A cancer survivor patient has anxiety and depression. Which ...

[cmoore54]

A cancer survivor patient has anxiety and depression. Which therapies should the nurse include in the plan of care? (Select all that apply.)
 
  a. Keep information to a minimum with health care providers.
  b. Teach the use of problem-oriented coping processes.
  c. Encourage the use of social support systems.
  d. Use cognitive behavioral interventions.
  e. Schedule exercise when convenient.

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?
 
  a. Focus the assessment solely on the cancer diagnosis since it is the newer diagnosis.
  b. Ask questions about cardiac symptoms and their relationship to the cancer.
  c. Ignore symptom management and focus on palliative care.
  d. Say nothing because cancer survivors dislike prying.

[batool]

Answer to Question 1

ANS: B, C, D
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.

Answer to Question 2

ANS: B
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.

[cmoore54]

Thanks

[batool]

Welcome