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 A
Explanation
a. "When I look in the mirror, all I see is a person without a leg.":
This statement reflects distorted body image, focusing entirely on the physical loss and indicating a disturbance in self-perception.
b. "If my wife had paid more attention to my blood sugar levels I would not have needed an amputation.":
This reflects blame or anger, not necessarily a body image disturbance.
c. "I have not always made good choices in life. I deserve to lose my leg.":
This reflects guilt or low self-worth, which is more emotional or spiritual distress than body image-specific.
d. "No matter how hard I work in physical therapy, I can't seem to make any progress.":
This shows frustration with recovery, not necessarily about the client's body image.
Correct Answer is D
Explanation
A. Place the head of the client's bed flat:
The head of the bed should be elevated to prevent discoloration from blood pooling in the face (livor mortis).
B. Remove the client's dentures:
Dentures should be left in if possible to maintain the shape of the face, especially if family will view the body.
C. Increase the lights in the client's room:
Soft lighting is more appropriate; bright lighting is not necessary and may be distressing to the family.
D. Wash the client's body:
It is respectful and standard practice to cleanse the body, unless contraindicated by culture or religion.
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