The Nurse Is Interviewing a Client Who Is Experiencing Constipation

question 56

Multiple Choice

The nurse is interviewing a client who is experiencing constipation. During the interview, the client states, "I don't understand what is going on. I feel the urge to go to the bathroom but, once I am in there and I begin pushing with my abdominal muscles, nothing happens." Which of the following represents the nurse's best response to the client?

• A)"Try taking an over-the-counter medication containing bismuth salts, such as Kaopectate or Pepto-Bismol. If your symptoms don't subside in 2 days, come back to the office."
• B)"Stop taking all medications until you have reestablished a normal elimination routine. Medication usage often leads to constipation."
• C)"Make sure that you are taking proper care of the skin in the anal area. Skin breakdown can result in hesitancy when defecating."
• D)"Try to avoid straining with the abdominal muscles during defecation. Doing so may actually close the anal sphincter, preventing feces from passing through."

Understand the symbolic interpretation of dreams in psychoanalytic therapy.

Grasp the concept and implications of resistance in psychotherapy.

Learn the process and significance of interpretation within psychoanalytic therapy.

Understand the core principles and goals of client-centred therapy.

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