The nurse is caring for a client who is two days postoperative with an ileal conduit, and the client will not look at the stoma or participate in care, and insists that no one but the ostomy nurse specialist care for the stoma. Which of the following nursingdiagnoses best reflects the data that the nurse has obtained?
A)Anxiety related to threat to current status (effects of procedure on lifestyle)
B)Disturbed body image related to alteration in self-perception
C)Ineffective coping related to insufficient sense of control
D)Ineffective denial related to ineffective coping strategies (denial of altered body function)

Question

Quizplus · Accepted Answer

The client's unwillingness to look at the stoma or participate in care indicates that disturbed body image is the best diagnosis. No data suggest that the impact on lifestyle is a concern for the client, or that ineffective coping is a result of an insufficient sense of control. The client's insistence that only the ostomy nurse care for the stoma indicates that denial is not present.

The Nurse Is Caring for a Client Who Is Two