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ACS LION Review Questions with answers
Which of the following statements are false?
- The Black population has the highest death rate for most cancers compared to other racial groups
- Latinx populations are more likely to be uninsured than other racial and ethnic groups. -The poverty rate is higher in rural communities than nonrural communities -Differently abled people are more likely to be diagnosed with colorectal cancer than those without disabilities. - CORRECT ANSWERS ✔✔Differently abled people are more likely to be diagnosed with colorectal cancer than those without disabilities. Which of the following professionals uses clinical training in their role? a. Oncology patient navigator b. Financial navigator c. Oncology nurse navigator d. Cancer screening navigator - CORRECT ANSWERS ✔✔c. Oncology Nurse Navigator Which of the following describes equity? a. When everyone is given the same tools and resources to use. b. When allowances are made to give certain groups an advantage. c. When accommodations are made to take circumstances into consideration. d. When tools and resources are provided according to need. - CORRECT ANSWERS ✔✔d. When tools and resources are provided according to need.
Which health equity principle is about engaging people from different sectors who represent specific communities to maximize patient and family support? a. Partner with community organizations b. Leverage the power of volunteers c. Implement sustainable community solutions d. Prevent and address unintended consequences - CORRECT ANSWERS ✔✔a. Partner with community organizations The first patient navigation program was primarily focused on which of the following areas? a. Helping cancer patients with treatment side effects. b. Assisting caregivers in finding community resources. c. Reducing disparities in access to care. d. Increasing access to health insurance. - CORRECT ANSWERS ✔✔c. Reducing disparities in access to care. Which of the following best describes the role of a financial navigator in cancer care? a. They support people with a specific type of cancer, most often as oncology nurse navigators. b. They help people with cancer understand what their health insurance plan may cover, assist in setting up payment plans, and find ways to lower treatment costs. c. They provide information and help ease concerns about being in a clinical trial. d. They focus on the needs of children, teenagers, or young adults with cancer and their families. - CORRECT ANSWERS ✔✔b. They help people with cancer understand what their health insurance plan may cover, assist in setting up payment plans, and find ways to lower treatment costs.
c. When a normal cell becomes cancerous d. The removal of a cancerous tumor - CORRECT ANSWERS ✔✔a. Cancer that has spread to another part of the body During which phase of the cancer continuum does the confirmation of cancer occur? a. Prevention b. Early Detection c. Treatment d. Diagnosis - CORRECT ANSWERS ✔✔d. Diagnosis An Advance Directive can also be called which of the following? a. Standing order b. Living Will c. Treatment order d. Power of Attorney - CORRECT ANSWERS ✔✔b. Living Will Which of the following is not a common type of complementary treatment? a. Nutrition b. Acupuncture c. Surgery d. Yoga - CORRECT ANSWERS ✔✔c. Surgery As the patient navigator, you discover the patient only speaks Spanish. You should... a. Arrange for interpreter services b. Ask if anyone in their family speaks English
c. Use a Spanish/English translation app on your phone d. Speak very slowly to the patient - CORRECT ANSWERS ✔✔a. Arrange for interpreter services How can a navigator start to measure the level of stress an individual may be experiencing? a. Chart review b. Blood Pressure c. Facial expressions d. Distress Thermometer - CORRECT ANSWERS ✔✔d. Distress Thermometer What is the best approach for a patient navigator when a person with cancer expresses an emotional response such as anger or frustration? a. The navigator should take the emotional response personally and try to fix or stop it. b. The navigator should immediately refer the person to a mental health professional. c. The navigator should encourage the individual to express their feelings, show empathy, and listen to understand. d. The navigator should ignore the emotional response and continue with the assessment. - CORRECT ANSWERS ✔✔c. The navigator should encourage the individual to express their feelings, show empathy, and listen to understand The person-centered assessment considers an individual's strengths, needs, preferences, and desired outcomes in a way that is inclusive of their... a. stage of illness b. outlook about their disease c. previous medical history
d. Should be documented at least weekly to support team communication - CORRECT ANSWERS ✔✔c. Helps you identify concerns that should be escalated to the clinical team All of the following are considered care transitions except for: a. Transferring from a large academic medical center to a community oncology practice b. Moving from one hospital room to another c. Being discharged from the inpatient setting to a short stay rehabilitation center d. Returning home after an emergency room visit - CORRECT ANSWERS ✔✔b. Moving from one hospital room to another Patient Navigators work to coordinate services for patients in what ways? a. Communicate with healthcare team members to coordinate appointments b. Set up a schedule that works best for the team members c. Arrange for caregivers to attend appointments d. Bring a patient to and from appointments - CORRECT ANSWERS ✔✔a. Communicate with healthcare team members to coordinate appointments Which of the following is the role of Phase I (one) clinical trials? a. Testing for safety b. Obtaining FDA approval c. Examining cost effectiveness d. Comparing safety and effectiveness - CORRECT ANSWERS ✔✔a. Testing for safety How can a patient navigator be supportive during times of care transitions?
