NURS1000 Case Study Breast Cancer

Read the following case and provide answers to the five (5) questions below, according to the Case  Study Guidelines. 

Mina Nguyen is a 60-year-old retired shop attendant. She visited her doctor today with her husband,  to discuss Mina has been advised that an area on her recent BreastScreen WA mammogram looks  abnormal and further tests are recommended. Mina has been having mammograms since she was  40 as her mother was diagnosed with advanced breast cancer at age 60; she was the main carer for  her mother in the final years of her life. All Mina’s previous mammogram results have been negative  and Mina has not felt any changes in her breasts on self examination. Mina is very concerned about  this result and says she has not slept much since she heard about it.  

Mina’s husband, Hien works as a government interpreter and also teaches English to migrants  entering Australia. They have two supportive, married children, Linh and Dong who live nearby and  visit every few days. Mina retired so she could help both of their children’s families by looking after  her grandchildren while their parents go to work. The grandchildren enjoy walking with Mina to the  local park. The whole family follow Catholicism and attend mass every week. 

The doctor has asked his Practice Nurse to speak to Mina to get a more in-depth assessment of her problem. 

Study  

1. Identify one (1) actual or potential health problem that Mrs Nguyen may have and provide  an evidence-based rationale for this.  
2. Identify four (4) functional health assessment areas of focus for Mrs Nguyen and support  this selection with evidence-based information.  
3. Often, on reviewing information from a health history, nurses can identify areas that may  need further exploration. Identify two (2) further questions that the nurse could ask Mrs Nguyen, to  gather additional detail about the health problem identified in Question 1. State the nurse’s  rationale for asking these questions. 
4. Identify evidenced based strategies you could use for effective communication with Mrs  Ngugen, and describe how would you implement these when communicating with her? 
5. Identify two (2) verbal communication strategies that could be implemented to facilitate this  assessment. Provide an evidence-based rationale to support each of the strategies and give a brief  explanation of why they would be used in this scenario.