A patient's colorectal cancer has necessitated a hemicolectomy with the creation of a colostomy. In the 4 days since the surgery, the patient has been unwilling to look at the ostomy or participate in any aspects of ostomy care
What is the nurse's most appropriate response to this observation?
A) Ensure that the patient knows that he or she will be responsible for care after discharge.
B) Reassure the patient that many people are fearful after the creation of an ostomy.
C) Acknowledge the patient's reluctance and initiate discussion of the factors underlying it.
D) Arrange for the patient to be seen by a social worker or spiritual advisor.
Ans: C
Feedback:
If the patient is reluctant to participate in ostomy care, the nurse should attempt to dialogue about this with the patient and explore the factors that underlie it. It is presumptive to assume that the patient's behavior is motivated by fear. Assessment must precede referrals and emphasizing the patient's responsibilities may or may not motivate the patient.
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