Since being treated for leukemia in her early twenties, a client has e

Since being treated for leukemia in her early twenties, a client has experienced bilateral mastec-tomies and has been diagnosed with osteoporosis and hypothyroidism. This health history best reflects the lifelong impact of:

1. Cancer on a client’s health and wellness
2. Cancer treatments on future health status
3. Specific cancers on the health status of survivors
4. Genetic susceptibility on the reoccurrence of cancer

ANSWER

ANS: 2
The impact of cancer treatment on future health status is the correct response. The increased risk for developing a second cancer is due to cancer treatment, genetic or other susceptibility, or an interaction between treatment and susceptibility. The risk for treatment related problems is asso-ciated with the complexity of the cancer itself (e.g., type of tumor and stage of disease); the type, variety, and intensity of treatments used; and the age and underlying health status of the client.
While cancer itself affects the client’s immediate health and wellness status, it is secondary to the long-term effects of the cancer treatments used.
Although some health effects are related to specific forms of cancer, this is not the best option available because it is much less likely to be the cause of lifelong health issues.
While genetic predisposition is a factor in cancer development it is not the most likely factor af-fecting lifelong health issues for the cancer survivor.