A 68-year-old male client is embarrassed about having bilateral breast enlargement. Which statement by the nurse is the most appropriate?
a. "Breast cancer in men is quite rare."
b. "It is good that you came to be carefully evaluated."
c. "Gynecomastia usually comes from overeating."
d. "When you get older, the male breast always enlarges."
ANS: B
The most appropriate statement is the one that is supportive of the client. A breast mass should be carefully evaluated for breast cancer, even if it is not common. Gynecomastia as a symptom can be related to antiandrogen agents, aging, obesity, estrogen excess, or lack of androgens.
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