A patient who had a colostomy placed 1 month ago is feeling depressed and does not want to participate in sexual activities anymore. The patient is afraid that the partner does not want sex. The patient is afraid the ostomy is physically unattractive. Which initial nursing intervention will be most effective in helping this patient resume sexual activity?
Discuss ways to adapt to a new body image so the patient will be comfortable in resuming intimacy.
Inform the patient about a support group for people with colostomies.
Teach the patient about intimate activities that can be done to incorporate the ostomy.
Reassure the patient that lots of people resume sex the same week the colostomy is placed.
The Correct Answer is A
A. Discuss ways to adapt to a new body image so the patient will be comfortable in resuming intimacy:
Helping the patient process body image changes is the first step in restoring confidence and comfort in sexual activity.
B. Inform the patient about a support group for people with colostomies:
While support groups are helpful, this is not the initial step in addressing emotional and sexual concerns.
C. Teach the patient about intimate activities that can be done to incorporate the ostomy:
This comes later, once the patient is ready to explore intimacy options.
D. Reassure the patient that lots of people resume sex the same week the colostomy is placed:
This may minimize the patient's feelings and is likely unrealistic or unhelpful.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Identity vs. Role Confusion: This stage occurs in adolescence (12–18 years), not infancy.
B. Integrity vs. Despair: This stage is associated with older adults reflecting on life.
C. Autonomy vs. Shame and Doubt: This occurs in toddlers (1–3 years), who are exploring independence.
D. Trust vs. Mistrust: This is the first stage (birth–1 year). Responsive caregiving helps infants develop a sense of trust in the world.
Correct Answer is B
Explanation
A. Sleep-wake pattern
Helpful but doesn’t directly address how restorative the sleep is.
B. Ask whether the patient feels rested.
Perceived restfulness is the most reliable indicator of sufficient sleep.
C. Hours of sleep each night
Quantity doesn't necessarily reflect quality of sleep.
D. Frequency of nocturia
This is a factor affecting sleep, not the main measure of sleep sufficiency.
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