RN Nursing · Self-Concept and Sexuality · Practice question
A nurse is discussing expected changes associated with aging with an older adult client. Which of the following client statements should indicate to the nurse that the client has an impaired body image?
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"l avoid going out because I sometimes have problems with incontinence."
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"These lines in my face reveal a part of my character."
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"My wrinkled hands show how hard I've worked all my life."
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"My hearing has improved since I got my hearing aids."
Answer & explanation
Correct: "l avoid going out because I sometimes have problems with incontinence."
Body image is a person's subjective perception of their own physical appearance and function. Impaired body image occurs when a person has negative feelings about their body or avoids activities because of perceived physical changes. The statement about avoiding going out due to incontinence problems reveals that the client is altering behavior and restricting social participation as a direct result of a physical condition, which is a classic indicator of impaired body image — the client perceives their body as failing them in a way that leads to withdrawal and avoidance. The other statements demonstrate a healthy, positive integration of aging-related physical changes. Saying that facial lines reveal character and that wrinkled hands reflect a lifetime of hard work both show the client attributing meaning and dignity to normal physical changes of aging rather than experiencing distress or avoidance. Stating that hearing has improved since getting hearing aids demonstrates a positive, adaptive response to a sensory deficit — the client accessed treatment and experienced benefit. None of these three statements suggest negative self-perception or behavioral restriction linked to body image concerns, whereas the incontinence statement clearly reflects social isolation and negative self-evaluation stemming from a physical change.
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