Following diagnosis of osteosarcoma, a 14-year-old girl has a below-the-knee amputation. The girl has had trouble accepting the reality of her amputation
Which behavior, when observed by the nurse, indicates she is beginning to accept the amputation? 1. The girl complains of pain in the missing leg.
2. When physical therapy comes, she is willing to have her temporary prosthetic applied and attempts crutch training.
3. Prior to visiting hours, she asks to be helped to a wheelchair with a blanket over her legs.
4. When the nurses change the dressing on the stump, she watches the dressing change.
4
Rationale 1: The pain she describes is known as phantom pain; it is an expected finding but does not indicate acceptance of the amputation.
Rationale 2: This indicates she wants to return to mobility but has not yet accepted the stump.
Rationale 3: Being in a wheelchair with a blanket cover indicates she doesn't want her friends to be aware of her amputation.
Rationale 4: This indicates the girl is willing to look at the stump, which is a step toward acceptance.
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