A patient is in the critical care unit having undergone surgery a week ago for multiple fractures to the his right and left legs secondary to a fall from a rooftop.The patient refuses to participate in morning care activities such as brushing his own teeth or washing his face and hands.The patient yells at the nurse, "You do it! Can't you see that my legs are broken?" The patient is exhibiting a disturbance in

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Illness and trauma can rob the person of perspective and shrinks both the familiar world and the one of possibility, often leading to low self-esteem and feelings of powerlessness, helplessness, and depression.A low self-regard impairs one's ability to adapt.The person may refuse to participate in self-care, exhibit self-destructive behavior, or be too compliant.

A Patient Is in the Critical Care Unit Having Undergone