OCN Patient Education and Psychosocial Care 2

Question 1

A patient expresses fear about alopecia from chemotherapy. The most therapeutic nursing response is:

Accepted Answer

'Many patients feel the same way — let's talk about what this means for you and explore options like wigs or scalp cooling.'

Answer

'Your hair will grow back, so it isn't really a big deal.'

Answer

'Focus on surviving the cancer, not your hair.'

Answer

'Alopecia only affects about half of patients, so you may not experience it.'

Question 2

Which of the following accurately describes anticipatory nausea and vomiting in chemotherapy patients?

Accepted Answer

A conditioned response where nausea occurs before chemotherapy begins, triggered by associated cues

Answer

Nausea triggered by delayed serotonin release 5 days after chemotherapy

Answer

Nausea caused by tumor-produced emetic factors

Answer

Vomiting caused by morphine administration

Question 3

An advance directive (living will) in oncology primarily serves to:

Accepted Answer

Document the patient's wishes for end-of-life care in case they cannot speak for themselves

Answer

Assign a healthcare power of attorney

Answer

Authorize billing for cancer treatments

Answer

Restrict information sharing with family members

Question 4

Which psychosocial issue is most commonly reported by long-term cancer survivors?

Accepted Answer

Fear of recurrence

Answer

Post-traumatic growth only

Answer

Complete return to pre-cancer psychological baseline

Answer

Indifference about follow-up care

Question 5

Which of the following communication strategies improves medication adherence in cancer outpatients?

Accepted Answer

Using teach-back method to confirm patient understanding

Answer

Providing only written materials without verbal explanation

Answer

Limiting patient questions to save time

Answer

Relying on family members to teach the patient

Question 6

Cultural competence in oncology nursing primarily means:

Accepted Answer

Adapting care to respect patients' cultural beliefs, values, and communication preferences

Answer

Treating all patients exactly the same regardless of background

Answer

Learning only the dominant language of the patient population

Answer

Assuming family members speak for patients from collectivist cultures