Health Promotion and Maintenance NCLEX PN Questions Related

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At a health screening clinic, a nurse is educating a young woman about breast self-examination (BSE). The nurse determines that the client demonstrates understanding when she makes which statement?

  • A. BSE should be performed monthly after the menstrual period.
  • B. BSE is performed after the menstrual period.
  • C. Monthly BSE is a recommended method for early detection of breast cancer.
  • D. Monthly BSE includes inspection before a mirror and palpation both in the shower and while lying down.
Correct Answer: D

Rationale: The correct answer is 'Monthly BSE includes inspection before a mirror and palpation both in the shower and while lying down.' BSE should be performed monthly after the menstrual period, not every other month or on the day menstruation begins. Performing BSE on the seventh day of the menstrual cycle when the breasts are smallest and least congested is recommended. While BSE is a useful tool for early detection, it is not the only method. Regular physical examinations and mammograms are also important. The correct technique for BSE includes inspecting the breasts in front of a mirror, palpating in the shower for easier detection, and conducting palpation while lying down for thorough examination.