A nurse assesses the urinary elimination of older adults. Which of the following actions by the nurse is most appropriate?
A) Work to identify terms that the older adult comprehends.
B) Wait until the person initiates a discussion of this embarrassing topic.
C) Give the interview questions to the client in writing.
D) Ask the older adult to keep a urination diary.
Ans: A
Although nurses usually learn to discuss urinary elimination with relative ease, older adults may feel uncomfortable with the topic, especially if there are gender or age differences between the older person and the nurse. In addition, older adults may be reluctant to discuss urinary problems because they tend to accept urinary leakage as an inevitable consequence of aging and gradually increase their tolerance threshold. Because of varying social contexts, successful interviewing about urinary elimination and incontinence depends on identifying the terms that are least embarrassing and most understandable to the older adult.
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