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ADVANCED CONCEPTS OF
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EXAM 2025 LATEST NEWEST
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, 4. A nurse cares for a client who has facial burns. The client asks, "Will I ever look the
same?" How should the nurse respond?
a.
"With reconstructive surgery, you can look the same."
b.
"We can remove the scars with the use of a pressure dressing."
c.
"You will not look exactly the same but cosmetic surgery will help."
d.
"You shouldn't start worrying about your appearance right now."
ANS:
C
Many clients have unrealistic expectations of reconstructive surgery and envision an
appearance identical or equal in quality to the preburn state. The nurse should provide
accurate information that includes something to hope for. Pressure dressings prevent further
scarring; they cannot remove scars. The client and the family should be taught the expected
cosmetic outcomes.
DIF:
Applying/Application REF: 488
KEY:
Psychosocial response| patient education
MSC:
Integrated Process: Teaching/Learning
NOT:
Client Needs Category: Psychosocial Integrity
5. A nurse assesses a client who has a burn injury. Which statement indicates the client has a
positive perspective of his or her appearance?
a.
"I will allow my spouse to change my dressings."
b.
"I want to have surgical reconstruction."
, c.
"I will bathe and dress before breakfast."
d.
"I have secured the pressure dressings as ordered."
ANS:
C
Indicators that the client with a burn injury has a positive perception of his or her appearance
include a willingness to touch the affected body part. Self-care activities such as morning
care foster feelings of self-worth, which are closely linked to body image. Allowing others to
change the dressing and discussing future reconstruction would not indicate a positive
perception of appearance. Wearing the dressing will assist in decreasing complications but
will not enhance self-perception.
DIF:
Applying/Application REF: 488
KEY:
Psychosocial response| coping
MSC:
Integrated Process: Nursing Process: Evaluation
NOT:
Client Needs Category: Psychosocial Integrity
6. The nurse assesses a client who has a severe burn injury. Which statement indicates the
client understands the psychosocial impact of a severe burn injury?
a.
"It is normal to feel some depression."
b.
"I will go back to work immediately."
c.
"I will not feel anger about my situation."
d.
"Once I get home, things will be normal."
ANS: