Question

after several weeks, the bladder training program is unsuccessful in stopping the client's incontinence. the client appears withdrawn and states that they are frustrated at the number of episodes that continue to occur. which interventions should the nurse include in the client's plan of care? (select all that apply. one, some, or all options may be correct.) select all that apply provide time to think and reflect. assign sitters to visit during the day. report signs of insomnia due to anxiety. ignore negative attitude toward recovery. discuss possible coping strategies.

Answer 1

When a bladder training program for urinary incontinence fails, nurses should help clients cope by discussing strategies, providing reflection time, assigning sitters for companionship, and reporting signs of insomnia. It's important to address the client's frustration and not ignore their negative attitude toward recovery.

Step-by-step explanation:

Urinary incontinence can be a challenging condition for patients, especially when a bladder training program is unsuccessful in reducing the occurrence of incontinence episodes. When a client expresses feeling frustrated and becomes withdrawn, it is essential for a nurse to consider a multifaceted approach to care. Nurses should facilitate coping by discussing possible coping strategies and providing time for the client to think and reflect on these strategies. Assigning sitters to visit during the day can offer companionship and support, potentially reducing feelings of isolation. Additionally, reporting signs of insomnia due to anxiety can help address sleep disturbances that can aggravate symptoms of anxiety and incontinence. It is also critical to avoid ignoring the client's negative attitude towards recovery, as acknowledging their feelings can help in validating their experiences and can set the stage for developing effective coping mechanisms.