A patient who is undergoing chemotherapy for lymphoma says, "I thought I was ugly before this all started. Now I know for sure I'm disgusting to look at." What is this patient most at risk for developing related to these comments?
1. changed body image perception
2. reduced sexual response
3. altered taste sensation
4. inability to cope with the diagnosis and treatment
Correct Answer: 1
Radiation and chemotherapy lead to changes in appearance and body function, further altering body image. Reactions to this diagnosis vary and may include refusal to look in a mirror or discuss the effects of the disease or treatment, unwillingness to participate in rehabilitation, inappropriate treatment decisions, increasing dependence on others or refusal to provide self-care, hostility, withdrawal, and signs of grieving. Although altered sexual response may occur, the patient has not identified it as a current problem. The patient has not identified an alteration in taste or indicated lack of coping with the diagnosis or treatment.
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