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February 13, 2021
 
 

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Test Number : OCN
Test Name : Oncology Certified Nurse
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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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Anti-Vaxxers Wage merciless warfare on Pregnant women Who Get COVID Shot | OCN test Questions and real Questions

closing week, Michelle Rockwell logged on to fb to see her face splashed across a put up from a person she’d never met. Two months past, Rockwell had misplaced her child in a tragic miscarriage, and the put up—a collage of text and footage from her typical Instagram—insinuated that the COVID-19 vaccine become the wrongdoer.

“Dec. 21 she obtained it,” it study. “Jan. 24th, she lost her baby. another one.”

The submit changed into thoroughly inaccurate. (In her personal Instagram put up on the subject, Rockwell called it “bullshit.”) Rockwell, a family unit drugs medical professional, had indeed received the vaccine on Dec. 21, but had miscarried very nearly a month before that. however that didn’t stop the publish from spreading all of a sudden across social media, via pastel-tinted mommy pages and anti-vaxxer Instagram accounts like “cv19vaccinereactions.”

And it wasn’t the primary time anti-vax activists had descended on a lady after her miscarriage.

seeing that the first days of the vaccine rollout, anti-vaxxers have centered pregnant women and those who miscarried, shaming them for getting the vaccine despite no facts that it has a terrible effect on pregnancy. On facebook groups, Instagram pages, and Twitter threads, they accuse the women of being unhealthy moms or blame them for dropping their little ones.

“It became heartbreaking. I basically shed some tears over it,” Rockwell mentioned. “To assault girls who’ve undergone so tons, that’s just a brand new low.”

“So many women presently have vaccine hesitancy, and are questioning it, and have legitimate issues,” she introduced. “and i believe like whoever made here's simply preying on ladies’s fears.”

Questions concerning the vaccine in pregnancy don't seem to be unwarranted: not one of the COVID-19 photographs were established on pregnant ladies, making the resolution to be vaccinated a fraught one—specially for health-care workers like Rockwell, who're at bigger risk of publicity to the virus.

The CDC says the vaccine is “not going to pose a particular possibility for americans who're pregnant,” and the realm fitness company says it knows of no certain dangers that would outweigh the hazards of publicity. closing week, Dr. Anthony Fauci stated 20,000 pregnant women were vaccinated in opposition t COVID-19 devoid of complications. Pregnant girls, in the meantime, are time-honored to be extra liable to extreme disorder and demise in the event that they contract COVID-19.

but anti-vaxxers are preying on the uncertainty that remains. fb businesses certainly concentrated on new and expecting mothers circulate reviews about individuals who died after getting the vaccine devoid of the appropriate context. Anti-vax groups like Vaccine alternative Canada have circulated fliers with baseless claims that the vaccines contain “genetic technology” that can put establishing pregnancies at risk. within the most severe situations, anti-vax activists at once attack ladies who misplaced their pregnancies after receiving the vaccine.

One such girl, a physician whom The day by day Beast isn't naming to be able to deliver protection to her privateness, tweeted in January that she had acquired the vaccine when she became 14 weeks pregnant. Days later, she introduced that she had miscarried. There is no proof that the COVID-19 vaccine explanations miscarriage, but anti-vaxxers immediately conflated correlation and causation and leapt into the medical professional’s mentions to accuse her of killing her child.

“She bought what she deserved,” one tweeted, adding later: “Her husband must depart.”

“i'm wondering if she may also be charged for what she did?” yet another puzzled.

“Hope you don't reproduce once again,” one wrote, including the center finger emoji.

because the tweets unfold throughout social media, posters screenshotted them and mixed them with images of a distinct pregnant health-care worker who had bought the vaccine, growing a kind of morbid anti-vax meme. (The 2nd fitness-care employee’s enterprise informed The daily Beast that both the lady and her unborn newborn are fit, and they're working to have the pictures removed from social media.) The story reached foremost anti-vax influencers like Dr. Simone Gold, a vaccine skeptic and hydroxychloroquine recommend who turned into currently arrested for her position within the Jan. 6 Capitol riots. The girl who miscarried become compelled to set her Twitter profile to deepest.

