A 30-year-old woman whose mother and grandmother have died of carcinoma of the breast refuses to have mammography. She says that she knows she is at risk but states, “I hate having my breasts squashed–it’s uncomfortable.” Her physician would like her to have annual mammograms. Which of the following is most likely to influence her to agree to mammography?

(A) Exaggerate her risk for breast cancer
(B) Insist that she obtain counseling regarding unresolved grief
(C) Offer analgesia prior to mammography
(D) Show her photographs of the results of untreated cancer
(E) Tell her that the therapeutic relationship will be terminated unless she has annual mammograms

Correct answer: (C) Offer analgesia prior to mammography

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