COCN Psychosocial Oncology Nursing

Question 1

What validated tool is recommended for screening cancer patients for psychological distress?

Accepted Answer

NCCN Distress Thermometer

Answer

Glasgow Coma Scale

Answer

Braden Scale

Answer

Morse Fall Scale

Question 2

At what point on the NCCN Distress Thermometer should a referral for psychosocial support be considered?

Accepted Answer

A score of 4 or higher

Answer

A score of 8 or higher

Answer

Only a score of 10

Answer

Any score above 0

Question 3

What is anticipatory grief in cancer patients?

Accepted Answer

Grief experienced before the actual loss, often related to anticipated death or loss of function

Answer

Grief that occurs only after treatment is complete

Answer

Excessive worry about minor side effects

Answer

A normal response to scheduling treatment appointments

Question 4

How should oncology nurses address spiritual distress in cancer patients?

Accepted Answer

Assess spiritual needs, provide compassionate presence, and refer to chaplain or spiritual care services

Answer

Avoid the topic of spirituality entirely

Answer

Share personal religious beliefs with the patient

Answer

Prescribe meditation exercises

Question 5

What are common coping mechanisms observed in cancer patients?

Accepted Answer

Problem-focused coping, emotion-focused coping, and meaning-making

Answer

Only denial and anger

Answer

Exclusively seeking second opinions

Answer

Immediate acceptance without distress

Question 6

What is compassion fatigue and how does it affect oncology nurses?

Accepted Answer

Physical and emotional exhaustion from caring for suffering patients, leading to reduced empathy and burnout

Answer

Fatigue from walking long distances in the hospital

Answer

Tiredness from too many compassionate conversations

Answer

A temporary condition that resolves with a good night's sleep