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","B","C","D","E"]
Explanation
A. Age-related changes can cause difficulty seeing, particularly with glare sensitivity.
B. Systolic blood pressure tends to decrease with age.
C. Bladder capacity decreases with age, leading to increased frequency of urination.
D. The cough reflex weakens with age, increasing the risk of aspiration.
E. Intervertebral discs can become dehydrated with age, contributing to a loss of height and increased risk of disc herniation.
Correct Answer is D
Explanation
A. Fever is not a common side effect of allopurinol.
B. Allopurinol is usually taken with food to minimize gastrointestinal upset.
C. If a rash develops, the client should stop taking allopurinol and notify their healthcare provider rather than self-medicating with an antihistamine.
D. Drinking an adequate amount of water helps prevent kidney stones, a potential side effect of allopurinol.
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