Practice Question
The nurse teaches a community class about breast cancer. Which participant comments indicate additional teaching is required? Select all that apply.
Answer Choices:
Correct Answer:
"I have a lower risk of breast cancer since I am taking combined hormone replacement therapy."
Rationale:
“I have a lower risk of breast cancer since I am taking combined hormone replacement therapy.”
▶Combined estrogen-progestin HRT is associated with a higher (not lower) breast cancer risk, particularly with longer duration of use.
▶Counseling should include risk–benefit discussion, the lowest effective dose, and shortest duration when HRT is necessary.
▶Clients on HRT should maintain age-appropriate screening (mammography) and breast self-awareness for interval changes.
▶Lifestyle risk modification (exercise, weight control, alcohol moderation) remains important even when on HRT.
▶Correcting this belief prevents false reassurance and supports informed, shared decision-making.
“Since I didn't start having periods until I was 16, I have an increased risk for breast cancer.”
▶Late menarche generally reduces lifetime estrogen exposure and is associated with a lower breast cancer risk.
▶Early menarche and late menopause increase risk due to prolonged estrogen exposure.
▶Teaching should clarify true reproductive risk factors (e.g., nulliparity, older age at first full-term pregnancy, HRT use).
▶Accurate understanding directs attention to modifiable risks like alcohol intake, weight, and activity.
▶This correction helps the client interpret personal risk appropriately and adhere to evidence-based screening.
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ati Custom PNC107 mental Health Final Exam DAY class
70 Questions
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- Category: LPN Nursing Exam(s)
- Subcategory: LPN ATI Exams
- Domain: Mental Health
- Answer Choices: 5