A patient who had surgery for creation of an ileal conduit 3 days ago will not look at the stoma and requests that only the ostomy nurse specialist does the stoma care. The nurse identifies a nursing diagnosis of
a. anxiety related to effects of procedure on lifestyle.
b. disturbed body image related to change in function.
c. readiness for enhanced coping related to need for information.
d. self-care deficit, toileting, related to denial of altered body function.
ANS: B
The patient's unwillingness to look at the stoma or participate in care indicates that disturbed body image is the best diagnosis. No data suggest that the impact on lifestyle is a concern for the patient. The patient does not appear to be ready for enhanced coping. The patient's insistence that only the ostomy nurse care for the stoma indicates that denial is not present.
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