Care Manager Certification Practice Exam

How should the nurse explain "remission" to a patient with systemic lupus erythematosus?

1. Symptoms of illness reappear abruptly

2. The disease is no longer present

3. New symptoms may occur at this time

4. Symptoms are not currently experienced

The correct answer is: Symptoms are not currently experienced

When explaining "remission" to a patient with systemic lupus erythematosus, it's important to convey that remission signifies a period during which the patient does not experience any symptoms associated with their illness. This means that the active manifestations of the disease are absent, allowing the patient to enjoy a reprieve from the discomfort and challenges that accompany lupus. During this time, the patient may feel well and have normal levels of health, which can lead to a sense of relief and improvement in their quality of life. It's crucial for patients to understand that while they may not currently experience symptoms, this does not necessarily mean that the disease is cured; rather, it indicates a phase where the disease is under control. Other options can be misleading. For instance, the notion that symptoms may reappear abruptly or that the disease is no longer present can create confusion regarding the nature of lupus, which is a chronic condition that can fluctuate in its manifestation. Understanding that no symptoms are currently experienced provides clarity and aligns with the medical definition of remission, emphasizing a temporary absence of disease activity rather than a permanent cure.