, cramping, and bloating. Excessive stomach acid can lead to gastric burning. It would be misleading to tell the patient that stress causes gastrointestinal problems. The nurse does not have enough information to say that the patient has had bowel problems all along but did not realize it until the new job started. The nurse should not tell the patient that there is not any connection between the bowel problems and the new job, because she does not know for sure.
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