Final answer:
The statement needing clarification is about starting annual mammograms at age 40, as this contrasts with the general guideline of beginning at age 50 unless there are specific risk factors. Monthly breast self-exams and annual clinical breast exams starting at age 35 are advised to promote early detection of breast cancer.
Step-by-step explanation:
The statement that requires clarification by the nurse is "I'll start getting mammograms annually starting at age 40." According to current guidelines, routine screening mammograms to help catch breast cancer early are generally recommended for women aged 50 and older, unless there are special risk factors or a different recommendation by a healthcare provider. The practice of performing monthly breast self-exams is encouraged because it helps women become familiar with the normal state of their breasts, thus enabling them to detect changes more easily, which may indicate breast cancer. Early detection typically leads to a better prognosis.
However, recommendations on the starting age for mammograms can vary based on individual risk factors, so the patient might need personalized advice from her healthcare provider. The nurse may need to discuss specific guidelines and explain why the patient might consider starting mammograms at a different age.
The patient is correct in planning to do monthly breast self-exams and scheduling an annual clinical breast exam starting at age 35, as being proactive about breast health is critical. It's also notable that the patient understands that self-exams should not be limited only to instances when a lump is found, which is a common misconception.