Question

Before consulting with a physician about a patient's need for urinary catheterization, the nurse considers the fact that the patient has urinary retention and has been unable to void on her own. The nurse knows that evidence for alternative measures to promote voiding exist, but none has been effective, and that before surgery the patient was voiding normally. This scenario is an example of which implementation skill? [19]

1. Cognitive
2. Interpersonal
3. Psychomotor
4. Consultative

Answer 1

The situation where the nurse considers a patient's urinary retention, past voiding patterns, and alternative measures before consulting a physician is an example of consultative implementation skill.

Step-by-step explanation:

The scenario described is an example of the consultative implementation skill. In this situation, the nurse is considering the patient's history of normal voiding prior to surgery, the unsuccessful attempts at using alternative measures to promote voiding, and the issue of urinary retention. The nurse is leveraging her knowledge and critical thinking to evaluate the situation before engaging in consultation with a physician over the potential need for urinary catheterization.

This exemplifies a consultative approach to patient care, integrating the nurse's assessment and consideration of available evidence, before proceeding with a medical intervention.