NCLEX-PN® ExaminationCoordinated CareMedium
A client with a new colostomy expresses anxiety about learning to manage the ostomy independently. The LPN's most appropriate initial action to advocate for this client is to:
- AOffer to demonstrate colostomy care again immediately.
- BArrange for a visit from a certified ostomy nurse or support group representative.
- CNotify the healthcare provider about the client's anxiety regarding self-care.
- DProvide reassurance that many people live full lives with a colostomy.
Show answer & explanationAnswer & explanation
Correct answer: B. Arrange for a visit from a certified ostomy nurse or support group representative.
Client advocacy involves supporting the client's needs and ensuring they have access to appropriate resources. For a client with a new colostomy and anxiety about self-management, connecting them with specialized resources like a certified ostomy nurse or a support group provides expert guidance and peer support, which directly addresses their expressed concerns.
Why the other options are wrong
- A. This might be helpful later, but the client's anxiety suggests a need for more comprehensive, specialized support beyond just another demonstration.
- C. Notifying the healthcare provider is important for overall care coordination, but the most direct and immediate advocacy for this specific concern is connecting the client with specialized resources.
- D. While reassuring, this does not directly address the client's need for practical skills and specialized support.
Client Advocacy
Actions taken by a nurse to protect and promote the rights, self-determination, and well-being of clients.
- Empowers clients to make informed decisions.
- Ensures client needs are met.
- Involves speaking up for clients and connecting them to resources.
Memory trick: Advocate by Connecting to Expert Comfort