Patients having physical examination of their breasts often experience feelings of embarrassment, anxiety, and loss of control. Which of the following is least likely to assist the patient in dealing with these feelings?
a. ensuring privacy, providing adequate draping material, and a warm environment
b. listening carefully, examining her feelings in the context of her culture, validating concerns
c. telling her not to worry and that everything will be fine
d. providing her with information about the examination before starting, and answering questions about her body and sexuality
C
Encourage the patient to express any anxieties and concerns about the physical examination, and try to allay her fears. Be aware of cultural differences, and adopt a supportive, nonjudgmental attitude. Physical examination of the breasts produces feelings of fear, anxiety, embarrassment, and loss of control in many women. These feelings can be reduced by the following: 1) ensuring privacy and a warm room and providing adequate draping material; 2) encouraging the patient to express any anxieties and concerns about the exam; 3) being aware of the impact culture has on breast examination; and 4) informing the patient of what you are going to do before you do it and answering questions about her body and sexuality. Telling her not to worry and that everything will be fine is the least helpful action.
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