The nurse caring for a client in an extended care facility should provide which intervention in a bladder retraining program?
1. Providing negative reinforcement when the client is incontinent
2. Having the client wear adult diapers as a preventative measure
3. Putting the client on a q2h toilet schedule during the day
4. Promoting the intake of caffeine to stimulate voiding
ANS: 3
A bladder retraining program includes initiating a toileting schedule on awakening, at least every 2 hours during the day and evening, before getting into bed, and every 4 hours at night. Negative reinforcement should not be used when the client is incontinent. However, positive reinforcement should be provided when continence is maintained. The client should be offered protective un-dergarments to contain urine and reduce the client's embarrassment (not diapers). Tea, coffee, other caffeine drinks, and alcohol should be minimized.
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