A home health nurse is assisting in the care of a client following a modified radical mastectomy. Which of the following statements by the client indicates effective coping?
"I would like to see what this looks like today."
"I'm going to close my eyes until you are done dressing my incision."
"I would just like to spend my day staring at the TV."
"I'm planning to stay at home until my breast reconstructive surgery."
The Correct Answer is A
A. "I would like to see what this looks like today": This indicates effective coping as the client is engaging with their condition and facing the changes directly, which is an important step in emotional adjustment and recovery.
B. "I'm going to close my eyes until you are done dressing my incision": This suggests avoidance of the situation, which may indicate difficulty in coping with the reality of their condition.
C. "I would just like to spend my day staring at the TV": This may indicate withdrawal or avoidance, which is not an effective coping strategy.
D. "I'm planning to stay at home until my breast reconstructive surgery": While this may be part of the client's plan, it does not directly indicate effective coping with the current situation.
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Related Questions
Correct Answer is D
Explanation
A. "You may drink full liquids until 6 hours before the procedure": Typically, clients are instructed to follow a clear liquid diet and to stop drinking any liquids a few hours before the procedure, not full liquids.
B. "You will lie on your right side for the procedure": The client usually lies on their left side during a colonoscopy, not the right side.
C. "You should warm the liquid bowel preparation before drinking it": Bowel preparation solutions are generally not warmed; they are consumed as directed, often chilled to make them more palatable.
D. "You will be moderately sedated during the procedure": This is correct as colonoscopy usually involves moderate sedation to ensure client comfort and tolerance during the procedure.
Correct Answer is D
Explanation
A. "You should focus on recovering from your cancer right now.": This is incorrect because it dismisses the client's concerns about sexual function and does not address their immediate emotional and psychological needs.
B. "There are other ways to express intimacy besides intercourse.": This is a valid point, but it does not directly address the specific concern about maintaining sexual function, which the client may need to hear for reassurance.
C. "I'm sure any partner will understand that you have no control over this.": This is incorrect because it does not provide specific reassurance about the effects of the surgery on sexual function and can come across as dismissive.
D. "The removal of a single testicle will not prevent you from having an erection.": This is correct as the removal of one testicle does not generally impact the ability to achieve or maintain an erection, and it provides specific reassurance about sexual function.
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