A 37-year-old Nigerian woman is at high risk for breast cancer and is considering a prophylactic mastectomy and oophorectomy. What action by the nurse is most appropriate?
a. Discourage this surgery since the woman is still of childbearing age.
b. Reassure the client that reconstructive surgery is as easy as breast augmentation.
c. Inform the client that this surgery removes all mammary tissue and cancer risk.
d. Include support people, such as the male partner, in the decision making.
Question 2With a history of breast cancer in the family, a 48-year-old female client is interested in learning about the modifiable risk factors for breast cancer.
After the nurse explains this information, which statement made by the client indicates that more teaching is needed?
a.
I am fortunate that I breast-fed each of my three children for 12 months.
b.
It looks as though I need to start working out at the gym more often.
c.
I am glad that we can still have wine with every evening meal.
d.
When I have menopausal symptoms, I must avoid hormone replacement therapy.
Question 3A 68-year-old male client is embarrassed about having bilateral breast enlargement. Which statement by the nurse is the most appropriate?
a. Breast cancer in men is quite rare.
b. It is good that you came to be carefully evaluated.
c. Gynecomastia usually comes from overeating.
d. When you get older, the male breast always enlarges.
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