Practice Quiz

NCLEX-PN

Category - Psychosocial Integrity

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The nurse is caring for a female client who had a colostomy installed 48 hours ago. The client expresses her concerns regarding her sexual relationship with her husband. Based on the client’s concerns, which of the following interventions is the most appropriate?
  1. Inform the husband about the client’s concerns and encourage his participation in therapy after discharge
  2. Refer the client to a psychiatrist
  3. With the client’s permission, ask another client who had a colostomy to share with the client about her experiences
  4. Gradually include the client in caring for her colostomy device
Explanation
Answer: C - For a client who recently underwent a colostomy, having another client share her experiences after the surgery is the most beneficial. Encouraging the client to participate in caring for the colostomy must be included in the care plan, but it does not specifically address the client’s concerns. Option A can be a violation of confidentiality. Option B may be recommended, but the client is not demonstrating any sign or symptom that prompts psychiatric therapy at this time.
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