A nurse in the intensive care unit has been experiencing an excessive amount of stress in her workplace.She sees the employee health nurse and states,"I feel nervous and stressed all the time.Even when I go home,I don't feel better.What am I going to do?" What is the most appropriate response(s) from the employee health nurse? Select all that apply.

A) "If you are doing the best you can and it is not working, maybe you need to find another job."
B) "I'm happy to see you are here and asking for help dealing with your anxiety."
C) "Have you talked to some of your colleagues about the way you feel?"
D) "I will make a list for you of some coping strategies that may be helpful."

In the workplace,nurses must pay attention to their own feelings,body,and personal responses to stress.There are many concerns and questions to be asked.Is the nurse eating more,experiencing a loss of appetite,or losing weight? Are there concerns with sleep patterns,feeling nervous,taking work home,or feeling unable to stop thinking about work? These are all feelings associated with workplace stress.Solutions,healthy responses,and strategies to manage stress include setting realistic expectations of yourself and others,asking for help,being supportive of colleagues and sharing your feelings with colleagues,joining professional organizations,and striving for balance.When all options have been explored or exhausted and a high level of stress remains or continues,then the person may not have any option other than leaving employment.In this item,the nurse is seeing the employee and is beginning an assessment of her concerns.She has not yet explored the stressors,length of time of the stress,nor what strategies have been used.The most appropriate response is to acknowledge that the employee is seeking help and ask about colleague sharing.The employee health nurse would not make a list for the employee,as this would be developed collaboratively.Leaving employment is the final option and not necessarily appropriate at this time.