The nurse is performing a breast assessment of an Asian adult female. Which of the following should the nurse do first?
1. Ask the client if she has ever had any breast disease such as cancer of the breast, fibrocystic disease, or fibroadenoma.
2. Ask the client to disrobe from the waist up and place a gown on with the opening to the front.
3. Ask the client if she has noticed any changes in her breasts such as lumps, thickening, or discharge from the nipples.
4. Ask the client how she feels about her breasts.
3
Rationale 1: Initially asking the Asian client about breast disease may be too aggressive in the interview process and make the client feel uncomfortable about such issues.
Rationale 2: Asking the client to disrobe as one of the initial steps in the interview process does not allow for rapport to be established, especially with a client from this culture.
Rationale 3: Asking the client if she has noticed any changes in her breasts would be a more effective way to lead into the entire breast assessment process and lead to developing rapport with the client.
Rationale 4: Asking an Asian client how she feels about her breasts in the first stage of the assessment process would likely block communication and make the client feel uncomfortable about the assessment.
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