A nurse is caring for a client who has a new colostomy and states they are not ready to look at the stoma. Which of the following teaching strategies is helpful and encourages the client to share their feelings about the colostomy?
Question-and-answer
Discussion
Role play
Return demonstration
The Correct Answer is B
Choice A reason: A question-and-answer session might provide information but does not specifically encourage the client to share their feelings and concerns about the colostomy. It's more about imparting knowledge rather than addressing emotional needs.
Choice B reason: Discussion is an effective strategy to encourage the client to share their feelings about the colostomy. It creates an open environment for expressing concerns, asking questions, and receiving emotional support.
Choice C reason: Role play can be useful in teaching new skills or preparing for specific situations, but it might not be the best initial approach for someone struggling to accept a new colostomy. Emotional readiness and comfort should be addressed first.
Choice D reason: Return demonstration is a method to confirm the client's understanding of a procedure by having them perform it. It is more appropriate for assessing practical skills rather than addressing emotional concerns and readiness to engage with the stoma.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Urine in the drainage appliance is an expected finding since the ileal conduit diverts urine through the stoma.
Choice B reason: Redness of the stoma is a normal finding postoperatively as the tissue heals.
Choice C reason: Feces in the drainage appliance is unexpected and indicates a possible fistula or leakage from the intestine into the urinary tract.
Choice D reason: Edema of the stoma is common postoperatively due to surgical trauma and is typically temporary.
Correct Answer is B
Explanation
Choice A reason: Hepatitis A primarily affects the liver, not the kidneys.
Choice B reason: The manifestations of hepatitis A are similar to flu-like symptoms, including fever, fatigue, nausea, and jaundice.
Choice C reason: The incubation period of hepatitis A is typically 15 to 50 days, not 5 days.
Choice D reason: A family history does not increase the risk of hepatitis A, which is transmitted through the ingestion of contaminated food and water.
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