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

Abstract

INSTRUCTIONS Quality of life for cancer patients: From diagnosis to treatment and beyond TEST INSTRUCTIONS To take the test online, go to our secure website at http://www.nursingcenter.com/ce/nm. On the print form, record your answers in the test answer section of the CE enrollment form on page 26. Each question has only one correct answer. You may make copies of these forms. Complete the registration information and course evaluation. Mail the completed form and registration fee of $21.95 to: Lippincott Williams & Wilkins, CE Group, 2710 Yorktowne Blvd., Brick, NJ 08723. We will mail your certificate in 4 to 6 weeks. For faster service, include a fax number and we will fax your certificate within 2 business days of receiving your enrollment form. You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade. Registration deadline is February 28, 2014. DISCOUNTS and CUSTOMER SERVICE Send two or more tests in any nursing journal published by LWW together and deduct $0.95 from the price of each test. We also offer CE accounts for hospitals and other health care facilities on nursingcenter.com. Call 1–800–787–8985 for details. PROVIDER ACCREDITATION Lippincott Williams & Wilkins, publisher of Nursing Management, will award 2.0 contact hours for this continuing nursing education activity. LWW is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.0 contact hours, the District of Columbia, and Florida #FBN2454. Your certificate is valid in all states. The ANCC's accreditation status of Lippincott Williams & Wilkins Department of Continuing Education refers to its continuing nursing education activities only and does not imply Commission on Accreditation approval or endorsement of any commercial product. 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. UNdata defines QOL as human welfare measured by the subjective experience of the individual. physical, psychological, and social indicators. social indicators rather than quantitative measures. the degree to which individuals are able to meet their potential. The author stresses that for many patients, QOL is related to length of life. ability to live a “normal life.” ability to meet goals. feeling comfortable with minimal pain. The Adaptation Model describes humans as biopsychosocial beings. cultural beings. rational, physical beings living within a social context. thinking, feeling, physical beings seeking integration. Focal stimuli are stimuli that affect the patient's situation. attack the patient's body. confront the patient immediately. affect the patient's beliefs or attitudes. The cost of cancer treatment is an example of a focal stimulus. residual stimulus. cognator stimulus. contextual stimulus. A patient adapts to body image issues within which Adaptation Model mode? physiologic-physical mode self-concept mode role function mode interdependence mode The nurse can promote adaptation in the four modes by using the nursing process. a multidimensional process. information processing. adaptation processing. Changes in the cancer patient's QOL initially occur in the physiologic-physical mode. self-concept mode. role function mode. interdependence mode. Ms. S. was best able to adapt to chemotherapy-induced taste changes by eating a bland diet. a diet with lower acidity. familiar foods cooked at home. Mexican food cooked with minimal spices. To help her cope with alopecia, the nurses provided information to Ms. S. on all of the followingexcept using sunscreen. wearing head coverings to regulate temperature. how to tell her fiancé about her impending hair loss. her decreased natural resistance to infection. When discussing sexuality, the second level of the recommended model is permission. intermittent therapy. specific suggestions. limited information. Ms. S. was able to cope and adapt to feelings of guilt by relying on her spiritual beliefs. denying and repressing her guilt feelings. participating in support groups. talking through feelings of guilt with her nurses. Patients who place a great deal of value on their roles are less likely to experience anxiety. more likely to experience anxiety. less likely to experience QOL disturbances. more likely to experience QOL disturbances. Which herbal is identified in this article as lessening chemotherapy efficacy? ginkgo biloba ginseng St. John's wort saw palmetto A