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Ambulatory Care Nursing Certification Exam: Questions and Answers, Exams of History

This resource features questions and verified answers for the ambulatory care nursing certification exam. It encompasses practice standards like assessment, diagnosis, outcomes, planning, implementation, and evaluation. Ethical considerations, education, research, performance improvement, communication, leadership, collaboration, professional evaluation, resource use, and safety are addressed. Key terms and concepts are defined, including standards, patients, family, nursing staff, healthcare team, nursing services, competency, and evidence-based practice. Questions cover standard criteria, ambulatory nursing exam domains, and Healthy People 2020 priorities. It explains care levels, settings, models (PMCH, ACO, PACT), interpersonal alliance goals, boundary-supporting nursing actions, trust, shared decision-making, active listening, and the C.A.R.E. framework.

Typology: Exams

2024/2025

Available from 05/20/2025

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1C/C41
Ambulatory Care Nursing Certification Exam Questions and Verified Answers
1. StandardC1:CAssessment:CTheCRNCpracticingCinCtheCambulatoryCcareCsettingCsystematic
allyCcollectsCorCsupervisesCcollectionCofCfocusedCdataCrelatedCtoChealthCneedsCandCconcer
nsCofCpatients,Cgroups,CorCpopulations
2. StandardC2:CDiagnosis:CTheCRNCpracticingCinCtheCambulatoryCcareCsettingCana-
ClyzesCassessmentCdatedCtoCdetermineCdiagnosticCstatementsCforChealthCpromotion,ChealthC
maintenance,CorChealth-relatedCproblemsCorCissues.
3. StandardC3:COutcomesCIdentification:CTheCRNCpracticingCinCtheCambulatoryCcareCsettingCide
ntifiesCexpectedCand/orCdesiredCoutcomesCinCaCplanCofCcareCindividualizedCforCaCspecificCpatie
nt,CgroupCorCpopulation
4. StandardC4C-CPlanning:CTheCRNCpracticingCinCtheCambulatoryCcareCsettingCdevel-
CopsCaCplanCthatCidentifiesCstrategiesCandCalternativesCtoCattainCexpectedCoutcomesCinCindividu
alsCand/orCpopulations
5. StandardC5:CImplementation:CTheCRNCpracticingCinCtheCambulatoryCcareCsettingCenactsCth
eCidentifiedCplanCofCcare
6. StandardC5a:CCoordinationCofCcare:CTheCRNCpracticingCcareCcoordinationCandCtransitionC
managementCcoordinatesCtheCdeliveryCofCcareCwithinCtheCpracticeCsettingCandCacrossChealthC
careCsettings
7. StandardC5b:CHealthCTeachingCandCHealthCPromotion:CTheCRNCpracticingCinCtheCambulato
ryCcareCsettingCemploysCeducationalCstragegiesCthatCpromoteCindividualCcommunityCandCpopul
ationChealthCandCsafety
8. StandardC5dC-
CTelehealthCServices:CTheCRNCpracticingCinCtheCambulatoryCcareCsettingCprovidingCtelehealthCs
ervicesCadheresCtoCtheCcurrentCAAACNCScopeCandCStan-
CdardsCofCPracticeCforCProfessionalCTelehealthCNursingCinCallCPracticeCenvironments
9. StandardC5d:CConsultation:CTheCRNCpracticingCinCtheCambulatoryCcareCsettingCprovidesCc
onsultationCdevelopingCinterprofessionalCplansCofCcare,CenhancingCtheCabilityCofCotherCprof
essionalsCandCeffectingCchange
10. StandardC6:CEvaluation:CTheCRNCpracticingCinCtheCambulatoryCcareCsettingCevaluates
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1 C/C 41 Ambulatory Care Nursing Certification Exam Questions and Verified Answers

