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.
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Related Questions
Correct Answer is C
Explanation
A. The right to refuse without feeling guilty is an example of an assertive right that acknowledges personal boundaries.
B. The right to determine your own priorities reflects assertiveness in managing your time and responsibilities.
C. The right to make decisions for the patient is not an assertive right. It is the role of the patient to make their own decisions, with the nurse providing support and information.
D. The right to make mistakes and be responsible for them acknowledges that everyone is human and learning from mistakes is part of growth.
Correct Answer is D
Explanation
A. Call a nursing colleague who speaks the same language as the client to interpret the information.
While this option may seem viable, it is not the best practice. Using a colleague for interpretation could breach confidentiality and might not ensure a professional level of accuracy. Nurses are not always trained interpreters and might not fully understand the nuances of medical communication.
B. Ask the client's partner to interpret the information.
It is not appropriate to use the client’s partner as an interpreter due to potential conflicts of interest and breaches of confidentiality. Family members may not provide accurate translations and could unintentionally alter the information.
C. Use an electronic translating service from the internet to interpret the information.
While online translating tools can be helpful for casual conversations, they are not reliable for medical information due to potential inaccuracies and lack of medical terminology. Professional interpreters are trained to handle medical terminology and ensure that communication is clear and accurate.
D. Telephone the interpreter that is designated for the facility to interpret the information.
This is the best practice for ensuring clear and accurate communication. Designated interpreters are trained professionals who can accurately convey medical information and maintain confidentiality. They ensure that communication is both effective and compliant with legal and ethical standards.
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