An older adult client comes to the clinic with reports of not being able to hold her urine, stating: "I feel so terrible. This shouldn't happen at my age." How should the nurse respond?
1. "You shouldn't feel badly. Lots of people have this trouble."
2. "You'll probably have to start wearing incontinence briefs. Then you won't be worried about accidents."
3. "Getting old isn't much fun, is it?"
4. "There could be a number of causes for this. I need to ask you some more questions about it."
Correct Answer: 4
Rationale 1: This option inappropriately attempts to minimize the client's concerns.
Rationale 2: Incontinence briefs are useful products for people who have urinary incontinence (UI), but the cause for all cases must be investigated.
Rationale 3: The client already feels badly—the nurse only makes this feeling worse by adding to it.
Rationale 4: Elders may be susceptible to urinary incontinence (UI) because of changes in the kidneys and bladder. UI is never normal and the nurse must promptly investigate the cause, onset, and any other symptoms.
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