A client scheduled for a mastectomy may be at risk for poor sexual adjustment if they report which of the following?

A history of sexual abuse can significantly impact a person's emotional and psychological well-being, especially when facing a significant change in bodily image and function, such as undergoing a mastectomy. Such trauma can lead to feelings of vulnerability, anxiety, and altered body perception, which can hinder sexual adjustment and intimate relationships. The process of surgery and recovery may exacerbate these feelings, making it more challenging for the individual to engage in healthy sexual relationships post-operatively.

In contrast, individuals with a stable relationship with their spouse, a satisfying intimate relationship, or the ability to conceive children generally have supportive contexts that can provide emotional resilience during difficult times. These factors can help facilitate a more positive adjustment to changes in body image and functionality, as they often contribute to a supportive environment for dealing with the aftermath of medical procedures like a mastectomy. Thus, the risk for poor sexual adjustment is notably higher for someone with a history of sexual abuse.