  1. StandardC1:CAssessment:C TheCRNCpracticingCinCtheCambulatoryCcareCsettingCsystematic allyCcollectsCorCsupervisesCcollectionCofCfocusedCdataCrelatedCtoChealthCneedsCandCconcer nsCofCpatients,Cgroups,CorCpopulations
  2. StandardC2:CDiagnosis:C TheCRNCpracticingCinCtheCambulatoryCcareCsettingCana- ClyzesCassessmentCdatedCtoCdetermineCdiagnosticCstatementsCforChealthCpromotion,ChealthC maintenance,CorChealth-relatedCproblemsCorCissues.
  3. StandardC3:COutcomesCIdentification:C TheCRNCpracticingCinCtheCambulatoryCcareCsettingCide ntifiesCexpectedCand/orCdesiredCoutcomesCinCaCplanCofCcareCindividualizedCforCaCspecificCpatie nt,CgroupCorCpopulation
  4. StandardC 4 C-CPlanning:C TheCRNCpracticingCinCtheCambulatoryCcareCsettingCdevel- CopsCaCplanCthatCidentifiesCstrategiesCandCalternativesCtoCattainCexpectedCoutcomesCinCindividu alsCand/orCpopulations
  5. StandardC5:CImplementation:C TheCRNCpracticingCinCtheCambulatoryCcareCsettingCenactsCth eCidentifiedCplanCofCcare
  6. StandardC5a:CCoordinationCofCcare:C TheCRNCpracticingCcareCcoordinationCandCtransitionC managementCcoordinatesCtheCdeliveryCofCcareCwithinCtheCpracticeCsettingCandCacrossChealthC careCsettings
  7. StandardC5b:CHealthCTeachingCandCHealthCPromotion:C TheCRNCpracticingCinCtheCambulato ryCcareCsettingCemploysCeducationalCstragegiesCthatCpromoteCindividualCcommunityCandCpopul ationChealthCandCsafety
  8. StandardC5dC- CTelehealthCServices:C TheCRNCpracticingCinCtheCambulatoryCcareCsettingCprovidingCtelehealthCs ervicesCadheresCtoCtheCcurrentCAAACNCScopeCandCStan- CdardsCofCPracticeCforCProfessionalCTelehealthCNursingCinCallCPracticeCenvironments
  9. StandardC5d:CConsultation:C TheCRNCpracticingCinCtheCambulatoryCcareCsettingCprovidesCc onsultationCdevelopingCinterprofessionalCplansCofCcare,CenhancingCtheCabilityCofCotherCprof essionalsCandCeffectingCchange
  10. StandardC6:CEvaluation:C TheCRNCpracticingCinCtheCambulatoryCcareCsettingCevaluates

2 C/C 41 CprogressCtowardCattainmentCofCstatedCoutcomes

  1. StandardC7:CEthics:C TheCRNCpracticingCinCtheCambulatoryCcareCsettingCincorpo- CratesCprofessionalCcodesCofCethicsCwithCcompassionCandCrespectCforCtheCinherentCdignity,Cw orth,CandCuniqueCattributesCofCeveryCperson
  2. StandardC8:CEducation:C TheCRNCpracticingCinCtheCambulatoryCcareCsettingCattainsCknowledg eCandCcompetencyCthatCreflectsCcurrentCambulatoryCnursingCcareCpractice
  3. StandardC9:CResearchCandCEvidence- BasedCPractice:C TheCRNCpracticingCinCtheCambulatoryCcareCsettingCactivelyCparticipatesCinCevi dence-basedCpracticeCinitia- CtivesCandCresearchCactivitiesCtoCadvanceCambulatoryCcareCnursingCandCimproveCpatientCoutcome s

4 C/C 41

  1. NursingCServices:C OrganizedCservicesCdeliveredCtoCgroupsCofCpatientsCbyCnurs- CingCstaff.CIncludesCdirectCnursingCcareCasCwellCasCservicesCthatCsupportCorCfacilitateCdirectCcar e.
  2. Competency:C RefersCtoCtheCknowledge,Cskills,CandCbehaviorsCidentifiedCasCper- CformanceCstandardsCconstitutingCtheCacceptableCdemonstrationCofCabilityCinCaCrole

