Adjustment to Cancer: Anxiety and Distress (2 credit hours)

Program Summary:  This course explores the psychosocial adjustment to cancer along a continuum of normal adjustment, psychosocial distress, adjustment disorders, and anxiety disorders.   The course examines distress and coping at each critical stage of the illness.  A discussion of screening, assessment, treatment, and pharmacotherapy is included.

This course is recommended for social workers and counselors and is appropriate for beginning and intermediate levels of practice.

Find the reading at:  https://www.freestatesocialwork.com/articles/AdjustmenttoCancerAnxietyandDistressPDQ.pdf

Publisher:  National Cancer Institute at the National Institutes of Health

Course Objectives:  To enhance professional practice, values, skills, and knowledge by identifying key issues related to adjustment to cancer.

Learning Objectives:  Describe the continuum of distress.  Identify common periods of crisis and challenge during the the cancer illness.  Describe treatment interventions for adjustment disorders and anxiety disorders.

Review our pre-reading study guide.

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1: Adjustment to cancer is
 
 
2: Which of the following best describes a group of mental disorders whose common symptoms include excessive anxiety, worry, fear, apprehension, and/or dread.
 
 
 
 
3: Across different cancer types, stronger predictors of distress include
 
 
4: A comprehensive analysis of prospective studies found that ________________ is the most reliable predictor of longer-term heightened distress.
 
 
 
 
5: Which of the following describes the psychosocial assessment?
 
 
6: Self-report screening instruments are better for
 
 
7: Screening for distress without the availability of appropriate _____________ is considered unethical.
 
 
 
 
8: When talking to patients about psychosocial needs, health care professionals should use words such as
 
 
9: Common periods of crisis and significant challenge include which of the following?
 
 
 
 
 
 
 
10: One cognitive theory of coping proposes that in response to significant life events, a person asks two important questions:  Is this event personally significant to me?  and
 
 
 
 
11: Seeking information about treatment option survival rates is an example of
 
 
 
12: Use of alcohol or other drugs is an example of
 
 
 
13: Coping style is often closely related to
 
 
14: The process of adjusting to cancer can begin as early as
 
 
 
 
15: For most individuals, adjustment to completing treatment causes a normal ____________ of distress.
 
 
16: The adjustment from posttreatment to long-term survivorship is
 
 
17: Which of the following is an example of distress?
 
 
 
 
 
18: Which of the following is not a typical component of a psychosocial intervention?
 
 
 
 
19: For most patients, levels of psychosocial  distress are highest during the earliest days of their cancer experience and, for many dissipate quickly.
 
 
20: For adjustment disorders, symptoms occur within _____________ of the onset of the stressor.
 
 
 
 
21: Which is the most commonly diagnosed mental health issue in the oncology setting?
 
 
 
22: Which treatment option for adjustment disorder is based on the idea that mental, emotional, and even physical symptoms partly stem from thoughts, feelings, and behaviors, resulting in poor adaptation?
 
 
 
 
23: Given the nature of adjustment disorders, clinical experience suggests that, if available, an initial trial of _________________ should be tried first.
 
 
24: Investigators have found that _______________ of patients with cancer reported significant anxiety.
 
 
 
 
25: In the patient with advanced disease, anxiety is often caused by
 
 
26: Acute onset of anxiety may be a precursor of an impending medical event, such as
 
 
 
 
27: Claustrophobia during an MRI scan may be an example of
 
 
 
 
 
28: Patients with cancer who engage in compulsive behaviors such as hand washing, checking, or counting to such an extent that they cannot comply with treatment may have
 
 
 
 
 
29: Patients who present with hypervigilance to potential physical symptoms and extreme focus on cancer status may present with
 
 
 
 
 
30: Which of the following is a symptom of common or normal worry as opposed to more serious symptoms of anxiety?
 
 
31: Which of the following is a symptom of common or normal worry as opposed to more serious symptoms of anxiety?
 
 
32: The use of medications to treat anxiety disorders is considered when
 
 
 
 
33: Benzodiazepines are effective in the ____________ treatment of anxiety disorders.
 
 
34: Which of the following is an example of a short-acting medication that can be used to provide relief during a diagnostic procedure?
 
 
 
 
35: SSRIs and SNRIs are considered first-line pharmacotherapy for ____________ management of anxiety disorders.
 
 
36: SSRIs and SNRIs take approximately ____________ to take effect.
 
 
 
 
37: When treating severe treatment-resistant anxiety, the use of neuroleptics or anticonvulsants is considered
 
 

In order to purchase or take this course, you will need to log in. If you do not have an account, you will need to register for a free account.

After you log in, a link will appear here that will allow you to purchase this course.

 

Free State Social Work, LLC, provider #1235, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Free State Social Work, LLC maintains responsibility for this course. ACE provider approval period: 9/6/2018 - 9/6/2021. Social workers completing this course receive 2 continuing education credits.

Free State Social Work has been approved by NBCC as an Approved Continuing Education Provider, ACEP NO. 6605. Programs that do not qualify for NBCC credit are clearly identified. Free State Social Work is solely responsible for all aspects of the programs.

G.M. Rydberg-Cox, MSW, LSCSW is the Continuing Education Director at Free State Social Work and responsible for the development of this course.  She received her Masters of Social Work in 1996 from the Jane Addams School of Social Work at the University of Illinois-Chicago and she has over 20 years of experience.  She has lived and worked as a social worker in Chicago, Boston, and Kansas City.  She currently practices in the area of hospital/medical social work.  The reading materials for this course were developed by another organization.