Chapter 16: Elimination Touhy: Ebersole & Hess' Toward Healthy Aging, 9th Edition MULTIPLE CHOICE 1. A patient tells the nurse, “Every time I laugh or cough, I wet myself.” Which type of urinary
incontinence is this patient describing? a. Urge b. Functional c. Stress d. Mixed ANS: C
Stress incontinence is defined as the loss of a small amount urine with activities that increase intraabdominal pressure such as coughing, sneezing, exercise, lifting, or bending. DIF: Cognitive Level: Applying REF: p. 203, Box 16-1 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance 2. A 78-year-old patient has a history of osteoarthritis and lives alone in a two-story home. The
bathroom is on the first level and the bedroom is on the second level. The patient states, “I am so upset. I have been wetting the bed at night.” What type of incontinence does the patient most likely have? a. Mixed incontinence b. Stress incontinence c. Urge incontinence d. Functional incontinence ANS: D
Functional incontinence is defined as incontinence that is due to the individual being unable to get to the toilet as a result of barriers, including environmental barriers. DIF: Cognitive Level: Applying REF: p. 203, Box 16-1 TOP: Integrated Process: Teaching/Learning MSC: Client Needs: Health Promotion and Maintenance 3. A nurse implements a nursing care plan for a patient with constipation. Which of the
following should the nurse include in the plan? a. Increasing fiber in the diet b. Administering aluminum hydroxide antacids c. Bed rest d. Restricting fluids ANS: A
