AONN CERTIFICATION MAIN TEST PAPER QUESTIONS AND
ANSWERS GRADED A+
✔✔T/F: Pts who die in hospital experience more physical & emotional distress & poor
QOL compared to pts who die at home - ✔✔True
✔✔Caregiver support is managed better where - ✔✔Home setting
✔✔Ability to honor dying at home based on: - ✔✔-Use of home care & availability of inpt
bed
-Receiving hospice & palliative home care visits
-living in a geographic area with higher hospice availability
✔✔Pts do better with understanding & accepting enrollment into hospice if MD does: -
✔✔-Reassures pt they won't be abandoned by MD
-Addressed the emotional rx from the pt before proceeding with more details &
discussion
-Must know what the palliative tx options are & their known side effects
✔✔Attributes of a "Good Death" - ✔✔-Being kept clean/pain free
-Naming a decision maker on their behalf
-Be free of anxiety & stress
-Knowing what to expect about their physical condition
-Knowing one's purpose for having lived
-Leaving a legacy
-Leaving no financial debt for family
-giving/receiving forgiveness
-Having legal & financial affairs in order
✔✔Highest ranked request by PT & MD regarding dying: - ✔✔To be kept clean
Die with dignity
✔✔Knowing what to expect regarding physical condition was ranked: - ✔✔Top 5 by pt-
96% but only 88% by MD
✔✔Projection for 2020 cost of cancer - ✔✔$173 Billion
✔✔Hospice care accounts for how much of cancer cost? - ✔✔4%
✔✔During the last 6 months of life, a patient can spend - ✔✔$74,000
✔✔Biggest barrier to hospice referral per ONC - ✔✔Nearly 37% was predicting death to
within 6 months
, ✔✔T/F: The more intertwined an ONC is emotionally with terminally ill pt, the longer the
prediction of time is for how long the pt will live - ✔✔True
✔✔Primary reason pts resist enrollment into hospice program - ✔✔Fear of
abandonment
NN should offer to also remain in contact w/pt & family
✔✔T/F: Cancer patients are 5 time more likely to go bankrupt than people without a
cancer diagnosis - ✔✔False
✔✔Lymphedema: Care of - ✔✔-Moisture skin to protect
-Sunscreen/skin covering
-Prevent wounds
-Avoid tight clothing/jewelry
-Prevent infection: wear gloves/long sleeves
-Cleanse wounds- use antibiotic cream
-Avoid burns/extreme temperatures
-Exercise gradually
-Use compression garments, per MD
✔✔Chemo Brain: Care of - ✔✔-Make lists
-Get proper sleep, diet, exercise
-Use post it notes
-Establish a routine
-Keep your mind active
-Discuss with Provider
✔✔Role of NN is Bidimensioinal - ✔✔Pt-centered & healthcare-centered
✔✔Care transitions refers to: - ✔✔The movement pts make between healthcare
practitioners & settings as their condition/care changes
✔✔T/F: Cancer survivors report more psychological distress & more use of mental
health services than the non-cancer adult population - ✔✔True
✔✔Fatigue is the most commonly reported symptom & reduces QOL. What measure
should you take - ✔✔Treat comorbidities that may be contributing factors
✔✔T/F: Radiation leads to a significant increase in bowel problems for rectal cancer
survivors - ✔✔True
✔✔Core Function of Patient Navigation? - ✔✔Elimination of barriers to timely care
across all segments of the healthcare continuum
ANSWERS GRADED A+
✔✔T/F: Pts who die in hospital experience more physical & emotional distress & poor
QOL compared to pts who die at home - ✔✔True
✔✔Caregiver support is managed better where - ✔✔Home setting
✔✔Ability to honor dying at home based on: - ✔✔-Use of home care & availability of inpt
bed
-Receiving hospice & palliative home care visits
-living in a geographic area with higher hospice availability
✔✔Pts do better with understanding & accepting enrollment into hospice if MD does: -
✔✔-Reassures pt they won't be abandoned by MD
-Addressed the emotional rx from the pt before proceeding with more details &
discussion
-Must know what the palliative tx options are & their known side effects
✔✔Attributes of a "Good Death" - ✔✔-Being kept clean/pain free
-Naming a decision maker on their behalf
-Be free of anxiety & stress
-Knowing what to expect about their physical condition
-Knowing one's purpose for having lived
-Leaving a legacy
-Leaving no financial debt for family
-giving/receiving forgiveness
-Having legal & financial affairs in order
✔✔Highest ranked request by PT & MD regarding dying: - ✔✔To be kept clean
Die with dignity
✔✔Knowing what to expect regarding physical condition was ranked: - ✔✔Top 5 by pt-
96% but only 88% by MD
✔✔Projection for 2020 cost of cancer - ✔✔$173 Billion
✔✔Hospice care accounts for how much of cancer cost? - ✔✔4%
✔✔During the last 6 months of life, a patient can spend - ✔✔$74,000
✔✔Biggest barrier to hospice referral per ONC - ✔✔Nearly 37% was predicting death to
within 6 months
, ✔✔T/F: The more intertwined an ONC is emotionally with terminally ill pt, the longer the
prediction of time is for how long the pt will live - ✔✔True
✔✔Primary reason pts resist enrollment into hospice program - ✔✔Fear of
abandonment
NN should offer to also remain in contact w/pt & family
✔✔T/F: Cancer patients are 5 time more likely to go bankrupt than people without a
cancer diagnosis - ✔✔False
✔✔Lymphedema: Care of - ✔✔-Moisture skin to protect
-Sunscreen/skin covering
-Prevent wounds
-Avoid tight clothing/jewelry
-Prevent infection: wear gloves/long sleeves
-Cleanse wounds- use antibiotic cream
-Avoid burns/extreme temperatures
-Exercise gradually
-Use compression garments, per MD
✔✔Chemo Brain: Care of - ✔✔-Make lists
-Get proper sleep, diet, exercise
-Use post it notes
-Establish a routine
-Keep your mind active
-Discuss with Provider
✔✔Role of NN is Bidimensioinal - ✔✔Pt-centered & healthcare-centered
✔✔Care transitions refers to: - ✔✔The movement pts make between healthcare
practitioners & settings as their condition/care changes
✔✔T/F: Cancer survivors report more psychological distress & more use of mental
health services than the non-cancer adult population - ✔✔True
✔✔Fatigue is the most commonly reported symptom & reduces QOL. What measure
should you take - ✔✔Treat comorbidities that may be contributing factors
✔✔T/F: Radiation leads to a significant increase in bowel problems for rectal cancer
survivors - ✔✔True
✔✔Core Function of Patient Navigation? - ✔✔Elimination of barriers to timely care
across all segments of the healthcare continuum
