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A client with a history of ovarian cysts is seen by the primary health care provider (PHCP).

The client has had 2 previous surgeries related to this condition. Her PHCP recommends an exploratory laparoscopic procedure for the current ovarian cyst, which has persisted for several months. The client states that the prior ovarian cysts were benign and questions the need for this procedure. Which response is best for the nurse to provide?

A.

"With your recurrent history, one of these times the cyst will be malignant."

B.

"I appreciate your concern regarding another surgical procedure. Would you like to discuss your concerns?"

C.

"The surgical procedure is minimal, and you will not have to be concerned after you learn the results."

D.

"A prolonged ovarian abnormality should be evaluated thoroughly."

Answer and Explanation

The Correct Answer is B

A.    "With your recurrent history, one of these times the cyst will be malignant.": This response is not appropriate as it may cause unnecessary fear and is not supportive or informative.
B.    "I appreciate your concern regarding another surgical procedure. Would you like to discuss your concerns?": This response validates the client's feelings and opens a dialogue for further discussion, allowing the client to express her concerns and receive appropriate information and support.
C.    "The surgical procedure is minimal, and you will not have to be concerned after you learn the results.": This response dismisses the client's concerns and does not provide an opportunity for discussion.
D.    "A prolonged ovarian abnormality should be evaluated thoroughly.": While this statement is true, it does not address the client's immediate concerns and does not encourage an open
discussion.
 


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Related Questions

Correct Answer is ["A","B","C","E","F"]

Explanation

A. Family history of prostate cancer is a known risk factor, as the disease can be more common in those with a relative who has had prostate cancer.
B. Race is a significant factor; African American men and Caribbean men of African ancestry have a higher incidence of prostate cancer.
C. Obesity has been linked to an increased risk of developing more aggressive forms of prostate cancer.
D. Smoking, while a risk factor for many cancers, is not as strongly linked to prostate cancer as the other factors listed here.
E. Advanced age is a major risk factor since the probability of developing prostate cancer increases significantly after the age of 50.
F. Consuming a large amount of red meat has been associated with an increased risk of prostate cancer.

Correct Answer is A

Explanation

A. "My doctor will perform pelvic exams to detect for ovarian cancer.": Pelvic exams can help detect ovarian cancer or abnormalities in the pelvic region, although they are not always definitive.
B. "I will develop ovarian cancer If I have the BRCA1 gene.": While having the BRCA1 gene mutation increases the risk of ovarian cancer, not everyone with this gene mutation will develop the disease.
C. "I will have regular Pap tests to monitor for ovarian cancer.": Pap tests are used to screen for cervical cancer, not ovarian cancer.
D. "A decreased CA125 level places me at greater risk for ovarian cancer.": An elevated CA125 level is associated with ovarian cancer, not a decreased level.

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