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NUR 120 Unit 3 Oncology 1.1 - 7.3 Exam Questions with Complete Answers
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NUR 120 Unit 3 Oncology 1.1 - 7.3 Exam Questions with Complete Answers
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NUR 120 Unit 3 Oncology 1.1 - 7.3 ExamQuestions with Complete Answers
Psychological Adaptations and Emotions to Cancer Considerations - Answer-Client's
Reactions
Families' Reactions
Nurse's Reactions
Client's Reaction to cancer - Answer-- Pain, grief, fear, anger, sadness, fear of death
- death: the nurse wants to make sure that the pt is as comfortable as possible -
palliative care
Families' Reaction to cancer - Answer-- Grief
- Stress
- Supportive
- Financial (huge issue)
- Role Change
Nurse's Reaction to a patient with cancer - Answer-- Be supportive to patient and
families
- give info on support groups
- info on financial help for drugs from drug companies
- financial aid info for health care
- social workers - get them intouch with them
- help with disability info if appropriate
**take care of yourself so that you are capable of taking care of others**
Epidemiology of Cancer - Answer-Gender
Site
Age
Race
Geographic Factors
Gender and cancer - Answer-Higher incidence men > women
Leading cancer death in Men: - Answer-mostly Lung, colorectal and PROSTATE
Leading cancer death in Women - Answer-mostly lung, colorectal and BREAST
Age and Cancer - Answer-- Effects every age group
- Greatest incidence in > 65 yrs of age (decreased immune system)
, Race and Culture - Answer-In US: Cancer mortality is higher in African Americans
- may be cultural related
- access to health care
- socioeconomic
- usually come in to see a HCP @ late stage
Geographic Factors - Answer-- Higher risk in industrialized sectors and nations
- 75% of all cancers are related to environment
Primary Prevention &
Health Education for Cancer - Answer-- Education
- Sun block
- smoking cessation
- diet change
Primary Prevention Interventions for cancer - Answer-- Avoid known potential
carcinogens (smoking, EtOH, pesticides, asbestos)
- Modify associated factors / behaviors (quit smoking, drink less)
- Remove "at risk" tissues (mole removal, radical mastectomy)
- Chemoprevention (more like hormone therapy to help prevent cancer)
** chemoprevention esp for breast cancer --> PO pill --> tamoxifen**
Secondary Prevention &
Health Education for Cancer - Answer-- Screening programs (fecal occult blood, PSA,
PAP smear, Self Breast Exam, mammogram, etc)
- Genetic Testing
- Gene Therapy
Ages to get Mammogram - Answer-- 40 and over
- get them earlier if family hx
**ultrasound/mammogram first --> MRI to confirm (could be dense tissue)**
Ages to get Colonoscopy - Answer-- 50 and over
- if family hx, get 10 years before the family member was diagnosed
Viral factors for Cancer - Answer-- CMV: colon cancer
- EBV: lymphoma, mono
- HPV: penile cancer, cervical cancer
- HIV: decreased immune system, Kaposi, lung cancer
Bacterial Factors for Cancer - Answer-- H. Pylori: colon and gastric cancer
Host Factors for Cancer - Answer-- genetics
- hormonal (sex organs: penile, cervical, ovarian cancers)
- immunologic mechanisms: (immune sys cant fight off cancer)
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