AONN CERTIFICATION EXAM WITH
COMPLETE SOLUTIONS
What are Cancer Costs by 2020 -ANS$173 Billion
When was Affordable Care Act Passed -ANS2010
What is the Affordable Care Act -ANSBy 1/1/14 citizens must have health ins or pay
penalty
What is NCCN Distress Thermometer -ANSTool to identify barriers and issues of
distress
What is Mullan's Seasons of Survival Model -ANS3 stages of survival - Acute,
Extended, Permanent
What is Bidimensional Orientation of NN Role -ANSPatient-centered and healthcare
system-centered
What is the Freeman Model -ANSNavigation model using community members to help
underserved and poor gain access to breast cancer screenings
What is Major Purpose of Navigation -ANSProvide personal assistance in eliminating
barriers to care
What is Belmont Report and Informed Consent -ANSInformed Consent is an example of
the ethical principle Autonomy
When did ONS Implemented NN Role -ANS2008
Lillie's Book When -ANS2011
When was Patient Navigation Research Program Formed -ANS2002
What is CoC Standard 3.1 -ANSID and address a new barrier each year
What is Palliative Care -ANSSymptom Management, not hospice
What is #1 of wishes in dying patients? -ANSBe Kept Clean (99% of patients)
What to Expect --> Physical Condition -ANS96% of patients say this is important
What % of patients wish to die at home -ANS50-90%
, How many patients die at home -ANS10-35%
How many patients die in hospitals -ANS50-60%
What is average length of time pt receives hospice -ANS5 days
What is % ICU deaths of metastatic patients -ANS21%
What do patients think when they hear: "Hopeful your tumor will respond to this
treatment" -ANS30-81% patients think "cure"
True/False: Being honest doesn't take away hope -ANSTrue
What is #1 fear of entering hospice -ANSFear of abandonment by their doctor
What are 3 Phases of Hope? -ANS1) 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? -ANS$74,000 (only 4% is
hospice)
True/False: Advanced Directives are just CPR -ANSFalse
True/False: Poor communication is why pts don't get care they desire -ANSTrue
What is Role of Navigation -ANSImprove patient's timely access to cancer-related care
throughout the cancer continuum
When Was Term "Patient Navigation" First Coined -ANS1990's by Harold Freeman in
Harlem, NY
What was increase in 5-year survival rate after Freeman's program -ANSIncreased from
39% to 70% in breast cancer, 94% of whom were black
What was decrease in late stage diagnosis after Freeman's program -ANSDecreased
from 50% to 20% for his black patients
What is World Health Org definition of health -ANS"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? -ANSSocial determinants:
economic stability, education, neighborhood, social and community, health and
healthcare
COMPLETE SOLUTIONS
What are Cancer Costs by 2020 -ANS$173 Billion
When was Affordable Care Act Passed -ANS2010
What is the Affordable Care Act -ANSBy 1/1/14 citizens must have health ins or pay
penalty
What is NCCN Distress Thermometer -ANSTool to identify barriers and issues of
distress
What is Mullan's Seasons of Survival Model -ANS3 stages of survival - Acute,
Extended, Permanent
What is Bidimensional Orientation of NN Role -ANSPatient-centered and healthcare
system-centered
What is the Freeman Model -ANSNavigation model using community members to help
underserved and poor gain access to breast cancer screenings
What is Major Purpose of Navigation -ANSProvide personal assistance in eliminating
barriers to care
What is Belmont Report and Informed Consent -ANSInformed Consent is an example of
the ethical principle Autonomy
When did ONS Implemented NN Role -ANS2008
Lillie's Book When -ANS2011
When was Patient Navigation Research Program Formed -ANS2002
What is CoC Standard 3.1 -ANSID and address a new barrier each year
What is Palliative Care -ANSSymptom Management, not hospice
What is #1 of wishes in dying patients? -ANSBe Kept Clean (99% of patients)
What to Expect --> Physical Condition -ANS96% of patients say this is important
What % of patients wish to die at home -ANS50-90%
, How many patients die at home -ANS10-35%
How many patients die in hospitals -ANS50-60%
What is average length of time pt receives hospice -ANS5 days
What is % ICU deaths of metastatic patients -ANS21%
What do patients think when they hear: "Hopeful your tumor will respond to this
treatment" -ANS30-81% patients think "cure"
True/False: Being honest doesn't take away hope -ANSTrue
What is #1 fear of entering hospice -ANSFear of abandonment by their doctor
What are 3 Phases of Hope? -ANS1) 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? -ANS$74,000 (only 4% is
hospice)
True/False: Advanced Directives are just CPR -ANSFalse
True/False: Poor communication is why pts don't get care they desire -ANSTrue
What is Role of Navigation -ANSImprove patient's timely access to cancer-related care
throughout the cancer continuum
When Was Term "Patient Navigation" First Coined -ANS1990's by Harold Freeman in
Harlem, NY
What was increase in 5-year survival rate after Freeman's program -ANSIncreased from
39% to 70% in breast cancer, 94% of whom were black
What was decrease in late stage diagnosis after Freeman's program -ANSDecreased
from 50% to 20% for his black patients
What is World Health Org definition of health -ANS"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? -ANSSocial determinants:
economic stability, education, neighborhood, social and community, health and
healthcare
