40. Which statement by the family caregiver of an older woman with incontinence requires teaching by a nurse?
. "It is too bad incontinence occurs with aging."
. "Incontinence has been so embarrassing for my mother."
. "Mother says her incontinence is related to the number of children she had."
. "I am relieved to know Mother's incontinence may be reversible."
Test-Taking Tip
The stem asks for what is not correct information and needs further teaching by the nurse. Incontinence is not a fact of aging. Look for an option that implies it is an expected consequence of aging and therefore is an incorrect statement that requires teaching.
Content Area: Geriatrics, Renal; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Basic Care and Comfort/Elimination
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Answer 1 is correct because incontinence is not a normal consequence of aging. Age-related changes in the urinary tract predispose the older client to incontinence, but incontinence is a symptom of many possible disordersnot just aging. Answer 2 is incorrect because incontinence is embarrassing. Many clients conceal the problem and fail to seek help that may reverse the problem. Answer 3 is incorrect because the number of vaginal births does increase the incidence of incontinence in womenyoung and old. Answer 4 is incorrect because collaboration with the family, the client, and the health-care team may reverse incontinence.