Chapter 25 The Patient with Cancer

Chapter 25  The Patient with Cancer

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which statement best defines concepts to be included in a teaching plan for a patient with cancer?
a.
Cancer is a group of diseases. The cancer cells are different from the cells in the tissue of its origin in both the growth and spreading of abnormal cells.
b.
Cancer is the third leading cause of death in the United States. Many hospitals have the highest number of patients with this diagnosis.
c.
Americans who have a diagnosis of cancer die within 1 year or less.
d.
When a person is genetically predisposed to a type of cancer, nothing can be done to prevent its occurrence.

ANS: A
Information about the disease and disease process is helpful to allay anxiety, as well as to instruct about its pathophysiologic changes.

DIF: Cognitive Level: Comprehension REF: p. 384 OBJ: 3
TOP: Morbidity and Mortality of Cancer KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

2. A nurse explains that the seven warning signs of cancer written by the American Cancer Society (ACS) can be recalled by the acronym CAUTION. What should the nurse change to point out that the A in the acronym represents?
a.
A sore that will not heal
b.
Alopecia
c.
Abscess
d.
Anorexia

ANS: A
The acronym is a change in bowel or bladder habits, a sore that will not heal, unusual bleeding or discharge, a thickening or lump in the breast or elsewhere, indigestion or difficulty swallowing, and a nagging cough or hoarseness.

DIF: Cognitive Level: Knowledge REF: p. 388 OBJ: 4
TOP: Seven Danger Signs KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

3. A home health nurse is compiling a patient profile on a 23-year-old obese woman who smokes one-half pack of cigarettes a day and drinks 1 beer a week. She works as a cook in a long-term care facility. She has two children and eats a diet high in fats. She exercises 30 minutes a day. Both parents are dead of heart disease. How many risk factors for cancer in this profile should the nurse identify?
a.
2
b.
3
c.
5
d.
6

ANS: B
Cancer risks identified are obesity, smoker, and high-fat diet.

DIF: Cognitive Level: Comprehension REF: p. 389 OBJ: 4
TOP: Cancer Risks KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

4. What phase is considered the latent period before the period of rapid growth of tumors?
a.
Initiation
b.
Promotion
c.
Progression
d.
Metastasis

ANS: B
The stage of promotion is the latest period in which a cell is quiet, just before the rapid growth and tumor production, which begins in the progression phase.

DIF: Cognitive Level: Knowledge REF: p. 387 OBJ: 2
TOP: Transformation KEY: Nursing Process Step: Planning
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

5. Which is true about both malignant tumors and benign tumors?
a.
Both contain cells that closely resemble those in the tissue of origin.
b.
Both travel quickly to invade and destroy other tissues and organs.
c.
Both always grow and multiply very rapidly, competing for space and nutrients and causing severe pain.
d.
Both may press on nearby surrounding tissues, such as nerves and blood vessels, causing pain.

ANS: D
Both benign and malignant tumors may create pressure on or obstruct an organ.

DIF: Cognitive Level: Comprehension REF: p. 386 OBJ: 2
TOP: Characteristics of Benign and Malignant Cells
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation