A nurse is caring for a client who is near the end of life and is on complete bed rest.
The client states that he needs to have a bowel movement and the nurse offers a bedpan.
The client states, “I’ve always used the bathroom.” Which of the following responses should the nurse make?
A.
“Tell me what concerns you have about using a bedpan.”
B.
“Make sure to use nearby furniture to support yourself when walking to the bathroom.”
C.
“You have to use the bedpan for your own safety.”
D.
“I will have the physical therapist ambulate you to the bathroom.” .
The Correct answer and Explanation is:
The correct answer is:
A. “Tell me what concerns you have about using a bedpan.”
Explanation:
In this scenario, the nurse is caring for a client who is nearing the end of life and is on complete bed rest. The client’s response indicates discomfort or reluctance regarding the use of a bedpan. The most therapeutic and client-centered approach is to explore the client’s feelings and concerns. By asking, “Tell me what concerns you have about using a bedpan,” the nurse is encouraging open communication, which helps to build trust and promote patient-centered care.
This response reflects a fundamental nursing principle: the importance of understanding the emotional and psychological needs of the client. It acknowledges the client’s autonomy and creates an opportunity for the nurse to provide support and alleviate any anxieties the client may have. The client might be feeling embarrassed, vulnerable, or even resistant to the loss of independence associated with using a bedpan. By engaging in a discussion about the client’s concerns, the nurse can address these emotional needs.
Why other responses are incorrect:
- B. “Make sure to use nearby furniture to support yourself when walking to the bathroom.”
This option is inappropriate because the client is on complete bed rest, and encouraging the client to walk could lead to injury or falls. Mobility restrictions exist for safety reasons, and the nurse must adhere to them. - C. “You have to use the bedpan for your own safety.”
While the nurse’s statement about safety is true, this response is not therapeutic. It is authoritative and does not address the client’s emotional concerns or offer an opportunity for discussion, which may make the client feel dismissed. - D. “I will have the physical therapist ambulate you to the bathroom.”
This is incorrect because the client is on complete bed rest, and ambulation would contradict the medical plan of care. Encouraging or facilitating walking could harm the client.
In conclusion, A is the most appropriate response as it opens communication, supports the client emotionally, and respects their dignity, which is crucial in end-of-life care.