Which client statement following a total bilateral mastectomy indicates a need for immediate intervention?

The statement indicating a need for immediate intervention is the one expressing feelings of hopelessness and despair. When a client states, "When I look at myself in the mirror, I don't know if I can go on," it signals a significant emotional crisis. This level of distress suggests that the individual may be experiencing deep depression or suicidal ideation, which requires urgent attention to ensure their safety and mental well-being.

Addressing mental health is a crucial aspect of holistic care, especially after a significant and life-altering procedure like a total bilateral mastectomy. Clients can feel a profound sense of loss not only physically but also concerning their identity, body image, and future, leading to the kind of emotional turmoil expressed in that statement. Immediate intervention can involve mental health support, crisis counseling, and possibly a psychiatric evaluation, allowing the client to process their feelings in a safe environment.

Other statements, though concerning, do not present the same immediate risk level. Concerns about social acceptance or feelings of external pressure, while important to address, do not indicate the same level of urgency. Therefore, the specific expression of hopelessness in the statement is what necessitates immediate intervention.