A patient who needs a radical neck dissection for oral cancer continues to delay the surgery. The nurse should consider that which issue may be influencing the patient's decision-making process?
1. potential for change in body image
2. future problem with communication
3. fear about not being able to eat
4. fear about being able to breathe
Correct Answer: 1
Radical surgery of the head or neck seriously affects body image. Patients may defer lifesaving surgery to postpone disfiguring interventions or therapies. There is not enough information to determine if the patient is postponing surgery because of a fear of problems with communication, eating, or breathing.
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