A nurse is collecting data from a client who has a newly placed colostomy. Which of the following findings should indicate to the nurse the client has accepted their new altered body image?

Denies feelings of sadness about the ostomy

Participates in performing ostomy care

Prefers not to look at the stoma site

Accepts that sexual activity will decrease

Answer and Explanation

The Correct Answer is B

A. Denies feelings of sadness about the ostomy: Denial of sadness may indicate avoidance or suppression of emotions rather than true acceptance. Clients may still be struggling internally despite outwardly denying negative feelings, so this alone is not a reliable indicator of acceptance.

B. Participates in performing ostomy care: Actively engaging in self-care demonstrates adaptation to the altered body image and a willingness to manage the ostomy. Participation reflects acceptance, independence, and confidence in coping with lifestyle changes associated with the stoma.

C. Prefers not to look at the stoma site: Avoiding the stoma indicates discomfort or distress with body changes and suggests the client has not fully accepted their new body image. This behavior is more indicative of denial or anxiety rather than adaptation.

D. Accepts that sexual activity will decrease: Believing sexual activity will decrease may reflect misconceptions or fear rather than true acceptance. Acceptance of altered body image involves active coping and integration into daily life, not just resignation to perceived limitations.

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Correct Answer is C

Explanation

A. Poor judgment: Poor judgment is more commonly associated with right-hemisphere strokes due to impaired insight and spatial-perceptual deficits. It is less typical in clients with left-hemisphere strokes.

B. Left-sided weakness: Left-sided weakness results from right-hemisphere strokes because each hemisphere controls motor function on the opposite side of the body. A left-hemisphere stroke usually affects the right side.

C. Aphasia: The left hemisphere typically controls language, including speech and comprehension. A stroke in this area can result in expressive, receptive, or global aphasia, which is a hallmark finding in left-hemisphere strokes.

D. Impulsiveness: Impulsivity is more commonly seen in right-hemisphere strokes due to poor judgment, lack of awareness of deficits, and spatial-perceptual difficulties. It is not a primary characteristic of left-hemisphere strokes.

A. "Perform breast self-examinations while lying on your side." B. "Use small, circular motions, working vertically up and down across the breast." C. "Use the palm of your hand to detect the presence of any large masses under the skin." D. "Perform breast self-examinations during the middle of your cycle.

Correct Answer is B

Explanation

A. "Perform breast self-examinations while lying on your side.": Lying on the side does not provide the best positioning for thorough breast assessment. The recommended positions are standing in front of a mirror or lying flat with one arm raised, which helps spread breast tissue evenly.

B. "Use small, circular motions, working vertically up and down across the breast.": Using small circular motions with the pads of the fingers and moving in a vertical ‘lawn-mower’ pattern ensures systematic coverage of all breast tissue. This method improves detection of subtle lumps or thickened areas.

C. "Use the palm of your hand to detect the presence of any large masses under the skin.": The palm is too broad and insensitive for detecting small or early changes. The finger pads provide better tactile sensitivity, allowing the client to identify small nodules or irregularities.

D. "Perform breast self-examinations during the middle of your cycle.": For premenopausal clients, the best time is 5–7 days after menstruation begins, when breasts are least tender and swollen. Mid-cycle examinations may be uncomfortable and less accurate due to hormonal changes.

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A nurse is collecting data from a client who has a newly placed colostomy. Which of the following findings should indicate to the nurse the client has accepted their new altered body image?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who recently experienced a left-hemisphere stroke. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client who is premenopausal. Which of the following statements by the nurse is appropriate regarding breast self-examinations?

Correct Answer is B

Explanation

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