ATI RN Fundamentals 2019 | Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Identify the impact of the mastectomy on the client's body image. This is the first action the nurse should take because it acknowledges the client's emotional state and helps address her feelings of sadness and avoidance. By understanding how the mastectomy has affected the client's body image, the nurse can provide appropriate emotional support and interventions to help the client cope with her feelings.


Choice A: Encouraging the client to assist with her dressing changes may be important, but addressing the emotional impact should come first.

Choice B: Providing the client with a mirror could potentially worsen her emotional distress if she is not ready to look at her incisions.

Choice D: Referring the client to a breast cancer support group is a great idea but should come after addressing the immediate emotional needs of the client.

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