Which of the following strategies should the nurse recommend to a patient with psoriasis to manage itchiness and discomfort?

Explanation: The primary assessment technique used to diagnose psoriasis is a physical examination of the skin. The characteristic red, raised patches with silver scales are indicative of psoriasis. While additional tests like skin biopsy may be used to confirm the diagnosis, the initial diagnosis is based on the visual appearance of the skin lesions.

Incorrect choices: a. A skin biopsy may be performed to confirm the diagnosis of psoriasis, but it is not the primary assessment technique used to diagnose the condition.

b. Blood tests may be conducted to rule out other conditions or assess for systemic involvement, but they are not the primary method of diagnosing psoriasis.

d. MRI is not a diagnostic tool for psoriasis. It may be used in certain cases to assess joint involvement in psoriatic arthritis, but it does not diagnose psoriasis itself.

Explanation: Psoriasis is characterized by red and raised skin patches covered with silver or white scales. These patches are often itchy and can be found on various parts of the body, such as the scalp, elbows, knees, and lower back.

Incorrect choices: a. Clear and smooth skin without any changes is not consistent with psoriasis, which is marked by visible skin changes like red, raised patches.

c. Skin rash with fluid-filled blisters may indicate conditions such as contact dermatitis or eczema but is not typical of psoriasis.

d. Purple or red lumps under the skin are more suggestive of other conditions, such as nodules or hematomas, rather than psoriasis.