A female client, prominent in the local media, has had surgery ...

[Marty]

A female client, prominent in the local media, has had surgery for a colostomy.The client avoids looking at the colostomy and refuses visitors. Identify the most appropriate nursing diagnosis.
 
  A) Altered Self-Esteem related to colostomy and poor self-image
  B) Disturbed Body Image related to colostomy as evidenced by avoidance of colostomy
  C) Fear of Fejection by Others related to colostomy and altered self-image
  D) Altered Role Performance related to inability to cope with visitors

Question 2

To obtain subjective data about a burn client's self-concept, the nurse should do what?
 
  A) Ask the client how she would describe herself.
  B) Observe the client's interactions with others.
  C) Document the client's lack of eye contact.
  D) Note how the client conceals her wound.

[djofnc]

Answer to Question 1

Ans: B
Feedback:
Disturbed Body Image possesses the clinical cues of behaviors of avoidance, monitoring, or acknowledgement of one's body.

Answer to Question 2

Ans: A
Feedback:
Gordon (1997) suggests asking clients how they would describe themselves in the assessment of self-concept.