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Nursing Management:
doi: 10.1097/01.NUMA.0000411902.89346.ce
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Quality of life for cancer patients: From diagnosis to treatment and beyond

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INSTRUCTIONS Quality of life for cancer patients: From diagnosis to treatment and beyond

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PROVIDER ACCREDITATION

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Quality of life for cancer patients: From diagnosis to treatment and beyond

GENERAL PURPOSE: To provide the professional registered nurse with information on QOL issues related to a cancer diagnosis. LEARNING OBJECTIVES: After reading this article and taking this test, you should be able to: 1. Discuss how to promote QOL for patients with cancer. 2. Describe how the Adaptation Model can help nurses provide care to patients with cancer.

1. UNdata defines QOL as human welfare measured by

a. the subjective experience of the individual.

b. physical, psychological, and social indicators.

c. social indicators rather than quantitative measures.

d. the degree to which individuals are able to meet their potential.

2. The author stresses that for many patients, QOL is related to

a. length of life.

b. ability to live a “normal life.”

c. ability to meet goals.

d. feeling comfortable with minimal pain.

3. The Adaptation Model describes humans as

a. biopsychosocial beings.

b. cultural beings.

c. rational, physical beings living within a social context.

d. thinking, feeling, physical beings seeking integration.

4. Focal stimuli are stimuli that

a. affect the patient's situation.

b. attack the patient's body.

c. confront the patient immediately.

d. affect the patient's beliefs or attitudes.

5. The cost of cancer treatment is an example of a

a. focal stimulus.

b. residual stimulus.

c. cognator stimulus.

d. contextual stimulus.

6. A patient adapts to body image issues within which Adaptation Model mode?

a. physiologic-physical mode

b. self-concept mode

c. role function mode

d. interdependence mode

7. The nurse can promote adaptation in the four modes by using

a. the nursing process.

b. a multidimensional process.

c. information processing.

d. adaptation processing.

8. Changes in the cancer patient's QOL initially occur in the

a. physiologic-physical mode.

b. self-concept mode.

c. role function mode.

d. interdependence mode.

9. Ms. S. was best able to adapt to chemotherapy-induced taste changes by eating

a. a bland diet.

b. a diet with lower acidity.

c. familiar foods cooked at home.

d. Mexican food cooked with minimal spices.

10. To help her cope with alopecia, the nurses provided information to Ms. S. on all of the following except

a. using sunscreen.

b. wearing head coverings to regulate temperature.

c. how to tell her fiancé about her impending hair loss.

d. her decreased natural resistance to infection.

11. When discussing sexuality, the second level of the recommended model is

a. permission.

b. intermittent therapy.

c. specific suggestions.

d. limited information.

12. Ms. S. was able to cope and adapt to feelings of guilt by

a. relying on her spiritual beliefs.

b. denying and repressing her guilt feelings.

c. participating in support groups.

d. talking through feelings of guilt with her nurses.

13. Patients who place a great deal of value on their roles are

a. less likely to experience anxiety.

b. more likely to experience anxiety.

c. less likely to experience QOL disturbances.

d. more likely to experience QOL disturbances.

14. Which herbal is identified in this article as lessening chemotherapy efficacy?

a. ginkgo biloba

b. ginseng

c. St. John's wort

d. saw palmetto

15. All of the following modes contribute to a patient's self-esteem except

a. physiologic-physical mode.

b. self-concept mode.

c. role function mode.

d. interdependence mode.

16. To help nurses cope with patient deaths, the author encourages nurse managers to

a. provide frequent inservices on terminal care.

b. establish memorial service with the help of chaplains.

c. schedule debriefing sessions with a psych-mental health nurse.

d. encourage staff to go to patients' funeral services.

17. According to the National Cancer Institute, which is a risk factor for depression?

a. melanoma

b. brain metastases

c. pancreatic cancer

d. radiation therapy

18. The National Cancer Institute identifies one symptom of depression as

a. angry outbursts.

b. memory loss.

c. nervousness.

d. preference for staying at home.

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