A 36-year-old woman who had an ascending colostomy angrily declares, "I don't want this hateful thing on my body! This nasty thing is not me." Which response is most appropriate for the nurse to make?
a. "The colostomy is part of you now."
b. "Let me change the collection bag so you don't stay nasty."
c. "All ostomates feel this way at first. I'll go get a list of support groups you may want to join."
d. "What about this colostomy concerns you the most?"
D
Asking the patient to name the specific concerns helps to conceptualize where the adjustment problem lies. All other options negate the patient's feelings, reinforce the patient's negative feel-ings, and do not offer any therapeutic response.
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