The nurse works with cancer patients and their families to deal with difficult issues. Which of the following reasons supports why a diagnosis of malignant melanoma may be extremely difficult for patients to accept?
A) It cannot be detected early enough to improve the prognosis.
B) It is a high risk in fair-skinned individuals, and incidence increases with age.
C) It has been rising in the United States, probably due to sun exposure.
D) It causes a small percentage of total deaths from cancer but is metastatic and fatal.
D
Feedback:
Malignant melanoma is metastatic and fatal. It can be detected early enough to improve diagnosis. Choices B and C, though true, are not the difficulty that cancer patients must contend with once their malignant melanomas are diagnosed.
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The pregnant client has completed the prenatal questionnaire, and asks the nurse why this form had to be completed. The best response by the nurse is:
1. "Some people have things that have happened in the past that could impact their current pregnancy." 2. "The doctor wants all of the pregnant clients to complete the form so that our records are complete." 3. "We occasionally identify a health problem that puts the current pregnancy at higher risk." 4. "This form is designed to predict who will develop problems with their pregnancy or delivery."
A nurse would identify which clients as potentially benefiting from the services of a genetics specialist?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. A client taking furosemide for congestive heart failure 2. A client who is considering tamoxifen for breast cancer treatment 3. A client whose atrial fibrillation is being treated with warfarin 4. A client who requires psychotropic medications. 5. A client who takes multiple vitamin supplements
The nurse is assessing coping behaviors of a family with a child with a chronic illness. What indicates approach coping behaviors? (Select all that apply.)
a. Plans realistically for the future b. Verbalizes possible loss of the child c. Uses magical thinking and fantasy d. Realistically perceives the child's condition e. Does not share the burden of the disorder with others
Rod, age 68, has hearing difficulty. Which of the following would NOT be helpful in assuring that he understands teaching about his drug?
1. Stand facing him and speak slowly and clearly. 2. Speak in low tones or find a provider who has a lower voice. 3. Write down the instructions as well as speaking them. 4. If he reads lips, exaggerate lips movements when pronouncing the vowel sounds.