The nurse is considering using the Claus model to assess the breast cancer risk in clients in a free clinic. What is the primary reason this is not a good model choice?
1. This model does not consider the age of the client.
2. Paternal family history is not included in the assessment.
3. In this setting the model is likely to substantially underestimate risk.
4. The health of second-degree relatives is not considered.
3
Rationale 1: The age of the client and the age at breast cancer diagnosis of first- or second-degree relatives are considered.
Rationale 2: The Claus model does take paternal family history into consideration.
Rationale 3: This model is best used in a genetics clinic as it does underestimate risk in a primary care setting such as a free clinic.
Rationale 4: The Claus model does take the health of second-degree relatives into consideration.
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