A client states, "I have been told that my cancer started because of cell mutation. I've also been told that everyone has cell mutations that occur every day
Why doesn't everyone develop cancer?" What should the nurse include in a response to this question?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. "Some people have stronger immune systems than others."
2. "Some mutations also occur in genes that prevent the development of cancer."
3. "Some genes work to keep damaged cells from reproducing."
4. "Some genes work to repair any DNA changes that occur."
5. "Some genes control the environment in which cells are found."
2,3,4,5
Rationale 1: Not only is this response only marginally correct, it also implies that the client is weak. It is not a therapeutic statement.
Rationale 2: Mutations of tumor-suppressing genes can result in cancer development. This information may help the client understand why he or she developed cancer.
Rationale 3: This statement describes the work of "gatekeeper" genes.
Rationale 4: This statement describes the work of "caretaker" genes.
Rationale 5: This statement describes the work of "landscaper" genes.
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