27. Which actions should a nurse include when developing a care plan for a client with problems associated with body image disturbance? Select all that apply.
27. Which actions should a nurse include when developing a care plan for a client with problems associated with body image disturbance? Select all that apply.
. Provide the client with detailed plans for the future.
. Support the client with a realistic appraisal of the situation.
. Explore the client's strengths and available resources.
. Encourage the client to focus on the specific limitations.
. Teach the client about expected changes in functioning.
Test-Taking Tip
Eliminate the options that are unrealistic for the client with body image disturbances (e.g., the nurse should not overload with detailed plans for the future; and it is a negative focus to talk about limitations).
Content Area: Mental Health, Body Image; Integrated Process: Nursing Process, Planning; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
. . .
Answer 1 is incorrect because it is inappropriate for the nurse to predict what the future will hold for the client. The client needs to problem-solve, with the encouragement of the nurse, to gain self-sufficiency and empowerment over the situation. Answer 2 is correct because the nurse should plan to support the client by encouraging the client to apply a practical problem-solving approach. Answer 3 is correct because the nurse should explore the client's strengths and resources to assist the client to explore his or her own positive assets and seek help from others to focus on positive coping strategies. Answer 4 is incorrect because the nurse needs to help the client view self as a total person, not focus on only the limitations. Answer 5 is correct because the nurse should teach the client about expected changes in functioning. It is the nurse's role to teach the client about limitations and abilities (e.g., how to be mobile when a limb has been amputated) within the context of changes in the body.