A male patient with a urinary stoma says, "I looked at it while you were out of the room. It's not so bad.". How should the nurse evaluate this statement?
1. The patient is making progress with coping.
2. The patient is in denial.
3. The patient has not grieved for his body image.
4. The patient is angry.
1
Rationale 1: Accepting the stoma as part of the self is vital to adapting to the changed body image.
Rationale 2: The patient may initially use defensive coping mechanisms such as denial, minimization, and dissociation to reduce anxiety and maintain psychological integrity. This patient is in a stage of acceptance rather than denial.
Rationale 3: This statement does not indicate a lack of grieving.
Rationale 4: This statement does not indicate anger.
You might also like to view...
A patient fell 2 days ago; he has a compound fracture of his left tibia. The physician performed an open reduction with internal fixation (ORIF) to treat the fracture. An important nursing assessment for him would include
a. hyperactive bowel sounds. b. elevated temperature and presence of erythema at incision site. c. ecchymosis and edema at incision site. d. complaints of activity intolerance.
A client is experiencing the hypoactive type of delirium as evidenced by being lethargic, indifferent, and having trouble focusing on tasks. This client is at risk for which complication?
a. myocardial infarction c. urinary tract infection b. decubitus ulcers d. constipation
A nurse is presenting a lecture about pneumonia to a group of senior citizens in a community center. The nurse explains that people with which of the following risk factors are at a higher risk of developing the infection?
A. Cigarette smoking, alcoholism, and heart failure B. Immunosuppression and hypertension C. Diabetes and gastritis D. Hypertension, diabetes, and heart failure
Is the following information subjective or objective?
Mr. M. has a respiratory rate of 32 and a pulse rate of 120. A) Subjective B) Objective