The clinic nurse is planning to assess female clients using the Gail breast cancer risk model. Which clients should be eliminated from the assessment?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. A 30-year-old African American
2. A client with a first-degree relative with breast cancer
3. A 42-year-old Caucasian woman
4. A 35-year-old Hispanic woman with a history of breast biopsy
5. A 40-year-old Asian-American woman whose paternal aunt had breast cancer
4,5
Rationale 1: The Gail model has been updated to assess risk for African Americans.
Rationale 2: The Gail model gathers information on a woman's first-degree relatives.
Rationale 3: The model was originally reliable only for Caucasian women.
Rationale 4: This tool has not been validated for use with Hispanic women.
Rationale 5: This tool has not been validated for use with clients of mixed ancestry or from ethnic groups other than Caucasian and African American. It also does not take into account breast cancer on the paternal side.
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