A 35-year-old mother of 3 young children has been diagnosed with stage II breast cancer
After discussing treatment options with her physician the woman goes home to talk to her husband, later calling the nurse for clarification of some points. The patient tells the nurse that the physician has recommended breast conservation surgery followed by radiation, and the husband is asking why his wife does not have a modified radical mastectomy "to be sure all the cancer is gone." What would be the nurse's best response?
A) "Modified radical mastectomies are very hard on a patient, both physically and emotionally and they really aren't necessary anymore."
B) According to the NIH, having a modified radical mastectomy, is no longer necessary."
C) "Modified radical mastectomies have a really poor survival rate because of recurrent malignancies. Do you really want to take that chance?
D) "According to the NIH, breast conservation combined with radiation has a survival rate that is the same as if you had a modified radical mastectomy."
Ans: D
Feedback: In 1990, the National Institutes of Health (NIH) issued a consensus statement that breast conservation along with radiation therapy in stage I and stage II breast cancer resulted in a survival rate equal to that of modified radical mastectomy.
You might also like to view...
The nurse is teaching a group of clients at a mental health clinic about mobility and joint care. One client asks the nurse what effect depression has on a person's mobility. The nurse responds with which of the following?
1. Many depressed clients are catatonic, and experience joint stiffness as a result. 2. The depressed client in a mental hospital does not get enough exercise. 3. Depression saps energy and the ability to exercise, affecting mobility and posture. 4. The depressed client does not drink enough fluids, which affects the joints.
Which of the following is a true statement about differing health belief systems?
a. Personalistic or magicoreligious beliefs have been superseded in Western minds by biomedical principles. b. In most cultures, older adults are likely to treat themselves using traditional methods before turning to biomedical professionals. c. Ayurvedic medicine is another name for traditional Chinese medicine. d. The belief that health depends on main-taining a balance among opposite qualities is characteristic of a magicoreligious belief system.
A primipara with mitral valve prolapse has been placed on prophylactic antibiotics during labor. She asks you why she needs this medicine. The nurse responds to the client based on the understanding that the medication:
A) prevents the chance of developing a sexually transmitted disease B) fights against toxoplasmosis because she owns a cat C) prevents development of bacterial endocarditis D) helps her to push during the second stage of labor
A nurse is using the scientific method to solve a patient situation. Which action should the nurse take first?
a. Collect data. b. Identify a problem. c. Formulate a question. d. Evaluate the results.