pearljam59
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A 45-year-old woman with rheumatoid arthritis calls the physician on a Saturday morning because she cannot turn the bathroom faucet due to pain and weakness in her hands and wrists. She is tearful and says, "My husband has already left for work and my hands are too weak to turn the water on. It hurts too much and now I can't even take a bath." Which of the following is the most appropriate response?
A) "Come to the office right away and I will give you a cortisone shot."
B) "I know this must be difficult. Perhaps a plumber may be able to help you."
C) "I sympathize with you. Unfortunately, it looks like your only option is to wait until your husband comes home."
D) "Many people with rheumatoid arthritis have difficulty turning faucets. Perhaps you would be interested in joining a support group."
E) "People with rheumatoid arthritis often feel that their independence has been lost because of their pain. Perhaps using a tool with a long handle would help."
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| elisamik
Forum Senior
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i think it's E.
her main/immediate concern is not taking the bath right know, it's her feeling of lost independence.
you let her know you understand her concern and offer a immediate/easy solution.
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| robin082006
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agree
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| achilles
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yup. i'll go for E too.
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| pearljam59
Forum Guru
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Wow...usually you can do these questions JUST by reading the answers. But this one really got me for some reason.
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| tolito
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i also agree with E.
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| Cedrick
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| eaguin
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E 
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| judy
Forum Newbie
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D is the best solution
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| young_doc
Forum Guru
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There was a HUGEEE thread on this a while back... Between D. and E.
I personally don't like E because you're insulting your patient's intelligence (as if they hadn't thought of using a tool to open the faucet???).
But i do have to admit it's probably the best option of the list, becaue D. doens't deal with the immediate problem at hand.
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