Which is the best statement by the nurse to ensure that a patient is performing breast self-examination correctly?
“When was your last mammography?”
“Do you receive annual breast examination?”
“How often do you perform breast self-examination?”
“How often do you visit your physician?”
The Correct Answer is C
Choice A reason: Asking about the last mammography focuses on screening, not the technique or frequency of self-examination. Inquiring about self-exam frequency ensures the patient performs it regularly, so this is incorrect for ensuring proper practice.
Choice B reason: Annual breast exams are clinical, but this question doesn’t confirm the patient patient performs self-exams. Asking about self-examination frequency directly addresses the practice, so this is not the best statement.
Choice C reason: Asking how often the patient performs breast self-examination confirms whether they do it regularly (e.g., monthly) and opens discussion on technique, ensuring correct practice. This is the best statement, so it’s correct.
Choice D reason: Physician visits are unrelated to self-performing self-examination at home. Frequency of breast self-exams is key to ensuring compliance, so this is incorrect for the nurse’s goal.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Facilitation involves encouraging elaboration, like nodding or saying “go on,” to keep the patient talking. The question “What brings you to the clinic today?” seeks a broad response, not just continuation, making this incorrect.
Choice B reason: Direct questions seek specific answers, like “Do you have pain?” The stated question allows a broad, narrative response, not a targeted one, making it an open-ended technique rather than a direct one.
Choice C reason: An open-ended question, like “What brings you to the clinic today?” invites the patient to provide a detailed, narrative response, allowing exploration of their concerns without limiting answers, making this the correct communication technique.
Choice D reason: Reflection restates the patient’s words to clarify or validate, like “You feel tired?” The question posed seeks new information, not a restatement, making it an open-ended technique, not reflection.
Correct Answer is B
Explanation
Choice A reason: A complete physical exam is comprehensive but not specific to initial nutritional screening. Height and weight history provide BMI, a quick nutritional indicator, so this is not the first assessment.
Choice B reason: Height and weight history are critical for initial nutritional screening, enabling BMI calculation to assess undernutrition or obesity. This is a standard, quick method, making it the correct first step.
Choice C reason: Calorie counting is detailed and time-consuming, unsuitable for initial screening. Height and weight offer a rapid baseline for nutritional status, so this is incorrect for the first step.
Choice D reason: Leg circumference may assess muscle mass but is not standard for initial nutritional screening. Height and weight are primary for BMI, so this is incorrect for the initial assessment.
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