CHAPTER 7: CARING IN NURSING PRACTICE {Fundamentals of Nursing 10th Edition; Potter Perry}

MULTIPLE CHOICE 1. The nurse knows that the primary factor affecting a cancer survivors quality of life is: A. The clients precancer physical and mental health status B. The presence of a strong support system C. The quality and type of cancer treatment received D. The type and number of cancer-related risk factors the client possesses ANS: B Mellon and colleagues (2006) interviewed cancer survivors and their family caregivers, finding that two of the strongest predictors for cancer survivors quality of life (enjoyment of life) were family stressors and social support. Precancer physical and mental health status may affect the survivors physical recovery regarding the treatment but not their quality of life (enjoyment of life). The quality and type of cancer treatment received may affect the survivors chances of survival but not their quality of life (enjoyment of life). The type and number of cancer-related risk factors the client possesses may affect the survivors chances of survival but not their quality of life (enjoyment of life). DIF: C REF: 85-86 OBJ: Analysis TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Physiological Adaptation/Illness Management 2. A client, who is a 7-year breast cancer survivor, tells the nurse, My husband will help me bathe when he gets here. The nurse interprets this statement to mean that the client: A. Is reluctant to have the staff see her chest scar B. Prefers to protect her modesty and privacy C. Has a healthy self-image regarding her husband D. Is not comfortable with the care she is receiving ANS: C Self-image and intimacy may be negatively affected after cancer surgery. It is a positive sign that the client is comfortable having her husband perform this task for her. Although the client may be reluctant to have staff see her chest scar, the clients history of cancer surgery should direct you to the more related option. While the client may prefer to protect her modesty and privacy, the clients history of cancer surgery should direct you to the more related option. Although the client may not be comfortable with the care she is receiving, it is not as likely as the other options and the clients history of cancer surgery should direct you to the more related option. DIF: C REF: 88 OBJ: Analysis TOP: Nursing Process: Assessment MSC: NCLEX test plan designation: Physiological Adaptation/Illness Management 3. The nurse understands the primary focus of education for a client who has just received a diagnosis of cancer is to: A. Introduce self-care measures to support health B. Discuss the management of treatment-related side effects C. Reinforce the explanation of the risks of proposed treatments D. Formulate long-term lifestyle changes to minimize risk factors