A nurse is performing a gynecological health history interview on a 17-year-old Caucasian adolescent. The girl appears anxious and states, 'I found a lump in my left breast, and I am worried that it may be cancer.' What factors should the nurse be aware of prior to responding to this patient? Select all that apply.

Correct Answer: A

Rationale: The correct answer is A because breast fibroadenomas are indeed the most common benign breast tumor in women after puberty, typically occurring between the ages of 15 and 30. The nurse should be aware of this fact when assessing the patient's concern about the lump. Fibroadenomas are non-cancerous and do not increase the risk of breast cancer. Choice B is incorrect because fibroadenomas are more common in Caucasian women, not African American women. Choice C is incorrect because young women like the patient are generally at low risk for breast cancer. Choice D is also incorrect because fibroadenomas are not caused by cancerous conditions.

Correct Answer: B

Rationale: The correct answer is B: Sexuality. This factor contributes to a woman's perception of her body as it influences how she views herself in terms of attractiveness, desirability, and self-image. Sexuality plays a significant role in shaping body image and self-esteem. A: Role of motherhood - While motherhood can impact body image, it is not a universal factor for all women. C: Relationships at work - While work relationships can influence self-esteem, they may not directly impact body perception. D: Family and social relationships - While important, they may not directly relate to body perception as much as sexuality does. In summary, sexuality plays a crucial role in shaping a woman's perception of her body compared to the other factors listed.

Correct Answer: A

Rationale: The correct answer is A. Anxiety is common due to the impact on family, body image, disability, and pain. Concern about treatment disruptions is valid but not as common as anxiety. Fear of death is a general fear but may not be as prominent as anxiety. Decisional conflict can occur but is more specific to treatment options rather than a common reaction.

Correct Answer: D

Rationale: The correct answer is D because it aligns with the criteria for stage 2 breast cancer in the standard staging classification. In stage 2, the tumor is typically larger than 2 cm but not larger than 5 cm, there is no regional lymph node metastasis, and there are no distant metastases. Option A is incorrect because the tumor size is smaller than 2 cm, which does not meet the criteria for stage 2. Option B is incorrect as it describes no evidence of tumor with lymph node metastasis, which does not represent stage 2. Option C is incorrect as the tumor size is larger than 5 cm, exceeding the criteria for stage 2.

Correct Answer: B

Rationale: Correct Answer: B Rationale: 1. Breast reconstruction is not always done immediately to allow for healing post-mastectomy. 2. Immediate reconstruction may not be suitable for all patients due to various factors. 3. Delayed reconstruction is also a valid option and can be performed at a later time. 4. Therefore, the statement that breast reconstruction is always done immediately along with the mastectomy is not true. Summary: A: True - Breast reconstruction aims to promote symmetry and preserve body image. C: True - Breast reconstruction does not affect survival rates or interfere with treatments. D: True - Breast reconstruction generally has low morbidity and high patient satisfaction.