A nurse is preparing to discharge an older adult patient who had a mastectomy several months ago. The client tells the nurse that she has not had much desire for sexual relations since her surgery, stating, "my body is so different now." Which of the following is an appropriate response by the nurse?
"It is still too soon to expect to feel normal. Give it a few more years."
"Really, you look just fine to me. There's no need to feel undesirable."
"Consider an afternoon at the spa. A facial will make you feel more attractive."
"I'm interested in finding out more about how your body feels to you."
The Correct Answer is D
Choice A reason: Telling the client it is too soon to expect to feel normal and to give it a few more years dismisses her feelings and provides an unrealistic timeline. It is not supportive or empathetic.
Choice B reason: Saying "Really, you look just fine to me. There's no need to feel undesirable" invalidates the client's feelings and does not address her concerns about her body image and sexual desire.
Choice C reason: Suggesting an afternoon at the spa and a facial to make her feel more attractive trivializes the client's emotional and physical experience post-surgery. It does not provide meaningful support or address the underlying issues.
Choice D reason: Expressing interest in how the client's body feels to her validates her feelings and opens up a dialogue for her to share her concerns. This approach is empathetic and allows the nurse to provide better support and address any issues the client might have.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: While planning activities is important, limiting them to only a few does not fully support the client's independence and participation. Encouraging the client to engage in as many activities as they can manage, with appropriate rest breaks, is more beneficial.
Choice B reason: Clustering activities at the same time can lead to fatigue and overwhelm for a client with Parkinson's disease. It's better to space activities throughout the day to allow for adequate rest and recovery.
Choice C reason: Encouraging and praising the client's efforts to carry out activities of daily living is essential for promoting their independence and self-esteem. Positive reinforcement helps motivate the client and reinforces their ability to manage daily tasks despite their condition.
Choice D reason: Assisting with all daily living activities can lead to dependence and a decrease in the client's confidence and autonomy. The goal is to support the client in maintaining as much independence as possible, providing assistance only when necessary.
Correct Answer is C
Explanation
Choice A reason: Blood urea nitrogen (BUN) levels are used to assess kidney function and are not specific to heart failure.
Choice B reason: Hematocrit levels indicate the proportion of red blood cells in the blood and are not specific to heart failure. They are used to assess anemia and other blood disorders.
Choice C reason: Brain natriuretic peptide (BNP) levels are elevated in heart failure. BNP is released by the ventricles in response to increased pressure and volume overload. Monitoring BNP levels helps assess the severity of heart failure and the effectiveness of treatment.
Choice D reason: Hemoglobin levels indicate the oxygen-carrying capacity of the blood and are used to assess anemia but are not specific to heart failure.
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