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. Delaying important information is not demonstrating genuine concern and can cause more distress.
B. Informing the patient about a medication error and advising on symptoms to report shows honesty and care for patient safety.
C. Providing false reassurance is not a genuine expression of concern and can undermine trust.
D. Providing a placebo instead of addressing pain is unethical and does not demonstrate concern for the patient’s well-being.
Correct Answer is C
Explanation
A. Closed-ended questioning involves yes/no or brief answers, which is not the case here.
B. Empathizing would involve expressing understanding of the client's feelings rather than asking for more information.
C. Focusing directs the conversation to a specific topic or concern, which the nurse does by asking about the client's specific concerns.
D. Summarizing involves reviewing and organizing information, which is not happening here.
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