The Nurse Is Caring for a Client Who Has Had

question 9

Multiple Choice

The nurse is caring for a client who has had a total proctocolectomy and permanent ileostomy who tells the nurse, "I cannot bear to even look at the stoma. I do not think I can manage all these changes." Which of the following actions is best?

• A)Develop a detailed written plan for ostomy care for the client.
• B)Ask the client more about the concerns with stoma management.
• C)Reassure the client that care for the ileostomy will become easier.
• D)Postpone any client teaching until the client adjusts to the ileostomy.

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Definitions:

Displacement

A defense mechanism where an individual redirects emotional impulses from a real object to a substitute target.

Repression

A defense mechanism where unpleasant thoughts, feelings, or desires are unconsciously excluded from consciousness.

Psychodynamic Tradition

A psychological perspective that emphasizes unconscious processes and childhood experiences in shaping behavior and personality.

Personality Development

The process by which an individual's personality grows and evolves over time, influenced by a combination of genetic, environmental, and social factors.