The client says that she has heard that the origin of most cancers is "genetic." What is the nurse's best response?
A. "The development of most cancers is predetermined and not affected by envi-ronmental factors."
B. "Cancers arise in cells that have alterations in the genes."
C. "The majority of cancers are inherited."
D. "Cancer is more common among males than females."
B
Cancer development involves a change in the expression of normal genes. Usually, this change is a result of gene damage either to oncogenes or suppressor genes. Thus, cancer is "genetic" in origin, although this does not mean that cancers are directly inherited from one human generation to the next.
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A 72-year-old patient has a history of hypertension and chronic lung disease. An important question for the nurse to include in the health history would be:
a. "Do you use a fluoride supplement?" b. "Have you had tonsillitis in the last year?" c. "At what age did you get your first tooth?" d. "Have you noticed any dryness in your mouth?"
The nurse is administering nasal drops to treat the eustachian tube. Which position will the nurse place the client in when administering the drops?
1. Back-lying with the head over the edge of the bed 2. Back-lying 3. Back-lying with the head over the edge of the bed and the head turned toward the affected side 4. Back-lying with the head over the edge of the bed and the head turned away from the affected side
A nurse makes a visit to a home where there are a number of people. The client says that several people are in her family who are not related. The nurse should:
a. Ask the client why they are living in her home. b. Ask each member to identify his or her health needs. c. Tell the client that these people are not considered family. d. Accept the client's definition of family.
26. What was notable about the Frontier Nursing Service? Select all that apply
A. It allowed nurses to be paid considerably more than urban staff positions. B. They were the first nurses to become nurse-midwives and teach midwifery to others. C. Forests were revitalized to increase employment and decrease poverty. D. Mary Breckinridge used research to demonstrate nursing effectiveness. E. The nurses traveled by horseback through mountainous areas. F. The service continues to give care even today.