MIDTERM EXAM IN ONCOLOGY NURSING

Working Situation: “Cindy is a 38-year old married mother of three girls (ages 2.4 and 5) who has just
been diagnosed with infiltrating ductal cancer of the breast following a mammogram and stereotactic
core biopsy. She decided to have a mammogram after learning that her maternal aunt and grandmother
were diagnosed with breast cancer 8 years ago at age 50. Her surgeon has asked you to meet with her
to offer education and support in making sense of her diagnosis and expected treatment. Her medical
history is only for starting menstruation early, at age 10, and being chronically 20 to 30 pounds
overweight since high school. Her home exercise includes walking and gardening, and she describes her
diet as healthy. She works part time from home as a science editor, which involves a lot of time on the
computer”.

Direction:

1. Intuitively design a Nursing Care Plan for the patient based on the perceived problem. Prioritize
these plans and arrive to at least three (3) Nursing Diagnosis.
2. Each care plan should have a theoretical basis coming from the known Nursing theorists (ex.
Florence Nightingale’s Environmental Theory). Describe how these theories relate to your care
plan.
3. Content should include:
a. Frontpage
i. Self-made title
ii. Submitted by
iii. Course
iv. School name and address
v. Subject title
vi. Semester
b. Introduction (maximum of 50 words)
c. Background
i. The specific theory
ii. Background about the nursing theorists
iii. Description of the nursing theorists to the identified problem of Cindy, the
patient.
d. The three prioritized Nursing Care Plan (Tabular form)
i. Assessment
1. Subjective assessment
2. Objective assessment
ii. Diagnosis (Problem, Etiology & Signs and Symptom)
iii. Planning
iv. Intervention (with rationale)
v. Evaluation
e. Conclusion (50-100 words)