A nurse is integrating health promotion education into the assessment of a client's mouth, nose and throat. What interview question is most likely to identify a risk factor for oral cancer?
Do you have a history of chronic rhinitis?
Have you been prescribed immunosuppressive therapy?
How often do you usually go to the dentist in a year?
Do you have any difficulty chewing or swallowing?
The Correct Answer is B
Choice A reason: Chronic rhinitis affects nasal passages, not oral cancer risk, which ties to tobacco, alcohol, or HPV. This question targets sinus issues, missing key carcinogenic exposures or immunosuppression linked to squamous cell carcinoma in the mouth entirely here.
Choice B reason: Immunosuppressive therapy, like post-transplant drugs, raises oral cancer risk by impairing immune surveillance against HPV or malignant cells. This directly identifies a major risk factor, aligning with health promotion goals to detect oral cancer precursors effectively and accurately.
Choice C reason: Dental visit frequency reflects care access, not specific oral cancer risks like smoking. It’s indirect, missing direct links to immunosuppression or carcinogens, making it less effective for pinpointing etiology in a health promotion context fully here.
Choice D reason: Chewing or swallowing difficulty may signal advanced cancer, not risk factors. It’s a symptom, not a preventive focus, unlike immunosuppression, which precedes disease, reducing its utility for early identification in this educational assessment entirely and clearly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Human papillomavirus (HPV), especially types 16 and 18, is the primary cervical cancer risk, causing 99% of cases. This STI triggers oncogenic changes in cervical cells, making it the key factor for this class accurately and fully here.
Choice B reason: HIV weakens immunity, raising HPV persistence risk, but isn’t a direct cervical cancer cause. Its role is secondary, amplifying HPV effects, not independently driving carcinogenesis, excluding it as the major factor comprehensively here entirely.
Choice C reason: Syphilis, a bacterial STI, causes sores, not cervical cancer. It lacks the viral oncogenic mechanism of HPV, rendering it irrelevant as a primary risk factor for this malignancy in the educational context fully here.
Choice D reason: Gonorrhea causes inflammation, not cancer. This bacterial STI doesn’t alter cervical DNA like HPV, making it an incorrect choice for a major risk factor in cervical cancer education for these students entirely here fully.
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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