WorksheetsRehabilitation in Oncology Quiz
Total questions: 37
Worksheet time: 19mins
The cancer rehabilitation can be define as helping a person with cancer to
adapt to treatment related to physical, social and psychological wellbeing.
obtain maximum physical, social, psychological and vocational functioning within the limits.
make the best decision regarding treatment related to physical, social and psychological wellbeing.
obtain normal physical, social, psychological and vocational functioning during and after cancer treatment.
Factor that most needs to be considered before developing rehabilitation goals is the
treatment cost.
patient determination.
timeframe for treatment.
rehabilitation doctor's decision.
Which of the following complication may develop among patients with neurogenic bowel disorder?
Diverticulitis.
Anal fissures.
Colon polyps.
Rectovagina fistula.
The following statement is related to flaccid bladder except
it is call hypotonic bladder.
it can cause the dripping of the urine.
it is because of not enough urine volume.
it occur when the pressure inside bladder is low.
During nursing assessment, you found that Madam G with spinal cord compression has potential of developing pressure ulcer. The most appropriate intervention to prevent pressure ulcer is to
request ripple mattress for Madam G.
change Madam G position two hourly.
advise Madam G to take high protein diet.
teach her children to check for pressure ulcer.
The aim of physiotherapy for oncology patients is to
optimize their activity levels during treatment.
encourage them to participate actively in the society.
let them relies on their family members post treatment.
eliminate the side effect of treatment and disease on them.
When providing care for a lung cancer patient with increase production of mucus, the physiotherapist can
prescribe mucolytic drug.
perform pleural aspiration.
perform chest percussion.
teach patient's relative how to do suction.
Mr. N diagnosed with brain cancer complains of weakness in his lower limbs. What is the most appropriate physiotherapy management to him?
Advise Mr. N to use wheelchair.
Teach Mr. N on muscle strengthening exercise.
Create a timetable of activity with resting time for Mr. N.
Encourage Mr. N's family member to assist him in daily activities.
Before recommend an ambulatory assistive device to a patient, the main factor needs to be considered is the
patient's age.
cost of the device.
patient's problems.
patient preferences.
Madam S, a right breast cancer patient complains feeling of heaviness and tightness on her right arm. Upon assessment, you noticed that Madam S is having lymphedema. What is your advise to Madam S?
Always elevate both of her arms when resting.
Wear tight sleeves shirt to enhance lymph circulation.
Encourage Madam S to massage vigorously on her right arm.
Perform e
What is the main role of Occupational Therapist in managing patient with cancer-related pain?
Refer the patient to doctor.
Prescribe medicine to reduce pain.
Analyze impact of cancer-related pain on patient's activities of daily living (ADL).
Avoid discuss about the patient's pain with other multidisciplinary team member.
Madam T diagnosed with stage IV breast cancer is in pain and looks depress. The most appropriate intervention by occupational therapist is to
assess her pain score 4 hourly.
encourage her to socialise with other patients.
advise Madam T to take a nap whenever she is in pain.
promote and teach Madam T to perform relaxation techniques.
When a patient is referred for occupational therapy, the therapist needs to assess the patient. Which of the following is the prior action in developing an intervention plan?
Functional ability.
Cost of assisting devices.
Availability of family member.
Social support that is available.
Mrs. K complains of excessive fatigue after chemotherapy. The most suitable intervention plan can be offered by occupational therapist is
cognitive strategies.
sensory integration.
therapeutic exercise.
energy conservation techniques.
Which of the following is related to diet and cancer risk?
Eating red meat won't raise the cancer risk.
Drinking red wine can lower the cancer risk.
Eating plenty of fiber can protect individual from cancer.
People who eat foods rich in Vitamin C, Vitamin A and carotenoids may have a lower cancer risk.
The following is the criteria for nutrition screening and assessment tool except
cost effective.
require expertise.
concise information.
provide immediate result.
A cancer patient with severe oral mucositis is required nasogastric tube feeding. When performing the feeding procedure, you have to
use force to instill feeding.
flush with milk after administering medications.
flush with water every 4-6 hours during continuous feeding.
hold the syringe two feet above the patient's point of insertion.
A 30 year old female patient's weight is 59kg and height is 148cm. Calculate her BMI and choose the correct category for this patient.
Normal.
Overweight.
Underweight.
Obesity Class 1.
