Public Health Nursing Practice Exam

When a client has a genetic susceptibility for breast cancer, what is an important statement a nurse should make?

1. You should have a bilateral mastectomy as soon as possible.

2. You are at an increased risk to develop breast cancer.

3. You should discuss hormone replacement therapy with your physician.

4. You should inform your family to get tested.

The correct answer is: You are at an increased risk to develop breast cancer.

The statement that the client is at an increased risk to develop breast cancer is important because it acknowledges the client's genetic susceptibility while providing clear information about the potential implications of that susceptibility. This approach empowers the client with knowledge about their health risk, allowing them to make informed decisions regarding their health and screening options. Understanding the increased risk can lead to proactive management, such as enhanced surveillance, lifestyle modifications, and discussions regarding preventive measures with healthcare providers. It's essential to communicate this risk without instilling undue fear, offering support in navigating the next steps they may need to consider, like discussing screening recommendations or preventive strategies. The other statements, while they may address relevant topics, do not specifically provide the essential information regarding the client's risk status in a clear and educational manner. For instance, suggesting immediate surgical intervention or discussing hormone replacement therapy may not be relevant at this stage and could lead to unnecessary anxiety or confusion. The suggestion to inform family members about testing could be crucial, but it assumes another layer of action without first establishing the client's understanding of their own risk, which is fundamental in the nursing assessment and education process.