A nurse is caring for a client who has breast cancer and is postoperative following a bilateral mastectomy. Which of the following Statements indicates the client has an altered body image?

A. This reflects acceptance and adaptation, not body image disturbance. B. Avoiding mirrors or lights when undressing indicates embarrassment, shame, or distress about appearance, which are classic signs of disturbed body image. C. Willingness to join a support group suggests positive coping and readiness for adjustment. D. Expressing interest in reconstructive surgery shows hope and proactive adaptation, not negative body image.