a. Relay information about the concerns that were raised by the last patient they worked with b. Make sure everyone is informed about care that has been completed c. Rely on the clinical team to follow up after an ED visit d. Assure the patient and family members that everything will be fine - CORRECT ANSWERS ✔✔b. Make sure everyone is informed about care that has been completed Developing a shared understanding between the healthcare team members provides a foundation for a. Care presentations b. Ease of communication c. Personal relationships d. Mutual respect - CORRECT ANSWERS ✔✔d. Mutual respect Which of the following healthcare professionals is responsible for diagnosing and treating people with blood disorders, including blood cancers? a. Medical oncologist b. Radiation oncologist c. Surgical oncologist d. Hematologist - CORRECT ANSWERS ✔✔d. Hematologist Which is considered a health systems coordination activity for a patient navigator? a. Connecting the patient with a local food bank b. Coordinating shared rides between patients c. Calling the patient after treatment to assess symptoms
a. Alerting the healthcare team to health insurance coverage gaps the patient is experiencing b. Communicating difficulties the patient may be experiencing. c. Communicating patient needs and preferences for healthcare services. d. Letting the healthcare team know the patient speaks Spanish but is fine without an interpreter - CORRECT ANSWERS ✔✔d. Letting the healthcare team know the patient speaks Spanish but is fine without an interpreter The patient navigator learns a patient is skipping doses of medication because the drug is too expensive. What actions should the patient navigator take? a. Pay the medication on your way home and give it to the patient b. Support the patient in communicating their concerns with the healthcare team c. Keep the information to yourself to avoid embarrassing the patient d. Let one of the nurses know when you see her in the break room - CORRECT ANSWERS ✔✔b. Support the patient in communicating their concerns with the healthcare team For people with cancer who have health insurance, their policy is likely to have coverage for: a. Transportation to appointments b. Childcare services c. Temporary lodging during treatment d. Treatment for cancer - CORRECT ANSWERS ✔✔d. Treatment for cancer A patient navigator should refer patients to: a. All resources available in the neighboring community b. Organizations and resources that have been vetted as high quality
c. Organizations with a formal application process d. Organizations recommended by friends who have used services - CORRECT ANSWERS ✔✔b. Organizations and resources that have been vetted as high quality Which of the following would be considered a social service? a. Transportation b. Occupational therapy c. Palliative care d. Home health services - CORRECT ANSWERS ✔✔a. Transportation If a patient does not have any health insurance, the best way a patient navigator can help is to a. Tell the patient to go to the Medicaid office b. Provide information about private health insurance policies c. Offer to pay for a health insurance policy d. Refer the patient to social work for further assessment of options - CORRECT ANSWERS ✔✔d. Refer the patient to social work for further assessment of options When should the patient navigator provide information to the patient in- person? a. When they need to ensure the patient can access the information quickly b. When the patient's caregiver is unavailable c. When they need to share the information in a secure way d. When they need to explain the resource in-depth - CORRECT ANSWERS ✔✔d. When they need to explain the resource in-depth
c. Help the patient overcome barriers d. Have a central location to find information - CORRECT ANSWERS ✔✔c. Help the patient overcome barriers The patient navigator hears about a community resource that their cousin found helpful getting them to their dialysis appointments. What should the patient navigator do with this information? a. Ask the cousin to explain more about this service to the patient b. Contact the resource directly to assess and gather information c. Add the community group to the resource guide d. Tell a patient, who has concerns about transportation, about this resource - CORRECT ANSWERS ✔✔b. Contact the resource directly to assess and gather information Which of the following is not a potential avenue for identifying local resources? a. ACS CARES app b. Hospital Staff Directory c. findhelp.org d. NeedyMeds - CORRECT ANSWERS ✔✔b. Hospital Staff Directory Who would you want to ask about resources in the area? a. Friends of yours b. Hospital administrators c. Family members who may have gone through a serious illness d. Your team colleagues - CORRECT ANSWERS ✔✔d. Your team colleagues An example of population health data includes:
a. Details about public transportation b. The most common cancer found in the specific geographic region c. The number of rehabilitation centers in the community d. The income of residents of the community - CORRECT ANSWERS ✔✔b. The most common cancer found in the specific geographic region Understanding behavior risk factors in a community will include researching the following: a. Data on tobacco use in the community b. How often people take vacations in the community c. The number of residents over 60 years old d. The average cost of a home - CORRECT ANSWERS ✔✔a. Data on tobacco use in the community Which of the following activities of a community assessment would be most helpful to patient navigator? a. Gathering information about the various cultures living in the community b. Asking the town Mayor for information c. Finding a list of all senior centers in the community d. Canvasing your neighborhood for assessment information - CORRECT ANSWERS ✔✔a. Gathering information about the various cultures living in the community What kinds of information can the patient navigator suggest for the patient to help them develop achievable goals? a. Written instructions b. Answers to questions c. Team reports d. Test results - CORRECT ANSWERS ✔✔b. Answers to questions
