Question

A client underwent a urinary diversion procedure and now has a continent ileal reservoir (Kock pouch). Which action indicates to the nurse that the client is coping with an altered body image?

The client states, "Next week, the surgeon is going to change me back." The client avoids caring for the stoma. The client is wearing street clothes and has combed hair. The client is confrontational when someone speaks to him/her.

Answer 1

The client wearing street clothes and having combed hair indicates they are coping with an altered body image after a urinary diversion surgery, as it shows an acceptance and willingness to participate in daily activities.

Step-by-step explanation:

A continent ileal reservoir (Kock pouch) is a surgical urinary diversion where a client's urine is stored in an internal pouch and later drained through self-catheterization. Adapting to body image changes after such a surgery can be emotionally and psychologically challenging. One positive sign of adapting and coping is when the client engages in normal activities and self-care, such as wearing street clothes and grooming (combed hair). This behavior suggests the client is integrating the stoma into their daily life, which reflects acceptance rather than denial or avoidance. Being confrontational, avoiding care of the stoma, or expressing unrealistic expectations of reversal can indicate difficulty with coping and altered body image.