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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Monitoring bowel sounds is important for assessing gastrointestinal function, but it does not directly measure the effectiveness of lactulose in treating hepatic encephalopathy.
Choice B reason: Temperature monitoring is essential for detecting infection, but it does not indicate the effectiveness of lactulose in reducing ammonia levels.
Choice C reason: Abdominal pain should be monitored as a potential side effect of lactulose, but it is not an indicator of its effectiveness in treating hepatic encephalopathy.
Choice D reason: Stool frequency is the correct measure for monitoring the effectiveness of lactulose. Lactulose works by promoting the excretion of ammonia in the stool, thereby reducing serum ammonia levels and improving the symptoms of hepatic encephalopathy. Increased stool frequency indicates the medication is working.
Correct Answer is C
Explanation
Choice A reason: Cleaning the inside of the container with a wipe is not part of the standard procedure for collecting a midstream urine sample. The focus should be on maintaining external cleanliness to avoid contamination of the sample.
Choice B reason: Urinating a little then stopping is part of the process, but this statement alone does not indicate a complete understanding of the procedure. The critical aspect is how the client cleans and collects the sample to ensure it is not contaminated.
Choice C reason: Using the cleansing wipe from front to back is the correct procedure for collecting a midstream urine sample. This method helps prevent contamination from bacteria that could be present around the genital area, ensuring a more accurate sample for analysis.
Choice D reason: Using each cleansing wipe twice is not advised as it can lead to contamination. Each wipe should be used only once to maintain hygiene and ensure the accuracy of the urine sample.
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