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 B

Explanation

A. Prolonged eye contact can be perceived as disrespectful in some Native American cultures, but it is important to assess individual comfort levels rather than making assumptions.

B. It is important to assess the client’s comfort with eye contact as preferences can vary across cultures. This approach is respectful and culturally sensitive.

C. Sitting next to the patient without addressing eye contact does not appropriately consider the client’s cultural preferences or communication style.

D. While eye contact can show respect, in Native American culture, it is often avoided, so it’s essential to assess the client's comfort with eye contact rather than imposing one’s own norms.

A. Refrains from touching the patient under any circumstance. B. Requests that the patient wait to ask questions until the end of the home visit. C. Expects the patient to meet the goals for exercise as determined by the nurse. D. Learns the names of the patient's family members and close friends and neighbors. E. Listens to the patient describe the feelings of anxiety related to severe dyspnea.

Correct Answer is ["D","E"]

Explanation

A. Refraining from touching the patient under any circumstance can prevent the development of a therapeutic relationship.

B. Requesting that questions be saved until the end of the visit can be dismissive and hinder effective communication and bonding.

C. Expecting the patient to meet goals determined solely by the nurse shows a lack of collaboration and does not support a bond.

D. Learning the names of family members and friends shows genuine interest in the patient's life and helps build a relationship.

E. Listening to the patient's feelings and concerns demonstrates empathy and validation of the patient’s experiences, which are essential for bonding.

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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

The nurse is interviewing a Native American client. It is most important for the nurse to take which action?

Correct Answer is B

Explanation

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Correct Answer is ["D","E"]

Explanation

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