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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Heat application can help relieve pain and stiffness associated with osteoarthritis.
However, it is important to use a heat pack with a temperature below body temperature to avoid skin burns.
B. Elevation is generally more relevant for conditions involving swelling, and it may not be the primary recommendation for osteoarthritis.
C. Acetaminophen is a common pain reliever, but other medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) may also be used for osteoarthritis pain management.
D. Decreasing foods high in purines is more relevant for conditions like gout, which is not typically associated with osteoarthritis.
Correct Answer is C
Explanation
A. Osteoarthritis typically affects specific joints and is not necessarily bilateral throughout the body.
B. Osteoarthritis is not an autoimmune disease; it is a degenerative joint disease.
C. Moist heat can provide relief for osteoarthritis pain by improving joint flexibility and reducing stiffness.
D. Osteoarthritis is primarily a localized joint disease and does not usually result in systemic symptoms.
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