The nurse is caring for a client with a new colostomy. The client has been taught care and has been successful with return demonstration to the staff
Although the client is able to perform care independently, and has asked to do so, the charge nurse has instructed the nursing staff to continue performing colostomy care for this client. When addressing this issue directly with the charge nurse, which statement by the nurse is the most appropriate?
A) "The client will change the apparatus whether you like it or not."
B) "The client has been trained to change the apparatus and has expressed interest to continue doing so."
C) "You have no right to continue delegating this task to nursing when the client has been trained to change the apparatus."
D) "I will report you to the nurse manager for not allowing the client to change the apparatus independently."
Answer: B
The nurse would make a clear, assertive statement saying that the client learned the procedure and wishes to execute it. Saying "You have no right..." is a challenge to the charge nurse and will only result in an escalation of the argument. Telling the charge nurse that the nurse manager will be notified is a threat and only inflames the situation. Insisting that the client will continue to change the apparatus will only result in the charge nurse taking further action to prevent the client from being able to care for the colostomy.
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