1. A nurse is teaching a client how to perform personal ileostomy care prior to discharge.

The client says “I don’t think that I am going to be able to take care of this myself.”

Which is the most appropriate response from the nurse?

a. In time you will be better at this than I am.

b. Don’t worry about it, most clients feel like you do at first.

c. What part of the ileostomy care are you having trouble with?

d. I agree. This is a difficult process.

This response opens up communication about the client’s real concerns and enables the nurse

to address teaching moments to help them feel more confident with self-care. The other

responses are not therapeutic and dismiss the client’s concerns.

Question 2

The adult child of a client who has had a colon resection will be caring for their parent at home.

The client’s son tells the nurse “I don’t know how I am going to care for my mom now”. Which

is the best nursing response?

a. A home health nurse will be stopping by tomorrow to answer your questions.

b. Your mother has been taught to care for her colostomy independently.

c. What part of your mother’s care are you concerned with?