The nurse is working with a woman who is undergoing chemotherapy for breast cancer. The patient states, "First, the cancer seemed unreal. Now I feel like I can cope." The best response of the nurse would be "Women with breast cancer often:
1. "Go through several stages of adjustment."
2. "Cope better than their partners cope."
3. "Seek multiple opinions before starting treatment."
4. "Become angry after treatment begins."
1
Rationale 1: Psychological adjustment to breast cancer involves four stages: shock, reaction, recovery, and reorientation. The patient's statement indicates shock followed by reaction.
Rationale 2: Partners are often the primary support person during treatment, but might also have difficulty adapting to the diagnosis.
Rationale 3: Some patients seek multiple opinions, some do not.
Rationale 4: Anger is not a stage of adjustment.
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a. there is a strong evidence base. b. the topic addresses an identified need. c. the practice change offers a relative ad-vantage. d. the practice change is endorsed by orga-nizational executive leadership. e. data demonstrate an opportunity for prac-tice improvement within the clinical area.
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The perinatal nurse recognizes that a risk factor for postpartum depression is:
A) Adolescence B) Age >35 years C) Gestational hypertension D) Regular schedule of prenatal care
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