A nurse is caring for a client in an outpatient clinic.

Exhibits

Select the 3 interventions the nurse should plan to take.

A. Encourage the client to think positive thoughts. While promoting positive thinking can be helpful, this approach may oversimplify the client's experience and does not address their anxiety or physical symptoms effectively.
B. Assist the client in distinguishing between anxiety and physical manifestations. This intervention is crucial as it helps the client understand the connection between their anxiety and physical symptoms. It can empower the client to better manage their feelings and reduce their fixation on health issues.
C. Provide relief measures for manifestations the client is experiencing. Addressing the client's physical symptoms, such as anxiety and stomach discomfort, is important for their overall well-being and can improve their quality of life.
D. Inform the client that nothing is medically wrong with them. This statement may dismiss the client's concerns and could lead to feelings of frustration or invalidation. It is important to listen to the client’s experiences without minimizing them.
E. Suggest to the client's provider that multiple tests need to be performed. Given the client's report of ongoing symptoms and concerns about their health, it is appropriate to recommend further evaluation to rule out any underlying medical issues. This ensures that the client feels heard and their concerns are taken seriously.
F. Perform a lengthy exam of the client's condition. Conducting a lengthy exam may not be necessary at this stage, especially in an outpatient setting. Instead, focusing on understanding the client's experience and addressing their concerns is more beneficial.

A. "My ex-partner constantly makes fun of my weight." This statement reflects emotional abuse, as body-shaming can damage self-esteem and create feelings of worthlessness. Constant criticism about appearance is a form of psychological manipulation and control.
B. "My ex-partner tells me that I can't do anything right." Emotional abusers often undermine their victims’ confidence by making them feel incompetent or incapable. This type of verbal degradation can lead to self-doubt, anxiety, and depression.
C. "I recently was promoted at work but now I'm unable to work with the same coworkers I was used to working with." While workplace changes can be stressful, this does not indicate emotional abuse. There is no mention of manipulation, belittlement, or control by another person.
D. "I am newly divorced and a single parent." Divorce and single parenting can be challenging, but they do not inherently signify emotional abuse. Emotional abuse involves a pattern of controlling, belittling, or manipulative behavior from another individual.
E. "I suppose I really do need to be on medication, like my ex-partner said." This statement suggests that the ex-partner may have manipulated the client into doubting their own mental stability. Gaslighting—making someone question their own reality—is a common tactic in emotional abuse.
F. "My friend recently passed away." Grief can contribute to emotional distress, but the loss of a friend does not indicate emotional abuse. Emotional abuse involves deliberate psychological harm from another person.