Following a bilateral mastectomy, a 50-year-old patient refuses to eat, discourages visitors, and pays little attention to her appearance. One morning the nurse enters the room to see the patient with her hair combed and makeup applied. Which statement is the best response from the nurse? A. "Whats the special occasion?"B. "You must be feeling better today."C. "This is the first time I have seen you look this good."D. "I see that you've combed your hair and put on make-up."

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Answer:

After a patient underwent a mastectomy she presents resistance to eat, doesn't welcomes visitors and neglects her appearance. But the day she starts to care about her image. The correct answer for the situation is D. I see that you've combed your hair and put on make-up.

Explanation:a) is wrong because when recovering patients start to caring again about their image they are very susceptible, so believing that they are waiting for a special event to happen can be rude. the professional needs to establish rapport and bringing the patient into an emotional unknown territory can be aversive.

b) is wrong also because she might not feel better just because she has taken care of her image, instead, it could be into a struggle fight to not give up in the worst moment. But the attempt to fight against a depressive state is determined to be celebrated, but not assumed.

c) is wrong also, because it means that she looked bad all the days before. So this could drag her to a situation in which she could be discouraged and stop her attempt to fight against her sad, depressive state.

d) is correct because the professional is not assuming anything. she is just only pointing out the obvious but in a way, rapport will be established because the patient will provide the professional more information about why she did it. Then, she will answer something and will open her insights to the caretaker and start overcoming her duel.

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