Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
Gerontological Nursing The Essential Guide to Clinical Practice, 2nd Edition by Patricia A.
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Chapter 31- Cancer
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
| 1. | Which of the following statements most accurately captures an aspect of the relationship between cancer and aging? | |
| A) | The incidence and prevalence of cancer in older adults is approximately equal to that of younger adults. | |
| B) | Cancer is the leading cause of death among persons age 65 and older. | |
| C) | Age is the most significant risk factor for cancer. | |
| D) | The prevalence of cancer in older adults is expected to decrease in coming decades. | |
| Ans: | C | |
| Feedback: | ||
| The most significant risk factor for cancer is age. The incidence and prevalence exceed those of younger adults and cancer is the second leading cause of death in older adults. The prevalence is expected to increase as the population ages. | ||
| Origin: Chapter 31- Cancer, 2
Chapter: 31 Client Needs: D3 Cognitive Level: Analysis Difficulty: Difficult Integrated Process: Nursing process Objective: 1 Page and Header: 417, Introduction |
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| 2. | A nurse is conducting a workshop for a group at a senior center. Which member of the group has the highest statistical risk of developing cancer within the next year? | |
| A) | An obese 75-year-old woman | |
| B) | An 85-year-old Swedish woman | |
| C) | An 85-year-old Italian man | |
| D) | A 75-year-old man with a poor diet | |
| Ans: | B | |
| Feedback: | ||
| Although an individual’s risk can only be estimated statistically, the risk of cancer is high for all these persons because age is the highest risk factor. The Swedish woman is probably in the most danger; her fair skin is likely to have been burned at times, increasing her risk of melanoma, and she is at the beginning of the peak age for cancer in women. Obesity and poor diet are risk factors, but the persons in choices A and D are a bit younger. The Italian man probably has darker skin that provided greater protection from the sun than if he were of northern European ancestry; also, he has survived the peak years of cancer in men. | ||
| Origin: Chapter 31- Cancer, 3
Chapter: 31 Client Needs: A1 Cognitive Level: Analysis Difficulty: Moderate Integrated Process: Nursing process Objective: 2 Page and Header: 418, Unique Challenges for Older Persons With Cancer |
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| 3. | The diagnosis and treatment of cancer in older adults is accompanied by complexities that do not exist in younger populations. Which of the following phenomena contribute to the additional complexity of cancer diagnosis and treatment among the elderly? (Select all that apply.) | |
| A) | Detection often occurs at later stage in the course of the disease. | |
| B) | Older adults tend to have atypical presentations of many types of cancer. | |
| C) | The presence of other chronic health problems makes detection more difficult. | |
| D) | The potentially harmful effects of many treatment options make treatment more challenging. | |
| E) | Decreased survival rates in older adults mean that treatment is often not cost-effective. | |
| Ans: | A, C, D | |
| Feedback: | ||
| Inadequate detection, the presence of multiple health problems, and limits on treatment options add to the complexity of cancer in older adults. Older people are not noted to have atypical presentation, and decreased cost-effectiveness is not cited as a significant factor. | ||
| Origin: Chapter 31- Cancer, 4
Chapter: 31 Client Needs: B Cognitive Level: Application Difficulty: Easy Integrated Process: Nursing process Objective: 2 Page and Header: 418, Unique Challenges for Older Persons With Cancer |
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| 4. | Mammograms (at various intervals) for detecting breast cancer are generally recommended for all women. Which group is least likely to take advantage of having them? | |
| A) | Elderly women of all ethnicities | |
| B) | Middle-aged black women | |
| C) | Middle-aged Latinas | |
| D) | Young Latinas | |
| Ans: | A | |
| Feedback: | ||
| Although the elderly have the highest rate of cancer, they are also the group having the lowest rate of early detection tests. | ||
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