The attacks didn’t cease there. Candice Cody, an anesthesiologist and former Survivor contestant, tweeted in December about her resolution to get vaccinated whereas pregnant. In an interview with The each day Beast, she spoke of she felt privileged to have both the time and potential to sift during the facts, and wanted to share her conclusions with others who may also now not be as counseled. but anti-vaxxers had been no longer appreciative.

in a single day, commenters swarmed Cody’s Twitter and fb posts with feedback, telling her to “delight in your premie [sic],” and calling her a “fucking psycho.” One accused her of making her newborn right into a scientific experiment. Others stuffed her inbox with messages and, when she locked them down, switched to messaging her on another page she’d long forgotten.

Cody says she wasn’t fazed by the backlash—she’s a former fact tv contestant, after all—but she set her fb profile to deepest after the feedback upset her pals and family unit.

“basically what i assumed of it became, ‘How sad it will be to are living in a headspace where you might say those things to a different person who you don’t even understand, and to are living in so a whole lot fear of anything you don’t be mindful,’” she mentioned.

Cody gave delivery to a suit child in mid-January, and mentioned she under no circumstances regretted her decision to get vaccinated.

“The simplest be apologetic about I had became that i'm hoping my kids by no means see this nastiness that become ever connected to a person of their family,” she said.

online attacks may also be in particular toxic to a person who has currently misplaced a pregnancy. Miscarriages are linked to larger hazards of melancholy and nervousness, and the months without delay in a while are a particularly susceptible time period. in accordance with perinatal psychologist Tamar Gur, the cause of a miscarriage is always unknown, main many women responsible themselves for something that became totally out of their arms. attacks from anti-vaxxers, she talked about, play straight into these emotions.

“There’s already this adventure of self-doubt and anger directed at your self,” she referred to. “For anti-vaxxers to take expertise of somebody when they’re in pain, and take a look at to make a woman believe accountable for the loss of her very desired child, is simply the cruelest factor I could have heard.”

This form of conduct isn’t new for anti-vaxxers, although it may were amplified by way of the pandemic. Activists have lengthy tried to declare that the flu vaccine reasons miscarriages (it does not) and that toddlers born to mothers who get the whooping cough vaccine have bigger charges of autism (they don't.) Former Bachelor contestant Ashley Spivey changed into hounded via anti-vaxxers closing 12 months after she acquired a flu shot whereas pregnant and later miscarried. “I just don’t be aware of what to do anymore,” she tweeted in the aftermath. “I not ever want anybody else to suffer this harassment after the lack of a child.”

greater currently, anti-vaxx activists flooded the social media pages of a Tennessee nurse who fainted on camera after receiving the vaccine. despite a perfectly not pricey reason for the episode—which the nurse herself delivered on digital camera minutes later—commenters were satisfied she turned into lifeless, and commenced hounding her chums, family unit, and employer for greater counsel. Even the native police department noticed its fb page overrun with comments soliciting for an investigation.

in an effort to stem the circulation of misinformation, facebook introduced Monday that it could ban all anti-vaccine content material from the platform. however anti-vax debts are flourishing on fb-owned Instagram, where the cv19vaccinereactions account at the moment has 93,000 followers. A fresh record from the center for Countering Digital Hate discovered anti-vaxx debts received 10.1 million new followers considering that 2019, most of them on Instagram and YouTube.

Rockwell talked about she shared her event so that americans might come to a decision for themselves what suggestions to have faith and share. In her own Instagram publish, she urged social media clients to suppose about not handiest the source of their information, but how sharing it could have an effect on somebody else. “bear in mind there is a human on the other side of the display,” she wrote. “Who has feelings. Who feels heartache.”

“i wanted to take this journey and turn it into a instructing experience,” she instructed The daily Beast. “i am hoping that if people stop and consider what they’re doing, maybe this misinformation won’t unfold so immediately.”


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