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Exam Number : OCN
Exam Name : Oncology Certified Nurse - 2022
Vendor Name : Medical
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Exam ID : OCN
Exam Title : Oncology Certified Nurse (OCN®)
Questions : 165
Duration : 3 hours
Exam Type : multiple-choice

Test Content Outline (Effective 2020)
I. Care Continuum - 19%
A. Health promotion and disease prevention (e.g., high-risk behaviors; preventive health practices)
B. Screening and early detection
C. Navigation
D. Advance care planning (e.g., advance directives)
E. Epidemiology
1. Modifiable risk factors (e.g., smoking, diet, exercise, occupation)
2. Non-modifiable risk factors (e.g., age, gender, genetics)
F. Survivorship
1. Rehabilitation
2. Recurrence concerns
3. Financial concerns
4. Employment concerns
5. Insurance concerns
6. Family and social support concerns
7. Sexuality concerns
G. Treatment-related considerations
1. Delayed-onset side effects
2. Chronic side effects
3. Secondary malignancies
4. Follow-up care
H. End-of-life care
1. Grief
2. Bereavement
3. Hospice care
4. Caregiver support
5. Interdisciplinary team
6. Pharmacologic comfort measures
7. Non-pharmacologic comfort measures
II. Oncology Nursing Practice - 17 %
A. Scientific basis
1. Carcinogenesis
2. Immunology
3. Clinical trials (e.g., research protocols)
B. Site-specific cancer considerations
1. Pathophysiology
2. Common metastatic locations
3. Diagnostic measures
4. Prognosis
5. Classification
6. Staging
7. Histological grading
C. Scope, standards, and related issues
1. Standards of care (nursing process)
2. Legal (including documentation)
3. Accreditation (e.g., The Joint Commission)
4. Self-care (e.g., managing compassion fatigue)
D. Standards of professional performance
1. Ethics (e.g., patient advocacy)
2. Education
3. Evidence-based practice (e.g., Putting Evidence Into Practice (PEP) guidelines) and research
4. Quality of practice
5. Communication
6. Leadership
7. Collaboration
8. Professional practice evaluation
9. Resource utilization
10. Environmental health (e.g., safety, personal protective equipment, safe handling)
III. Treatment Modalities - 19%
A. Surgery
B. Blood and marrow transplant
C. Radiation therapy
D. Chemotherapy
E. Biotherapy
F. Immunotherapy
G. Vascular Access Devices (VADs) for treatment administration
H. Targeted Therapy
IV. Symptom Management and Palliative Care - 23%
A. Etiology and patterns of symptoms (acute, chronic, late)
B. Anatomical and surgical alterations (e.g., lymphedema, ostomy, site-specific radiation)
C. Pharmacologic interventions
D. Complementary and integrative modalities (e.g., massage, acupuncture, herbal supplements)
E. Palliative care considerations
F. Alterations in functioning
1. Hematologic
2. Immune system
3. Gastrointestinal
4. Genitourinary
5. Integumentary
6. Respiratory
7. Cardiovascular
8. Neurological
9. Musculoskeletal
10. Nutrition
11. Cognition
12. Energy level (i.e., fatigue)
V. Oncologic Emergencies - 12%
A. Disseminated intravascular coagulation (DIC)
B. Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH)
C. Sepsis (including septic shock)
D. Tumor lysis syndrome
E. Hypersensitivity
F. Anaphylaxis
G. Hypercalcemia
H. Cardiac tamponade
I. Spinal cord compression
J. Superior vena cava syndrome
K. Increased intracranial pressure
L. Obstructions (bowel and urinary)
M. Pneumonitis
N. Extravasations
VI. Psychosocial Dimensions of Care - 10%
A. Cultural, spiritual, and religious diversity
B. Financial concerns (including available resources)
C. Altered body image
D. Learning styles and barriers to learning
E. Social relationships and family dynamics
F. Coping mechanisms and skills
G. Support
1. Patient (i.e., individual and group)
2. Caregiver (including family)
H. Psychosocial considerations
1. Anxiety
2. Loss and grief
3. Depression
4. Loss of personal control
I. Sexuality
1. Reproductive issues (e.g., contraception, fertility)
2. Sexual dysfunction (e.g., physical and psychological effects)
3. Intimacy

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Medical Nurse genuine Questions

Is the Liyfe Oncology Digital Nurse a Fancier edition of affected person suggested effects (pro)? | OCN Study Guide and PDF Braindumps

a common question I get is whether or not the Liyfe oncology digital nurse a fancier version of patient said outcomes (pro)? The short answer isn't any. however let me let you know a narrative.

past this 12 months, I gave a chat at local group about their digital nurse. on the conclusion, a lady came to me. She became a smartly-dressed mid-age girl. "thank you so lots for making this impressive product!"

