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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Diagnostic testing is a clinical assessment tool used to identify disease or dysfunction. While important for diagnosis, it does not actively promote health or prevent illness.
Choice B reason: Administering medication is a therapeutic intervention aimed at treating existing conditions. It is part of disease management rather than health promotion.
Choice C reason: Performing surgery is a corrective or palliative measure for established pathology. It does not fall under health promotion, which focuses on proactive strategies.
Choice D reason: Encouraging regular exercise is a primary health promotion activity. It helps prevent chronic diseases, improves mental health, enhances cardiovascular fitness, and supports overall well-being. Nurses educate clients on safe, age-appropriate physical activity tailored to their health status.
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.
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