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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Health equity – The goal; equal opportunity to achieve health.

B. Health disparity – These are preventable differences in health status linked to disadvantage.

C. Health promotion – The process of enabling people to improve health.

D. Preventive health gap – Not a standard term.

A. Assist the client to acknowledge that he has a distorted body image. B. Encourage the client to talk about his feelings regarding his body image C. Determine the client's perception of his body image. D. Discuss alternative coping strategies to relieve the stress he feels about his body image.

Correct Answer is C

Explanation

A. Assist the client to acknowledge that he has a distorted body image:
This may be important later, but first the nurse must assess the client’s current perception of his body image to guide interventions.

B. Encourage the client to talk about his feelings regarding his body image:
While therapeutic communication is crucial, assessment comes before intervention. Understanding the client’s perception helps tailor the discussion.

C. Determine the client's perception of his body image:
According to the nursing process, assessment is the first step. This helps guide individualized care for disturbed body image.

D. Discuss alternative coping strategies to relieve the stress he feels about his body image:
Coping strategies are appropriate after assessing the client’s emotional and psychological needs.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Complete the following sentence using the following options. According to Healthy People Initiatives, __________ is a particular type of health difference closely linked with social, economic, and/or environmental disadvantage.

Correct Answer is B

Explanation

A nurse is contributing to the plan of care for a client who has a disturbed body image following a motor vehicle crash that resulted in a right arm amputation. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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