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NCLEX-RN · Question #202

A 17-year-old client has a T-4 spinal cord injury. At present, he is learning to catheterize himself. When he says, "This is too much trouble. I would rather just have a Foley.'' An appropriate…

The correct answer is A. "I know. It is a lot to learn. In the long run, though, you will be able to reduce infections if you do an. (A) This response acknowledges the client's feelings, gives him factual information, and acknowledges that the final decision is his. (B) This response is judgmental and discourages the client from expressing his feelings about the (C) Catheterization is a procedure thattakes…

Safe and Effective Care Environment: Management of Care

Question

A 17-year-old client has a T-4 spinal cord injury. At present, he is learning to catheterize himself. When he says, "This is too much trouble. I would rather just have a Foley.'' An appropriate response for the RN teaching him would be:

Options

  • A"I know. It is a lot to learn. In the long run, though, you will be able to reduce infections if you do an
  • B"It is not too much trouble. This is the best way to manage urination.''
  • C"OK. I'll ask your physician if we can replace the Foley.''
  • D"You need to learn this because your doctor ordered it.''

How the community answered

(22 responses)
  • A
    68% (15)
  • B
    9% (2)
  • C
    18% (4)
  • D
    5% (1)

Explanation

(A) This response acknowledges the client's feelings, gives him factual information, and acknowledges that the final decision is his. (B) This response is judgmental and discourages the client from expressing his feelings about the (C) Catheterization is a procedure thattakes time to learn, but which, for the spinal cord璱njured client, can significantly reduce the incidence of urinary tract infections. A young client with a T-4 injury has the hand function to learn this procedure fairly easily. (D) The final decision about bladder elimination management ultimately rests with the client and not the physician.

Topics

#therapeutic communication#intermittent catheterization#spinal cord injury#patient education

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