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." The nurse's best response is:
1. "You shouldn't feel badly. Lots of people have this trouble."
2. "You'll probably have to start wearing incontinent 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: Incontinent briefs are useful products for people who have 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 guilt on top of it.
Rationale 4: Elders may be susceptible to urinary incontinence (UI) because of changes in the kidney and bladder. UI is never normal and the nurse must promptly investigate the cause, onset, and any other symptoms.
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