NCLEX-PN® ExaminationBasic Care and ComfortMedium
A client with a new colostomy is verbalizing anxiety about managing the stoma and pouching system at home. Which statement by the LPN best addresses the client's psychosocial and educational needs?
- A“It's important to accept your new body image. Focusing on the positive will help you cope.”
- B“The wound care nurse will visit you at home to teach you everything you need to know.”
- C“Don't worry, many people live normal lives with a colostomy. You'll get used to it.”
- D“I will show you how to empty and change your pouch, and we can practice together until you feel confident.”
Show answer & explanationAnswer & explanation
Correct answer: D. “I will show you how to empty and change your pouch, and we can practice together until you feel confident.”
Addressing anxiety requires practical, hands-on teaching and reassurance of support. Offering to practice together directly addresses both the educational need for skill acquisition and the psychosocial need for confidence and support.
Why the other options are wrong
- A. This statement is judgmental and focuses on acceptance without addressing the client's immediate practical concerns and anxiety about managing the ostomy.
- B. While a wound care nurse may be involved, this statement shifts responsibility away from the LPN's role in immediate client education and support.
- C. This statement dismisses the client's feelings and provides false reassurance without offering concrete support.
Ostomy Client Education
Educating clients with new ostomies involves teaching practical skills for stoma and pouch management, providing emotional support, and promoting adaptation to body image changes.
- Hands-on teaching improves skill retention.
- Emotional support addresses anxiety and body image.
- Encourage independence and active participation.
Memory trick: Teach, Touch, Talk, Trust.