AONN CERTIFICATION EXAM SCRIPT QUESTIONS AND
ANSWERS GRADED A+
✔✔What are 3 Phases of Hope? - ✔✔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? - ✔✔$74,000 (only 4%
is hospice)
✔✔True/False: Advanced Directives are just CPR - ✔✔False
✔✔True/False: Poor communication is why pts don't get care they desire - ✔✔True
✔✔What is Role of Navigation - ✔✔Improve patient's timely access to cancer-related
care throughout the cancer continuum
✔✔When Was Term "Patient Navigation" First Coined - ✔✔1990's by Harold Freeman
in Harlem, NY
✔✔What was increase in 5-year survival rate after Freeman's program - ✔✔Increased
from 39% to 70% in breast cancer, 94% of whom were black
✔✔What was decrease in late stage diagnosis after Freeman's program -
✔✔Decreased from 50% to 20% for his black patients
✔✔What is World Health Org definition of health - ✔✔"state of complete physical,
mental and social well-being and not merely the absence of disease or infirmity"
✔✔What Does Health People 2020 say health is affected by? - ✔✔Social determinants:
economic stability, education, neighborhood, social and community, health and
healthcare
✔✔Why was first patient navigation program developed in Harlem? - ✔✔To reduce the
stage of disease and mortality of black patients
✔✔What does 20% coinsurance mean? - ✔✔Pay 100% of deductible and then 20% of
any remaining healthcare costs for care received
✔✔What does TNM refer to? - ✔✔System used to stage and grade cancer
✔✔What is DRE? - ✔✔Digital Rectal Exam to evaluate prostate size/abnorm.
✔✔What are some treatments for prostate cancer? - ✔✔Radiation, Prostatectomy,
Orchiectomy
, ✔✔What is role of non-licensed patient navigator? - ✔✔Coach patients to use their time
effectively w/physician, help them find resources and advocate for patient rights
✔✔Highest Breast Cancer Incidence in... - ✔✔White Women
✔✔Highest Breast Cancer Mortality in... - ✔✔Black Women
✔✔What did American College of Surgeons Commission on Cancer (CoC) mandate
about navigation - ✔✔2012 announcement: must implement patient navigation by
1/1/15 for CoC accreditation
✔✔What did IHI develop in 2008 - ✔✔Triple Aim
✔✔What is Triple Aim - ✔✔1) improve pt exp, 2) improve pop. health, 3) decrease cost
✔✔How many patients with cancer diagnosis in 2016 - ✔✔1.6 million
✔✔How many patients with cancer diagnosis by 2030 - ✔✔2.3 million
✔✔How much have cancer deaths decreased since 1991 - ✔✔20%
✔✔What is the projected shortage of medical oncologists? - ✔✔decrease by 48%
✔✔According to IOM, what is STEEP? - ✔✔Safe, Timely, Effective, Efficient, Equitable,
Patient Centered
✔✔What is Quality Care? - ✔✔Right Care, Right Patient, Right Time, Every Time and
outcomes = evidenced based care
✔✔What is the Iowa Module? - ✔✔Evidence Based Practice and Research
✔✔What are some models to elicit change? - ✔✔Hardwiring excellence, Lean/Six
Sigma, Baldridge
✔✔What is PDCA? - ✔✔Plan, Do, Check, Ask
✔✔What is FOCUS? - ✔✔Find, Organize, Clarify, Uncover, Select
✔✔What is a Pareto Chart? - ✔✔80% comes from 20% of the problem
✔✔What are SMART Goals? - ✔✔Specific, Measureable, Achievable, Relevant, Time
Based
ANSWERS GRADED A+
✔✔What are 3 Phases of Hope? - ✔✔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? - ✔✔$74,000 (only 4%
is hospice)
✔✔True/False: Advanced Directives are just CPR - ✔✔False
✔✔True/False: Poor communication is why pts don't get care they desire - ✔✔True
✔✔What is Role of Navigation - ✔✔Improve patient's timely access to cancer-related
care throughout the cancer continuum
✔✔When Was Term "Patient Navigation" First Coined - ✔✔1990's by Harold Freeman
in Harlem, NY
✔✔What was increase in 5-year survival rate after Freeman's program - ✔✔Increased
from 39% to 70% in breast cancer, 94% of whom were black
✔✔What was decrease in late stage diagnosis after Freeman's program -
✔✔Decreased from 50% to 20% for his black patients
✔✔What is World Health Org definition of health - ✔✔"state of complete physical,
mental and social well-being and not merely the absence of disease or infirmity"
✔✔What Does Health People 2020 say health is affected by? - ✔✔Social determinants:
economic stability, education, neighborhood, social and community, health and
healthcare
✔✔Why was first patient navigation program developed in Harlem? - ✔✔To reduce the
stage of disease and mortality of black patients
✔✔What does 20% coinsurance mean? - ✔✔Pay 100% of deductible and then 20% of
any remaining healthcare costs for care received
✔✔What does TNM refer to? - ✔✔System used to stage and grade cancer
✔✔What is DRE? - ✔✔Digital Rectal Exam to evaluate prostate size/abnorm.
✔✔What are some treatments for prostate cancer? - ✔✔Radiation, Prostatectomy,
Orchiectomy
, ✔✔What is role of non-licensed patient navigator? - ✔✔Coach patients to use their time
effectively w/physician, help them find resources and advocate for patient rights
✔✔Highest Breast Cancer Incidence in... - ✔✔White Women
✔✔Highest Breast Cancer Mortality in... - ✔✔Black Women
✔✔What did American College of Surgeons Commission on Cancer (CoC) mandate
about navigation - ✔✔2012 announcement: must implement patient navigation by
1/1/15 for CoC accreditation
✔✔What did IHI develop in 2008 - ✔✔Triple Aim
✔✔What is Triple Aim - ✔✔1) improve pt exp, 2) improve pop. health, 3) decrease cost
✔✔How many patients with cancer diagnosis in 2016 - ✔✔1.6 million
✔✔How many patients with cancer diagnosis by 2030 - ✔✔2.3 million
✔✔How much have cancer deaths decreased since 1991 - ✔✔20%
✔✔What is the projected shortage of medical oncologists? - ✔✔decrease by 48%
✔✔According to IOM, what is STEEP? - ✔✔Safe, Timely, Effective, Efficient, Equitable,
Patient Centered
✔✔What is Quality Care? - ✔✔Right Care, Right Patient, Right Time, Every Time and
outcomes = evidenced based care
✔✔What is the Iowa Module? - ✔✔Evidence Based Practice and Research
✔✔What are some models to elicit change? - ✔✔Hardwiring excellence, Lean/Six
Sigma, Baldridge
✔✔What is PDCA? - ✔✔Plan, Do, Check, Ask
✔✔What is FOCUS? - ✔✔Find, Organize, Clarify, Uncover, Select
✔✔What is a Pareto Chart? - ✔✔80% comes from 20% of the problem
✔✔What are SMART Goals? - ✔✔Specific, Measureable, Achievable, Relevant, Time
Based