5 C/C 41

  1. Evidence- BasedCNursingCPractice:C TheCprocessCbyCwhichCnursesCmakeCclinicalCdecisions,CusingCtheCbestC availableCresearchCevidence,CtheirCclinicalCexpertise,CandCpatientCpreferencesCinCtheCcontextC ofCavailableCresources
  2. WhatCareCtheCcomponentsCofCaCStandard:C TheCstandardCstatement,Cmeasure- CmentCcriteriaCthatCtisCaCspecific,CmeasurableCindicatorCthatCdemonstratesCcomplianceCwithCth eCstandard.
  3. WhatCareCtheCtypesCofCcriteriaCforCaCStandard?:C EachCstandardChasCtwoCtypesCofCcriteria: a) measurementCcriteriaCforCallCRNsCinCambulatoryCcareCsettings b) SpecificCmeasurementCcriteriaCforCnurseCexecutives,Cadministrators,CandCmanagersCinCambul atoryCcareCsettings
  4. ListCtheC 5 CdomainsCofCpracticeCforCtheCambulatoryCnursingCexam:C 1.CClinicalCpractice
  5. Communication
  6. ProfessionalCRole
  7. Systems,Clegal,CandCregulatory
  8. Education
  9. ListCtheC 12 Chigh- priorityChealthCissuesCaddressedCinCHealthyCPeopleC2020:C 1.CAccessCtoChealthCservices
  10. ClinicalCpreventativeCservices
  11. EnvironmentalCquality
  12. InjuryCandCviolence
  13. Maternal,Cinfant,CandCchildChealth
  14. MentalChealth
  15. Nutrition,CphysicalCactivity,CandCobesity
  16. OralChealth
  17. ReproductiveCandCsexualChealth
  18. SocialCdeterminantsCofChealth
  19. SubstanceCabuse
  20. Tobacco
  21. HowCareClevelsCofCcareCdetermined?:C TheyCareCidentifiedCbasedConCcomplexityCofCillnessC orCdiseaseCandCskillsCandCexpertiseCrequiredCofCtheCprovidersCinvolved

7 C/C 41

  1. PracticeCSetting:C TheCcontext,Cenvironment,CorCorganizationalCdeliveryCsystemCinCwhichCt heCnurseCpractices
  2. PMCH:C ModelCofCprimaryCcareCthatCisCcomprehensive,Cteam- based,Ccoordinated,Caccessible,CandCfocusedConCqualityCandCsafety. IncludedCphysiciansCnurses,CandCotherCinterprofessionalCproviders. FocusCisConCwhole-personCorientation,CgoalCisCdeliveryCofCrightCcareCatCrightCtimeCinCrightCsetting
  3. ACO:C ModelCofCcareCinCwhichCaCproviderCgroupCofCprimaryCcareCphysicians,Cspecialist s,CandChospitalsCacceptsCtheCresponsibilityCforCcostCandCqualityCofCcareCdeliveredCtoCaCspe cificCpopulationCofCpatientsCcaredCforCbyCtheCgroup'sCclinicians
  4. PACT:C DevelopedCbyCtheCVeteransCHealthCAdministration,CandCprovidesCpa-Ctient- driven,Cproactive,CpersonalizedCteamCbasedCcareCfocusedConCtheCwholeCpersonCandClife- longCwellnessCandCdiseaseCprevention
  5. HIT:C HealthCinformationCtechnology
  6. GoalsCofCprofessionalCinterpersonalCalliancesCwithCtheCnurseCandCtheCpa- Ctient:C 1.CAccuratelyCunderstandCpatientCandCfamilyCexperience
  7. HelpCbuildCunderstandingCofCself-managementCstrategies
  8. ProvideCemotionalCandCinformationalCsupport
  9. AssistCwithCcopingCandCfindingCmeaning
  10. HelpCpatientsCandCfamiliesCidentifyCnewCdirectionsCwithinCone'sCabilities
  11. ConnectCpatientsCandCfamiliesCwithCtheChealthCcareCteam
  12. EmpowerCpatientsCandCfamiliesCthroughCeducation,Cskill,CandCtoolsCforCsuccessCtowardC healthCgoalsCandCdecisions
  13. NursingCactionsCthatCsupportCboundaries:C 1.CBeCresponsibleCforCtheCcareCprocessCa ndCrecognizeCwhenCresultsCareCoutsideCofCtheCnurse'sCcontrol
  14. FocusConCwhatCcanCbeCchangedCorCinfluenced
  15. BeCawareCofCprofessionalClimitationsCandCboundaries
  16. BeCawareCofCreactionsCandCseekChelpCwhenCuncomfortable
  17. FindCaCbalanceCbetweenCpatientCcareCandCownCself-care
  18. Trust:C ACrelationalCprocess,ConeCthatCisCdynamicCandCfragile,CyetCinvolvingCtheCdeepestC needCandCvulnerabilitiesCofCindividuals
  19. StepsCforCsharedCdecisionCmaking:C 1.CdecisionCmakingCshouldCbeCpatient-cen-Ctered

