During a well woman physical exam, a 43-year-old patient asks about her risk for breast cancer. Which question is most pertinent for the nurse to ask?
a. "Do you currently smoke tobacco?"
b. "Have you ever had a breast injury?"
c. "At what age did you start having menstrual periods?"
d. "Is there a family history of fibrocystic breast changes?"
ANS: C
Early menarche and late menopause are risk factors for breast cancer because of the prolonged exposure to estrogen that occurs. Cigarette smoking, breast trauma, and fibrocystic breast changes are not associated with increased breast cancer risk.
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A preschool-age child is scheduled for a tonsillectomy. Which strategy might help lessen the child's anxiety before surgery?
a. Show the child a short, animated video (DVD) about the hospital visit and procedure. b. Give the child a tour of the hospital a week before the surgery is scheduled. c. Allow the child to use online sources of information to teach him about the procedure. d. Provide one-to-one instruction about the care he will need after surgery.
While caring for a pregnant woman of Middle Eastern descent, a nurse attempts to mold the patient's choices to fit what the nurse calls the "American way." When questioned, she reports it is best and easier to plan and deliver care this way
Based upon your knowledge, you recognize this as cultural A) destructiveness. B) blindness. C) awareness. D) sensitivity.
A patient had a stroke that resulted in Broca's aphasia. What instructions should the nurse provide when teaching the family how to communicate with this patient?
1. Speak slowly and loudly to the patient. 2. Use paper and pencil for all communication. 3. Ask the patient "yes-no" questions. 4. Anticipate the patient's answers and finish questions and sentences. 5. Give the patient time to search for words.
Each element of the nursing process involves critical thinking. Which definition of assessment reflects critical thinking?
a. Correctly and completely documenting the assessment data on a form b. A process of discovery and decision-making about the nature of the patient's needs c. Using a systematic approach to ensure comprehensive collection of assessment data d. Selecting the most accurate NANDA-I nursing diagnosis for the patient