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Journal of the Dermatology Nurses' Association:
doi: 10.1097/JDN.0000000000000037
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Current Behaviors, Attitudes, and Knowledge of Nurse Practitioners in Primary Care Toward Skin Cancer Screening/Prevention

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Back to Top | Article Outline


GENERAL PURPOSE: To provide information on what behaviors, attitudes, and knowledge nurse practitioners (NPs) working in primary care have on the topic of skin cancer screening and prevention.

LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to:

1. Identify issues related to the incidence, diagnosis, and prevention of skin cancer and NPs knowledge of this disease.

2. Examine the behaviors and attitudes of NPs working in primary care on the topic of skin cancer screening and prevention.

1. Melanoma is the most commonly diagnosed malignancy among persons aged

a. 15–19 years.

b. 25–29 years.

c. 35–39 years.

d. 45–49 years.

2. Over the past 30 years, the incidence of melanoma has increased by a total of

a. 50%.

b. 100%.

c. 150%.

d. 200%.

3. Most interventions for skin cancer prevention have focused on

a. safer tanning devices.

b. sunscreen formulas.

c. educating the public.

d. clothing with high UPF.

4. According to Social Cognitive Theory, NPs would be much more likely to counsel patients on sun safety precautions if

a. the duration of the office visits was lengthened.

b. they believed they would be successful in doing so.

c. the counseling was reimbursed by insurance.

d. they had more knowledge of the topic.

5. A total of how many survey respondents stated they did not perform a skin exam during an initial history and physical on a new patient in the past month?

a. 25%

b. 35%

c. 45%

d. 55%

6. The total percentage of respondents who perform a skin exam during an annual visit is

a. 29%.

b. 37%.c. 42%.d. 51%.

7. A total of how many respondents never ask about a patient’s history of skin cancer during an initial visit?

a. 11%

b. 17%

c. 24%

d. 31%

8. Sixty-five percent of respondents state they provide patients with counseling

a. almost always.

b. often.

c. about half the time.

d. never or only sometimes.

9. A total of approximately how many respondents never provide resources or materials intended to assist with reducing the risk of skin cancer?

a. 10%

b. 20%c. 30%d. 40%

10. On the topic of counseling, the total percentage of respondents who bring up the topic of skin cancer if their patients are deemed high risk for the condition is

a. 51%.

b. 59%.c. 64%.d. 68%.

11. Sixty-eight percent of respondents state they ask their patients, during an initial visit, about habits of performing skin self-examinations

a. almost every time.

b. often.

c. about half of the time.

d. sometimes and/or never.

12. The total percentage of respondents who regularly refer their patients to dermatologists during annual exams for issues related to skin cancer is

a. 18%.

b. 37%.

c. 53%.

d. 71%.

13. A total of 1% of respondents considered his or her knowledge of skin cancer at the

a. minimal level.

b. basic level.

c. moderate level.

d. expert level.

14. Regarding their ability to detect signs of skin cancer in their patients, a total of 8% of respondents felt

a. no confidence.

b. somewhat confident.

c. moderately confident.

d. very or extremely confident.

15. A total of how many respondents state they have received no training on skin cancer prevention or screening in the past year?

a. 54%

b. 68%

c. 72%

d. 81%

16. On the topic of basic skin cancer knowledge, a total of what percentage of respondents correctly identified the most common skin cancers that affect the face?

a. 41%

b. 52%

c. 67%

d. 73%

17. Which statement is true regarding skin cancer?

a. The presence of dermatofibromas increases a patient’s likelihood of developing skin cancer in the future.

b. Renal cell transplant is the co-morbidity most closely linked to increased rates of mortality from squamous cell skin cancer.

c. Currently 1 in 62 women and 1 in 73 men will be diagnosed with melanoma in his or her lifetime.

d. The incidence of malignant skin neoplasms is second only to prostate cancer as the highest cancer malignancy tracked by the Centers for Disease Control.

18. A total of how many respondents feel moderately confident (or less) in their ability to counsel their patients on skin self-examination?

a. 24%

b. 49%

c. 67%

d. 82%

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