8 C/C 41 2.COutlineCtheCprosCandCconsCofCtreatmentsCandCplans;CdiscussCchoices,Coptions,CandCdecision- making

  1. StepsCforCactiveClistening:C 1.ClistenCattentivelyCtoCunderstandCinCanCempatheticCandCcolla borativeCmanner
  2. PauseCownCreactionsCtoCavoidCmisunderstandingCandCbuildCuponCtheCtherapeuticCrelations hip

10 C/C 41

  1. IdentifyCdecisionCmakers
  2. ReviewCunderlyingCethicalCprinciples
  3. DefineCalternatives
  4. FollowCup
  5. Autonomy:C OneCofCtheCethicalCprinciples.CIndividualCs elf-determinationCandCfreedomCofCchoice

11 C/C 41

  1. Beneficence:C OneCofCtheCethicalCprinciples.CRela tesCtoCactsCofCdoingCgood
  2. Nonmaleficence:C OneCofCtheCethicalCprinciples. ToCnotCactCinCsuchCaCwayCthatCcausesCharm,CeitherCintentionalCorCunintentional
  3. Veracity:C OneCofCtheCethicalCprinciples.CTrut hCtelling
  4. Fidelity:C OneCofCtheCethicalCprinciples.CFait hfulness
  5. Justice:C OneCofCtheCethicalCprinciple's.CTheC allocationCofCscarceCresources
  6. Advocate:C ToCintercedeConCanother'sCbehalf.CInvol vesCaction
  7. 4 CCharacteristicsCofCaCtransformationalCleader:C 1.CInfluencesCthroughCvisioning
  8. SupportsCfollowersCinCunderstandingCwhatCgivesCmeaningCinCwork
  9. CreatesCenvironmentCthatCsustainsCtheCorganization
  10. UnderstandsCindividualCdifferencesCandCsupportsCself-esteem
  11. 12 CResponsibilitiesCofCaCfollower:C 1.CKnowledgeableCaboutCtheCorganization
  12. EngagedCinCtheirCpersonalCorganizationalCgoals
  13. AccountableCforCtheirCwork
  14. ActivelyCengagedCinCwork
  15. AwareCofCtheirCownCsenseCofCmeaningCinCrelationshipCtoCtheCorganization
  16. AlignedCwithCorganizationalCvalues
  17. AwareCofCselfCandCorganizationalCvalues
  18. CommittedCtoCchange
  19. ExpectCmoreCofCthemselvesCasCleaders
  20. RespectfulCofCtheCleader
  21. UnderstandingCofCpoliciesCandCbureaucracy
  22. ReadyCandCwillingCtoCexpressCtheirCopinion
  23. TraitCTheoryCofCLeadership:C TheCtraitsCofCtheCpersonCmakeCtheCleader.CTheCsituationC mayCdetermineCtheCleader
  24. BehaviorCorCStyleCTheoryCofCLeadership:C TheCleader'sCbehavioralCstyleCisConeCofCtheCfollo