Mr B with esophageal cancer is undergoing surgery for placement of gastrostomy tube. The most logical explanation for using enteral feeding rather than parenteral nutrition is:
enteral feeding is more economical.
parenteral nutrition is associated with more metabolic complications.
parenteral nutrition is indicated for patient who needs long term nutritional support.
enteral feeding maintain normal stimulation of enzymatic and mucosal activity in the gut.
Some cancer patients are referred too late by the physician for palliative care. Which of the following is the barrier to palliative care related to the physician?
Recognise how much the patient is suffering.
Good communication skills to address end-of-life issues.
Good prognostication and recognise how advanced the illness is.
Misunderstands what a palliative care service does or has to offer.
The correct way of titrating morphine dosage for a cancer patient in pain.
Triple the current dosage to get immediate pain relief.
Increase the dose by increment of 75% of previous dose.
Increase the dose by increment of 100% of previous dose.
Increase the dose by increment of 25-50% of previous dose.
What are the stages of dying according to Elizabeth Kubler-Ross?
Denial, anger, bargaining, depression, and acceptance.
Anticipatory grief, perceived loss, actual loss, and renewal.
Numbing, yearning and searching, disorganization and despair; and reorganization.
Accepting the reality of loss, working through the pain of grief, adjusting to the environment without the deceased, and emotionally relocating the deceased and moving with life.
A client's daughter says to the nurse, "The doctor said he will provide palliative care to my father. What does that mean?" The best response by the nurse is
palliative care is to hasten or postpone death.
palliative care is to cure a serious illness or disease.
palliative care provides relief from pain and other distressing symptoms of a disease.
palliative care offers a support system to client until death excluding the family members.
The commonest causes of diarrhoea in palliative care setting is
bowel fistulae.
malabsorption.
odd dietary habits.
imbalance of laxative therapy.
The main issues related to end of life care of a cancer patient.
Discussed only with distant relatives.
Should not be discussed with the patient.
Should be discussed only in the last 24 hour.
Should be discussed with patient as early as possible.
Mrs.J has been upset all day because she believes that her cancer has advanced and her doctor has not been honest with her about the prognosis. The doctor has violated the ethical value of
justice.
veracity.
beneficence.
confidentiality.
A family member caring for a dying cancer patient should be informed that
dehydration may prolong the dying process.
dehydration is an expected event within the dying process.
hydration is only used in extreme situations of dehydration.
the physician will make the decision regarding hydration therapy.
A 56 years old woman with terminal cancer is fatigue and depress about the ineffectiveness of her treatment. She said, "I wish I had never started the treatment but now I have to continue." You explain to her that
cessation of treatment will shorten her life.
she may change her mind about treatment at any time.
once treatment has begun, the doctor should decide for any changes.
decisions about treatment
Madam J is in the final stage of the dying process. She is restless and disorientation. The nurse should encourage her husband to
hold her hand, call her by name, and speak softly.
leave the room and wait outside until she has calm down.
stay by her side and speak loudly to her so that she can hear.
hold her hand but say nothing because she has lost her hearing at this stage.
A nurse received a call from patient's daughter who said that her mother is suddenly seeing butterflies on the wall, confused to her surroundings and is irritable. The nurse suspect the patient is experiencing
anxiety.
delirium.
agitation.
confusion.
Madam B is schedule for mastectomy and appears depressed. What is the best nursing intervention need to done?
Give her time to be alone.
Ignore Madam B's feeling.
Reassure her it is just a simple procedure.
Encourage Madam B to ventilate her feeling.
Mr. A, a lung cancer patient has passed away recently. His wife is very depress. Appropriate response to his wife is
advise her to continue life as usual.
encourage her to express negative feeling.
tell her not to be sad because everyone will die.
leave her alone until she is ready to accept the reality.
Bereavement may be defined as
the emotional response to loss.
the outward, social expression of loss.
postponing the awareness of the reality of the loss.
the inner feeling and outward reactions of the survivor.
In caring for a terminally ill cancer patient, the most spiritual care is
physical health.
emotional well being.
believing in one religion.
faith in the environment.
Which of the statements below is related to spirituality?
Implies a person's religion.
Has nothing to do with physical ailments.
Discussing this issue is not permitted as it is a personal matter.
Help the patient to cope with illness and discuss it with patient's permission.
In assessing a patient for spiritual distress, an appropriate question would be
"What is your religious?"
"Do you want to see a chaplain?"
"In your life, what have you done?"
"What meaning do you give the situation you are in?"
Madam H is terminally ill and told the nurse that she wants a "good death". What is mean by a "good death"?
Death at home.
Death when she is ready.
Death without resolving conflict with her good friend.
Death without saying goodbye to her family and friends.
