Breast Cancer Test #9005

Breast Cancer in the 21st Century Individual Analysis

10 Contact Hours • Course #9005

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The following Independent Analysis is for you to quiz your knowledge that you have obtained after reading the course material. This is an independent exercise.
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	Instructions: Answer each of the following questions (there is only one correct answer to each question).
	1	The prepubescent breast
		A. begins to develop around the 16th week of gestation
		B. has no ducts
		C. has nonfunctional ducts
		D. has functional ducts
	2	The first major changes occur in the breast
		A. at puberty
		B. during early pregnancy
		C. during late pregnancy
		D. at menopause
	3	During pregnancy
		A. the breasts may enlarge
		B. the breasts often become less sensitive
		C. mammary blood flow decreases
		D. the areola usually lightens in color
	4	Which of the following statements about benign breast cancer is not accurate?
		A. cysts representing fibrocystic changes in the breast occur in 40-50% of women
		B. fat necroses may develop after a hard blow to the breast
		C. mastitis is an infection in one or both breasts
		D. unilateral nipple discharge is usually benign
	5	Breast cancer metastasis occurs
		A. in a predictable pattern
		B. only in the later course of the disease
		C. very rarely to the pulmonary system
		D. via lymphatic drainage and hematologic involvement
	6	The two major risk factors for developing breast cancer are
		A. being male and having breasts
		B. being female and having breasts
		C. having breasts and having first pregnancy after age 30
		D. having breasts and having a history of ovarian cancer
	7	Known risk factors for developing breast cancer include all of the following except:
		A. late menses
		B. first degree relative with the disease
		C. history of ovarian cancer
		D. a diagnosis of globular carcinoma in situ
	8	Which of the following statements is accurate?
		A. High dietary fat intake is a known cause of breast cancer.
		B. There appears to be an increase in circulating estrogen in women who consume moderate amounts of alcohol.
		C. Environmental factors play no role in the development of breast cancer.
		D. Homosexuality is definitely not a risk factor for developing breast cancer.
	9	Breast cancer prevention
		A. now requires high risk women to undergo prophylactic mastectomy
		B. has no pharmacologic component
		C. is considered unimportant
		D. has been aided by the discovery of two genes which allow providers to estimate a woman's chance of developing the disease
	10	Breast Self-Exams
		A. are done by the woman herself on a bimonthly basis
		B. are done by the woman herself on an annual basis
		C. are done by the woman herself on a monthly basis
		D. are performed after the age of 40 only
	11	A baseline screening mammography is recommended
		A. at age 25
		B. at age 30
		C. in the late thirties
		D. at menopause
	12	Diagnostic mammography
		A. is for women with symptoms
		B. is not for women with symptoms
		C. requires fewer views than screening mammography
		D. is not for women with breast implants
	13	Which of the following is not a component of any early detection and diagnosis program?
		A. BSE
		B. CBE
		C. sentinel node biopsy
		D. radial scars
	14	The best form of early detection to date consists of
		A. mammography
		B. SBE performed monthly
		C. CBE
		D. all of the above
	15	A 2-5 cm. tumor with some node involvement or a tumor of greater than 5 cm. with no node involvement describes what stage tumor?
		A. stage 0
		B. stage 1
		C. stage 2B
		D. stage 5
	16	The choice of treatment for breast cancer is based on all of the following except
		A. stage of the disease
		B. the woman's age
		C. the method of BSE she practices
		D. her willingness to tolerate the side effects of a regimen
	17	The most common treatment for breast cancer is
		A. complete removal of both breasts
		B. complete removal of the affected breast
		C. tumor removal with sampling of axillary nodes
		D. lump removal only
	18	Which of the following is not a treatment for breast cancer?
		A. lumpectomy
		B. sentinel nodectomy
		C. partial mastectomy
		D. simple mastectomy
	19	Radical mastectomy
		A. is now commonly done
		B. is rarely done anymore
		C. involves removal of the lump, a border of surrounding tissue, and axillary nodes only
		D. is for small tumors only
	20	Lymphedema
		A. is usually life-threatening
		B. is most common in those having partial mastectomy
		C. is one of the most troublesome consequences of breast cancer surgery
		D. is most effectively treated with medication
	21	DCIS
		A. develops as a lump
		B. develops by fanning out along milk ducts
		C. if left untreated will not progress to invasive cancer
		D. is not treated aggressively
	22	Breast reconstruction surgery
		A. is available only for those women who undergo radical mastectomy
		B. is available for almost any woman who has had a mastectomy
		C. does not include nipple reconstruction
		D. does not include areola reconstruction
	23	Alternative medicine approaches to breast cancer treatment
		A. are used to alter the course of disease progression
		B. do not include acupuncture
		C. are used to reduce the side-effects of conventional treatment methods
		D. seldom include mind/body techniques
	24	Which of the following is not an alternative approach used to treat a breast cancer diagnosis?
		A. nutritional therapies
		B. homeopathic remedies
		C. mental imagery
		D. chemotherapy
	25	Studies on the use of alternative medicine by patients show
		A. at least two-thirds of cancer patients use some form of alternative treatment
		B. that patients view alternative techniques as complementary to standard western medicine rather than as a substitute for it
		C. black women are more likely to choose acupuncture
		D. white women are drawn to herbal remedies
	26	Which of the following groups of women are more likely to choose alternative medicine?
		A. Medicaid recipients
		B. unmarried women
		C. younger women
		D. poorer women
	27	Which of the following alternative therapies is recommended to treat lymphedema?
		A. homeopathy
		B. acupuncture
		C. green tea
