A 70-year-old client is discussing his recent difficulty with having r

A 70-year-old client is discussing his recent difficulty with having regular bowel movements while on a cross-country bus tour with a senior citizens’ group.

Which of the following assessment questions is directed toward the most likely cause of the problem?
1. “Did the bus stop frequently so you could get up and walk around?”
2. “Did you eat enough fiber while you were on the trip?”
3. “Do you find using public restrooms unsettling?”
4. “Do you have any chronic bowel-related problems?”

 

ANSWER

ANS: 3
Attempting to eliminate in a public restroom sometimes results in a temporary inability to defe-cate. This embarrassment may prompt clients to ignore the urge to defecate, which begins a vi-cious cycle of constipation and discomfort. Although the remaining options may affect bowel elimination, the situation of the scenario strongly suggests an emotional cause.

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