A nurse is planning to provide teaching to a client who has a new prescription for disulfiram. Which of the following statements should the nurse include in the teaching?

Choice A reason: Publicly confronting coworkers when conflict arises is not an appropriate strategy for managing compassion fatigue. This approach can escalate tension, create hostility, and worsen workplace stress. Compassion fatigue is already associated with emotional exhaustion and decreased resilience, so aggressive confrontation only compounds the problem. Healthy conflict resolution involves private, respectful communication and structured mediation, not public confrontation.

Choice B reason: Engaging in regular physical exercise is the correct answer because physical activity reduces stress hormones, improves mood through endorphin release, and enhances overall resilience. Exercise also promotes better sleep and energy regulation, which are critical in preventing burnout and compassion fatigue. Nurses who maintain physical wellness are better equipped to handle the emotional demands of patient care.

Choice C reason: Encouraging a passive communication style is counterproductive. Passive communication leads to suppressed emotions, unresolved conflicts, and feelings of powerlessness, all of which worsen compassion fatigue. Effective communication in healthcare requires assertiveness, clarity, and respect, ensuring that nurses can advocate for themselves and their patients without internalizing stress.

Choice D reason: Establishing a strong employee code of conduct is important for organizational culture but does not directly address compassion fatigue. Codes of conduct regulate professional behavior and ethics, but they do not provide personal coping mechanisms or stress-relief strategies. While valuable for workplace harmony, they are not a primary intervention for compassion fatigue.

Choice A reason: Fluticasone is an inhaled corticosteroid used for long-term control of asthma. It is not required to be administered before other inhaled medications; bronchodilators are usually given first to open airways before corticosteroids.

Choice B reason: Rinsing the mouth and gargling after each use is correct because inhaled corticosteroids can cause oral candidiasis (thrush). Rinsing removes residual medication and reduces this risk.

Choice C reason: Fluticasone is not used as needed; it is a maintenance medication taken regularly to prevent inflammation. Rescue inhalers such as albuterol are used for acute symptom control.

Choice D reason: Growth may be slowed, not accelerated, in children using inhaled corticosteroids. Monitoring growth is important during long-term therapy.