Author Question: Which one of the following measures should be included in a bladder-retraining program for a client ... (Read 29 times)

vHAUNG6011 · **on:** Jul 22, 2018

Which one of the following measures should be included in a bladder-retraining program for a client in an extended care facility?

a. Providing negative reinforcement when the client is incontinent
b. Having the client wear adult diapers as a preventive measure
c. Initiating a voiding schedule
d. Promoting the intake of caffeine to stimulate voiding

Question 2

Eleven months after being treated for breast cancer, a client reports difficulty sleeping and associated fatigue, while denying any other signs or symptoms. Which of the following issues might this client be experiencing?

a. Situational depression
b. Normal remission symptoms
c. Post-traumatic stress disorder
d. Delayed effects of chemotherapy drugs

abro1885 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
A bladder-retraining program includes initiating a voiding schedule.
Negative reinforcement should not be used when the client is incontinent. However, positive re-inforcement should be provided when continence is maintained.
The client should be offered protective undergarments (not adult diapers) to contain urine and reduce the client's embarrassment.
Tea, coffee, other caffeine drinks, and alcohol should be minimized.

Answer to Question 2

A
Survivors' feelings of distress range along a continuum from sadness to disabling depression (Vachon, 2006). The long-term presence of fatigue and sleep disturbances, for example, is often associated with anxiety and depression in many cancer survivors (Barton-Burke, 2006).
Sleep disorders and fatigue would not necessarily be expected at this point in the remission stage.
Post-traumatic stress disorder (PTSD) is a psychiatric disorder characterized by an acute emo-tional response to a traumatic event or situation. Cancer survivors experience symptoms of PTSD (e.g., grief, nightmares, panic attacks, or fear) at a rate of 4 to 19, as a result of their diagno-sis, treatment, or a past traumatic episode.
While chemotherapy drugs can produce side effects, sleep disorders are not a typical complaint.