The clinic nurse is preparing a plan of care for a patient complaining of stress incontinence. The plan of care incorporates behavioral therapy as an approach to the management of stress incontinence

Question

What role will the nurse have in implementing the behavioral therapy approach?
A) Provide medication teaching related to pseudoephedrine sulfate.
B) Teach the patient to perform pelvic floor muscle exercises.
C) Prepare the patient for an anterior vaginal repair procedure.
D) Provide information on the semipermanent procedure, periurethral bulking.

Answer 1

Ans: B
Feedback: For behavioral therapy to be effective, the nurse must provide support and encouragement, because it is easy for the patient to become discouraged if therapy does not quickly improve the level of continence. Patient teaching is important and should be provided verbally and in writing (Chart 45-9). The patient should be taught to develop and use a log or diary to record timing of pelvic floor muscle exercises, frequency of voiding, any changes in bladder function, and any episodes of incontinence. The nurse would not provide medication teaching, prepare the patient for an anterior vaginal repair, or give information on periurethral bulking.