A nurse is caring for a client who has diabetes mellitus and had a below the knee amputation 2 days ago. Which of the following statements by the client should the nurse identify as an indication that the client has a body image disturbance?
If my wife had paid more attention to my blood sugar levels I would not have needed an amputation.
No matter how hard I work in physical therapy I can’t seem to make any progress.
I have not always made good choices in life I deserve to lose my leg.
When I look in the mirror all I see is a person without a leg.
The Correct Answer is D
A. This statement reflects a sense of blame and responsibility but may not necessarily indicate a body image disturbance.
B. This statement may indicate frustration with physical therapy progress but does not directly address body image.
C. This statement reflects guilt or self-blame but may not necessarily indicate a body image disturbance.
D. This statement directly addresses the client's perception of their body image following the amputation.
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Related Questions
Correct Answer is C
Explanation
A. Encouraging the client to talk about his feelings is important, but understanding the client's current perception of his body image comes first to guide appropriate interventions.
B. Discussing coping strategies is relevant, but understanding the client's current perception helps tailor coping strategies to his specific concerns.
C. Determining the client's perception of his body image is the first step to assess the extent of the issue and plan interventions accordingly.
D. Assisting the client to acknowledge a distorted body image may be necessary, but understanding the client's current perception precedes interventions.
Correct Answer is D
Explanation
A. These symptoms are more commonly associated with gastrointestinal side effects of chemotherapy.
B. These symptoms are common due to the impact of chemotherapy on the gastrointestinal system.
C. Hair loss is a common side effect of chemotherapy, but it is not associated with myelosuppression.
D. Myelosuppression can lead to decreased platelet production, resulting in an increased risk of bleeding, including gum bleeding.
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