SJH Nursing Officer - 2019
Fundamental of Nursing
Hard
The nurse is caring for a patient with a colostomy. The patient asks, "will I ever be able to swim again". The nurse's best response would be?
Appeared in: SJH Nursing Officer - 2019
Explanation
- This response is therapeutic as it directly addresses the patient's concern with a positive and factual statement, providing reassurance.
- Modern ostomy appliances are waterproof and secure, making activities like swimming possible after the initial healing period.
- Empowering the patient with correct information helps them adjust to life with an ostomy and improves their quality of life.
Why Other Options Were Wrong
- Option B: This is factually incorrect. Modern ostomy pouches are waterproof and allow for immersion in water once the stoma has healed.
- Option C: This is also factually incorrect and overly restrictive. It creates unnecessary fear and limits the patient's activities.
- Option D: This is a non-therapeutic communication technique (false reassurance). It dismisses the patient's specific concern and does not provide the education needed.
Related Visual
Clinical Relevance
- Nursing practice connection: Use the key finding related to Therapeutic Communication and Patient Education for Ostomy Care to guide bedside assessment, documentation, and the next nursing action.
- A primary nursing responsibility is patient education that promotes self-efficacy and quality of life. Correcting misconceptions about ostomies is crucial.
- Providing accurate information helps patients psychologically adjust to their new body image and resume activities they enjoy, preventing social isolation.
- What if the patient's stoma is new (2 weeks post-op)? The nurse's answer should be modified: "Once your stoma and incision are fully healed, which usually takes about 6 to 8 weeks, you will be able to swim. For now, we need to keep it dry to allow it to heal properly.".
How to Approach the Question
- First, identify the core of the question: a patient is asking about a specific lifestyle activity (swimming) after a life-altering surgery (colostomy).
- Second, recognize this as a question that requires both factual knowledge about ostomy care and therapeutic communication skills.
- Evaluate each option. Eliminate options that are factually incorrect (e.g., 'you can't get it wet').
- Eliminate options that use non-therapeutic communication techniques like providing false reassurance or dismissing the patient's concern.
- Select the option that is both factually accurate and addresses the patient's question in a direct, supportive, and encouraging manner.
Concept Tested & Keywords
- Concept Tested: Therapeutic Communication and Patient Education for Ostomy Care
- Stem keywords: colostomy, swim, nurse's best response
- Lead-in keywords: best response
- Clinical cues: Patient asking about future lifestyle limitations after colostomy surgery.
Question ID
QZZzioDpn-WO4U_tNcIjp4
Reference Book
E6 Nursing Fundamentals Potter Perry 12e Part 6 p. 45-47
E6 Nursing Fundamentals Taylor p. 635-637
Practise the full SJH Nursing Officer - 2019
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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