A client with PCOS is concerned about infertility.
What can the nurse say to provide emotional support?
"Infertility is common in PCOS, and there's nothing you can do about it.”
"You should blame yourself for your infertility issues.”
"I understand your concerns, and we can explore fertility treatment options.”
"You should avoid seeking emotional support; it won't help.”
The Correct Answer is C
Choice A rationale:
Telling the client that there's nothing they can do about infertility is not supportive and may discourage them.
While infertility is common in PCOS, there are fertility treatment options available, and it's important to provide hope and support to the client.
Choice B rationale:
Advising the client to blame themselves for their infertility issues is not appropriate and can be emotionally harmful.
Infertility is a complex issue, and self-blame is not productive.
Choice C rationale:
Saying, "I understand your concerns, and we can explore fertility treatment options," is a supportive and empathetic response.
It acknowledges the client's feelings while also offering to explore potential solutions and treatment options for infertility.
Choice D rationale:
Suggesting that the client should avoid seeking emotional support is not appropriate.
Emotional support is crucial for individuals dealing with infertility and other emotional challenges related to PCOS.
Encouraging the client to seek support is a more helpful approach.
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Related Questions
Correct Answer is B
Explanation
Choice B rationale:
PCOS is associated with several potential complications, including an increased risk of type 2 diabetes and cardiovascular disease.
Women with PCOS often have insulin resistance, which can lead to elevated blood sugar levels and, over time, an increased risk of developing diabetes.
Additionally, PCOS is linked to abnormal lipid profiles and obesity, further increasing the risk of cardiovascular disease.
Educating the patient about these potential complications is essential for early intervention and prevention.
Choice A rationale:
Stating that "there are no complications associated with PCOS" is incorrect.
PCOS is a complex condition that can have various health implications, as mentioned in Choice B.
Failing to inform the patient about potential complications could lead to inadequate monitoring and management of their health.
Choice C rationale:
PCOS does not only affect the ovaries; it has systemic effects on the body.
It can lead to hormonal imbalances, insulin resistance, and other metabolic disturbances that affect multiple body systems, including the endocrine and cardiovascular systems.
This statement is inaccurate as it downplays the seriousness of PCOS.
Choice D rationale:
PCOS is not associated with a reduced risk of infertility.
In fact, one of the hallmark features of PCOS is ovulatory dysfunction, which can lead to infertility or subfertility in affected individuals.
It is crucial to provide accurate information to patients regarding the potential impact of PCOS on fertility and available treatment options.
Correct Answer is A
Explanation
Choice A rationale:
Increased risk of developing type 2 diabetes.
Rationale: The nurse should prioritize discussing the increased risk of developing type 2 diabetes when talking about PCOS complications.
Insulin resistance is a common feature of PCOS, and many individuals with PCOS are at a higher risk of developing type 2 diabetes if their condition is not managed effectively.
This is a significant health concern that requires attention and preventive measures.
Choice B rationale:
Psychological effects like depression and anxiety.
Rationale: While psychological effects like depression and anxiety are important to address in the context of PCOS, they are not the primary complication that should be prioritized in the discussion.
The increased risk of type 2 diabetes has more immediate and potentially severe health implications.
Choice C rationale:
Infertility and difficulty conceiving.
Rationale: Infertility and difficulty conceiving are significant concerns for many individuals with PCOS.
However, these complications may not be the top priority for all patients, as not everyone with PCOS desires to conceive.
Additionally, addressing insulin resistance and diabetes risk is more universally relevant.
Choice D rationale:
Endometrial hyperplasia.
Rationale: Endometrial hyperplasia is a potential complication of PCOS due to irregular menstrual cycles and anovulation.
While it is a concern, it is not the most critical complication to prioritize in the discussion, as it is more directly linked to fertility issues and may not be applicable to all patients.
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