Oncology Certification Practice Examination Guide

What percentage of psychosocial concerns of cancer pts are identified and refereed for help? ️️ <10 % Medicare and hospice care (which statement is correct) ️️ The patient may be billed a small fee for impatient respite care Osteopenia is a late effect in which Cancer survivors ️️ Breast cancer, prostate cancer True about health care proxies ️️ Proxies cannot be physicians, nurses or other health care providers unless the person is a close relative Which statement is true r/t spirituality in the cancer survivor? ️️ Religiosity and spirituality in cancer patients and survivors is difficult to measure (due to how these terms are uniquely individualized) Which agency established an accreditation standard for requiring screening psychosocial concerns at least once during cancer care and documented guidelines for tx or referral for all cancer centers in the USA ️️ The American College of surgeons commission on cancer (2011) What types of cancer develop from acquired mutations ️️ Sporadic cancer The general oncology nurses role in genetic testing includes ️️ Performing risk assessments that include personal, occupational, and family risk factors Primarily determines the nursesscope of practice from a legal perspective ️️ Nursing practice Act in their state of residence/licensure According to the WHO Analgesic ladder which medication should be avoided due to CNS toxicity ️️ Meperidine (Demerol)! Risk factors for cardiac tamponade ️️ Malignancies to the chest (lung cancer and mets 80% of cases) , lymphatic dysfunction of the chest, HIV, hematologic malignancies, radiation therapy, chemo (high dose) , infections Hypercalcemia of malignancy ️️ High risk ! Solid tumor cancers ( breast and squamous cell lung) compromise more than 1/2 followed by MM . Others are T cell lymphoma, Hodgkin lymphoma and other types of non Hodgkin lymphoma. Rare in mets to the bone (prostate and small cell lung) Type of oncologic pain syndrome resulting in tight, burning pain in the surgical site with dysesthesias and shock like pains ️️ Post radical neck dissection Peripheral Neuropathy ️️ Drugs which can cause: Cisplatin, vincristine, taxanes Paresthesia ️️ Pins and needles Hyperesthesia ️️ Abnormal increase in sensitivity to stimuli of the sense