Author Question: A patient asks the nurse, My wife has breast cancer. Could it be caused by her chronic depression? ... (Read 64 times)

sheilaspns

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A patient asks the nurse, My wife has breast cancer. Could it be caused by her chronic depression? Which response is supported by research data?
 
  a. Too much stress has been proven to cause all kinds of cancer.
  b. There have been no research studies done on stress and disease yet.
  c. Stress does cause the release of factors that suppress the immune system.
  d. There appears to be little connection between stress and diseases of the body

Question 2

A patient with chronic schizophrenia had a stroke involving the hippocampus. The patient will be discharged on low doses of haloperidol. The nurse will need to individualize the patient's medication teaching by:
 
  a. Including the patient's caregiver in the education
  b. Being careful to stress the importance of taking the medication as prescribed
  c. Providing the education at a time when the patient is emotionally calm and re-laxed
  d. Encouraging the patient to crush or dissolve the medication to help with swal-lowing



Pamela.irrgang@yahoo.com

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Answer to Question 1

ANS: C
Research indicates that stress causes a release of corticotropin-releasing factors that suppress the immune system. Studies indicate that psychiatric disorders such as mood disorders are sometimes associated with decreased functioning of the immune system. Research does not support a connection between many cancers and stress. There is a significant amount of re-search about stress and the body. Research has shown that there are some connections be-tween stress and physical disease.

Answer to Question 2

ANS: A
The hippocampus plays a major role in short-term memory and, hence, in learning. Taking the medication as prescribed and providing the education at a time when the patient is calm and relaxed is information or considerations that all patients should be given. The medication does not necessarily need to be crushed or dissolved since the stroke would not have caused difficulty with swallowing.



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