A nurse is caring for a client who has a new colostomy. The client tells the nurse, "I don't want anyone to
see me with this bag." Which of the following responses should the nurse make?
Many people have colostomies, and they live full lives
"Would it help to speak to someone else who has a colostomy?
Why don't you want people to see the colostomy bag?
The colostomy is probably only temporary
The Correct Answer is A
a. "Many people have colostomies and they live full lives."
Explanation:
The correct answer is a. "Many people have colostomies and they live full lives."
When a client expresses concerns or distress regarding their colostomy and not wanting others to see the colostomy bag, it is essential for the nurse to provide support and reassurance. Responding by acknowledging that many people live full lives with colostomies helps normalize the experience and offers hope to the client.
Option b, "Would it help to speak to someone else who has a colostomy?" may be a helpful suggestion, but it should not be the initial response. First, it is important to provide immediate reassurance and support to the client before exploring additional resources or contacts.
Option c, "Why don't you want people to see the colostomy bag?" may be seen as invasive and may put the client on the spot, potentially making them feel uncomfortable or defensive. It is important to create a safe and non-judgmental environment for the client.
Option d, "The colostomy is probably only temporary," assumes information about the client's specific situation that may not be accurate. It is important to avoid making assumptions about the duration or permanence of the colostomy unless the client has shared that information. Providing false reassurances can negatively impact the client's trust and emotional well-being.
By responding with the statement that many people live full lives with colostomies, the nurse offers support, normalizes the client's experience, and promotes a positive outlook for the client's future.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
"The ECT procedure will cause you to have a brief seizure": This statement is important to inform the client about the nature of the ECT procedure. Electroconvulsive therapy (ECT) involves inducing a controlled seizure through the use of electric currents. It is important for the client to understand that a seizure will occur during the procedure.
"You will not be awake during the ECT procedure": This statement is important to manage the client's expectations. ECT is performed under general anesthesia, so the client will be unconscious during the procedure.
"You may experience temporary memory loss following ECT therapy": This statement is important to prepare the client for potential side effects. Memory loss, particularly retrograde amnesia (difficulty recalling past events), can occur as a side effect of ECT. It is important to inform the client about this possibility.
The following statements should not be made:
● "You will be placed on a ventilator to help you breathe during the ECT procedure": ECT does not require the use of a ventilator. The client's breathing and vital signs are closely monitored during the procedure, but mechanical ventilation is typically not necessary.
● "You will probably sleep the rest of the day following the ECT procedure": While some clients may experience drowsiness or fatigue following ECT, it is not accurate to assume
that the client will sleep for the rest of the day. The recovery period varies for each individual.
● "It should only take one ECT treatment to bring you out of your depression": The number of ECT treatments required varies depending on the individual and the severity of their condition. It is important not to give false expectations about the number of treatments needed.
Correct Answer is B
Explanation
b. "I should join a support group to help me be successful."
The statement that indicates an understanding of smoking cessation teaching is option b: "I should join a support group to help me be successful." Joining a support group is a beneficial strategy for quitting smoking as it provides social support, encouragement, and shared experiences with others who are also trying to quit.
Option a is incorrect because using nicotine patches does not allow for continued smoking as it delivers nicotine without the harmful effects of smoking.
Option c is incorrect because nicotine replacement therapy (NRT) is a safe and effective method to manage nicotine withdrawal and does not cause cancer.
Option d is incorrect because varenicline is a medication that helps reduce nicotine cravings and withdrawal symptoms, and it does not make a person addicted to nicotine.
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