The nurse cares for a patient with urinary incontinence after a stroke. Which response by the nurse is best?

“I don’t mind cleaning up your mess. I am used to it because my child does this at night.”

“I will bring you some diapers to wear instead of having you wet the bed all the time.”

“Don’t be embarrassed. A lot of patients have this problem after a stroke.”

“You seem upset about this. We can work together on a bladder retraining program.”

Answer and Explanation

The Correct Answer is D

A. “I don’t mind cleaning up your mess. I am used to it because my child does this at night.”
This response is non-therapeutic because it minimizes the patient’s feelings and experiences by comparing them to the nurse’s personal life. It fails to acknowledge the patient's emotional distress and does not address the underlying issue of incontinence.

B. “I will bring you some diapers to wear instead of having you wet the bed all the time.”
This response is dismissive and fails to address the patient’s emotional needs. It focuses on a temporary solution rather than working collaboratively with the patient on a more comprehensive management plan.

C. “Don’t be embarrassed. A lot of patients have this problem after a stroke.”
This response is dismissive of the patient’s feelings of embarrassment. It fails to provide empathetic support and does not offer a solution or a plan to address the incontinence.

D. “You seem upset about this. We can work together on a bladder retraining program.”
This response is therapeutic as it acknowledges the patient’s feelings and offers a constructive approach to manage the issue. It demonstrates empathy and engages the patient in a collaborative solution, which is essential for effective patient care.

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Correct Answer is D

Explanation

A. A sense of group identity is crucial for effective group development.

B. Group efficacy is important for the group's confidence in achieving its goals.

C. Trust among group members is essential for collaboration and effective functioning.

D. Completing work independently without input from other members is contrary to the principles of effective group development, which requires collaboration and interaction.

A. Choose staff nurses who will negotiate and support a decision. B. Serve as the chairperson and facilitator of the committee. C. Select staff nurses who seek personal recognition and advancement. D. Plan to recruit three or four staff nurses for the committee.

Correct Answer is B

Explanation

A. While it is important to have staff who can negotiate and support decisions, the manager’s role is to facilitate the process rather than just choose supporters.

B. Serving as the chairperson and facilitator ensures that the committee functions effectively and achieves its objectives.

C. Staff seeking personal recognition or advancement may not focus on the committee’s goals but rather on their own interests.

D. Recruiting only three or four staff members may be insufficient for a comprehensive review; a more diverse and larger group is often needed.

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The nurse cares for a patient with urinary incontinence after a stroke. Which response by the nurse is best?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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