A nurse is assessing a client who is receiving treatment for psoriasis. Which of the following images depicts what the nurse should expect to observe?

Rationale

A. "Your provider wants you to take this medication.": This response focuses on the provider’s wishes rather than the client’s concerns and may make the client feel dismissed. It does not support shared decision-making or encourage the client to express what is worrying them about treatment. Such a statement can create resistance instead of promoting understanding.

B. "Would you like to discuss other treatment options with your provider?": This response acknowledges the client’s autonomy and validates their concerns about monitoring. It opens the door to exploring alternatives, such as DOACs, which require less monitoring, while still keeping the provider involved.

C. "Why don't you want to undergo monitoring?": Asking “why” can feel accusatory or confrontational, which may make the client defensive. Although understanding the reason is important, this phrasing is not therapeutic and can shut down communication. A more open and neutral statement would be needed to explore the client's concerns effectively.

D. "Regular monitoring is not difficult and will ensure that you remain healthy.": This response minimizes the client’s feelings and assumes they will find the monitoring easy. It offers reassurance without addressing the client’s specific concerns or allowing them to express their viewpoint. It does not promote meaningful dialogue about their hesitation.

Rationale

A. "My hearing has improved since I got my hearing aids.": This statement reflects a positive adaptation to age-related sensory changes and does not indicate a disturbed body image. The client demonstrates acceptance and use of assistive devices to maintain function.

B. "I avoid going out because I sometimes have problems with incontinence.": Avoiding social situations due to incontinence suggests the client is experiencing distress or embarrassment about physical changes, reflecting an impaired body image. This avoidance can affect self-esteem, social engagement, and overall quality of life.

C. "These lines in my face reveal a part of my character.": This statement shows the client has a positive perception of aging and views physical changes as meaningful rather than negative, indicating a healthy body image.

D. "My wrinkled hands show how hard I've worked all my life.": The client interprets physical aging positively, associating wrinkles with experience and effort, which demonstrates acceptance of bodily changes and a preserved body image.