Ongoing concerns and problems facing cancer survivors and their ...

[PhilipSeeMore]

Ongoing concerns and problems facing cancer survivors and their families are important determinants of adjustment and quality of life. Families generally find themselves ill prepared to deal with cancer because
 
  a. Educational programs are of no help in dealing with cancer issues.
  b. Hiding cancer-related thoughts and concerns helps maintain relationships.
  c. Holding back emotions is an effort to shield others from true feelings.
  d. Caregiving is predetermined and does not require family decision-making skills.

Question 2

A patient verbalizes a low pain level of 2 out of 10 but exhibits extreme facial grimacing while moving around in bed. What is the nurse's best action in response to her observation?
 
  a. Proceed to the next patient's room while making rounds.
  b. Offer a massage because the patient does not want any more pain medicine.
  c. Administer the pain medication ordered for moderate to severe pain.
  d. Ask the patient about the facial grimacing with movement.

[briezy]

Answer to Question 1

C
Many caregivers and cancer survivors attempt to hide cancer-related thoughts and concerns from one another, which increases adverse psychological outcomes. Motivation for this behavior is often to protect one another from the distress that is experienced by each member of the family. Holding back emotions is sometimes a part of this effort to shield one another from true thoughts and feelings. If cancer survivors and their partners participated in an educational program to teach the importance of disclosing feelings and then actually disclosed them, relationships and intimacy were improved. Caregiving also involves psychological demands of communicating, problem solving, and decision making; social demands of remaining active in the community and work; and economic demands of meeting financial obligations.

Answer to Question 2

D
The nurse needs to clarify what she observes with what the patient states. Proceeding to the next room is ignoring this visual cue. The nurse cannot assume the patient does not want pain medicine just because he rates his pain level at 2 out of 10 . The nurse should not administer medication for moderate to severe pain if it is not necessary.

[PhilipSeeMore]

Both answers were spot on, thank you once again

[briezy]

Great! Please up vote