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.”
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. “Would you like medication for the pain?”
This question is not specific to understanding the cause or nature of the back pain. It addresses only the patient’s desire for pain relief rather than gathering detailed information about the pain itself.
B. “What have you been doing in the last few days?”
This question helps the nurse gather specific information about the activities that may have contributed to or exacerbated the back pain. It is essential for understanding the context of the pain, such as recent physical activities, injuries, or changes in routine that might have led to the issue.
C. “What do you think caused the back pain?”
This question is less specific and can lead to subjective or inaccurate information. It shifts the responsibility of diagnosing the cause of the pain to the patient rather than seeking concrete details about recent activities.
D. “Do you have a family history of osteoporosis?”
While relevant to some aspects of back pain, this question is more focused on risk factors rather than gathering specific details about the current episode of back pain.
Correct Answer is B
Explanation
A. Bringing treats is not a genuine way to establish credibility; credibility comes from professional behavior and honesty.
B. Being honest about strengths and areas for improvement helps build trust and credibility with colleagues.
C. Hiding feelings of inadequacy can create a false image and does not foster genuine professional relationships.
D. It is possible to establish credibility as a student through professional behavior, openness, and a willingness to learn.
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