AONN Certification Exam
What are Cancer Costs by 2020 - answer$173 Billion
When was Affordable Care Act Passed - answer2010
What is the Affordable Care Act - answerBy 1/1/14 citizens must have health ins or pay
penalty
What is NCCN Distress Thermometer - answerTool to identify barriers and issues of
distress
What is Mullan's Seasons of Survival Model - answer3 stages of survival - Acute,
Extended, Permanent
What is Bidimensional Orientation of NN Role - answerPatient-centered and healthcare
system-centered
What is the Freeman Model - answerNavigation model using community members to
help underserved and poor gain access to breast cancer screenings
What is Major Purpose of Navigation - answerProvide personal assistance in eliminating
barriers to care
What is Belmont Report and Informed Consent - answerInformed Consent is an
example of the ethical principle Autonomy
When did ONS Implemented NN Role - answer2008
Lillie's Book When - answer2011
When was Patient Navigation Research Program Formed - answer2002
What is CoC Standard 3.1 - answerID and address a new barrier each year
What is Palliative Care - answerSymptom Management, not hospice
What is #1 of wishes in dying patients? - answerBe Kept Clean (99% of patients)
What to Expect --> Physical Condition - answer96% of patients say this is important
What % of patients wish to die at home - answer50-90%
, How many patients die at home - answer10-35%
How many patients die in hospitals - answer50-60%
What is average length of time pt receives hospice - answer5 days
What is % ICU deaths of metastatic patients - answer21%
What do patients think when they hear: "Hopeful your tumor will respond to this
treatment" - answer30-81% patients think "cure"
True/False: Being honest doesn't take away hope - answerTrue
What is #1 fear of entering hospice - answerFear of abandonment by their doctor
What are 3 Phases of Hope? - answer1) 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? - answer$74,000 (only 4%
is hospice)
True/False: Advanced Directives are just CPR - answerFalse
True/False: Poor communication is why pts don't get care they desire - answerTrue
What is Role of Navigation - answerImprove patient's timely access to cancer-related
care throughout the cancer continuum
When Was Term "Patient Navigation" First Coined - answer1990's by Harold Freeman
in Harlem, NY
What was increase in 5-year survival rate after Freeman's program - answerIncreased
from 39% to 70% in breast cancer, 94% of whom were black
What was decrease in late stage diagnosis after Freeman's program -
answerDecreased from 50% to 20% for his black patients
What is World Health Org definition of health - answer"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? - answerSocial determinants:
economic stability, education, neighborhood, social and community, health and
healthcare
Why was first patient navigation program developed in Harlem? - answerTo reduce the
stage of disease and mortality of black patients
What are Cancer Costs by 2020 - answer$173 Billion
When was Affordable Care Act Passed - answer2010
What is the Affordable Care Act - answerBy 1/1/14 citizens must have health ins or pay
penalty
What is NCCN Distress Thermometer - answerTool to identify barriers and issues of
distress
What is Mullan's Seasons of Survival Model - answer3 stages of survival - Acute,
Extended, Permanent
What is Bidimensional Orientation of NN Role - answerPatient-centered and healthcare
system-centered
What is the Freeman Model - answerNavigation model using community members to
help underserved and poor gain access to breast cancer screenings
What is Major Purpose of Navigation - answerProvide personal assistance in eliminating
barriers to care
What is Belmont Report and Informed Consent - answerInformed Consent is an
example of the ethical principle Autonomy
When did ONS Implemented NN Role - answer2008
Lillie's Book When - answer2011
When was Patient Navigation Research Program Formed - answer2002
What is CoC Standard 3.1 - answerID and address a new barrier each year
What is Palliative Care - answerSymptom Management, not hospice
What is #1 of wishes in dying patients? - answerBe Kept Clean (99% of patients)
What to Expect --> Physical Condition - answer96% of patients say this is important
What % of patients wish to die at home - answer50-90%
, How many patients die at home - answer10-35%
How many patients die in hospitals - answer50-60%
What is average length of time pt receives hospice - answer5 days
What is % ICU deaths of metastatic patients - answer21%
What do patients think when they hear: "Hopeful your tumor will respond to this
treatment" - answer30-81% patients think "cure"
True/False: Being honest doesn't take away hope - answerTrue
What is #1 fear of entering hospice - answerFear of abandonment by their doctor
What are 3 Phases of Hope? - answer1) 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? - answer$74,000 (only 4%
is hospice)
True/False: Advanced Directives are just CPR - answerFalse
True/False: Poor communication is why pts don't get care they desire - answerTrue
What is Role of Navigation - answerImprove patient's timely access to cancer-related
care throughout the cancer continuum
When Was Term "Patient Navigation" First Coined - answer1990's by Harold Freeman
in Harlem, NY
What was increase in 5-year survival rate after Freeman's program - answerIncreased
from 39% to 70% in breast cancer, 94% of whom were black
What was decrease in late stage diagnosis after Freeman's program -
answerDecreased from 50% to 20% for his black patients
What is World Health Org definition of health - answer"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? - answerSocial determinants:
economic stability, education, neighborhood, social and community, health and
healthcare
Why was first patient navigation program developed in Harlem? - answerTo reduce the
stage of disease and mortality of black patients
