A 47-year-old mother of two has recently undergone a radical mastectomy. She refuses to see anyone and remains isolated and withdrawn. Which of the following may be relevant nursing diagnoses for this client? Select all that apply
A. Disturbed body image
B. Situational low self-esteem
C. Ineffective coping
D. Altered thought processes
E. Altered sensory perception
ANS: A, B, C
The mastectomy is likely to disturb the client's body image. She is ineffectively coping by withdrawing. She may be experiencing negative feelings about herself related to her altered body image, which would result in low self-esteem. None of the symptoms presented indicate a problem with either altered thought or altered sensory perception.
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