A nurse is assisting in the care of a client following a mastectomy. Which of the following responses by the client indicates acceptance of their altered body image?

"I'm fearful of how I will look once I heal."

"I can't let my partner see at me like this."

"I should wear a t-shirt at bedtime."

"I'm going to look at myself in the mirror."

Answer and Explanation

The Correct Answer is D

A. "I'm fearful of how I will look once I heal.": Expressing fear about appearance indicates ongoing anxiety and uncertainty about body image. While this is a normal part of adjustment, it reflects that the client has not yet fully accepted changes to their body.

B. "I can't let my partner see me like this.": Avoidance of intimacy or being seen by a partner demonstrates distress and body image disturbance. This response indicates the client is struggling with self-acceptance and may require emotional support.

C. "I should wear a t-shirt at bedtime.": Planning clothing choices for modesty may reflect concern about appearance or comfort, but it does not necessarily indicate acceptance of the body image changes. It is more a coping strategy than evidence of acceptance.

D. "I'm going to look at myself in the mirror.": Choosing to face one’s reflection demonstrates acknowledgement and acceptance of body changes. This action reflects a willingness to engage with altered body image and is a positive sign of adaptation and self-acceptance.

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Correct Answer is C

Explanation

A. "Based on your admission, this procedure is mandatory.": ECT is a voluntary treatment, and informed consent is required. Stating it is mandatory is misleading and violates ethical and legal standards.

B. "You only need to receive this treatment once.": ECT is typically administered in a series of treatments, often multiple sessions per week for several weeks, depending on the client’s response. One session is usually insufficient for therapeutic effect.

C. "You will be sedated during the procedure.": ECT is performed under general anesthesia with a short-acting sedative and a muscle relaxant. Teaching the client that they will be sedated prepares them for the procedure, reduces anxiety, and ensures informed consent.

D. "The procedure will have no lingering effects.": ECT can have side effects, including short-term memory loss, confusion, and headache. Telling the client there are no lingering effects is inaccurate and could result in unmet expectations or mistrust.

A. Discussing childhood memories during group therapy B. Making a unit calendar to promote orientation C. Playing board games with other clients to enhance cognition D. Encouraging thought-stopping to block undesirable thoughts

Correct Answer is A

Explanation

A. Discussing childhood memories during group therapy: Reminiscence therapy involves encouraging older adults to reflect on and share past experiences, particularly positive memories. Discussing childhood or significant life events can enhance self-esteem, social interaction, and emotional well-being while helping preserve cognitive function.

B. Making a unit calendar to promote orientation: Using a calendar is a reality-orientation strategy, which helps with awareness of time, date, and daily events. While beneficial for cognition, it does not fall under reminiscence therapy, which focuses on recalling and discussing personal past experiences.

C. Playing board games with other clients to enhance cognition: Board games can stimulate cognitive skills, problem-solving, and social interaction, but this activity is classified as cognitive stimulation rather than reminiscence therapy. It does not specifically involve reflecting on personal life experiences.

D. Encouraging thought-stopping to block undesirable thoughts: Thought-stopping is a cognitive-behavioral strategy used to manage negative or intrusive thoughts. It is not related to reminiscence therapy, which aims to evoke memory recall and discussion rather than suppress thoughts.

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A nurse is assisting in the care of a client following a mastectomy. Which of the following responses by the client indicates acceptance of their altered body image?

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