13 C/C 41

  1. InteractionalCTheoryCofCLeadership:C LeadershipCisCsupportedCandCchangedCbyCtheCrelatio nshipCwithCtheCfollower
  2. TraitsCofCaCleaderCwithCemotionalCintelligence:C Self- awarenessCTheCabilityCtoCmanageCemotions Self-motivationCtoCdelayCgratificationsCandCstriveCforCinnateCgoalsCEmpathy SocialCdevelopment
  3. 5 CStagesCofCProjectCManagement:C 1.CDefinition
  4. Initiation
  5. Planning
  6. Executing
  7. Closing
  8. StepsCtoCbenchmarking:C 1.CIdentifyingCtheCareaCofCimprovementCandCgoalsCforCoutcomes
  9. ReviewCestablishedCstandardsCofCpracticeCtoCidentifyCquestionsCforCbenchmarking
  10. IdentifyCdataCandCinformationCaboutCtheCcurrentCprocess/practice
  11. SeekCsimilarCinternalCorCexternalCorganizationsCtoCdetermineCprocessCorCoutcomes
  12. KeepCquestionsCbrief
  13. SetCfutureCoutcomeCprocessesCandCoutcomeCtargetsCtoCmeasureCagainst
  14. ShareCresultsCandCcomparisonCmeasurements
  15. ImplementCprocessCimprovementCactionsCtoCchangeCoutcomes
  16. MeasureCandCcontinueCtoCchangeCprocessesCtoCsupportCpositiveCoutcomesCinCcompari sonCtoCtheCbenchmarkedClevel
  17. ConditionsCofCaChealthyCworkCenvironment:C 1.CCommunication
  18. EmployeeCengagement
  19. RelationshipCbuilding
  20. MutualCrespect 5 CRecognizeCthoseCwhoCareCmovingCtowardCgrowthCandCnurturesCprofessionalism
  21. Coaching:C ProvidingCknowledgeCandCsupportCtoCsomeoneCwhoCisCbecomingCfamiliarC withCanotherCroleCorCjobCresponsibilityCbeyondCtheCinitialCorientation.
  22. ScopeCofCpractice:C DefinesCprocedures,Cactions,CandCprocessesCpermittedCforCaClicensedCi ndividualCandCisClimitedCtoCthatCwhichCtheClawCallowsCforCspecificCeducationCandCexperienceCa ndCspecificCdemonstratedCcompetence.

14 C/C 41

  1. Staffing:C ProcessCofCdeterminingCandCprovidingCappropriateCnumberCandCmixCofCpersonne lCtoCmeetCtheCrequirementsCforCpatientCcareCandCdesiredCoutcomes
  2. SkillCMix:C VariousCtypesCofCstaffCnecessaryCtoCcareCforCpatientCpopulationsCbeingCservedCatC anyCgivenCtime
  3. Workload:C AmountCandCdifficultyCassociatedCwithCprovidingCpatientCcareCandCrelatedC activitiesCinCaCspecifiedCperiodCofCtime

16 C/C 41

  1. Contracts:C LegalCagreementsCamongCtwoCorCmoreCpartiesCthatCmayCbeCenforcedCbyCcourtsC orCthroughCprivateCarbitrationCproceedings
  2. CriminalClaw:C DefinedCbyCstatute,CsupplementedCbyCregulations,CandCinterpretedCbyCjudge s.CViolationCmayCbeCpunishedCbyCfinesCand/orCimprisonment,CdependingConCtheCseverityCofCthe Coffense

17 C/C 41

  1. ExamplesCofCcriminalClaw:C 1.CPracticeCofCnursingCwithoutCaClicense
  2. IllegalCprescriptionCorCuseCofCcontrolledCsubstances;CdrugCdiversion
  3. Fraud
  4. AssistedCsuicide 6.CfailureCtoCreportCchildCorCelderCabuseCorCneglect
  5. CivilClaw:C DefinedCbyCstatute,Cregulation,CandCcommonClaw;CinterpretedCbyCadmin- CistrativeCagenciesCandCjudges.CViolationsCcanCbeCpunishedCbyCfines,CcivilCpenalties,Cdamages, CorCotherCsanctions,CincludingCsuspensionCorCrevocationCofClicensure
  6. ExamplesCofCconductCthatCmayCbeCtheCsubjectCofCcivilCdisputes:C 1.Cmalprac- Ctice/professionalCnegligenceCorCmisconduct
  7. violationCofClegalCorCethicalCstandards,CprotectingCpatientCrightsC(HIPPACmayCbeCenforced CcriminallyCdependingConCtheCcircumstances)
  8. ImproperCclaimsCorCreimbursement
  9. BreachCofCcontract
  10. StandardCofCcare:C ACstandardCbyCwhichCnursesCareCjudgedCinClicenseCboardChearingsC andCmedicalCnegligenceClawsuits a) definedCasCusualCandCcustomaryCprofessionalCstandardCpracticeCinCtheCcommunity b) DescribesCtheCqualitiesCandCcoditionsCthatCshouldCoccurCinCaCpraticularCclinicalCsetting, CthatCaCreasonable,Caverage,CandCprudentCpractitionerCwouldCfllow c) DerivedCfromCstatutes,CcaseClaw,ClicensingCboardCregulations,CconsensusCofCpro- Cfessionals,CandCethicCcodes d) DetermineCscopeCofCpractice
  11. AnythingCaCnurseCdoesCthatCisCnotCwithinCtheCRNCscopeCofCpracticeCneedsCtoCbeCsuppor tedCbyConeCofCtheCfollowing::C 1.CAnCorderCfromCaCclinicianCauthorizedCtoCorderCtreatmentCandCt herapies 2.CACdocumentCinCwhichCaCphysician,CadvancedCpracticeCnurse,CorCPACdelegatesCtoCtheCRNCtheCauth orityCtoCperformCaCmedicalCact,CusuallyCwithinCspecifiedCcircumstances 3.CACprotocolCdevelopedCwithinCtheCorganizationCorCadoptedCfromCanCoutsideCorgani- CzationCandCapprovedCbyCtheCclinicCmanager
  12. EightCPrinciplesCofCDelegation:C 1.CTheCRNCtakesCresponsibilityCandCaccountabil- CityCforCtheCprovisionCofCnursingCpractice

