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G eaang.elsevier.com C M M X E Elsevier Ad. P P P1 G PKF Report content error Study mode Question 42 Which psychological and/or social change would the nurse teach the patient to expect after a total hysterectomy with a laparoscopic vaginal approach for a diagnosis of microinvasive cervical cancer? Because the surgery does not affect a visible site, altered body image issues will be fewer in number. Sexual counseling may be needed, especially if the patient has doubts about her ability to feel like a woman and engage in sexual activities. The patient will be actively involved in her own care in the immediate postoperative period. The patient should demonstrate reality testing and should experience a grief reaction immediately after her surgery. Confident Not Sure A K DII DD F12 U S F10 30 F8 F9 F7 F5 F3 F1 O # $ /o a 6 4 5 2 3 O P T Y U E R W H J K G S D F M V B N X C