A nurse is providing care to a client with squamous cell carcinoma. Which treatment options should the nurse anticipate discussing with the client? .

Choice A rationale:

The statement "I don't know how I'll look after surgery" reflects the client's concerns about the cosmetic outcomes of surgery but does not necessarily indicate a need for further emotional support.

Many individuals have legitimate concerns about their appearance after surgery, but this does not necessarily imply a lack of emotional support.

It is essential to address these concerns, but they may not indicate a significant need for additional emotional support.

Choice B rationale:

The statement "I'm going to follow my treatment plan diligently" indicates the client's commitment to their treatment plan, which is a positive sign.

It demonstrates that the client is taking their diagnosis seriously and is willing to actively participate in their care.

While emotional support may still be important, this statement does not necessarily indicate a need for further emotional support.

Choice C rationale:

The statement "I'll make sure to wear sunscreen from now on" indicates the client's willingness to take preventive measures after their diagnosis.

While this is a positive step in the right direction for skin cancer prevention, it does not necessarily indicate a need for additional emotional support.

Choice D rationale:

The statement "I don't think skin cancer is a big deal; it's just on my skin" suggests a potential lack of understanding or minimization of the seriousness of skin cancer.

This may indicate a need for further emotional support to address the client's perception of the condition.

It is essential to provide education and emotional support to help the client understand the potential consequences and impact of skin cancer on their overall health and well-being.

Choice A rationale:

Having a family history of melanoma increases your risk.

This statement is accurate.

Melanoma has a genetic component, and individuals with a family history of melanoma are at a higher risk of developing the disease.

Mutations in certain genes, such as CDKN2A and CDK4, have been associated with familial melanoma, supporting the role of genetics in melanoma risk.

Choice B rationale:

Chronic sun exposure is a significant risk factor.

This statement is also accurate.

Prolonged and excessive sun exposure, especially without adequate sun protection, is a well-established risk factor for melanoma.

Ultraviolet (UV) radiation from the sun can damage the DNA in skin cells and increase the likelihood of melanoma development.

Choice C rationale:

Exposure to certain chemicals is the primary cause.

This statement is incorrect.

While exposure to certain chemicals can contribute to the development of various cancers, including skin cancer, they are not the primary cause of melanoma.

UV radiation from the sun and genetic factors play a more significant role in melanoma development.

Choice D rationale:

Weakened immune system is unrelated to melanoma risk.

This statement is inaccurate.

A weakened immune system can indeed increase the risk of melanoma.

Individuals with compromised immune systems, such as those with HIV/AIDS or organ transplant recipients taking immunosuppressive medications, have a higher risk of developing melanoma because their immune system may be less effective at detecting and controlling cancerous cells.