AONN CERTIFICATION COMPREHENSIVE EXAM
QUESTIONS AND ANSWERS GRADED A+
✔✔Quality Care - ✔✔Right Care, Right pt, right time, every time & outcomes
=evidenced based care
✔✔What is role of non-licensed pt navigator? - ✔✔Coach pts to use their time
effectively w/MD, help them find resources & advocate for pt rights
✔✔How many categories on the HCAHPS survey relate to communication? - ✔✔4 of 10
✔✔Pathways - ✔✔Based on clinical guidelines to factor in efficacy, toxicity, cost
✔✔What are skills of NN as identified by Oncology Nursing Society? - ✔✔Advocacy,
problem solving, time management, critical thinking, multitasking, collaboration &
communication
✔✔Models to elicit change - ✔✔Hardwiring excellence, Lean/Six Sigma, Baldridge
✔✔Barriers to advocacy by the nurse navigator - ✔✔Lack of support, lack of education,
conflict of responsibility to PT & responsibility to institution, system level problems
✔✔What are 3 main psychological concerns in cancer patients? - ✔✔Depression
anxiety
neurocognitive (Including delirium)
✔✔Clinical pathways - ✔✔Systematic tool to improve care, standardized, can result in
better outcomes
✔✔3 phases of Hope - ✔✔1. Miracle
2. Long life w/quality of life
3. Accepting shortened life but still hope for quality of life
✔✔Guidelines - ✔✔Recommended regimens per diagnosis
✔✔3 stages of Transitions Theory - ✔✔Endings
Neutral Zone
Beginnings
✔✔Affordable Care Act - ✔✔By 1/1/14 Citizens must have health insurance or pay
penalty
✔✔Barlow Theory - ✔✔Self management, pt works w/team to manage symptoms &
consequences of living with chronic illness
, ✔✔Operation Management - ✔✔An area of Management concerned w/designing &
controlling the process of production & redesigning business operations in the
production of goods & services
✔✔What is the increase of people developing cancer? - ✔✔45%
✔✔What is the major goal of intervention for those pts in distress? - ✔✔Promote
adaptation to illness
✔✔Patient Navigator Outreach & Chronic Disease Prevention Act of 2005 -
✔✔Navigators to ensure high-quality coordinated care for cancer patients
✔✔What is the percentage of cancer patients experiencing distress? - ✔✔29-43%
✔✔Triple Aim - ✔✔1. Improve pt experience
2. Improve population health
3. Decrease cost
✔✔World Health Org Definition of Health - ✔✔State of complete physical, mental &
social well-being & not merely the absence of disease or infirmity
✔✔What % of patients wish to die at home? - ✔✔50- 90%
✔✔What is the % of Adults who can't read - ✔✔>20%
✔✔What was decrease in late stage diagnosis after Freeman's program? -
✔✔Decreased from 50% to 20% for his black patient
✔✔What was increase in 5 yr survival rate after Freeman's program? - ✔✔Increased
from 39% to 70% in breast cancer, 94% of whom were black
✔✔Original model of navigation - ✔✔Outreach->Pt Navigation->Rehab
✔✔What year did ACOS agree w/IOM that psychosocial had to be integrated into
routine cancer care? - ✔✔2012
✔✔What year did ACOS publish standards on psychosocial care that are necessary for
accreditation? - ✔✔2015
✔✔What year did AONN change its name? - ✔✔2013
✔✔When did ONS implement NN role? - ✔✔2008
QUESTIONS AND ANSWERS GRADED A+
✔✔Quality Care - ✔✔Right Care, Right pt, right time, every time & outcomes
=evidenced based care
✔✔What is role of non-licensed pt navigator? - ✔✔Coach pts to use their time
effectively w/MD, help them find resources & advocate for pt rights
✔✔How many categories on the HCAHPS survey relate to communication? - ✔✔4 of 10
✔✔Pathways - ✔✔Based on clinical guidelines to factor in efficacy, toxicity, cost
✔✔What are skills of NN as identified by Oncology Nursing Society? - ✔✔Advocacy,
problem solving, time management, critical thinking, multitasking, collaboration &
communication
✔✔Models to elicit change - ✔✔Hardwiring excellence, Lean/Six Sigma, Baldridge
✔✔Barriers to advocacy by the nurse navigator - ✔✔Lack of support, lack of education,
conflict of responsibility to PT & responsibility to institution, system level problems
✔✔What are 3 main psychological concerns in cancer patients? - ✔✔Depression
anxiety
neurocognitive (Including delirium)
✔✔Clinical pathways - ✔✔Systematic tool to improve care, standardized, can result in
better outcomes
✔✔3 phases of Hope - ✔✔1. Miracle
2. Long life w/quality of life
3. Accepting shortened life but still hope for quality of life
✔✔Guidelines - ✔✔Recommended regimens per diagnosis
✔✔3 stages of Transitions Theory - ✔✔Endings
Neutral Zone
Beginnings
✔✔Affordable Care Act - ✔✔By 1/1/14 Citizens must have health insurance or pay
penalty
✔✔Barlow Theory - ✔✔Self management, pt works w/team to manage symptoms &
consequences of living with chronic illness
, ✔✔Operation Management - ✔✔An area of Management concerned w/designing &
controlling the process of production & redesigning business operations in the
production of goods & services
✔✔What is the increase of people developing cancer? - ✔✔45%
✔✔What is the major goal of intervention for those pts in distress? - ✔✔Promote
adaptation to illness
✔✔Patient Navigator Outreach & Chronic Disease Prevention Act of 2005 -
✔✔Navigators to ensure high-quality coordinated care for cancer patients
✔✔What is the percentage of cancer patients experiencing distress? - ✔✔29-43%
✔✔Triple Aim - ✔✔1. Improve pt experience
2. Improve population health
3. Decrease cost
✔✔World Health Org Definition of Health - ✔✔State of complete physical, mental &
social well-being & not merely the absence of disease or infirmity
✔✔What % of patients wish to die at home? - ✔✔50- 90%
✔✔What is the % of Adults who can't read - ✔✔>20%
✔✔What was decrease in late stage diagnosis after Freeman's program? -
✔✔Decreased from 50% to 20% for his black patient
✔✔What was increase in 5 yr survival rate after Freeman's program? - ✔✔Increased
from 39% to 70% in breast cancer, 94% of whom were black
✔✔Original model of navigation - ✔✔Outreach->Pt Navigation->Rehab
✔✔What year did ACOS agree w/IOM that psychosocial had to be integrated into
routine cancer care? - ✔✔2012
✔✔What year did ACOS publish standards on psychosocial care that are necessary for
accreditation? - ✔✔2015
✔✔What year did AONN change its name? - ✔✔2013
✔✔When did ONS implement NN role? - ✔✔2008
