A Patient with a Ruptured Diverticulum in the Descending Colon

question 27

Multiple Choice

A patient with a ruptured diverticulum in the descending colon has undergone a transverse loop colostomy.The patient is upset and says,"I didn't know it was going to be this awful.I hate this!" Which response made by the nurse would be most helpful?

• A) "This is a temporary solution.It will be closed in 6 weeks."
• B) "This seems awful now,but you won't have the problems you had before."
• C) "If everything goes well the surgeon can close this colostomy in about a year."
• D) "With the appropriate pouch and loose clothing,no one will notice a thing."

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Definitions:

Obsessive-compulsive Personality Disorder

A disorder characterized by a pervasive pattern of preoccupation with orderliness, perfectionism, and mental and interpersonal control, at the expense of flexibility, openness, and efficiency.

Avoidant Personality Disorder

A mental health condition characterized by a long-standing pattern of extreme shyness, feelings of inadequacy, and sensitivity to rejection.

Cognitive Therapists

Mental health professionals specializing in therapies that identify and change destructive or disturbing thought patterns that have a negative influence on behavior and emotions.

Schizotypal Personality Disorder

A condition of the mind manifesting with intense social distress, chaotic thoughts, mistrustful ideations, a detachment from the surroundings, temporary psychotic episodes, and frequently atypical beliefs.