NCLEX-PN® ExaminationCoordinated CareEasy
An LPN is assisting with the care of a client who is being discharged home with a new colostomy. The client is anxious about managing the colostomy and asks the LPN, 'What if I can't do this?' What is the most appropriate initial response by the LPN?
- AAsk the client, 'What specifically are you worried about?'
- BReassure the client that the home health nurse will provide support.
- CProvide the client with a detailed step-by-step demonstration of colostomy care.
- DAssure the client that many people successfully manage colostomies.
Show answer & explanationAnswer & explanation
Correct answer: A. Ask the client, 'What specifically are you worried about?'
The most appropriate initial response is to explore the client's specific concerns. This open-ended question allows the LPN to understand the root cause of the anxiety, which is essential for providing targeted teaching and support, promoting effective client advocacy.
Why the other options are wrong
- B. While true, this does not directly address the client's current feelings of inadequacy or specific fears.
- C. While education is important, it may overwhelm an anxious client initially. Understanding their specific fears first is crucial.
- D. This is a general statement that might not address the client's specific anxieties.
Client Advocacy: Anxiety & Education
When a client expresses anxiety about self-care, the LPN's role as an advocate includes actively listening to identify specific concerns before providing targeted education and support.
- Active listening helps uncover the true source of anxiety.
- Tailored education is more effective than generic reassurance.
- Client advocacy involves empowering clients through understanding and support.
Memory trick: Anxiety's root needs a listening ear, not just a quick fix.