Chapter 07: The Patient with Cancer Linton: Medical-Surgical Nursing, 7th Edition

1. Which statement best defines concepts to be included in a teaching plan for a patient with cancer? a. Cancer is a group of diseases. The cancer cells are different from the cells in the tissue of its origin in both the growth and spreading of abnormal cells. b. Cancer is the third leading cause of death in the United States. Many hospitals have the highest number of patients with this diagnosis. c. Americans who have a diagnosis of cancer die within 1 year or less. d. When a person is genetically predisposed to a type of cancer, nothing can be done to prevent its occurrence. ANS: A Information about the disease and disease process is helpful to allay anxiety, as well as to instruct about its pathophysiologic changes. DIF: Cognitive Level: Comprehension REF: pp. 102-104 OBJ: 3 TOP: Morbidity and Mortality of Cancer KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 2. A nurse explains that the seven warning signs of cancer written by the American Cancer Society (ACS) can be recalled by the acronym CAUTION. What should the nurse change to point out that the A in the acronym represents? a. A sore that will not heal b. Alopecia c. Abscess d. Anorexia ANS: A The acronym is a change in bowel or bladder habits, a sore that will not heal, unusual bleeding or discharge, a thickening or lump in the breast or elsewhere, indigestion or difficulty swallowing, and a nagging cough or hoarseness. DIF: Cognitive Level: Knowledge REF: p. 106 OBJ: 4 TOP: Seven Danger Signs KEY: Nursing Process Step: Planning MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease 3. A home health nurse is compiling a patient profile on a 23-year-old obese woman who smokes one-half pack of cigarettes a day and drinks 1 beer a week. She works as a cook in a long-term care facility. She has two children and eats a diet high in fats. She exercises 30 minutes a day. Both parents are dead of heart disease. How many risk factors for cancer in this profile should the nurse identify? a. 2 b. 3 c. 5 d. 6 NURSINGTB.COM Medical-Surgical Nursing 7th Edition Linton Test Bank NU RS IN GT B.CO M ANS: B Cancer risks identified are obesity, smoker, and high-fat diet. DIF: Cog