A 20-year-old client is being seen at the health care provider's office for an annual physical examination

During the data collection period, the client indicates she does not believe she is old enough to be concerned about performing a breast self-examination. What information should be provided to the client? 1. Women should begin to perform a monthly breast self-examination by the age of 20.
2. The breast self-examination should become a regular part of a woman's monthly regimen beginning at age 30.
3. If there is no family history of breast cancer, the client does not yet need to begin performing breast self-examination.
4. The breast self-examination is not needed if the client has an annual gynecological examination including a medical breast examination.


Women should begin to perform a monthly breast self-examination by the age of 20.

Rationale: The breast self-examination should be performed monthly by all women. Age 20 is a recommended starting point. Not all breast cancer has been linked to genetic factors. Family history is an inadequate means for determining the need to perform monthly breast self-examinations. The annual gynecological examination may indeed include a breast examination, but this is not an adequate frequency for the procedure.

Nursing

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A nurse is engaged in teaching a patient with low health literacy. Which statement would be most appropriate? Select all that apply

A) "Your test results are all negative." B) "Your doctor wants you to take this analgesic." C) "This medication will help your tumor get smaller." D) "You should take this pain killer when you start to hurt." E) "This cream is for the lesion on your arm."

Nursing

A new graduate with an associate's degree in nursing has just completed the new staff orientation to the psychiatric unit. The aspect of nursing care this nurse must have an advanced practice nurse perform is

a. performing a mental health assessment interview. b. establishing a therapeutic relationship. c. individualizing a nursing care plan. d. prescribing psychotropic medication.

Nursing

An older patient with mild arthritis pain asks the nurse what can be taken to help with the minor discomfort. How should the nurse respond to this patient?

1. Ibuprofen should be used on an empty stomach. 2. Aspirin in the best choice because it has fewer side effects. 3. Acetaminophen (Tylenol) is a good choice for mild pain, but check with your doctor. 4. Nonsteroidal anti-inflammatory medications are used for patients with a stomach ulcer history.

Nursing

The FANCAPES assessment tool focuses on the older adult's:

a. ability to meet personal needs to identify the amount of assistance needed. b. ability to perform instrumental activities of daily living (IADLs). c. cognitive abilities. d. level of dementia present.

Nursing