Question 1

A nurse is providing follow-up care for cancer survivors. Which condition should the nurse $\bold{most}$ monitor for in these patients?

Accepted Answer

Cancer survivors are at increased risk for cancer (either a recurrence of the cancer for which they were treated or a second cancer). The increased risk for developing a second cancer is the result of cancer treatment, genetic factors or other susceptibility, or an interaction between treatment and susceptibility. Infection, weight gain, and low blood pressure are not common conditions for cancer survivors.

Question 2

The nurse is caring for a patient with known coronary artery disease who has recently been diagnosed with lung cancer. What should the nurse do?

Accepted Answer

The nurse needs to consider not only the effects of cancer and its treatment but also how it will affect any other medical condition. For example, if a patient also has heart disease, how will the fatigue related to chemotherapy affect this individual? The nurse must focus on both, not just the cancer diagnosis. Nurses do not ignore symptom management; given the symptoms that a patient identifies, the nurse will explore each one to gain a complete picture of the patient's health status. Saying nothing is inappropriate; patients will appreciate the nurse's sensitivity and interest in their well-being.

Question 3

The patient has lung cancer and voices concerns about cancer treatments affecting sexuality. What is the nurse's best reply?

Accepted Answer

Cancer therapies have the potential to cause fatigue, apathy, nausea, vomiting, malaise, and sleep disturbances, all of which interfere with a patient's sexual functioning. It helps if the nurse can develop a comfort level in acknowledging with patients that sexual changes are common at any age level. When patients begin to discuss their sexuality, be familiar with the expert resources in your institution (e.g., psychologist, social worker) available for patient referral. The issue should not be pushed onto the health care provider.

Question 4

A nurse is assessing a cancer survivor and the caregiver. Which examples describe the possible caregiving patterns the nurse may observe?
-The collaborative care pattern

Accepted Answer

The answer of A nurse is assessing a cancer survivor...

Question 5

When planning for cancer survivor care needs, which information should the nurse consider?

Accepted Answer

Some patients receive care at cancer centers without this type of resource and may not have a survivor care plan. Thus nurses and other health care providers need to become more vigilant in recognizing cancer survivors and attempting to link them with the support and resources they require. Ideally, the nurse reviews a survivorship care plan with a patient at the time of discharge from a treatment program and not at home. The plan becomes a guide for any future cancer or cancer-related care.

Question 6

A cancer survivor patient has anxiety and depression. Which therapies should the nurse include in the plan of care? (Select all that apply.)

Accepted Answer

Patients who use problem-oriented, active, and emotionally expressive coping processes also manage stress well. Survivors who have social and emotional support systems and maintain open communication with their treatment providers will also likely have less psychological distress. Interventions to treat anxiety and depression in cancer survivors include education, routine (not when convenient) exercise, adequate sleep, and reassurance that anxiety and depression are commonly seen in cancer survivors.

Question 7

A nurse is working on a cancer unit. The unit uses the National Coalition for Cancer Survivorship definition for a cancer survivor. Which definition will the nurse use?

Accepted Answer

Cancer survivorship begins at the time of cancer diagnosis, includes treatment, and extends to the rest of the person's life. Being cancer free for any length of time does not relate to the definition of a cancer survivor put forth by the National Coalition for Cancer Survivorship.

Question 8

A nurse is assessing a cancer survivor for chemotherapy-induced peripheral neurotoxicity (CPIN). Which assessment finding is consistent with CPIN?

Accepted Answer

Chemotherapy-induced peripheral neurotoxicity (CPIN) refers to peripheral nerve damage resulting from the effects of certain chemotherapeutic agents. Damage to large sensory nerves causes feelings of numbness and tingling in the hands and feet. Motor function may also be affected, but usually to a lesser degree than sensory function. Hearing loss and depression are not signs and symptoms of CPIN.

Question 9

A nurse is working in a cancer facility that follows the Institute of Medicine's (IOM) recommendations for essential components of survivorship care. Which recommendations will be the nurse's focus? (Select all that apply.)

Accepted Answer

The Institute of Medicine (IOM) recommends four essential components of survivorship care: (1) Prevention and detection of new cancers and recurrent cancer; (2) surveillance for cancer spread, recurrence, or second cancers; (3) intervention for consequences of cancer and its treatment (e.g., medical problems, symptoms, psychological distress); and (4) coordination between specialists and primary care providers. The patient should continue with noncancer follow-up and care.

