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. The nurse has expert knowledge of diabetes and formulates appropriate learning outcomes for the client.
While expert knowledge is important, it is not sufficient on its own for building a mutually respectful relationship. Mutuality involves collaboration, where the client’s needs and preferences are taken into account in the care process.
B. The nurse teaches diabetes management by involving the client in making decisions about self-care.
This approach fosters mutuality by recognizing the client’s role in their own health management. It empowers the client to take an active role in their care, which is essential for building a collaborative and effective nurse-client relationship. This approach supports the client’s autonomy and respects their expertise about their own life.
C. The nurse controls the relationship by retaining the power to make judgments about diabetes education.
Controlling the relationship and making judgments undermines mutuality. Effective nurse-client relationships are based on partnership and shared decision-making rather than unilateral decision-making.
D. The nurse demonstrates trust and respect by solving problems for the client when issues occur with self-management.
While problem-solving is part of care, true mutuality involves the client being an active participant in their care decisions rather than just having problems solved for them. Empowering the client and involving them in decision-making processes are key elements of mutuality.
Correct Answer is B
Explanation
A. This question does not align with the FICA tool and avoids addressing spiritual concerns.
B. This question is appropriate and aligns with the "C" (Care) in the FICA tool, focusing on addressing the patient's spiritual needs.
C. This question is inappropriate and can be offensive and judgmental.
D. This question assumes a role that the nurse may not be qualified to fulfill and does not align with the FICA tool.
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