,Chapter 1: Coordination of Care
Summary
Chapter 1 focuses on the essential role of the breast care nurse in navigating patients
through the complex continuum of care. This includes risk assessment, screening, and
early detection strategies. Key concepts involve understanding genetic risk factors (such
as BRCA1/2 mutations), implementing screening guidelines (mammography, clinical
breast exams), and coordinating multidisciplinary care. The chapter emphasizes the
importance of patient education on risk reduction, lifestyle modifications, and the
significance of timely follow-up for abnormal findings.
Multiple Choice Questions (MCQs)
1. Which of the following is considered the "gold standard" for breast cancer
screening in asymptomatic women over age 40?
A. Digital Mammography
B. Breast Ultrasound
C. Magnetic Resonance Imaging (MRI)
D. Clinical Breast Examination (CBE)
**Answer: A**
**Rationale:** Mammography is the only screening tool proven to reduce breast cancer
mortality through early detection.
2. A woman with a confirmed BRCA1 mutation has an estimated lifetime risk of
developing breast cancer of approximately:
A. 10-20%
B. 30-40%
C. 55-72%
D. 90-100%
**Answer: C**
**Rationale:** BRCA1 mutations significantly increase risk, with studies showing a
lifetime risk up to 72%.
3. The primary goal of a "Patient Navigator" in breast care is to:
A. Perform diagnostic biopsies.
B. Eliminate barriers to timely care and facilitate access to resources.
, C. Prescribe chemotherapy.
D. Interpret mammogram results.
**Answer: B**
**Rationale:** Navigators help patients move through the healthcare system efficiently
from screening to survivorship.
4. Which lifestyle modification is most strongly associated with a reduction in
breast cancer risk?
A. Increasing caffeine intake.
B. Maintaining a healthy weight and regular physical activity.
C. Eating a high-protein diet.
D. Sleeping 10 hours a night.
**Answer: B**
**Rationale:** Obesity (especially post-menopausal) and sedentary lifestyles are known
modifiable risk factors.
5. According to the American Cancer Society (ACS), women at "average risk"
should have the option to start annual mammograms at age:
A. 30
B. 35
C. 40
D. 50
**Answer: C**
**Rationale:** ACS guidelines suggest women ages 40-44 should have the choice to
start annual screening.
6. A "high-risk" woman for whom annual screening MRI is recommended (in
addition to mammography) includes those with:
A. A history of one benign breast biopsy.
B. Dense breast tissue on a mammogram.
Summary
Chapter 1 focuses on the essential role of the breast care nurse in navigating patients
through the complex continuum of care. This includes risk assessment, screening, and
early detection strategies. Key concepts involve understanding genetic risk factors (such
as BRCA1/2 mutations), implementing screening guidelines (mammography, clinical
breast exams), and coordinating multidisciplinary care. The chapter emphasizes the
importance of patient education on risk reduction, lifestyle modifications, and the
significance of timely follow-up for abnormal findings.
Multiple Choice Questions (MCQs)
1. Which of the following is considered the "gold standard" for breast cancer
screening in asymptomatic women over age 40?
A. Digital Mammography
B. Breast Ultrasound
C. Magnetic Resonance Imaging (MRI)
D. Clinical Breast Examination (CBE)
**Answer: A**
**Rationale:** Mammography is the only screening tool proven to reduce breast cancer
mortality through early detection.
2. A woman with a confirmed BRCA1 mutation has an estimated lifetime risk of
developing breast cancer of approximately:
A. 10-20%
B. 30-40%
C. 55-72%
D. 90-100%
**Answer: C**
**Rationale:** BRCA1 mutations significantly increase risk, with studies showing a
lifetime risk up to 72%.
3. The primary goal of a "Patient Navigator" in breast care is to:
A. Perform diagnostic biopsies.
B. Eliminate barriers to timely care and facilitate access to resources.
, C. Prescribe chemotherapy.
D. Interpret mammogram results.
**Answer: B**
**Rationale:** Navigators help patients move through the healthcare system efficiently
from screening to survivorship.
4. Which lifestyle modification is most strongly associated with a reduction in
breast cancer risk?
A. Increasing caffeine intake.
B. Maintaining a healthy weight and regular physical activity.
C. Eating a high-protein diet.
D. Sleeping 10 hours a night.
**Answer: B**
**Rationale:** Obesity (especially post-menopausal) and sedentary lifestyles are known
modifiable risk factors.
5. According to the American Cancer Society (ACS), women at "average risk"
should have the option to start annual mammograms at age:
A. 30
B. 35
C. 40
D. 50
**Answer: C**
**Rationale:** ACS guidelines suggest women ages 40-44 should have the choice to
start annual screening.
6. A "high-risk" woman for whom annual screening MRI is recommended (in
addition to mammography) includes those with:
A. A history of one benign breast biopsy.
B. Dense breast tissue on a mammogram.
