Which statement should the nurse include for a client who is refusing to have a colorectal cancer screening performed?
"Screening can detect precancerous polyps."
"Screening is only for individuals with symptoms."
"Screening helps identify cancer at an advanced stage."
"Screening is also used to diagnose other types of cancer."
The Correct Answer is A
Choice A reason: Colorectal cancer screening is primarily designed to detect precancerous polyps before they develop into cancer. Early identification and removal of these polyps significantly reduce the risk of progression to malignancy. This preventive approach is supported by clinical guidelines and has been shown to improve outcomes and reduce mortality. The nurse should emphasize the proactive benefit of screening even in asymptomatic individuals.
Choice B reason: This statement is incorrect and misleading. Screening is intended for individuals who may not have symptoms, precisely to catch disease early. Waiting for symptoms often means the disease is already advanced, which reduces treatment effectiveness and increases complications.
Choice C reason: While screening can identify cancer at various stages, its primary goal is early detection—ideally before symptoms appear or before cancer develops. Framing it as a tool for identifying advanced cancer may discourage participation and misrepresent its preventive value.
Choice D reason: Colorectal cancer screening is specific to the colon and rectum. It is not used to diagnose other types of cancer. This statement is inaccurate and could confuse the client about the purpose and scope of the screening.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Primary prevention involves strategies to prevent the onset of disease, such as immunizations or lifestyle modifications. A seizure-alert dog does not prevent the disorder but helps manage its consequences.
Choice B reason: Quaternary prevention refers to avoiding unnecessary medical interventions and protecting patients from overmedicalization. This does not apply to seizure-alert dogs, which are therapeutic aids rather than excessive interventions.
Choice C reason: Primordial prevention focuses on preventing the emergence of risk factors themselves, often through societal or policy-level changes. It is not relevant to managing an existing seizure disorder.
Choice D reason: Tertiary prevention aims to reduce complications and improve quality of life for individuals with chronic conditions. A trained seizure-alert dog helps detect seizures early, allowing timely intervention and reducing injury risk, thereby enhancing safety and independence for the adolescent.
Correct Answer is A
Explanation
Choice A reason: Developing educational materials about TSE is a primary prevention strategy. It aims to prevent disease before it occurs by promoting awareness and early detection behaviors in healthy individuals.
Choice B reason: Respiratory rehabilitation is a tertiary prevention strategy. It focuses on managing and improving quality of life after disease onset, not preventing the disease itself.
Choice C reason: Administering oxygen in the emergency room is a secondary or tertiary intervention, depending on context. It addresses acute symptoms and does not prevent disease.
Choice D reason: Routine blood pressure screening is a secondary prevention strategy. It aims to detect disease early and intervene before complications arise, but it does not prevent the initial occurrence of hypertension.
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