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 A
Explanation
A. Allowing additional time for the staff nurse to respond encourages participation and ensures that all voices are heard in the discussion.
B. Replacing the staff nurse would be dismissive and counterproductive, rather than encouraging involvement.
C. Referring the staff nurse for self-esteem exercises is unnecessary and inappropriate for addressing participation in a group setting.
D. Notifying the nurse manager is premature; first, try to address the issue within the group before escalating it.
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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