A nurse is caring for a client who is at 26 weeks of gestation. Which of the following statements indicates the client is having difficulty accepting the body image changes associated with pregnancy?
"I've been wearing the same few things every day because most of my clothes don't fit anymore."
"Dressing up for work is a little harder now that I can't wear high heels."
"I've had to start wearing nursing bras already because my breasts are growing so much."
"When I wear high-top yoga pants, they hold my belly in so you can't even tell I'm pregnant."
The Correct Answer is D
A. "I've been wearing the same few things every day because most of my clothes don't fit anymore." This statement reflects a common experience during pregnancy as the body changes. While it may indicate some frustration, it does not necessarily suggest difficulty accepting body image changes.
B. "Dressing up for work is a little harder now that I can't wear high heels." This statement acknowledges an adjustment in clothing choices due to pregnancy but does not indicate distress about body image. Many individuals modify their footwear for comfort and safety as pregnancy progresses.
C. "I've had to start wearing nursing bras already because my breasts are growing so much." This statement reflects awareness of bodily changes rather than difficulty accepting them. Breast enlargement is a normal part of pregnancy, and choosing appropriate clothing to accommodate these changes suggests adaptation rather than distress.
D. "When I wear high-top yoga pants, they hold my belly in so you can't even tell I'm pregnant." This statement suggests an attempt to conceal the pregnancy, which may indicate discomfort with body image changes. Actively trying to hide the pregnancy rather than embracing the natural progression of body changes can be a sign of difficulty accepting the physical transformation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "Turn on fans in the facility to circulate air." Fans should not be turned on during a chemical disaster because they can spread contaminants throughout the facility, increasing exposure to toxic substances.
B. "Open the fireplace dampers in the day room." Opening fireplace dampers can allow contaminated air to enter the facility, increasing the risk of exposure. Sealing off potential entry points for hazardous chemicals is a priority in these situations.
C. "Cover the electrical outlets with wet towels." While sealing gaps and vents can help reduce chemical exposure, using wet towels over electrical outlets is not an effective protective measure. Instead, doors, windows, and ventilation systems should be sealed as much as possible to prevent outside air from entering.
D. "Move clients to a room above ground with few windows." In an external chemical disaster, sheltering in place is essential. A room above ground is preferable because many chemicals are heavier than air and can accumulate in lower levels. Selecting a space with few windows helps minimize exposure by reducing potential entry points for contaminants.
Correct Answer is B
Explanation
A. Neck pain can occur in some patients following electroconvulsive therapy (ECT) due to muscle tension or positioning during the procedure. However, it is not a common or expected adverse reaction associated with ECT, so it is not the primary concern to address.
B. Temporary memory loss is a well-documented adverse reaction following ECT. Patients may experience difficulties with short-term memory, particularly related to events that occurred around the time of the treatment. This memory loss is usually temporary, but it can be distressing for some individuals.
C. Voice alteration is not typically associated with ECT. Although some patients may experience hoarseness or changes in vocal quality due to intubation or anesthesia, this is not a direct result of ECT itself and is not commonly mentioned in the context of ECT side effects.
D. Tingling of the scalp is not a recognized adverse reaction to ECT. Patients may experience various sensations, but tingling is not a common or documented response. The primary focus should be on more significant effects, such as temporary memory loss and potential confusion immediately following the treatment.
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