Question

A nurse is assisting with the admission of an older adult client who has urinary incontinence and smells strongly of urine. The client's partner, who has been caring for her at home, states that he is sorry and embarrassed about the unpleasant smell. Which of the following responses should the nurse make?

a) "It's normal for older adults to have urinary incontinence."
b) "Don't worry; we're used to dealing with these kinds of issues."
c) "Let's work together to find solutions to manage the incontinence."
d) "Your partner should be more careful to avoid accidents."

Answer 1

The correct response to the partner is to focus on collaborative solutions for managing urinary incontinence, a common condition in older adults, potentially caused by factors such as neurological conditions or physical challenges.

Step-by-step explanation:

The appropriate response from the nurse in this scenario should be: "Let's work together to find solutions to manage the incontinence." This answer is empathetic and focuses on working collaboratively to address the issue of urinary incontinence, which can be caused by an enlarged prostate gland in men or pelvic floor muscle stretching in women. Stress urinary incontinence involves leakage with activities that increase pressure, whereas urge incontinence involves unexpected bladder emptying.

Urinary incontinence is a common condition in the elderly, influenced by factors like neurological conditions such as Alzheimer's and physical challenges that can lead to a decreased frequency in urinating. Physical and neurological factors can hinder an elderly individual's ability to manage urinary functions effectively. Treatment options may vary, including medication, Kegel exercises, or even surgery, depending on the type of incontinence and its severity.