OCN Patient Education and Survivorship 3

Question 1

Secondary malignancies are a long-term risk for cancer survivors primarily because of:

Accepted Answer

Chemotherapy and radiation damage to normal DNA in healthy tissues

Answer

Unhealthy lifestyle choices only

Answer

Genetic predisposition only in BRCA carriers

Answer

Age-related degeneration after age 70 only

Question 2

Late cardiovascular effects of cancer treatment are most associated with which therapies?

Accepted Answer

Anthracyclines, trastuzumab, and chest radiation

Answer

Antiemetics and pain medications

Answer

Oral hormone therapy only

Answer

Colony-stimulating factors

Question 3

Which statement best reflects the nurse's role in informed consent for cancer treatment?

Accepted Answer

The nurse witnesses the signature, reinforces information, and ensures the patient's questions are answered

Answer

The nurse obtains the legal informed consent independently

Answer

The nurse's only role is to give the patient the consent form

Answer

Informed consent for cancer treatment does not require nursing involvement

Question 4

Advance care planning discussions should occur at which point in the cancer care trajectory?

Accepted Answer

Early in diagnosis, not only at end of life

Answer

Only when the patient is admitted to hospice

Answer

Only when the patient asks about it

Answer

Only after all curative treatment options fail

Question 5

A survivor completing treatment should receive a survivorship care plan from which care setting?

Accepted Answer

The treating oncology team at the end of active treatment

Answer

The emergency department

Answer

Only from primary care after 5 years

Answer

Only if the patient requests it in writing

Question 6

Which factor most commonly triggers a cancer survivor's distress around surveillance imaging?

Accepted Answer

Scanxiety — fear of recurrence around scheduled scans or test results

Answer

Overconfidence about being cured

Answer

Lack of understanding of scan technology

Answer

Discomfort with lying still in the scanner