Comprehensive Study 1 Up to Date Content
HESI Case Study: Breast Cancer
Latest Questions and Graded
Answers
At the community education program, the client learns that
breast self-exam (BSE) is best performed 2 to 3 days after the
start of the menstrual flow when the breasts are least
engorged and tender. Since the client had a hysterectomy 5
years ago, she does not have periods. She asks the nurse if
she still needs to perform BSE, and if so, when.
Which nursing explanation best promotes effective
communication?
Ans: Select a day that is easy to remember to
perform BSE consistently every month.
The client demonstrates BSE technique for the nurse using a
practice model. She uses her fingerpads and states that when
lying down, her arm should be relaxed at her side. What
instructions should the nurse provide?
Ans: Demonstrate how the arm should be positioned
behind or over the head.
Another client in the class said that she had heard there is a
genetic test that would diagnose breast cancer. What is the
best response by the nurse?
Ans: A positive test for the BRCA1 mutation
identifies an increased risk for breast cancer.
Up to Date Content
, Comprehensive Study 2 Up to Date Content
While performing a BSE, the client discovers a lump. After
seeing her healthcare provider (HCP), the client is
scheduled for a mammogram. She brings a family member
with her to the Women's Health Center to learn about
mammograms. The client's family member tells the nurse
that she does not need a mammogram annually because she
has no risk factors for breast cancer, except that her father's
sister had breast cancer.
Which nursing intervention best promotes effective
communication?
Ans: Teach the client's family member that even
women with no identified risk factors are at risk.
The client's family member states that she will schedule a
mammogram and she asks the nurse if it will be painful. How
should the nurse respond?
Ans: Show the client's family what most women say
causes the discomfort during a mammogram.
A mass is seen on the client's mammogram. A follow-up
stereotactic core needle biopsy is performed. The tumor
specimen is found to be cancerous and the client is informed
that surgery will be needed. She tells the nurse that this is a
mistake. She is insistent her specimen was mixed up with
someone else's.
Which nursing intervention best promotes effective
communication?
Up to Date Content
HESI Case Study: Breast Cancer
Latest Questions and Graded
Answers
At the community education program, the client learns that
breast self-exam (BSE) is best performed 2 to 3 days after the
start of the menstrual flow when the breasts are least
engorged and tender. Since the client had a hysterectomy 5
years ago, she does not have periods. She asks the nurse if
she still needs to perform BSE, and if so, when.
Which nursing explanation best promotes effective
communication?
Ans: Select a day that is easy to remember to
perform BSE consistently every month.
The client demonstrates BSE technique for the nurse using a
practice model. She uses her fingerpads and states that when
lying down, her arm should be relaxed at her side. What
instructions should the nurse provide?
Ans: Demonstrate how the arm should be positioned
behind or over the head.
Another client in the class said that she had heard there is a
genetic test that would diagnose breast cancer. What is the
best response by the nurse?
Ans: A positive test for the BRCA1 mutation
identifies an increased risk for breast cancer.
Up to Date Content
, Comprehensive Study 2 Up to Date Content
While performing a BSE, the client discovers a lump. After
seeing her healthcare provider (HCP), the client is
scheduled for a mammogram. She brings a family member
with her to the Women's Health Center to learn about
mammograms. The client's family member tells the nurse
that she does not need a mammogram annually because she
has no risk factors for breast cancer, except that her father's
sister had breast cancer.
Which nursing intervention best promotes effective
communication?
Ans: Teach the client's family member that even
women with no identified risk factors are at risk.
The client's family member states that she will schedule a
mammogram and she asks the nurse if it will be painful. How
should the nurse respond?
Ans: Show the client's family what most women say
causes the discomfort during a mammogram.
A mass is seen on the client's mammogram. A follow-up
stereotactic core needle biopsy is performed. The tumor
specimen is found to be cancerous and the client is informed
that surgery will be needed. She tells the nurse that this is a
mistake. She is insistent her specimen was mixed up with
someone else's.
Which nursing intervention best promotes effective
communication?
Up to Date Content
