A breast cancer survivor has chemotherapy-related cognitive ...

[Anajune7]

A breast cancer survivor has chemotherapy-related cognitive impairment. Which area should the nurse assess?
 
  a. Pain
  b. Grief
  c. Nightmares
  d. Short-term memory

Question 2

The nurse is caring for a young woman with breast cancer. The stress between the woman and spouse is obvious, as is anxiety among the children. What is the nurse's best action in this situation?
 
  a. Help find or develop an educational program for the patient and spouse.
  b. Encourage the patient to agree with the spouse.
  c. Support the spouse, and explain that the spouse knows what is best.
  d. Take the children away and recommend foster care.

[bfulkerson77]

Answer to Question 1

ANS: D
Breast cancer survivors report having difficulty with short-term memory, focusing, working, reading with comprehension, and driving with chemotherapy-related cognitive impairment (CRCI). Pain occurs with other long-term effects of cancer survival but does not occur with CRCI. Grief and nightmares occur with post-traumatic stress disorder.

Answer to Question 2

ANS: A
It is a nurse's responsibility to educate (develop an educational program) cancer survivors and their families about the effects of cancer and cancer treatment. Spouses often do not know what to do to support the survivor, and they struggle with how to help; therefore, agreeing even if disagreeing does not help and the spouse does not always know what is best. Foster care is not necessary at this time.