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Body image concerns are common after breast surgery and can impair intimacy, mood, and social functioning. Evidence-based care begins with validation and structured assessment (screen for depression/anxiety, sexual health, relationship stress). Early, practical supports—professional prosthesis fitting, specialty bras, and education on scar care—can restore confidence quickly. Timely referral to a reconstructive surgeon for counseling on options (immediate/delayed, implant vs autologous) empowers choice. Psycho-oncology services and peer support groups address grief, identity, and coping; skills such as graded exposure, mindfulness, and communication coaching improve self-efficacy. Simple reassurance (Option A) risks prolonging suffering. Narrowing visits to disease surveillance (Option C) overlooks holistic survivorship needs. Benzodiazepines (Option D) without a plan may worsen avoidance and do not address core issues. The APRN should document goals, provide curated resources (appearance centers, survivorship programs), include partners when desired, and follow up to reassess adjustment, tailoring interventions as recovery progresses.