The nurse is providing education regarding early detection of ...

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The nurse is providing education regarding early detection of breast cancer to a group of women between the ages of 30 and 40. According to recommendations from the American Cancer Society, the nurse explains that it is important for these women to:
 
  1. Do monthly breast self-exams.
  2. Have a yearly mammogram.
  3. See a physician if there is a strong family history of breast cancer.
  4. Have an annual breast exam performed by a health care provider.

Question 2

A young female client comes into the emergency department with vague physical symptoms and does not make eye contact with the nurse during the interview. In order to best assess the client, the nurse asks:
 
  1. can you tell me what's been going on in your life lately?
  2. what kind of problems are you having?
  3. is someone hurting you?
  4. can you explain what your family life is like?

[yuyiding]

Answer to Question 1

Correct Answer: 4
Rationale 1: Breast self-exam is no longer recommended for all women.
Rationale 2: Yearly mammography for all women over the age of 40 is encouraged as it decreases the mortality from breast cancer.
Rationale 3: While a family history of breast canceris a risk factor it is not the sole reasons to monitor for breast cancer.
Rationale 4: The American Cancer Society recommends a health care practitioner perform a breat examination at a yearly physical exam.

Answer to Question 2

Correct Answer: 3
Rationale 1: Generalized questions about life do not adequately address the client's needs during this assessment.
Rationale 2: Generalized questions about life problems do not adequately address the client's needs during this assessment.
Rationale 3: A nurse who works with women should explicitly ask if the young adult is frightened or hurt by someone she knows. It is essential that nurses make assessment for domestic violence part of their routine.
Rationale 4: Generalized questions about family life do not adequately address the client's needs during this assessment.