Psychosocial Dimensions of Care)
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Which patient is most likely to display a maladaptative response to a diagnosis of
cancer? A patient who reports:
feeling abandoned by God.
fighting the disease for his children.
focusing on living in the present moment.
praying and attending daily worship services. - ✔✔feeling abandoned by God.
Answer: Negative religious coping (e.g., pleading for God's intervention, passively
deferring decisions to God) is most predictive of a maladaptation to an illness.
Reference: Bush, N.J., & Gorman, L.M. (Eds.). (2018). Psychosocial nursing care along
the cancer continuum (3rd ed.). Pittsburgh, PA: Oncology Nursing Society, pp. 156-157.
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, Which of the following has been attributed to foreign-born women with breast cancer
having a lower survival rate than women with breast cancer who were born in the
United States?
Access to mammography screening
Country from where the women have immigrated
Histologic grade of the tumor
Differences in the treatment protocols - ✔✔Access to mammography screening
Answer: Patients from other countries may have more significant barriers to obtaining
recommended screenings and care, leading to diagnosis at later stages and decreased
survival.
Reference: Bush, N.J., & Gorman, L.M. (Eds.). (2018). Psychosocial nursing care along
the cancer continuum (3rd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 95.
Which of the following patients with cancer is most likely to experience sexual
dysfunction?
A patient with a history of marital discord
A young patient who is newly married
A patient and partner who schedule time for sexual activity
A female patient with hypotension - ✔✔A patient with a history of marital discord
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