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 C
Explanation
A. This statement is non-assertive and shows a willingness to sacrifice personal needs rather than clearly delegating a task.
B. This statement is aggressive and confrontational, focusing on punishment rather than constructive communication.
C. This statement clearly defines the task, sets expectations, and is assertive about the priority of client care while acknowledging the assistant's needs.
D. This statement is directive and dismisses the assistant’s needs, which is not an effective or empathetic way to delegate tasks.
Correct Answer is D
Explanation
A. Remaining silent when a resident tells a demeaning joke may not be ideal, but it's not as harmful as actively making a demeaning joke.
B. Laughing together while watching television is a positive interaction.
C. Laughing at themselves after an accident can foster a positive environment and is harmless.
D. Making a joke about a confused resident to other residents is inappropriate and demeaning, requiring intervention.
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