Which of the following nursing diagnoses best encompasses the anticipated psychosocial concerns of a client who is scheduled for a laryngectomy?
a) Risk for infection
b) Disturbed body image
c) Risk for chronic low self-esteem
d) Deficient knowledge
Answer: b) Disturbed body image
Explanation:
Loss of the ability to speak normally is a devastating consequence of laryngeal surgery. Clients with a malignancy of the larynx require emotional support before and after surgery and help in understanding and choosing an alternative method of speech. Clients require information prior to their surgery to make appropriate decisions, but this is not considered a psychosocial concern. Clients are at high risk for infection following a laryngectomy, but this is not considered a psychosocial concern. Although chronic low self-esteem may develop following a laryngectomy, depending on the client's ability to cope, a more immediate concern would be related to disturbed body image. pg.561
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