A nurse in a provider's office is collecting data from a client who has psoriasis.
Which of the following statements by the client should the nurse report to the provider?
I limit my time spent out in the sunlight
I do not use fabric softener when I wash my clothing.
I try not to look at the scales on my body.
I remove old medication on my skin before applying a new dose.
None
None
The Correct Answer is A
A. Sunlight exposure can actually be beneficial for clients with psoriasis, as ultraviolet (UV) light can help reduce the growth of skin cells and alleviate symptoms. If the client is limiting their sunlight exposure, they might be missing out on a potential therapeutic benefit. However, it is important to balance sun exposure and avoid overexposure to prevent skin damage.
B. Avoiding fabric softener can be a proactive measure to prevent skin irritation, which is beneficial for someone with psoriasis.
C. This could indicate emotional distress or body image concerns, but it doesn’t necessarily need to be reported unless the client shows signs of depression or anxiety affecting their daily life.
D. This is correct practice to ensure the effectiveness of the medication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
By acknowledging and validating the client's feelings of fear and concern, the nurse establishes a supportive and empathetic approach. This response helps build trust and rapport with the client, creating an environment where open communication is encouraged. Engaging in further discussion allows the client to express their thoughts and beliefs, which can aid in understanding their perspective and providing appropriate care.
Option A is not the best response as it directly denies the client's belief, which can further escalate their paranoia and potentially damage the therapeutic relationship.
Option B is also not the best response as it challenges the client's belief without providing validation or understanding. It may make the client defensive and reluctant to share their thoughts further.
Option D is not the best response as it focuses on questioning the client's belief without providing support or empathy. It does not address the underlying fear and may not help the client feel heard or understood.
Correct Answer is D
Explanation
It is common for school-age children to exhibit magical thinking and believe that their actions or thoughts have the power to cause events, including the illness or death of a loved one.
Therefore, it would be expected for the school-age brother of a child with terminal cancer to have thoughts or beliefs that his own behavior is causing his brother's death. It is important for the nurse to provide age-appropriate education and support to help the brother understand the nature of the illness and address any misconceptions or feelings of guilt.
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