A 53 year-old client was recently diagnosed with benign prostatic hypertrophy (BPH). He is fearful and states, "My good friend just died from prostate cancer and I am concerned this will happen to me." What would be the most appropriate response by the nurse?

"A diagnosis of BPH does not raise your risk of prostate cancer."

"You should perform a testicular self-exam once a month after your shower."

"It would be very unusual for a man your age to have cancer of the prostate."

"Prostate cancer is slow growing and can be treated if found early."

Answer and Explanation

The Correct Answer is A

Choice A reason: BPH, a benign growth, doesn’t increase prostate cancer risk; they’re distinct conditions. This reassures the client factually, addressing his fear directly with evidence, making it the most appropriate and supportive response in this context accurately.
Choice B reason: Testicular self-exams check testes, not prostate. This misdirects from BPH and prostate cancer concerns, offering irrelevant advice that fails to address the client’s specific fear about his diagnosis and its implications entirely here fully.
Choice C reason: Prostate cancer isn’t rare at 53; incidence rises with age. This false reassurance dismisses real risk, undermining trust and education, making it less appropriate than clarifying BPH’s non-link to cancer in this scenario comprehensively here.
Choice D reason: While true, prostate cancer’s slow growth doesn’t address BPH’s relation to it. This generic statement misses the client’s core fear about BPH as a risk factor, rendering it less targeted than the direct clarification fully here.

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Correct Answer is D

Explanation

Choice A reason: PSA isn’t highly reliable alone; false positives occur. It’s a screening tool, not definitive, requiring biopsy for diagnosis, making this inaccurate and less informative than explaining its broader causes for this client fully here.
Choice B reason: PSA complements, not replaces, digital rectal exam (DRE). Both detect cancer; PSA misses some tumors DRE finds, rendering this false and incomplete for teaching screening essentials to a committed client entirely here fully.
Choice C reason: Annual PSA at 25 is too early; guidelines suggest 50, or 40-45 with family history. This overstates frequency and timing, misguiding the client on evidence-based screening practices for prostate cancer risk comprehensively here.
Choice D reason: PSA rises with cancer, BPH, or infection, educating the client on its non-specificity. This accurate teaching supports informed screening with family history, clarifying why follow-up is key, making it the best response accurately here.

A. Cerebral stagger B. Scissors gait C. Parkinsonian gait D. Cerebellar ataxia

Correct Answer is D

Explanation

Choice A reason: Cerebral stagger isn’t a standard term; cerebral damage might cause spasticity, not wide-based ataxia. This lacks specificity for cerebellar signs like staggering, misaligning with the broad, unsteady gait tied to coordination loss in this client fully.
Choice B reason: Scissors gait, from cerebral palsy, shows stiff, crossed legs, not wide-based staggering. This spastic pattern contrasts with the unsteady, broad stance of cerebellar dysfunction, excluding it as the correct description for this presentation entirely here.
Choice C reason: Parkinsonian gait is shuffling with small steps and rigidity, not wide-based or staggering. This contrasts with the unsteady, broad stance of cerebellar ataxia, making it an incorrect match for the client’s observed walking pattern fully here.
Choice D reason: Cerebellar ataxia causes a wide-based, staggering gait due to coordination loss from cerebellar damage. This matches the client’s unsteady walk, reflecting impaired balance and motor control, accurately describing the observed gait pattern comprehensively here.

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A 53 year-old client was recently diagnosed with benign prostatic hypertrophy (BPH). He is fearful and states, "My good friend just died from prostate cancer and I am concerned this will happen to me." What would be the most appropriate response by the nurse?

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Naxlex Comprehensive Predictor Exams

A client has a family history of prostate cancer and is committed to regular screening. What should the nurse teach the client about prostate-specific antigen (PSA) blood testing?

Correct Answer is D

Explanation

A client with a wide-based, staggering, unsteady gait walks into the clinic. The gait would be correctly described as which of the following?

Correct Answer is D

Explanation

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