A nurse is contributing to the plan of care for a client who has a disturbed body image following a motor vehicle crash that resulted in a right arm amputation. Which of the following actions should the nurse take first?
Encourage the client to talk about his feelings regarding his body image.
Discuss alternative coping strategies to relieve stress he feels about his body image.
Determine the client’s perception of his body image.
Assist the client to acknowledge he has a distorted body image.
The Correct Answer is C
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.
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Related Questions
Correct Answer is D
Explanation
A. The FACES scale is typically used with older children who can express their pain using facial expressions.
B. The Oucher scale is a self-report scale that relies on the child's ability to match their pain level to a set of standardized photographs.
C. The Visual Analog Scale is used with older children and adults but is not appropriate for infants.
D. The FLACC scale (Face, Legs, Activity, Cry, Consolability) is specifically designed for infants and nonverbal children, taking into account their facial expressions, leg movement, activity level, cry, and consolability.
Correct Answer is C
Explanation
A. The dosage of opioid narcotics is not unlimited and should be carefully titrated to the client's pain level.
B. Opioid narcotics are not restricted solely due to the risk of addiction, especially in end-of-life care where effective pain management is a priority.
C. This statement emphasizes the importance of maintaining a stepwise approach to pain management, preserving options for effective pain control.
D. The use of opioid narcotics is not restricted solely to when death is imminent; it depends on the client's pain and symptom management needs.
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