Question 10

The nurse is caring for a patient diagnosed with cancer. The family of the patient asks the nurse for resources about the cancer. What should the nurse do?

Accepted Answer

The nurse's role is to tell patients and families about the different resources available so they can make informed choices. The physician is a resource, but the nurse can educate and help as well. There are numerous organizations that provide resources to cancer survivors. The nurse must maintain patient confidentiality, not resource confidentiality.

Question 11

A breast cancer survivor has chemotherapy-related cognitive impairment. Which area should the nurse assess?

Accepted Answer

Breast cancer survivors report having difficulty with short-term memory, focusing, working, reading with comprehension, and driving with chemotherapy-related cognitive impairment (CRCI). Pain occurs with other long-term effects of cancer survival but does not occur with CRCI. Grief and nightmares occur with post-traumatic stress disorder.

Question 12

A nurse is taking a history on a patient with cancer. Which assessment is $\bold{priority}$?

Accepted Answer

Cancer-related fatigue (CRF) and associated sleep disturbances are among the most frequent and distressing complaints of people with cancer. Vision, dehydration, and blood pressure are not frequent side effects of cancer.

Question 13

A cancer survivor is in the intensive care unit (ICU). Some of the patient's family is from out of town and would like to see the patient even though it is not "official" visiting hours. The patient is anxious to see family members. The nurse allows the family to visit. What is the rationale for the nurse's actions?

Accepted Answer

Survivors who have social and emotional support systems are likely to have less psychological distress. Relationships are critical for cancer survivors. The nurse does not necessarily have problems with the standard visiting hours. Not enough information is provided to indicate that the patient is near death, and not all patients in the ICU are dying.

Question 14

The nurse is caring for a young woman with breast cancer. The stress between the woman and spouse is obvious, as is anxiety among the children. What is the nurse's best action in this situation?

Accepted Answer

It is a nurse's responsibility to educate (develop an educational program) cancer survivors and their families about the effects of cancer and cancer treatment. Spouses often do not know what to do to support the survivor, and they struggle with how to help; therefore, agreeing even if disagreeing does not help and the spouse does not always know what is best. Foster care is not necessary at this time.

Question 15

A nurse is assessing a cancer survivor and the caregiver. Which examples describe the possible caregiving patterns the nurse may observe?
-The self-caregiving pattern

Accepted Answer

In the self-caregiving pattern, patients are primarily able to care for themselves, with caregivers available to assist as needed, which aligns with option C where patients mostly care for themselves with caregivers in a standby role.

Question 16

A nurse is assessing a cancer survivor and the caregiver. Which examples describe the possible caregiving patterns the nurse may observe?
-The family caregiving pattern

Accepted Answer

The answer of A nurse is assessing a cancer survivor...

Question 17

The nurse is caring for a patient who is undergoing chemotherapy and radiation for cancer. The patient asks the nurse about the value of cancer screening when therapy is over. What is the nurse's best response?

Accepted Answer

Because survivors are at increased risk for developing a second cancer and/or chronic illness, it is important to educate them about lifestyle behaviors and the importance of participating in ongoing cancer screening and early detection practices. Lifelong cancer screening provides the opportunity to identify new cancers in early stages. Cancer screening should be discussed and should be done even if the cancer is cured.

Question 18

The nurse is caring for a patient who has successfully undergone cancer therapy and will be discharged home soon. The patient is concerned about going home and not knowing what to do. Which information is the most valuable for the nurse to share with the patient?

Accepted Answer

When a survivor is released from an oncologist, the internist and other health care providers provide and coordinate care based on knowledge of prior cancer history and treatment. To meet the health care needs of cancer survivors, it is essential for a "survivorship care plan" to be written by the principal provider (not the nurse) who coordinates the patient's oncology treatment. Depending upon the issue, there may be several health care providers who may be a better choice. Proper cancer treatment will include a follow-up plan or "survivorship care plan." The nurse will still advise the patient to call the health care provider if there are issues and to follow the instructions given, but acknowledging the team approach that is used and available support is most valuable to the patient at the time of discharge.

Quiz 8: Caring for the Cancer Survivor

A nurse is providing follow-up care for cancer survivors. Which condition should the nurse $\bold{most}$ monitor for in these patients?

The nurse is caring for a patient with known coronary artery disease who has recently been diagnosed with lung cancer. What should the nurse do?

The patient has lung cancer and voices concerns about cancer treatments affecting sexuality. What is the nurse's best reply?

