A cancer survivor patient has anxiety and depression. Which therapies should the nurse include in the plan of care? (Select all that apply.)
a. Keep information to a minimum with health care providers.
b. Teach the use of problem-oriented coping processes.
c. Encourage the use of social support systems.
d. Use cognitive behavioral interventions.
e. Schedule exercise when convenient.
ANS: B, C, D
Patients who use problem-oriented, active, and emotionally expressive coping processes also manage stress well. Survivors who have social and emotional support systems and maintain open communication with their treatment providers will also likely have less psychological distress. Interventions to treat anxiety and depression in cancer survivors include education, routine (not when convenient) exercise, adequate sleep, and reassurance that anxiety and depression are commonly seen in cancer survivors.
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