a. Reflective phrases b. Supportive phrases c. Open-ended questions d. Refraining from personal judgement - CORRECT ANSWERS ✔✔c. Open- ended questions Which of the following is not a way for patient navigators to support caregivers? a. Provide pamphlets about the cancer diagnosis to the caregiver b. Provide referrals to other healthcare professionals for any of their questions c. Provide advice about what they would do if they were the caregiver d. Encourage caregivers to use and enhance personal support networks - CORRECT ANSWERS ✔✔c. Provide advice about what they would do if they were the caregiver How can a patient navigator support the patient in communicating their diagnosis? a. Ask questions to understand how much the person wants to share b. Provide recommendations as to who they should tell first and when c. Offer to share the news with people on behalf of the patient d. Recommend they discuss it with their employer first to plan ahead - CORRECT ANSWERS ✔✔a. Ask questions to understand how much the person wants to share Which of the following is important for social support to be most effective? a. The type of support needed matches the type of support provided b. The social support system includes family, friends, and coworkers c. A combination of in-person and virtual social support
d. The person with cancer is able to financially support themselves - CORRECT ANSWERS ✔✔a. The type of support needed matches the type of support provided To increase trust in the relationship with the patient and family, the patient navigator should a. Make appointments for the patient b. Call community resources on behalf of the patient c. Communicate often with the patient about how you can assist d. Tell the patient's caregiver about their worries - CORRECT ANSWERS ✔✔c. Communicate often with the patient about how you can assist Saying, "You're going through a lot, and we're here for you." is an example of what communication technique? a. Active listening b. Reflective phrases c. Supportive phrases d. Open-ended questions - CORRECT ANSWERS ✔✔c. Supportive phrases Patient navigators actively take part in care coordination and planning. At what point is patient navigation especially important? a. Treatment decisions b. Points of transition c. Physical activity recommendations d. Nutrition planning - CORRECT ANSWERS ✔✔b. Points of transition Which of the following is not a helpful action for the patient navigator to take?
Person-centered communication is especially important at which transition point of cancer care? a. When making a treatment decision b. At the time of cancer screening c. One year after treatment has ended d. When the person leaves the hospital - CORRECT ANSWERS ✔✔a. When making a treatment decision Above all else, shared decision-making focuses on: a. The time it takes to make a decision b. Addressing the patient needs c. Ensuring a family agrees with a plan d. Addressing the team wishes - CORRECT ANSWERS ✔✔b. Addressing the patient needs Key decision points in cancer care include: a. When all the care for cancer has been completed b. When there is a change or completion of a goal c. Deciding which family member to involve in care decisions d. Deciding which oncologist to use - CORRECT ANSWERS ✔✔b. When there is a change or completion of a goal When doing an assessment, you ask the patient about non-medical issues because a. You want to get to know them personally b. You want to understand how their social environment may impact them c. The team would like to know what they do for a living
d. You want to develop a schedule around their usual activities - CORRECT ANSWERS ✔✔b. You want to understand how their social environment may impact them John is receiving radiation therapy treatment and is experiencing a side effect that his care team never warned him about. John is sure that since his doctor never mentioned it and because she does not ask him about it during their visits, that it must not be related to his treatments. John decides not to mention it to his radiation care team.John's communication style could be described as which one of the following: a. Passive b. Assertive c. Dismissive d. Presumptive - CORRECT ANSWERS ✔✔a. Passive Which of the following is not a way a patient could communicate assertively? a. "Is the nurse or the social worker the best person to talk with about my home care needs?" b. "Could you ask the doctor about my treatment options for me?" c. "I would like it if we discussed how I can pay for this treatment." d. "I am having trouble understanding how the surgery will help me. Can you explain it to me?" - CORRECT ANSWERS ✔✔b. "Could you ask the doctor about my treatment options for me?" A patient navigator has an important role in shared decision-making because they can help: a. Assess the patient's level of activation b. Set up a decision meeting with the healthcare team c. Define biases the patient may have that influence their decision
