The nurse is interviewing a 37-year-old client for breast cancer risks. The nurse understands that the client knows the risks associated with breast cancer when which of the following comments is made?
1. "I know my risk for breast cancer increases with age.".
2. "A mammogram every three years is my goal.".
3. "I will see my healthcare provider every two years for a breast examination.".
4. "My family history is negative so I do not need to worry.".
1
Rationale 1: "I know my risk for breast cancer increases with age" is the correct statement since breast cancer risks increase significantly after the age of 35 to 40.
Rationale 2: "A mammogram every three years is my goal" is not an accurate response. Mammography screening is dependent on several factors. Biennial screening is suggested between the ages of 50 and 74 years. Beginning biennial mammography before the age of 50 is based on cancer risk, and values regarding the benefit and harm associated with mammography.
Rationale 3: "I will see my healthcare provider every two years for a breast examination" is not an accurate response. Annual breast examination by a healthcare provider every 3 years for women from age 20 to 40 years, and annually thereafter, is suggested.
Rationale 4: "My family history is negative so I do not need to worry" is not an accurate response. The client should be aware of current screening guidelines regardless of family history.
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