A patient who has severe refractory psoriasis on the face, neck, and extremities is socially withdrawn because of the appearance of the lesions. Which action should the nurse take first?
a. Discuss the possibility of enrolling in a worker-retraining program.
b. Encourage the patient to volunteer to work on community projects.
c. Suggest that the patient use cosmetics to cover the psoriatic lesions.
d. Ask the patient to describe the impact of psoriasis on quality of life.
ANS: D
The nurse's initial actions should be to assess the impact of the disease on the patient's life and to allow the patient to verbalize feelings about the psoriasis. Depending on the assessment findings, other actions may be appropriate.
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