The nurse asks a client what strategies he uses to cope with stress. T

The nurse asks a client what strategies he uses to cope with stress. The client does not respond. What should the nurse do?

1. Document that the client has no stress.
2. Move on with the assessment.
3. Ask the client whether crying occurs.
4. Suggest that the client use humor or exercise.
5. Question the use of anger.

ANSWER

Correct Answer: 3, 4, 5
Rationale 1: The nurse should not document that the client has no stress.
Rationale 2: The nurse should not move on with the assessment.
Rationale 3: If the client does not adequately describe how stressful situations are handled, the nurse should prompt by asking the client whether crying occurs.
Rationale 4: If the client does not adequately describe how stressful situations are handled, the nurse should prompt by suggesting the client use humor or exercise.
Rationale 5: If the client does not adequately describe how stressful situations are handled, the nurse should ask the client about using anger or being angry.