Chapter 08.docx - Chapter 08 Caring for the Cancer Survivor MULTIPLE CHOICE 1 The National Coalition for Cancer Survivorship has defined a cancer

Chapter 08.docx - Chapter 08 Caring for the Cancer Survivor...

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Chapter 08: Caring for the Cancer Survivor MULTIPLE CHOICE 1. The National Coalition for Cancer Survivorship has defined a cancer survivor as a person who has 1. Been cancer free for 5 years after diagnosis. 2. Been cancer free for 3 years after diagnosis. 3. Had cancer until he or she dies. 4. Had cancer but is declared cancer free. ANS: C The definition of a cancer survivor is the following: An individual is considered a cancer survivor from the time of diagnosis through the balance of his or her life. Being cancer free for any length of time does not relate to the definition of a cancer survivor put forth by the National Coalition for Cancer Survivorship. DIF: Knowledge REF: 90 OBJ: Discuss the concept of cancer survivorship. TOP: Assessment MSC: Nursing Process 2. As nurses caring for cancer survivors, it is important to understand that 1. Caucasians have more post-treatment symptoms than minority patients. 2. Treatment outcomes are the same regardless of ethnic background. 3. Cancer treatment is lifelong, and follow-up ensures that needs are met. 4. Many long-term cancer survivors suffer needlessly and die. ANS: D Despite the incredible advances made in cancer care, many long-term survivors suffer unnecessarily and die from delayed second cancer diagnoses or treatment- related chronic disease. Evidence suggests that survivors among racial and ethnic minorities and other underserved populations have more post-treatment symptoms and poorer treatment outcomes than Caucasians. Once treatment is completed, contact with a cancer care provider often stops, and survivors needs go unnoticed or untreated. DIF: Understand REF: 90 OBJ: Discuss the concept of cancer survivorship. TOP: Evaluation MSC: Nursing Process 3. When working with cancer survivors, the nurse must understand that cancer survivors a. Face depression that is devastating and destroys ones sense of life. 2. Seek a balance between independence and interdependence.
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3. Experience similar long-term impact regardless of cultural beliefs. 4. Are at much lower risk for developing a new cancer. ANS: B Quality of life in cancer survivorship means having a balance between the experience of increased dependence and seeking both independence and interdependence. Of course there are always exceptions with regard to the level of distress that survivors face. For some, cancer becomes an experience of self- reflection and an enhanced sense of what life is about. Regardless of each survivors journey with cancer, having cancer affects each persons physical, social, psychological, and spiritual well-being. Although cancer survivors go through similar steps of cancer diagnosis and treatment, they experience cancer and the long-term impact differently based on their cultural beliefs. Cancer survivors are at increased risk for cancer (either a recurrence of the cancer for which they were treated or a second cancer).
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  • Fall '19
  • Ruth Bundy

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