A nurse is caring for a client who has a new colostomy and states they are not ready to look at the stoma. Which of the following teaching strategies is helpful and encourages the client to share their feelings about the colostomy?
Question-and-answer
Discussion
Role play
Return demonstration
The Correct Answer is B
Choice A reason: A question-and-answer session might provide information but does not specifically encourage the client to share their feelings and concerns about the colostomy. It's more about imparting knowledge rather than addressing emotional needs.
Choice B reason: Discussion is an effective strategy to encourage the client to share their feelings about the colostomy. It creates an open environment for expressing concerns, asking questions, and receiving emotional support.
Choice C reason: Role play can be useful in teaching new skills or preparing for specific situations, but it might not be the best initial approach for someone struggling to accept a new colostomy. Emotional readiness and comfort should be addressed first.
Choice D reason: Return demonstration is a method to confirm the client's understanding of a procedure by having them perform it. It is more appropriate for assessing practical skills rather than addressing emotional concerns and readiness to engage with the stoma.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Increasing the intake of raw vegetables is not typically recommended immediately after colostomy surgery due to the potential for causing gas and irritation in the bowel. A more balanced diet should be gradually introduced.
Choice B reason: It is common to experience a small amount of bleeding around the stoma initially as it heals. This is normal and should subside as the healing process continues.
Choice C reason: Fecal output usually begins within 2-4 days after surgery, not necessarily within 24 hours. The bowel needs time to adjust and start functioning properly after the operation.
Choice D reason: The stoma should be pink to red and moist, indicating healthy tissue. A purplish color may indicate compromised blood flow and requires immediate medical attention.
Correct Answer is B
Explanation
Choice A reason: Obesity is a risk factor for various cancers but is not specifically a primary risk factor for prostate cancer. It can contribute to overall health problems that indirectly affect cancer risk.
Choice B reason: Being male is a primary risk factor for prostate cancer, as this type of cancer affects the prostate gland, which is present only in men. The risk increases significantly with age and other factors.
Choice C reason: Age is a significant risk factor, with the incidence of prostate cancer increasing in men over 50. However, the most defining factor is being male.
Choice D reason: Moderate alcohol use is not specifically linked to an increased risk of prostate cancer. While excessive alcohol consumption can affect overall health, it is not a primary risk factor for prostate cancer.
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