A nurse is assisting in the care of a client following a mastectomy.
Which of the following responses by the client indicates acceptance of their altered body image?
"I am starting to feel more comfortable looking at myself in the mirror.”.
"I am worried about how my partner will perceive my appearance now.”.
"I prefer to wear loose-fitting clothing to conceal the changes.”.
"I am focused on my recovery and adapting to these changes.”.
Correct Answer : A,D
Choice A rationale
Expressing increased comfort with their altered appearance in the mirror indicates a positive step towards acceptance of the changed body image following a mastectomy. This suggests the client is beginning to integrate the physical changes into their self-perception and is moving towards adaptation.
Choice B rationale
Worrying about a partner's perception, while a normal concern, does not necessarily indicate acceptance of the altered body image. It suggests preoccupation with external validation and potential insecurity about the physical changes' impact on the relationship, rather than internal acceptance.
Choice C rationale
Preferring loose-fitting clothing to conceal the changes suggests a desire to hide the altered body rather than accepting it. This behavior indicates a lack of comfort and potentially negative feelings about the mastectomy's physical consequences, hindering the process of body image adaptation.
Choice D rationale
Focusing on recovery and adapting to the changes demonstrates a proactive and accepting attitude towards the altered body image. This statement indicates a willingness to integrate the changes into their life and move forward, signifying a positive adjustment to their post-mastectomy self-perception.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","F"]
Explanation
Choice A rationale: Insomnia
Withdrawal from stimulants like methamphetamine often leads to insomnia, agitation, and restlessness. The body's central nervous system experiences difficulty regulating sleep due to prior overstimulation, making restful sleep challenging.
Choice B rationale: Hypothermia
Hypothermia is not a typical withdrawal symptom of heroin or methamphetamine. Instead, opioid withdrawal more commonly causes hyperthermia (increased body temperature) due to autonomic instability.
Choice C rationale: Hyperreflexia
Hyperreflexia (exaggerated reflexes) is often seen in stimulant withdrawal, including methamphetamine withdrawal, due to neurological overactivity as the body adjusts to the absence of stimulants.
Choice D rationale: Diaphoresis
Profuse sweating (diaphoresis) is a classic symptom of heroin withdrawal, as the body struggles to regulate temperature and autonomic function after stopping opioid use.
Choice E rationale: Slurred speech
Slurred speech is more common in intoxication rather than withdrawal. Opioid withdrawal generally results in restlessness, anxiety, and muscle aches rather than speech impairment.
Choice F rationale: Anxiety
Anxiety is a significant withdrawal symptom for both heroin and methamphetamine, as withdrawal disrupts neurotransmitter balance, particularly dopamine and serotonin regulation.
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
The nurse should anticipate prescriptions for methadone as well as group therapy.
Rationale for correct answers
Methadone is a long-acting opioid agonist used in medication-assisted treatment (MAT) for heroin withdrawal and opioid dependence. Given the client’s history of heroin use and symptoms suggestive of withdrawal, methadone can alleviate withdrawal symptoms while preventing cravings and relapse.
Group therapy is a key component of substance use disorder treatment, providing peer support, relapse prevention strategies, and coping mechanisms. The client has already expressed willingness to participate in outpatient therapy and identified cravings as a challenge, making group therapy beneficial for sustained recovery.
Rationale for incorrect Response 1 options
- Disulfiram: Used for alcohol dependence, but this client does not report alcohol use.
- Naltrexone: Used to prevent opioid or alcohol relapse but does not treat withdrawal symptoms, making methadone a better choice during acute withdrawal.
- Lorazepam: A benzodiazepine used for alcohol withdrawal and anxiety, but it is not first-line for opioid or methamphetamine withdrawal.
Rationale for incorrect Response 2 options
- Electroconvulsive therapy: Primarily used for severe depression or treatment-resistant mood disorders, not substance use disorder management.
- Antidepressant medication: The client has no history of depression or psychiatric disorders, making behavioral therapies a better fit for recovery.
- Antipsychotic medication: No psychotic symptoms such as delusions or hallucinations are reported, so antipsychotics are not indicated.
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