ONCC Practice Tests (OCN - Psychosocial
Dimensions of Care)
Which patient is most likely to display a maladaptative response to a diagnosis of cancer? A
patient who reports:
feeling abandoned by God.
fighting the disease for his children.
focusing on living in the present moment.
praying and attending daily worship services. Ans: feeling abandoned by God.
Answer: Negative religious coping (e.g., pleading for God's intervention, passively deferring
decisions to God) is most predictive of a maladaptation to an illness.
Reference: Bush, N.J., & Gorman, L.M. (Eds.). (2018). Psychosocial nursing care along the
cancer continuum (3rd ed.). Pittsburgh, PA: Oncology Nursing Society, pp. 156-157.
Which of the following has been attributed to foreign-born women with breast cancer having a
lower survival rate than women with breast cancer who were born in the United States?
Access to mammography screening
Country from where the women have immigrated
Histologic grade of the tumor
Differences in the treatment protocols Ans: Access to mammography screening
Answer: Patients from other countries may have more significant barriers to obtaining
recommended screenings and care, leading to diagnosis at later stages and decreased survival.
Reference: Bush, N.J., & Gorman, L.M. (Eds.). (2018). Psychosocial nursing care along the
cancer continuum (3rd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 95.
Which of the following patients with cancer is most likely to experience sexual dysfunction?
A patient with a history of marital discord
A young patient who is newly married
A patient and partner who schedule time for sexual activity
A female patient with hypotension Ans: A patient with a history of marital discord
Answer: Patients who have marital issues in their relationships before a diagnosis of cancer will
be a greater risk for sexual difficulties.
Reference: Bush, N.J., & Gorman, L.M. (Eds.). (2018). Psychosocial nursing care along the
cancer continuum (3rd ed.). Pittsburgh, PA: Oncology Nursing Society, pp. 212-213.
, Which of the following is a common and preventable cause of anxiety for a patient with cancer?
Uncontrolled pain
Distressing memories
Spiritual distress
Sleep disburances Ans: Uncontrolled pain
Answer: Chronic anxiety and depression can be caused by chronic, poorly controlled pain.
Reference: Bush, N.J., & Gorman, L.M. (Eds.). (2018). Psychosocial nursing care along the
cancer continuum (3rd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 252.
Social learning theory is characterized by which of the following actions?
Imitating other's activities
Setting personal goals
Creating mnemonics
Collaborating to solve problems Ans: Imitating other's activities
Answer: Social learning theory indicates that learning takes place by watching and imitating
others.
Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advisor: A
comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p. 437.
Coping skills that rely on intrapsychic processes are referred to as:
emotion-focused.
avoidance-focused.
appraisal-focused.
problem-focused. Ans: emotion-focused.
Answer: Emotion-focused coping relies on the processes that elicit emotions, feeling, concerns.
Reference: Bush, N. J. & Gorman, L.M. (2018).
Psychosocial nursing care along the cancer continuum. Pittsburgh, PA: Oncology Nursing
Society, p. 271.
When should a premenopausal patient with cancer expect to resume menstruation following the
completion of active treatment?
3 months
6 months
1 year
2 years Ans: 3 months
Dimensions of Care)
Which patient is most likely to display a maladaptative response to a diagnosis of cancer? A
patient who reports:
feeling abandoned by God.
fighting the disease for his children.
focusing on living in the present moment.
praying and attending daily worship services. Ans: feeling abandoned by God.
Answer: Negative religious coping (e.g., pleading for God's intervention, passively deferring
decisions to God) is most predictive of a maladaptation to an illness.
Reference: Bush, N.J., & Gorman, L.M. (Eds.). (2018). Psychosocial nursing care along the
cancer continuum (3rd ed.). Pittsburgh, PA: Oncology Nursing Society, pp. 156-157.
Which of the following has been attributed to foreign-born women with breast cancer having a
lower survival rate than women with breast cancer who were born in the United States?
Access to mammography screening
Country from where the women have immigrated
Histologic grade of the tumor
Differences in the treatment protocols Ans: Access to mammography screening
Answer: Patients from other countries may have more significant barriers to obtaining
recommended screenings and care, leading to diagnosis at later stages and decreased survival.
Reference: Bush, N.J., & Gorman, L.M. (Eds.). (2018). Psychosocial nursing care along the
cancer continuum (3rd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 95.
Which of the following patients with cancer is most likely to experience sexual dysfunction?
A patient with a history of marital discord
A young patient who is newly married
A patient and partner who schedule time for sexual activity
A female patient with hypotension Ans: A patient with a history of marital discord
Answer: Patients who have marital issues in their relationships before a diagnosis of cancer will
be a greater risk for sexual difficulties.
Reference: Bush, N.J., & Gorman, L.M. (Eds.). (2018). Psychosocial nursing care along the
cancer continuum (3rd ed.). Pittsburgh, PA: Oncology Nursing Society, pp. 212-213.
, Which of the following is a common and preventable cause of anxiety for a patient with cancer?
Uncontrolled pain
Distressing memories
Spiritual distress
Sleep disburances Ans: Uncontrolled pain
Answer: Chronic anxiety and depression can be caused by chronic, poorly controlled pain.
Reference: Bush, N.J., & Gorman, L.M. (Eds.). (2018). Psychosocial nursing care along the
cancer continuum (3rd ed.). Pittsburgh, PA: Oncology Nursing Society, p. 252.
Social learning theory is characterized by which of the following actions?
Imitating other's activities
Setting personal goals
Creating mnemonics
Collaborating to solve problems Ans: Imitating other's activities
Answer: Social learning theory indicates that learning takes place by watching and imitating
others.
Reference: Newton, S., Hickey, M., & Marrs, J. (2017). Mosby's oncology nursing advisor: A
comprehensive guide to clinical practice (2nd ed.). St. Louis, MO: Elsevier Mosby, p. 437.
Coping skills that rely on intrapsychic processes are referred to as:
emotion-focused.
avoidance-focused.
appraisal-focused.
problem-focused. Ans: emotion-focused.
Answer: Emotion-focused coping relies on the processes that elicit emotions, feeling, concerns.
Reference: Bush, N. J. & Gorman, L.M. (2018).
Psychosocial nursing care along the cancer continuum. Pittsburgh, PA: Oncology Nursing
Society, p. 271.
When should a premenopausal patient with cancer expect to resume menstruation following the
completion of active treatment?
3 months
6 months
1 year
2 years Ans: 3 months
