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Saturday, March 22, 2008

Test Taking Strategies For Nursing Students

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Test Taking Strategies For Nursing Students Slide Transcript
Slide 1: Test taking strategies for Nursing Students Caralee Bromme’, RN , MSN CCRN

Slide 2: Seminars Objectives • At the end of this session the student will – Define critical thinking and it’s application to the nursing process. – Understand Maslow’s hierarchy of needs in relationship to the nursing process. – Identify the components of a test question. – Be able to identify question and answer distracters and qualifiers.

Slide 3: Critical thinking • Critical thinking is the cornerstone of one's ability to function in today's society. According to Scriven & Paul (n.d.), • it...can be seen as having two components: – a set of skills to process and generate information and beliefs, and – the habit, based on intellectual commitment, of using those skills to guide behavior. – (Scriven & Paul, nd: http://www.criticalthinking.org/University/univclass/Defining.html)

Slide 4: Test Preparation… the most important step • Read the material prior to lecture – At the minimum, skim the chapter summaries, key word definitions and tables. Identify what the instructor’s going to talk about. • Take outline notes – Star concepts you don’t understand for further study. Use a spiral notebook one page for lecture. Then add info from the book on the opposite page *note all page numbers for open book tests. • Flag or Tab your notes and book for open book test with consistent system – Blue-tables, red-disease ( Mark disease name on tab), green- nursing care plan “Remember it’s all about understanding and application of the concept “

Slide 5: Test taking strategies • Outline your notes to each disease – With info from lecture and book • Pathophysiology of disease/ system • Signs and symptoms (including labs) – Highlight special S&S • such as RLQ pain for appy • Nursing Diagnosis • Goals • Specific Implementation plans • Patient teaching

Slide 6: Types of questions • Knowledge – Recall or remembered information • Comprehension questions – Need to understand the information • Application Questions – Show, solve, use or manipulate information • Analysis – Interpret data, recognize commonalties, differences, interrelationships among presented ideas

Slide 7: Now critical thinking and the nursing process.. • Assessment – Collect data, communicate information about assessments • Analysis/ Nursing Diagnosis – Clustering and interpreting data, identifying and communicating nursing diagnosis • Planning – Identifying goals, projecting outcomes, setting priorities, identifying interventions • Implementation – Implementing nursing care • Evaluation – Identifying patient responses, comparing outcomes to goals, modifying plan of care. “This is process of how we think about patients” Now let’s apply the same process to tests

Slide 8: Test taking strategies • Prioritization • Maslow’s Hierarchy of Needs • Biological • Safety • Belonging and love • Esteem needs • Self actualization

Slide 9: Test taking strategies • If you have to guess think physiological needs first… • Think.. • Airway • Breathing • Circulation • Disability • Safety second • Communication • Also do not forget the nursing process

Slide 10: Test taking strategies • Questions are based on the nursing process… • The components include – The stem – Correct response – Distracters

Slide 11: Test taking strategies • The client has a red, raised skin rash. During the bath, the priority action of the nurse is to: • a. Assess for further inflammatory reactions • b. Discuss the body-image problems created by the presence of the rash • c. Wash the skin thoroughly with hot water and soap • d. Moisturize the skin to prevent drying.

Slide 12: Test taking strategies • A 61-year-old client recently had left-sided paralysis from a cerebrovascular accident (stroke). In planning care for this client, the nurse implements which one of the following as an appropriate intervention? • a. Encourage an even gait when walking in place. • b. Assess the extremities for unilateral swelling and muscle atrophy. • c. Encourage holding the breath frequently to hyperinflation his lungs. • d. Teach the use of a two-point crutch technique for ambulation .

Slide 13: Test taking strategies • A client has severe right-sided weakness and is unable to complete bathing and grooming independently. Based on this observation, the nurse identifies a nursing diagnosis of: • a. Powerlessness • b. Self-care deficit • c. Tissue integrity impairment • d. Knowledge deficit of hygiene practices

Slide 14: Test taking strategies • The client is receiving an epidural opioid infusion for pain relief. A priority nursing intervention when caring for this client is to: • a. Use aseptic technique • b. Label the port as an epidural catheter • c. Monitor vitals signs every 15 minutes • d. Avoid supplemental doses of sedatives

Slide 15: Test taking strategies After administering an intramuscular injection, the nurse should massage the needle insertion site to: 2. Limit infection 3. Prevent bleeding 4. Reduce comfort 5. Promote absorption

Slide 16: Test taking strategies • To promote respiratory function in the immobilized client, the nurse should: 2. Change the client’s position q4-8 3. Encourage deep breathing and coughing every hour 4. Use oxygen and nebulizer treatments regularly 5. Suction the client every hour

Slide 17: Test taking strategies The nurse is caring for a client with cirrhosis of the liver with ascites. When instructing nursing assistants in the care of the client, the nurse should emphasize that 2. The client should remain on bed rest in a semi-Fowler's position 3. The client should alternate ambulation with bed rest with legs elevated 4. The client may ambulate and sit in chair as tolerated 5. The client may ambulate as tolerated and remain in semi-Fowlers position in bed

Slide 18: Test taking strategies • A client has gastroesophageal reflux. Which recommendation made by the nurse would be most helpful to the client? 3. Avoid liquids unless a thickening agent is = used 4. Sit upright for at least 1 hour after eating 5. Maintain a diet of soft foods and cooked vegetables 6. Avoid eating 2 hours before going to sleep

Slide 19: Test taking strategies • A 43-year-old client is scheduled to have a gastrectomy. Which of the following is a major preoperative concern? • a. The client’s brother had a tonsillectomy at age 11 years • b. The client smokes a pack of cigarettes a day • c. The presence of an intravenous (IV) infusion • d. A history of employment as a computer programmer

Slide 20: Test taking strategies • The nurse is working in a postoperative care unit in an ambulatory surgery center. Of the following clients that have come to have surgery, the client at the greatest risk during surgery is a: • a. 78-year-old taking an analgesic agent • b. 43-year-old taking an antihypertensive agent • c. 27-year-old taking an anticoagulant agent • d. 10-year-old taking an antibiotic agent

Slide 21: Test taking strategies • To provide for the psychosocial needs of an immobilized client, an appropriate statement by the nurse is: • a. “The staff will limit your visitors so that you will not be bothered.” • b. “A roommate can be a real bother. You’d probably rather have a private room.” • c. “Let’s discuss the routine to see if there are any changes we can make.” • d. “I think you should have your hair done and put on some make-up.”

Slide 22: Test taking strategies • Conclusion • Prepare and learn the concepts • Tab and out line your notes • Use the ABC’s and Maslow’s Hierarchy • For more info…. • www,medspub,com • Nurse Logic program





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