Answer to Question 1
D
The nurse should address the patient's need to be comfortable with his own body image; once this is done, the patient can resume sexual activity. Reassuring the patient that others manage to have sexual intercourse with an ostomy may help to decrease anxiety but may have the unintended effect of making the patient feel as though he is abnormal because he has not yet resumed sexual activity. Support groups may be helpful for the patient, but this is not the most effective intervention a nurse can provide. The patient should be discouraged from using the ostomy as an orifice for sexual activity; this can cause infection, trauma, or prolapse to the stoma.
Answer to Question 2
C
Injuries in the home result from extrinsic environmental factors such as tripping over doormats, small rugs on the stairs and floor, wet spots on the floor, and clutter on bedside tables, closet shelves, and bookshelves. Extrinsic factors can be modified or eliminated.
Falls can occur as a result of intrinsic factors such as illness, drug therapy, or alcohol use. Intrinsic factors may be difficult to modify or eliminate.
Falls can occur as a result of intrinsic factors such as illness, drug therapy, or alcohol use. Intrinsic factors may be difficult to modify or eliminate.
Falls can occur as a result of intrinsic factors such as illness, drug therapy, or alcohol use. Intrinsic factors may be difficult to modify or eliminate.
Stained section of cerebral cortex from autopsy of a patient with Creutzfeldt-Jakob disease
Patient Teaching
Building competency in patient centered care
Positioning the Patient in the Fowler’s Position
Grief Responses and Patient Verbalization
Guide to Major Massage Therapy Organizations in the United States*