A 45-Year-Old Patient with a Family History of Breast Cancer

question 8

Multiple Choice

A 45-year-old patient with a family history of breast cancer is considering using tamoxifen [Nolvadex] for cancer prevention. The nurse performs a health history and learns that the woman had a child when she was 35 years old, that she has not had a hysterectomy, and that she experienced DVT when she was pregnant. What will the nurse tell the patient?

• A) Because of her family risk and late childbearing, this drug is a good choice for her.
• B) Her history of DVT outweighs any possible benefits she may have with this drug.
• C) Since she has not had a hysterectomy, the risk of endometrial cancer is too great.
• D) When she turns 50 years old, this drug will carry fewer risks for her.

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Definitions:

Conditioned Taste Aversion

A learned association between the taste of a specific food and illness, leading to an aversion to that food.

Classical Conditioning

A technique in learning where two stimuli are regularly brought together; a reaction, at the beginning caused by the second stimulus, is in the end caused by the first stimulus alone.

Applied Behavior Analysis

A therapy based on the science of learning and behavior, focusing on improving specific behaviors and understanding the influence of the environment on behavior.

Immediate Reinforcements

Immediate rewards or punishments following a behavior, which increase or decrease the likelihood of that behavior being repeated.