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 am starting to feel more comfortable looking at myself in the mirror.”.

"I am worried about how my partner will perceive my appearance now.”.

"I prefer to wear loose-fitting clothing to conceal the changes.”.

"I am focused on my recovery and adapting to these changes.”.

Answer and Explanation

Correct Answer : A,D

Choice A rationale

Expressing increased comfort with their altered appearance in the mirror indicates a positive step towards acceptance of the changed body image following a mastectomy. This suggests the client is beginning to integrate the physical changes into their self-perception and is moving towards adaptation.

Choice B rationale

Worrying about a partner's perception, while a normal concern, does not necessarily indicate acceptance of the altered body image. It suggests preoccupation with external validation and potential insecurity about the physical changes' impact on the relationship, rather than internal acceptance.

Choice C rationale

Preferring loose-fitting clothing to conceal the changes suggests a desire to hide the altered body rather than accepting it. This behavior indicates a lack of comfort and potentially negative feelings about the mastectomy's physical consequences, hindering the process of body image adaptation.

Choice D rationale

Focusing on recovery and adapting to the changes demonstrates a proactive and accepting attitude towards the altered body image. This statement indicates a willingness to integrate the changes into their life and move forward, signifying a positive adjustment to their post-mastectomy self-perception.

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Correct Answer is ["A","C","D"]

Explanation

Choice A rationale

Engaging in regular physical activity helps to reduce the physiological effects of chronic stress by releasing endorphins, which have mood-boosting and pain-relieving effects. Exercise also improves cardiovascular health, reduces muscle tension, and promotes better sleep, all of which are negatively impacted by prolonged stress.

Choice B rationale

Consuming a moderate amount of caffeine can provide a temporary boost in alertness and energy; however, it can also exacerbate anxiety, interfere with sleep patterns, and increase heart rate, potentially worsening the physiological symptoms of chronic stress in the long run. Its effects are highly individual.

Choice C rationale

Limiting exercise close to bedtime is important because physical activity stimulates the body and can make it harder to fall asleep. Engaging in exercise too close to sleep can elevate heart rate and body temperature, counteracting the body's natural preparation for rest. It is generally recommended to finish strenuous activity at least a few hours before sleep.

Choice D rationale

Aiming for approximately 7-9 hours of sleep per night is crucial for managing chronic stress. Adequate sleep allows the body and mind to recover, improves mood regulation, enhances cognitive function, and strengthens the immune system, all of which are compromised by chronic stress and essential for resilience.

A. Increased potassium level. B. Increased number of dental caries. C. Increased bleeding with menstruation. D. Increased blood pressure.

Correct Answer is B

Explanation

Choice A rationale

Clients with bulimia nervosa are at risk for hypokalemia (decreased potassium level) due to recurrent vomiting or misuse of laxatives or diuretics, which can lead to significant electrolyte imbalances. Normal serum potassium levels range from 3.5 to 5.0 mEq/L.

Choice B rationale

An increased number of dental caries is a common manifestation in clients with bulimia nervosa. The stomach acid brought up during frequent vomiting erodes tooth enamel, making the teeth more susceptible to decay and the formation of cavities.

Choice C rationale

Bulimia nervosa is not typically associated with increased bleeding during menstruation (menorrhagia). Menstrual irregularities, including amenorrhea (absence of menstruation), can occur due to hormonal imbalances related to eating disorders and weight fluctuations.

Choice D rationale

Blood pressure can vary in individuals with bulimia nervosa. While dehydration from purging behaviors might initially cause low blood pressure, compensatory mechanisms or anxiety related to the disorder could also lead to normal or even elevated blood pressure in some cases.

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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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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?