A nurse is evaluating a patient who is suffering from prostatic hypertrophy.
What symptoms associated with urinary retention should the nurse anticipate? (Choose all that apply)

Choice A rationale

A water heater temperature of 54.4°C (130°F) is a safety risk because it can cause burns. Older adults have thinner skin and are more susceptible to burns.

Choice B rationale

Electric cords behind furniture can be a safety risk because they can cause tripping or fire if the cords are damaged.

Choice C rationale

Throw rugs are a safety risk because they can slide underfoot and cause falls, especially in older adults who may have balance issues.

Choice D rationale

Raised toilet seats are not a safety risk. In fact, they are often recommended for older adults to prevent falls in the bathroom.

Choice E rationale

A bathtub with rails is not a safety risk. Rails can provide support and prevent falls when the older adult is entering or exiting the bathtub.

Choice A rationale

Spending time with the patient is a therapeutic nursing approach when caring for a patient hospitalized for the treatment of severe depression. This approach shows the patient that they

are not alone and that their feelings are important. It can help build trust and rapport, which are essential for effective therapeutic communication and intervention.

Choice B rationale

Offering the patient choices of activities can be beneficial as it can provide a sense of control and improve mood. However, this approach should be used judiciously as the patient’s energy levels and interest in activities may be low due to depression.

Choice C rationale

Establishing a therapeutic relationship with the patient is an important aspect of care. However, this is a broad approach and involves more than just spending time with the patient. It includes building trust, maintaining confidentiality, and providing empathetic and nonjudgmental care.

Choice D rationale

Exploring the truth of the patient’s statements can be part of cognitive behavioral therapy (CBT), a common treatment for depression. However, this is usually done by a trained therapist and not by a nurse providing general care.