At a routine annual examination a woman states, "I never check my breasts. I feel so anxious about doing it correctly.". The nurse's most appropriate response would be:

Question

1. "There is no need for you to be anxious. Of course you are doing it correctly.".
2. "Let me demonstrate how to examine your breasts, and then you can practice while I observe how you do it.".
3. "Tell me about your anxiety; maybe I can help.".
4. "You should check your breasts once a month, just after your menses begins.".

Answer 1

2
1. Incorrect. The nurse should be respectful of the patient's feelings and acknowledge any anxiety. Additionally, without proper assessment, the nurse does not know if the patient is performing a BSE correctly.
2. Correct. During the physical assessment and evaluation, the responsibility for self-care, health promotion, and enhancement of wellness is emphasized. The nurse provides opportu-nity for the woman to ask questions and provides teaching when applicable. The nurse should provide feedback for good self-care practiced by the woman.
3. Incorrect. Although this demonstrates empathy, the nurse is neglecting the opportunity to provide teaching of self-care behaviors.
4. Incorrect. This statement is inaccurate. The BSE should be performed 5 to 7 days after menses has ended.