The patient who has had an above-the-knee amputation refuses to look at the stump. When the nurse attempts to speak with the patient about his surgery, he says that he doesn't wish to discuss it
He also refuses to let his family visit. The nursing diagnosis that best describes the patient's problem is:
A) Hopelessness
B) Powerlessness
C) Disturbed body image
D) Fear
Ans: C
Feedback: Disturbed body image is a negative perception of self that makes healthful functioning more difficult. The defining characteristics for this nursing diagnosis include undergoing a change in body structure or function, hiding or overexposing a body part, not looking at a body part, and responding verbally or nonverbally to the actual or perceived change in structure or function. This patient may also have any of the other possible diagnoses, but the signs and symptoms described in this case most closely match the defining characteristics of disturbed body image.
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The nurse is admitting a client to a rehabilitation facility after surgery for a hip replacement. The nurse observes the client appearing depressed
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A nursing student who is assessing an older adult who has smoked for the past 47 years and has been diagnosed with chronic obstructive pulmonary disease
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