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. Rule maker focuses on setting guidelines and policies, not necessarily fostering collaboration.

B. Harmonizer works to mediate conflicts and maintain group cohesion, fostering collaboration and cooperation.

C. Encourager supports and praises others, contributing to a positive environment but not necessarily focusing on collaboration.

D. Compromiser helps resolve conflicts through mutual concessions but does not primarily focus on fostering collaboration.

A. "You just need to get away for a few hours. Find a babysitter and go to a movie." B. “I am not sure that I understand what you mean. Tell me more about how you feel." C. The nurse moves closer to the mother and places a hand on her shoulder. D. "It sounds as if you are concerned about your ability to care for your baby."

Correct Answer is A

Explanation

A. This response dismisses the mother's feelings and offers a solution without addressing her emotional concerns. It does not support or validate her feelings, which is considered nontherapeutic.

B. This is a therapeutic response as it seeks to understand and validate the mother’s feelings.

C. This is a therapeutic response as it involves empathetic nonverbal communication.

D. This is a therapeutic response as it acknowledges and validates the mother’s feelings.

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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

A nurse is a member of a community health advisory board. The nurse fosters collaboration and cooperation among group members. What maintenance role has the nurse taken in this group?

Correct Answer is B

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Correct Answer is A

Explanation

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