A nurse is assisting in the care of a client following a mastectomy. Which of the following responses by the client indicates acceptance of their altered body image?

A. "I'm fearful of how I will look once I heal.": Expressing fear about appearance indicates ongoing anxiety and uncertainty about body image. While this is a normal part of adjustment, it reflects that the client has not yet fully accepted changes to their body. B. "I can't let my partner see me like this.": Avoidance of intimacy or being seen by a partner demonstrates distress and body image disturbance. This response indicates the client is struggling with self-acceptance and may require emotional support. C. "I should wear a t-shirt at bedtime.": Planning clothing choices for modesty may reflect concern about appearance or comfort, but it does not necessarily indicate acceptance of the body image changes. It is more a coping strategy than evidence of acceptance. D. "I'm going to look at myself in the mirror.": Choosing to face one’s reflection demonstrates acknowledgement and acceptance of body changes. This action reflects a willingness to engage with altered body image and is a positive sign of adaptation and self-acceptance.