19 C/C 41

  1. TheCRNCdelegatesConlyCthoseCtasksCshe/heCbelievesCotherChealthCcareCworkersChaveCtheC knowledgeCandCskillsCtoCperform
  2. TheCRNCutilizesCeffectiveCcommunicationCregardingCtheCdelegationCtoCnursingCassistive CpersonnelCwithCcommunicationCthatCisCclear,Cconcise,CandCcorrect
  3. CommunicationCshouldCbeCaCtwo- wayCprocess,CandCstaffCpersonnelCshouldChaveCtheCopportunityCtoCaskCforCclarificationCofCexp ectations
  4. TheCRNCusesCcriticalCthinkingCandCprofessionalCjudgementCwhenCfollowingCtheC 5 CrightsCofC delegation
  5. FiveCRightsCofCDelegation:C 1.CRightCtask
  6. RightCcircumstances
  7. RightCperson
  8. RightCdirection/communication
  9. RightCsupervision/evaluation.
  10. RespondeatCSuperiorCDoctrine:C TheCorganizationCorChealthCcareCfacilityCisCresponsib leCforCtheCnegligentCactionsCofCitsCemployees
  11. FourCelementsCdeededCtoCproveCprofessionalCliabilityCandCnegligenceCofCcare:C duty,C breachCofCduty,Ccausation,CandCdamages
  12. AmbulatoryCnursingCliabilityCrequiresCtheCnurseCtoCconduct:C 1.CAccurateCassessme ntCandCre-assessmentCutilizingCtheCnursingCprocess
  13. CriticalCanalysisCofCdata,CwithCtimelyCinterventionCforCabnormalCorCworrisomeCsympto ms
  14. SpecificCareasCofCriskCandCrequisiteCnursingCactionsCareCindicated
  15. Duty:C ScopeCofCpracticeCofCaCreansonablyCprudentCRN,CinCaCclinicCsetting,CwithinCtheCUnite dCStates
  16. BreachCofCDuty:C WasCtheCRN'sCconductCwithinChis/herCscopeCofCpracticeCand/orCjobCdescr iption
  17. Causation:C IsCthereCaCconnectionCbetweenCtheCRN'sCactionsCandCaCpatient'sCinjury?
  18. Damages:C DidCtheCpatientCsufferCinjury,Cillness,CorCfinancialClossCasCaCresultCofCtheCRN'sC actions?
  19. Abandonment:C OccursCwhenCtheCprofessionalCrelationshipCbetweenCaChealthCcareCpro

20 C/C 41 viderCandCtheCpatientCisCterminatedCabruptlyCandCwithoutCtheCpt'sCconsent

  1. PoliciesCandCprocedures:C FormalCwrittenCstatementsCunderCwhichCanCorgani- CzationCmanagesCitsCactivities
  2. InformedCconsent:C ACcommunicationCprocessCinCwhichCtheCphysicianCprovidesCtheCpatie ntCwithCinformationCaboutCallCpossibleCtreatmentCorCdecisionCoptions,CallowingCtimeCforCquestio nsCandCunderstandingCsoCtheCpatientCisCableCtoCselectCtheCoptionCthatCbestCfitsChis/herCgoals,Cv alues,CandCpreferences