		D. phytoestrogens
	28	Which of the following is a consideration in determining follow-up protocols for women with breast cancer?
		A. type and stage of cancer involved
		B. age at initial diagnosis
		C. menstrual status
		D. all the above
	29	In creating a patient-centered environment it is important to do all of the following except
		A. make the decor inviting to patients
		B. keep interactions between patients and staff respectful
		C. provide a private setting in which to take down sensitive information
		D. master the art of asking closed questions
	30	Which of the following statements is accurate?
		A. Your body language and words should send a consistent message.
		B. It is not important to have body language and words send a consistent message.
		C. Most women are unaffected by having close friends or family members who have had breast cancer.
		D. Patients should be told that feelings of depression after a breast cancer diagnosis are abnormal feelings.
	31	Humor
		A. is never an appropriate nursing intervention
		B. is often an appropriate nursing intervention if handled in a sensitive manner
		C. should be used immediately after giving a dire prognosis in order to alleviate stress
		D. is especially appropriate when it has ethnic or religious content
	32	Mind/body techniques include all of the following except
		A. prayer
		B. meditation
		C. acupuncture
		D. guided imagery
	33	Interventions related to the spiritual dimension of life include all of the following except
		A. use of scripture
		B. providing a centered presence
		C. referral to clergy
		D. referral to a psychiatrist
	34	Prayer
		A. should be used only by clergy of the patient's faith
		B. is professional and an appropriate nursing intervention
		C. should not be used to deepen the nurse/client bond
		D. is initiated by the majority of holistic practitioners
	35	Therapeutic touch
		A. involves touching the body in nurturing ways
		B. is a healing method in which the practitioner never actually touches the patient
		C. was developed by a physician in the 1970s
		D. sees no correlation between disease and energy patterns within the body
	36	Impediments to receiving care include all of the following except
		A. time factors
		B. fear of getting cancer from mammography
		C. health history phase
		D. modesty concerns
	37	The health care system itself may present obstacles. Such obstacles include all of the following except
		A. providers who don't recommend screening
		B. scheduling problems
		C. high staff turnover rates
		D. patient illiteracy
	38	Interventions to overcome impediments include all of the following except
		A. teach patients to perform CBEs
		B. develop a list of translators
		C. provide health education materials in several languages
		D. send reminder cards before rescreening appointments are due
	39	Which of the following statements about cross-cultural issues is accurate?
		A. Cultural diversity issues are irrelevant to nurses.
		B. The nurse must be willing to listen and learn from other cultures.
		C. The term "culture" does not include age.
		D. The term "culture" does not include sexual identity
	40	American Indian women
		A. have a low incidence of breast cancer
		B. regard surgery as the most acceptable form of treatment
		C. are usually diagnosed in the early stages of the disease
		D. have a low mortality rate once the disease is diagnosed
	41	Which of the following statements about the various ethnic groups is accurate?
		A. Modesty is not a major concern for Hispanic women.
		B. African-American women tend to mistrust our predominantly white medical care system.
		C. Language barriers do not present much of a problem with Asian/Pacific Islander women.
		D. Women living in poverty rarely feel depressed.
	42	Lesbians
		A. generally don't have privacy concerns
		B. are quite comfortable disclosing their sexual orientation to their providers
		C. may be at a higher risk for breast cancer than are heterosexual women
		D. are more likely to perform BSEs than are heterosexual women
	43	Men breast cancer patients
		A. respond well to hormonal treatments
		B. usually get tumors that are estrogen-receptor positive
		C. are usually diagnosed in the early stages of the disease
		D. have no identifiable risk factors for developing the disease
	44	Assessing a woman's educational needs means asking all of the following questions except
		A. How extensive and accurate is the information she already has?
		B. Is her perception of her risk for getting the disease realistic based on her individual risk factors?
		C. How do the many emotional concerns surrounding the disease impact her personally?
		D. How old is she?
	45	The process is cyclical and can be entered, exited, and reentered at any stage of the cycle describes which health promotion theory?
		A. Stages of Change
		B. Health Belief
		C. Maslow's Hierarchy of Needs
		D. Mind/Body Medicine
	46	"It's premise is that people are afraid of diseases and, therefore, are motivated to make behavior changes...." describes which health promotion theory?
		A. Stages of Change
		B. Health Belief
		C. Maslow's Hierarchy of Needs
		D. Mind/Body Medicine
	47	Which of the following statements about mind/body medicine is not correct?
		A. Mind/body focus exclusively on relief of psychosocial distress.
		B. Mind/body medicine means changing one's lifestyle to promote health.
		C. The body impacts the brain through biofeedback mechanisms.
		D. Thoughts and feelings have a direct effect on the body.

		Please answer true or false to the following questions:
	48	One role of the average nurse is to teach patients how to do BSEs effectively.
		A. true
		B. false
	49	Studies show that patients are more interested in information that helps them solve a problem than they are in hearing a litany of facts.
		A. true
		B. false
	50	Stress to patients that BSE alone can often be effective in women over 40 years old.
		A. true
		B. false
	Remember to click "Submit" ONCE and please be patient while your answers are checked and the results are displayed. You will then be returned to this page to complete the required Evaluation. Thank you for choosing the National Center!

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