Cancer Clinical Discussion Paper

Cancer Clinical Discussion Paper
The number of the question corresponds to the same-numbered
outcome at the beginning of the chapter.
1. Trends in the incidence and death rates of cancer include the fact
that
a. lung cancer is the most common type of cancer in men.
b. a higher percentage of women than men have lung cancer.
c. breast cancer is the leading cause of cancer deaths in women.
d. African Americans have a higher death rate from cancer than
whites.
2. What features of cancer cells distinguish them from normal cells
(select all that apply)?
a. Cells lack contact inhibition.
b. Cells return to a previous undifferentiated state.
c. Oncogenes maintain normal cell expression.
d. Proliferation occurs when there is a need for more cells.
e. New proteins characteristic of embryonic stage emerge on cell
membrane.
3. A characteristic of the stage of progression in the development of
cancer is
a. oncogenic viral transformation of target cells.
b. a reversible steady growth facilitated by carcinogens.
c. a period of latency before clinical detection of cancer.
d. proliferation of cancer cells in spite of host control mechanisms.
4. The primary protective role of the immune system related to
malignant cells is
a. surveillance for cells with tumor-associated antigens.
b. binding with free antigen released by malignant cells.
c. production of blocking factors that immobilize cancer cells.
d. responding to a new set of antigenic determinants on cancer
cells.
5. The primary difference between benign and malignant neoplasms
is the
a. rate of cell proliferation.
b. site of malignant tumor.
c. requirements for cell nutrients.
d. characteristic of tissue invasiveness.
6. The nurse is caring for a 59-year-old woman who had surgery 1
day ago for removal of a suspected malignant abdominal mass.
The patient is awaiting the pathology report. She is tearful and says
that she is scared to die. The most effective nursing intervention
at this point is to use this opportunity to
a. motivate change in an unhealthy lifestyle.
b. teach her about the seven warning signs of cancer.
c. instruct her about healthy stress relief and coping practices.
d. allow her to communicate about the meaning of this experience.