AONN CERTIFICATION EVALUATION EXAM
2026 QUESTIONS GRADED A+
◉ Virtual integration *. Answer: use of the Internet to replace physical
components of a company with information, i.e. allowing online access
◉ Continuum of care *. Answer: guides and tracks patient over time
through a comprehensive array of health services spanning all levels of
intensity of care
◉ Paradigm shift with example *. Answer: a fundamental change in
approach or underlying assumptions, i.e. mending holes in the system,
knock down barriers
◉ Disparities *. Answer: inequalities that occur in the provision of
healthcare and access to healthcare across different racial, ethnic and
socioeconomic groups
◉ Efficacy *. Answer: the ability to produce a desired or intended result
◉ What was the beginning of patient navigation?. Answer: 1989, ACS
held National Hearings on Cancer in the Poor
,◉ What were the findings in the ACS hearing?. Answer: Poor face
substantial barriers in obtaining cancer care and often do not seek care if
cannot pay
Poor/families often make extreme personal sacrifices to obtain and pay
for care
Fatalism about cancer is prevalent among the poor and may prevent
many from seeking care
Poor experience greater pain and suffering from cancer than other
Americans
◉ Who started the first patient navigation program and where? *.
Answer: Dr. Harold P. Freeman at Harlem Hospital Center
◉ What was the goal for patient navigation?. Answer: to eliminate
barriers to timely care between when abnormal findings found and time
of diagnosis and treatment, i.e. the Harlem women experiencing stages 3
and 4 breast cancer
◉ What were some barriers of care in this experiment?. Answer:
Financial, no health insurance
Communication and information lacking
, Medical system barriers (lost results, missed appts)
Fear, distrust, and emotional barriers
◉ What did President Bush do to enact on funding?. Answer: 2005,
Patient Navigation and Chronic Disease Prevention Act
◉ Any cancer treatment program must have what established?. Answer:
a patient navigator
◉ Who can perform navigator services? *. Answer: Professionals-
nurses and social workers
Paraprofessionals- tumor registrars, community health workers
Possible lay workers- i.e. cancer survivors
◉ Why do we need patient-centered delivery models?. Answer: move
patients through HC continuum
◉ How do we get access to care?. Answer: eliminating barriers
◉ Why must a system have a coordinator?. Answer: to oversee all
phases of the continuum
◉ Fatalism *. Answer: the belief that all events are predetermined and
therefore inevitable
2026 QUESTIONS GRADED A+
◉ Virtual integration *. Answer: use of the Internet to replace physical
components of a company with information, i.e. allowing online access
◉ Continuum of care *. Answer: guides and tracks patient over time
through a comprehensive array of health services spanning all levels of
intensity of care
◉ Paradigm shift with example *. Answer: a fundamental change in
approach or underlying assumptions, i.e. mending holes in the system,
knock down barriers
◉ Disparities *. Answer: inequalities that occur in the provision of
healthcare and access to healthcare across different racial, ethnic and
socioeconomic groups
◉ Efficacy *. Answer: the ability to produce a desired or intended result
◉ What was the beginning of patient navigation?. Answer: 1989, ACS
held National Hearings on Cancer in the Poor
,◉ What were the findings in the ACS hearing?. Answer: Poor face
substantial barriers in obtaining cancer care and often do not seek care if
cannot pay
Poor/families often make extreme personal sacrifices to obtain and pay
for care
Fatalism about cancer is prevalent among the poor and may prevent
many from seeking care
Poor experience greater pain and suffering from cancer than other
Americans
◉ Who started the first patient navigation program and where? *.
Answer: Dr. Harold P. Freeman at Harlem Hospital Center
◉ What was the goal for patient navigation?. Answer: to eliminate
barriers to timely care between when abnormal findings found and time
of diagnosis and treatment, i.e. the Harlem women experiencing stages 3
and 4 breast cancer
◉ What were some barriers of care in this experiment?. Answer:
Financial, no health insurance
Communication and information lacking
, Medical system barriers (lost results, missed appts)
Fear, distrust, and emotional barriers
◉ What did President Bush do to enact on funding?. Answer: 2005,
Patient Navigation and Chronic Disease Prevention Act
◉ Any cancer treatment program must have what established?. Answer:
a patient navigator
◉ Who can perform navigator services? *. Answer: Professionals-
nurses and social workers
Paraprofessionals- tumor registrars, community health workers
Possible lay workers- i.e. cancer survivors
◉ Why do we need patient-centered delivery models?. Answer: move
patients through HC continuum
◉ How do we get access to care?. Answer: eliminating barriers
◉ Why must a system have a coordinator?. Answer: to oversee all
phases of the continuum
◉ Fatalism *. Answer: the belief that all events are predetermined and
therefore inevitable
