The homecare nurse performs visits to a 74-year-old client with numerous health problems
The nurse has noted the presence of an irregular-shaped, growing lesion of irregular color on the client's scalp but the client is resistant to visiting the primary health care provider. Which of the nurse's statements is most accurate? A) "Even if this does turn out to be skin cancer, the treatment is usually topical creams and you wouldn't have to undergo surgery.
B) "If this is skin cancer, the sooner you have it diagnosed, the better the chance of a favorable outcome.".
C) "Cancerous regions of the skin usually have to be removed, but they are almost never fatal and you won't have any lasting consequences.".
D) "Even though this is probably just a minor growth called a keratosis, it should still be checked out by your doctor.".
B
Feedback:
Early detection of skin cancer improves the prognosis. Treatment of skin cancer is not limited to topical ointments and it would be inaccurate to guarantee a positive outcome. The client's presentation is more indicative of a malignancy than a keratosis.
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A nursing student states, "I have trouble writing what the instructor says in class." The most helpful hint to give the student would be
a. "Try to write the lecturer's statements word for word." b. "Write the main ideas in condensed form." c. "Take notes in shorthand and transcribe them." d. "Underline in the textbook what the lecturer is saying."
A nurse is making an appointment with a family for a nursing visit. Which of the following describes a potential barrier the nurse may encounter?
a. The assessment cannot be done unless the extended family is present. b. It may be difficult to find a convenient time for all family members to be present. c. Nurses have limited time to do home visits. d. Families are often scattered over a large area, making access difficult.
Change for the community as client must often occur at several levels because
a. Health problems caused by lifestyle are multidimensional. b. Most individuals can change their habits alone. c. Aggregates are responsible for social change. d. Geographic areas often have health risks that the nurse must identify.
More than 80 percent of the cerebral cortex is referred to as
A. sensory cortex 2 B. sensory and motor cortex C. association cortex D. motor cortex