A client who has been diagnosed with a form of gastric carcinoma shows concern about the prospects of her adult children having the disease. Which of the following questions asked by the nurse shows an understanding of the disease?
1. "Have any of your children ever been treated for a stomach ulcer?"
2. "Are any of your children particularly fond of eating bacon, hot dogs, or luncheon meats?"
3. "Have your children ever been tested for colon cancer?"
4. "Do any of your children smoke either cigarettes or cigars?"
5. "Are any of your children exhibiting signs of depression or obsessive compulsive disorder?"
1. "Have any of your children ever been treated for a stomach ulcer?"
2. "Are any of your children particularly fond of eating bacon, hot dogs, or luncheon meats?"
3. "Have your children ever been tested for colon cancer?"
Rationale: "Have any of your children ever been treated for a stomach ulcer?" Helicobacter pylori (H. pylori), a bacterium causing gastritis, is thought to be related to the development of gastric cancer. "Are any of your children particularly fond of eating bacon, hot dogs, or luncheon meats?" Nitrates found in smoked meats, bacon, lunch meats, and hot dogs have been linked to the development of gastric cancer as well. "Have your children ever been tested for colon cancer?" Gastric cancer is one of the most common inherited cancer syndromes. "Do any of your children smoke either cigarettes or cigars?" Research has not shown any definitive links between smoking and the occurrence of gastric cancer. "Are any of your children exhibiting signs of depression or obsessive compulsive disorder?" Research has not shown any definitive links between depression or OCD and the occurrence of gastric cancer.
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