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    Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph

    A nurse is caring for a client who has a newly created colostomy. The client's partner tells the nurse that the client refuses to look at the stoma. Which of the following actions should the nurse take?

    Explanation & Rationale

    A. Encourage the client and partner to avoid expressing negative feelings about the colostomy: Suppressing emotions can hinder psychological adaptation. The nurse should encourage open discussion to promote emotional healing. B. Transfer the client to a rehabilitation facility for instruction about self-management of the colostomy: This step is unnecessary and premature; the nurse should first focus on emotional readiness and gradual teaching during hospitalization. C. Suggest the client join a support group for people who have colostomies: Clients with new ostomies often experience body image disturbance and emotional adjustment issues. Support groups provide peer encouragement, education, and normalization of the experience, which helps improve acceptance and self-care confidence. D. Instruct the client's partner to assume care of the colostomy for the client: This reinforces avoidance behavior and delays the client’s adjustment and independence.

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