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A client is admitted to the hospital with an exacerbation of chronic systemic lupus erythematosus (SLE). The client starts yelling at the nurse when the call bell is not answered immediately. What is the most appropriate response for the nurse?

"I can see you're upset. I'll come back when you've calmed down." "Would you like to talk about the problem with the nursing supervisor?" "You seem to be angry. Tell me about what you are feeling." "Calm down. You know that stress can make your symptoms worse."

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Final answer:

The best response by the nurse is to acknowledge the client's anger by inviting them to discuss their feelings, demonstrating empathy and active listening for a patient with SLE.

Step-by-step explanation:

The most appropriate response for the nurse is "You seem to be angry. Tell me about what you are feeling." This approach is empathetic and patient-centered, allowing the client to express their emotions, which is crucial for patients experiencing an exacerbation of chronic systemic lupus erythematosus (SLE). It is important for healthcare professionals to use effective communication strategies, such as active listening and empathy, to de-escalate tense situations and provide the best care for patients with SLE, a condition that can cause a range of symptoms, including emotional stress and psychological fatigue.

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