Q.1 Which of the following is a common emotional reaction in patients recently diagnosed with cancer?
Denial
Euphoria
Mania
Complacency
Explanation - Denial is a common initial reaction as patients struggle to accept the reality of their diagnosis.
Correct answer is: Denial
Q.2 A patient with cancer shows signs of social withdrawal. What is the most appropriate nursing intervention?
Ignore the behavior
Encourage social interaction gently
Force participation in group activities
Avoid discussing feelings
Explanation - Gently encouraging social interaction helps patients maintain connections while respecting their emotional state.
Correct answer is: Encourage social interaction gently
Q.3 Which of the following statements best reflects anticipatory grief in cancer patients?
Grieving the expected loss before it occurs
Not experiencing any grief until after death
Feeling only sadness without other emotions
Ignoring the illness completely
Explanation - Anticipatory grief involves emotional preparation for an expected loss, common in terminal illness.
Correct answer is: Grieving the expected loss before it occurs
Q.4 Which coping strategy is considered adaptive for a cancer patient dealing with anxiety?
Substance use
Seeking social support
Avoidance
Denial
Explanation - Seeking social support helps patients manage stress and anxiety in a healthy manner.
Correct answer is: Seeking social support
Q.5 A patient expresses fear of death after cancer diagnosis. What is the best nursing response?
Tell them not to worry
Listen empathetically and provide reassurance
Change the topic
Ignore the fear
Explanation - Empathetic listening validates the patient's feelings and helps build trust.
Correct answer is: Listen empathetically and provide reassurance
Q.6 Which psychological effect is most commonly associated with long-term chemotherapy?
Cognitive impairment
Increased happiness
Heightened energy
Euphoria
Explanation - Chemotherapy can lead to cognitive changes, often referred to as 'chemo brain,' affecting memory and concentration.
Correct answer is: Cognitive impairment
Q.7 What role does a cancer nurse play in the spiritual care of patients?
Providing religious counseling
Supporting patients’ spiritual needs
Making medical decisions for the patient
Ignoring spiritual concerns
Explanation - Nurses provide holistic care by respecting and supporting patients' spiritual beliefs without imposing their own.
Correct answer is: Supporting patients’ spiritual needs
Q.8 Which of the following is a sign of depression in a cancer patient?
Loss of interest in activities
Excessive energy
Increased socialization
Euphoria
Explanation - Depression often presents with reduced interest or pleasure in previously enjoyed activities.
Correct answer is: Loss of interest in activities
Q.9 Which intervention helps reduce anxiety in hospitalized cancer patients?
Providing detailed information about procedures
Restricting communication
Avoiding patient questions
Ignoring emotional needs
Explanation - Clear information helps patients feel more in control and reduces uncertainty-related anxiety.
Correct answer is: Providing detailed information about procedures
Q.10 Family caregivers of cancer patients are at risk for:
Burnout
Increased immunity
Euphoria
Heightened energy levels
Explanation - Providing continuous care can cause emotional and physical exhaustion in family caregivers.
Correct answer is: Burnout
Q.11 Which of the following is a primary goal of psychosocial support in oncology care?
Improve quality of life
Cure cancer
Increase hospital stays
Focus only on physical symptoms
Explanation - Psychosocial support aims to enhance coping, reduce distress, and improve overall quality of life.
Correct answer is: Improve quality of life
Q.12 Which intervention is most effective for addressing fear of recurrence in cancer survivors?
Cognitive-behavioral therapy
Ignoring the fear
Limiting follow-up visits
Encouraging constant self-monitoring
Explanation - Cognitive-behavioral therapy helps survivors manage anxiety and maladaptive thoughts related to recurrence.
Correct answer is: Cognitive-behavioral therapy
Q.13 Spiritual distress in cancer patients may manifest as:
Questioning meaning of life
Excessive joy
Increased appetite
Heightened energy
Explanation - Spiritual distress often involves existential concerns and struggles with purpose or meaning.
Correct answer is: Questioning meaning of life
Q.14 Which statement reflects effective communication with a cancer patient?
Listening actively and responding empathetically
Giving medical jargon-filled explanations
Ignoring patient questions
Discouraging emotional expression
Explanation - Active listening and empathy build trust and support the patient's emotional needs.
Correct answer is: Listening actively and responding empathetically
Q.15 Which factor increases psychological distress in cancer patients?
Lack of social support
Effective pain management
Positive coping strategies
Good communication with healthcare team
Explanation - Absence of support networks can heighten anxiety, depression, and feelings of isolation.
Correct answer is: Lack of social support
Q.16 A 35-year-old patient expresses anger after a cancer diagnosis. This reaction is an example of:
Normal emotional response
Psychotic disorder
Delirium
Mania
Explanation - Anger is a typical reaction in the grief process and should be acknowledged and managed sensitively.
Correct answer is: Normal emotional response
Q.17 Which approach is recommended to reduce isolation in cancer patients?
Encourage support groups
Restrict visitors
Discourage family contact
Limit patient communication
Explanation - Support groups provide social interaction, shared experiences, and emotional support.
Correct answer is: Encourage support groups
Q.18 Which behavior indicates resilience in a cancer patient?
Maintaining hope and positive coping
Avoiding all discussions about illness
Refusing treatment
Isolating completely from family
Explanation - Resilience involves adapting positively despite the stress of illness, maintaining hope, and coping effectively.
Correct answer is: Maintaining hope and positive coping
Q.19 Which of the following is an important aspect of psychosocial assessment in cancer care?
Emotional, social, and spiritual needs
Only physical symptoms
Dietary habits exclusively
Lab results
Explanation - Holistic assessment ensures all aspects affecting quality of life are addressed.
Correct answer is: Emotional, social, and spiritual needs
Q.20 A patient expresses guilt over their cancer. Which response demonstrates therapeutic communication?
Explore the reason for guilt and provide support
Tell them not to feel guilty
Avoid discussing guilt
Change the subject immediately
Explanation - Understanding and validating feelings helps patients process guilt and reduce emotional distress.
Correct answer is: Explore the reason for guilt and provide support
Q.21 Which of the following interventions helps reduce anticipatory nausea related to chemotherapy?
Relaxation techniques and guided imagery
Ignoring symptoms
Discouraging patient from eating
Administering only physical therapy
Explanation - Psychological interventions like relaxation can reduce conditioned nausea responses.
Correct answer is: Relaxation techniques and guided imagery
Q.22 Which of these is a common stressor for adolescent cancer patients?
Fear of altered body image
Job-related stress
Caring for elderly parents
Financial independence
Explanation - Adolescents are particularly sensitive to body image changes due to treatment, affecting self-esteem.
Correct answer is: Fear of altered body image
Q.23 Which statement is true about family dynamics in cancer care?
Family stress can affect patient coping
Family has no impact on patient well-being
Patients prefer isolation from family
Family involvement increases anxiety always
Explanation - Family members' emotional states can influence the patient’s coping and adjustment to illness.
Correct answer is: Family stress can affect patient coping
Q.24 Which intervention is useful to help pediatric cancer patients express feelings?
Art and play therapy
Ignoring emotional cues
Restricting communication
Only medication management
Explanation - Therapeutic play allows children to express emotions non-verbally and reduces anxiety.
Correct answer is: Art and play therapy
Q.25 Spiritual care in oncology nursing is primarily aimed at:
Supporting the patient's belief system
Converting patients to a religion
Replacing medical treatment
Preventing hospital visits
Explanation - Nurses provide holistic care by respecting patients’ spiritual beliefs without imposing their own.
Correct answer is: Supporting the patient's belief system