Author Question: An older female resident lowers her voice and tells the nurse that another female resident is ... (Read 63 times)

Zoey63294 · **on:** Jul 11, 2018

An older female resident lowers her voice and tells the nurse that another female resident is looking at her behind her back and is going to make her move tonight with a male staff member.

Which ideas should the nurse include in the response to this individual? a. The staff receives training in ethics.
b. Validate the woman's impression.
c. Avoid suspicious, paranoid thinking.
d. Use the call bell if she becomes frigh-tened.

Question 2

The most important aspect of care for the nurse to maintain when assisting an older patient with urinary incontinence is which of the following?

a. Availability of protective rubber garments
b. Using indwelling urinary catheters
c. Using smooth muscle relaxants
d. Maintaining an attitude that is respectful and positive about resolving the problem

canderson530 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

D
Telling the resident to use the call bell if she becomes frightened offers assurances to the patient that she will be protected, but it neither confirms her suspicions nor makes a promise that cannot be kept. Replying that the staff receives training in ethics sounds as if the nurse is arguing in de-fense of the male staff member and does not help alleviate the resident's fear, which can lead her to suspect that the nurse is also a part of the plot. Validating the woman's impression contributes to the resident's suspicions; in addition, the nurse increases professional liability risks by speaking about another resident in a negative manner. Telling the resident to avoid suspicious, paranoid thinking only aggravates the struggle for control.

Answer to Question 2

D

Feedback
A Incorrect. Rubber garments, in particular, are hot and can cause skin irritation.
B Incorrect. Internal catheters should be used only for a short time and under li-mited circumstances.
C Incorrect. Smooth muscle relaxant use is indicated only for urge incontinence and overactive bladder.
D Correct. The nurse recognizes that incontinence is a sign of an underlying prob-lem and that it is not an inevitable result of aging. In addition, the nurse offers dignity, hope, and understanding by maintaining a positive and respectful man-ner and by communicating that effective treatments are available.