Mary Jo Frazer, a 52-year-old postal clerk, is having her yearly physical examination. She tells the nurse that during her last menstrual period she noted that she had 2 days of increased blood flow...

Mary Jo Frazer, a 52-year-old postal clerk, is having her yearly physical examination. She tells the nurse that during her last menstrual period she noted that she had 2 days of increased blood flow and 2 to 3 days of increased spotting before her period ended. She also complained about having increased anxiety and night sweats.

1. How should the nurse respond to Ms. Frazer’s concerns?

2. What screening test is mandatory for this patient?

3. What patient teaching is indicated at this time?