The nurse is teaching a 34-year-old client with client who has a sister and mother with a history of breast cancer about early screening for the health problem. Which should the nurse include in this teaching?
Select all that apply.
A) Routine monthly breast self-examination
B) Annual screening mammography
C) Routine breast exams to begin after age 35
D) Clinical breast examination every 3 years
E) Reporting of any changes in breast tissue to the health provider at the next routine visit
Answer: A, B, D
American Cancer Society guidelines for cancer screening include routine breast self-examination starting at age 20; prompt reporting of any change in breast tissue to healthcare provider; clinical breast examination every 3 years from ages 20 to 39, and yearly thereafter; and annual screening mammography starting at age 40, except in women at increased risk, who may have more frequent mammography or other tests such as breast ultrasound exams. Since this client's mother and sister both have a history of breast cancer, she would be eligible for annual mammography.
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After attending a community meeting the population health nurse learns that 15 children in the community have terminal illnesses. What action should the nurse take to support the care of these children?
1. Review the recommendations for each child's ongoing care. 2. Explain the importance of screening for illnesses early in a child's life. 3. Analyze family environments to reduce the risk of illness development. 4. Ensure palliative and hospice care is available to the children and families.
While being treated for one disease process, a patient begins demonstrating manifestations of another disease process. The nurse realizes that the patient is experiencing which type of disease?
1. iatrogenic 2. communicable 3. congenital 4. degenerative
When obtaining a drug history from Harold, he gives you a complete list of his prescription medications. He denies taking any other drugs, but you find that he occasionally takes aspirin for his arthritis flare ups. This is an example of:
1. His appropriately only telling you about his regularly prescribed medications 2. His hiding information regarding his inappropriate use of aspirin from you 3. A common misconception that intermittently taken over-the counter medications are not an important part of his drug history 4. A common misuse of over-the-counter aspirin
A patient is experiencing distress with midlife transition. Which statement provides sup-port that the patient is successfully managing this stressor?
a. "I won't give up on my dream to be rich." b. "Being rich doesn't necessarily make a person happy." c. "I'll never be rich but I can save enough to live comfortably." d. "I wasn't being realistic when I set being rich as my life's goal."