Final answer:
The best response a nurse can provide to a patient expressing anger and embarrassment due to fecal incontinence is to acknowledge their feelings, facilitating open communication and support. In elderly patients, physical and neurological challenges can contribute to incontinence, requiring medical attention and adaptive care.
Step-by-step explanation:
The subject of this question is within the field of Health, particularly focused on nurse-patient communication in situations involving sensitive care issues such as fecal incontinence. The best response for the nurse in this scenario is c. "Do you feel angry and embarrassed?" This acknowledges the patient's feelings and provides an opening for further discussion, which can help to validate their emotions and facilitate a therapeutic relationship.
Physical challenges, such as the difficulty in navigating a new environment or the presence of physiological or neurological conditions, can affect an elderly person's ability to manage their bladder functions. Factors like Alzheimer's and Parkinson's disease might lead to incontinence. In the case provided, Robert's doctor is being proactive by recommending more assistance, monitoring fluid intake, and conducting a laboratory culture. These actions are aimed at addressing the potential urinary issues while also ensuring the overall well-being of the patient.