A male patient with a urinary stoma says, I looked at it while ...

[abern]

A male patient with a urinary stoma says, I looked at it while you were out of the room. It's not so bad. The nurse realizes that this patient is demonstrating which behavior?
 
  1. coping
  2. denial
  3. grief
  4. anger

Question 2

A middle-aged male patient comes to the clinic complaining of frequency and voiding small amounts of urine at a time. The nurse realizes that this patient might be experiencing symptoms of which health problem?
 
  1. benign prostatic hypertrophy (BPH)
  2. cystitis
  3. renal calculi
  4. bladder cancer

[quynhmickitran]

Answer to Question 1

Correct Answer: 1
Adaptive coping mechanisms include learning as much as possible about the surgery and its effects, practicing procedures, setting realistic goals, and rehearsing various alternative outcomes. Accepting the stoma as part of the self is vital to adapting to the changed body image and is indicated by a willingness to perform self-care. The patient may initially use defensive mechanisms such as denial, minimization, and dissociation from the immediate situation to reduce anxiety and maintain psychological integrity. Grief and anger may also be expressed by the patient with a new stoma, but this statement demonstrates a coping behavior.

Answer to Question 2

Correct Answer: 1
Benign prostatic hypertrophy (BPH) is a common cause of urinary retention; difficulty initiating and maintaining urine flow is often the presenting complaint in men with BPH. Cystitis symptoms may include frequency but would be coupled with burning, pain during urination, and hematuria. Renal calculi would likely cause flank pain. Bladder cancer symptoms would include hematuria.

[abern]

Thank you

[quynhmickitran]

Happy to help you