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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. Avoids the child's question and deflects to a future topic.
B. Defers the conversation and may not address the child's immediate concerns.
C. Minimizes the child's feelings and concerns about the future.
D. Encourages open communication and allows the child to express feelings and fears.

A. Distraction B. Biofeedback C. Guided imagery D. Meditation

Correct Answer is A

Explanation

A. This statement reflects a sense of blame and responsibility but may not necessarily indicate a body image disturbance.A. Listening to music is a form of distraction, diverting the client's attention away from pain.
B. Biofeedback involves using electronic monitoring to help individuals gain conscious control over physiological processes, not applicable in this context.
C. Guided imagery involves using the imagination to create calming mental images, not directly related to listening to music.
D. Meditation involves a state of focused attention and may not be as directly applicable during a medical procedure.
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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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?

Nursing Test Bank

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