Author Question: A client's breast cancer was diagnosed after a mammogram. Her doctor advised a lumpectomy, ... (Read 64 times)

Yi-Chen · **on:** Jul 19, 2018

A client's breast cancer was diagnosed after a mammogram. Her doctor advised a lumpectomy,
followed by radiation and chemotherapy.

The client schedules consultations with the surgeon, the
radiation oncologist, and the medical oncologist so that she may ask questions regarding her
treatment. The coping strategy being used can be identified as
a. keeping busy and distracting oneself.
b. conforming and complying.
c. sharing concern and finding consolation.
d. seeking information and obtaining guidance.

Question 2

A client, aged 30 years, tells his case manager I do not have bipolar disorder anymore, so I do not
need the medicine and the blood tests. I was in the hospital twice for a few days a year or so ago.

Then you got into the act to get me a place to live and SSI checks. All that is wrong now is I am
bored and I do not have any friends. The nurse assesses the client as demonstrating
a. denial.
b. projection.
c. rationalization.
d. identification.

krakiolit · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

D
The client is coping by gathering information that will help her understand her treatment goals and
the effects of treatment. Most clients who use this strategy believe knowledge reduces anxiety.
Option A: Keeping busy and distracting oneself has as its goal postponing dealing with the problem.
Option B: Conforming and complying would involve simply accepting the physician's treatment
plan. Option C: Sharing concern and finding consolation are usually carried out with family and
friends and would not necessitate medical appointments.

Answer to Question 2

A
The client scenario describes denial. Many young clients with severe mental illness have limited
experience with hospital-based formal treatment programs. Short-term hospitalizations and
community follow-up contribute to these clients failing to see that they have a problem. Option B:
The client is not blaming another for a personal weakness. Option C: The client is not making
socially acceptable excuses. Option D: The client is not identifying with another.