Question

A patient who has frequent migraines tells the nurse, "My life feels chaotic and out of my control. I could not manage if anything else happens." Which response should the nurse make initially?

a. "Regular exercise may get your mind off the pain."
b. "Guided imagery can be helpful in regaining control."
c. "Tell me more about how your life has been recently."
d. "Your previous coping resources can be helpful to you now."

Answer 1

The nurse should initially respond with an empathetic inquiry for more information, as active listening helps in understanding the patient's situation and can be vital in suggesting appropriate coping strategies and interventions for stress management, which is often related to headaches. The correct answer is option C.

Step-by-step explanation:

The initial response a nurse should make to a patient expressing feelings of chaos and a lack of control due to frequent migraines is option c. "Tell me more about how your life has been recently." This open-ended inquiry allows for the establishment of therapeutic communication. It invites the patient to elaborate on their experiences which helps the nurse gain a better understanding of the patient's individual situation. Providing empathy and active listening can significantly support patient coping and adherence to treatment.

It's important to acknowledge that one's sense of control and the use of coping mechanisms are critical in managing stress-related symptoms like headaches. Techniques such as relaxation, guided imagery, or exercise may be beneficial, as they help in stress reduction. Engagement in activities that promote stress management and perceived control may contribute to better outcomes for patients dealing with frequent headaches.