A nurse is providing discharge teaching to a client following a right mastectomy. Which of the following statements should indicate to the nurse that the client has a healthy body image?
“My sister will change the dressing every day."
“The incision looks like it is healing.”
“When will all this pain start to go away?”
“Do I have to go home with drains?”
The Correct Answer is B
A. “My sister will change the dressing every day.”
Focuses on caregiving, not self-perception.
B. “The incision looks like it is healing.”
Shows the client is objectively evaluating her body and accepting the surgical site.
C. “When will all this pain start to go away?”
Focuses on physical discomfort, not body image.
D. “Do I have to go home with drains?”
Focuses on the management of care, not body image or self-perception.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. The client has only been sleeping a few hours each night
Lack of sleep is a sign of stress and ineffective coping.
B. The client is taking a poetry class
Engaging in creative hobbies is a positive coping mechanism.
C. The client has gained 4.5 kg (10 lb) in the past month
Sudden weight gain can indicate stress-related overeating or poor self-care.
D. The client takes a 20-minute nap each afternoon
Short naps can be a healthy coping mechanism for stress.
E. The client shows up to work with wrinkled clothes and hair that is not brushed
Neglect in personal grooming and hygiene may indicate ineffective coping or depression.
Correct Answer is A
Explanation
A. Respect the patient's wishes and work around it:
Respecting cultural and spiritual beliefs promotes holistic and patient-centered care.
B. Identify the refusal as a sign of spiritual distress:
The refusal alone, especially when grounded in spiritual beliefs, is not automatically a sign of distress.
C. Remove the article anyway because the garment hinders daily care delivery:
Doing so violates the patient’s autonomy and cultural rights.
D. Explain to the patient that the garment has no real spiritual value:
This is dismissive and culturally insensitive.
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