She paused for a moment.

"I misplaced my mom recently to melanoma. After she's long gone, I went through her room and found a word book. It turned out, mother spent the closing two years of her existence secretly logging her indicators devoid of telling us or her oncologists. She didn't are looking to trouble americans."

This story isn't wonderful at all. in reality, I've seen it very regularly in my clinical years, together with many different cases of poorly managed symptoms. sufferers may have had more suitable high-quality of lifestyles and longer lives if there became actual-time, continual care at home. at last, I deliver up my job and developed the Liyfe oncology digital nurse to remedy this issue.

So, let's come again to the query about Liyfe vs. professional. in the story above, pro would be an digital edition of the mom's note e-book. it is going to listing how she felt, which is critical. youngsters, oncologists cannot treat her in accordance with seasoned. Two sufferers with the equal classification of cancer reporting the identical symptom, may indicate very different underneath clinical circumstances. usually, within the clinic, oncology nurses will need to do an assessment of the seasoned—performing triage pathways to keep in mind the circumstance of the mentioned symptom and to discover linked symptoms (here's critical in oncology). Nurses will investigate the severity of the standard clinical circumstance—non-urgent, pressing, or emergent. patients with emergent circumstances need instant care, and sufferers with non-pressing and urgent conditions can also be persisted monitored at home.

So, even with pro, the mother will nevertheless deserve to name nurses or talk over with a health facility to take note what is occurring. For cancer sufferers, or not it's standard to adventure symptoms. This capacity sufferers could should call nurses or visit hospitals often even though patients just desired to understand if the signs are extreme. do you know anyone who doesn't mind calling nurses or travelling hospitals frequently? I do not. in consequence, sufferers are likely to ignore symptoms if they are nevertheless feeling adequate and rush to the ER once they suppose involved. This leads poorly managed symptoms, probably lacking early signals of disorder progressing, and avoidable ER visits and hospitalizations.

Some individuals might say: when you consider that professional will also be communicated to nurses instantly, why not let the nurses to name or consult with sufferers for symptom assessment? unluckily, because of the cost and the nurse scarcity, here is simply no longer possible. according to my competencies, most pro ended up on a researcher's desk.

Ideally, melanoma sufferers should have convenient access to oncology nurses 24/7 for symptom assessment if they try for ideal results. So, how do they obtain that? Liyfe oncology digital nurse is the solution. It scales the symptom and chance evaluation for oncology sufferers.

Let's examine an illustration. As shown in the photograph above, a mock lung cancer affected person taking a standard chemo drug experiences leg swelling. let's have a look at how the Liyfe digital nurse incorporates a conversation with the patient to examine the symptom.

the first questions are at all times onset questions "When did it beginning?" and "How did it birth?" patient chosen "2 days ago" and "began progressively". in view that it's steadily, it is more doubtless that it be just swelling.

next, the digital nurse will consider pro CTCAE grade for the swelling. seasoned CTCAE is the country wide melanoma Institute (NCI) patient reported consequences edition of the common Terminology standards for antagonistic routine. "what is your pain degree?" affected person chosen "average, affects some actions of day by day living", which corresponds to professional CTCAE grade 2.

For leg swelling, if it's asymmetrical, it might be blood clot or lymphedema. If it's symmetrical, or not it's more more likely to be just swelling. The subsequent question is to ask if the swelling is symmetrical. patient chosen "Symmetrical". Then the digital nurse will ask greater questions to determine the likelihood of getting only swelling. The next two questions are "What does the swelling feel like?" and "Is the swelling reduced in the morning?" patient selected "Heaviness" and "yes". These extra elevated the chance that the patient handiest has swelling.

The next question is to make certain that the patient did not have any accidents, injures, or falls recently.

The digital nurse typically will ask greater inquiries to discover and check linked symptoms, as most oncology signs are associated with a couple of other indicators.

finally, to conclude the assessment, the outcomes will be displayed to affected person "Your circumstances are reasonable (moderate is the affected person language of pressing). people with indicators corresponding to yours do not always require emergency department talk over with." Oncology nurses usually will evaluate the case within per week. also, the digital nurse found and communicated to the patient "1 out of 10 sufferers corresponding to your analysis and medicine regimen had these signs."

If the mother had used Liyfe, she will nonetheless make sure to be a "respectable" affected person and not "bothering" people. handiest when she truly vital to be seen, her oncologist will see her. otherwise, she will persistent investigate and maintain track of signs herself at domestic. All effects can be communicated to her care crew instantly. she will decide to share it along with her family unit as smartly. The daughter can leisure certain that Liyfe has her returned.

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