ACTUAL Exam Questions and CORRECT
Answers
What are Cancer Costs by 2020 - CORRECT ANSWER - $173 Billion
When was Affordable Care Act Passed - CORRECT ANSWER - 2010
What is the Affordable Care Act - CORRECT ANSWER - By 1/1/14 citizens must have
health ins or pay penalty
What is NCCN Distress Thermometer - CORRECT ANSWER - Tool to identify barriers
and issues of distress
What is Mullan's Seasons of Survival Model - CORRECT ANSWER - 3 stages of survival
- Acute, Extended, Permanent
What is Bidimensional Orientation of NN Role - CORRECT ANSWER - Patient-centered
and healthcare system-centered
What is the Freeman Model - CORRECT ANSWER - Navigation model using community
members to help underserved and poor gain access to breast cancer screenings
What is Major Purpose of Navigation - CORRECT ANSWER - Provide personal
assistance in eliminating barriers to care
What is Belmont Report and Informed Consent - CORRECT ANSWER - Informed
Consent is an example of the ethical principle Autonomy
,When did ONS Implemented NN Role - CORRECT ANSWER - 2008
Lillie's Book When - CORRECT ANSWER - 2011
When was Patient Navigation Research Program Formed - CORRECT ANSWER - 2002
What is CoC Standard 3.1 - CORRECT ANSWER - ID and address a new barrier each
year
What is Palliative Care - CORRECT ANSWER - Symptom Management, not hospice
What is #1 of wishes in dying patients? - CORRECT ANSWER - Be Kept Clean (99% of
patients)
What to Expect --> Physical Condition - CORRECT ANSWER - 96% of patients say this
is important
What % of patients wish to die at home - CORRECT ANSWER - 50-90%
How many patients die at home - CORRECT ANSWER - 10-35%
How many patients die in hospitals - CORRECT ANSWER - 50-60%
What is average length of time pt receives hospice - CORRECT ANSWER - 5 days
What is % ICU deaths of metastatic patients - CORRECT ANSWER - 21%
, What do patients think when they hear: "Hopeful your tumor will respond to this treatment" -
CORRECT ANSWER - 30-81% patients think "cure"
True/False: Being honest doesn't take away hope - CORRECT ANSWER - True
What is #1 fear of entering hospice - CORRECT ANSWER - Fear of abandonment by
their doctor
What are 3 Phases of Hope? - CORRECT ANSWER - 1) miracle, 2) long life w/quality of
life, 3) accepting shortened life but still hope for quality of life
What is the mean cost of cancer care in last 6 months of life? - CORRECT ANSWER -
$74,000 (only 4% is hospice)
True/False: Advanced Directives are just CPR - CORRECT ANSWER - False
True/False: Poor communication is why pts don't get care they desire - CORRECT
ANSWER - True
What is Role of Navigation - CORRECT ANSWER - Improve patient's timely access to
cancer-related care throughout the cancer continuum
When Was Term "Patient Navigation" First Coined - CORRECT ANSWER - 1990's by
Harold Freeman in Harlem, NY
What was increase in 5-year survival rate after Freeman's program - CORRECT
ANSWER - Increased from 39% to 70% in breast cancer, 94% of whom were black
What was decrease in late stage diagnosis after Freeman's program - CORRECT
ANSWER - Decreased from 50% to 20% for his black patients