A nurse is assessing a cancer survivor and the caregiver. Which examples describe the possible caregiving patterns the nurse may observe? -The collaborative care pattern

When planning for cancer survivor care needs, which information should the nurse consider?

A cancer survivor patient has anxiety and depression. Which therapies should the nurse include in the plan of care? (Select all that apply.)

A nurse is working on a cancer unit. The unit uses the National Coalition for Cancer Survivorship definition for a cancer survivor. Which definition will the nurse use?

A nurse is assessing a cancer survivor for chemotherapy-induced peripheral neurotoxicity (CPIN) . Which assessment finding is consistent with CPIN?

A nurse is working in a cancer facility that follows the Institute of Medicine's (IOM) recommendations for essential components of survivorship care. Which recommendations will be the nurse's focus? (Select all that apply.)

The nurse is caring for a patient diagnosed with cancer. The family of the patient asks the nurse for resources about the cancer. What should the nurse do?

A breast cancer survivor has chemotherapy-related cognitive impairment. Which area should the nurse assess?

A nurse is taking a history on a patient with cancer. Which assessment is $\bold{priority}$ ?

The nurse is caring for a young woman with breast cancer. The stress between the woman and spouse is obvious, as is anxiety among the children. What is the nurse's best action in this situation?

A nurse is assessing a cancer survivor and the caregiver. Which examples describe the possible caregiving patterns the nurse may observe? -The self-caregiving pattern

A nurse is assessing a cancer survivor and the caregiver. Which examples describe the possible caregiving patterns the nurse may observe? -The family caregiving pattern

The nurse is caring for a patient who is undergoing chemotherapy and radiation for cancer. The patient asks the nurse about the value of cancer screening when therapy is over. What is the nurse's best response?

The nurse is caring for a patient who has successfully undergone cancer therapy and will be discharged home soon. The patient is concerned about going home and not knowing what to do. Which information is the most valuable for the nurse to share with the patient?

Quiz 8: Caring for the Cancer Survivor

A nurse is providing follow-up care for cancer survivors. Which condition should the nurse most\bold{most}most monitor for in these patients?

The nurse is caring for a patient with known coronary artery disease who has recently been diagnosed with lung cancer. What should the nurse do?

The patient has lung cancer and voices concerns about cancer treatments affecting sexuality. What is the nurse's best reply?

A nurse is assessing a cancer survivor and the caregiver. Which examples describe the possible caregiving patterns the nurse may observe? -The collaborative care pattern

When planning for cancer survivor care needs, which information should the nurse consider?

A cancer survivor patient has anxiety and depression. Which therapies should the nurse include in the plan of care? (Select all that apply.)

A nurse is working on a cancer unit. The unit uses the National Coalition for Cancer Survivorship definition for a cancer survivor. Which definition will the nurse use?

A nurse is assessing a cancer survivor for chemotherapy-induced peripheral neurotoxicity (CPIN) . Which assessment finding is consistent with CPIN?

A nurse is working in a cancer facility that follows the Institute of Medicine's (IOM) recommendations for essential components of survivorship care. Which recommendations will be the nurse's focus? (Select all that apply.)

The nurse is caring for a patient diagnosed with cancer. The family of the patient asks the nurse for resources about the cancer. What should the nurse do?

A breast cancer survivor has chemotherapy-related cognitive impairment. Which area should the nurse assess?

A nurse is taking a history on a patient with cancer. Which assessment is priority\bold{priority}priority ?

The nurse is caring for a young woman with breast cancer. The stress between the woman and spouse is obvious, as is anxiety among the children. What is the nurse's best action in this situation?

A nurse is assessing a cancer survivor and the caregiver. Which examples describe the possible caregiving patterns the nurse may observe? -The self-caregiving pattern

A nurse is assessing a cancer survivor and the caregiver. Which examples describe the possible caregiving patterns the nurse may observe? -The family caregiving pattern

The nurse is caring for a patient who is undergoing chemotherapy and radiation for cancer. The patient asks the nurse about the value of cancer screening when therapy is over. What is the nurse's best response?

The nurse is caring for a patient who has successfully undergone cancer therapy and will be discharged home soon. The patient is concerned about going home and not knowing what to do. Which information is the most valuable for the nurse to share with the patient?

A nurse is providing follow-up care for cancer survivors. Which condition should the nurse $\bold{most}$ monitor for in these patients?

A nurse is taking a history on a patient with cancer. Which assessment is $\bold{priority}$ ?