408 test taking success
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Test Preparation Strategies-
Empowerment! Challenge negative thoughts and fears
Controlled breathing
Muscle relaxation Imagery
Over-prepare for a test
Exercise regularly Don¶t change your normal daily routine
GET THERE EARLY!
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Time Management
1. What do you value in your life?
1. Where do you spend your time?
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Time Management
Area in life I value Desired % of time Actual % of time
Self-care (eat,
sleep, groom)
Work
Relationships
(family, friends)
LeisureSchool-study
Community
Religion-spiritual
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Time Management
Set PRIORITIES- from chart
Then:
1. Say ³NO´
2. Set time in schedule for priorities
3. Stick to schedule-budget and borrow as
needed
4. Allow yourself to give up the ³guilt´
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Nursing Process
Assessment
Analysis
Plan Implementation
Evaluation
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MC Questions & the Nursing
Process Errors on Assessment Q occur when:
1. Collect insufficient data
2. Have data inaccurately, unscientificallycollected
3. Rely on secondary rather than primary source
4. Contain irrelevant data
5. Fail to verity or accurately communicate data
6. Reflect bias or prejudice
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Elements of a Multiple-Choice Q
Stem
Options
Distractors
+ / - polarity- concerned with T / F
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Stem of Q
Look for words such as first, initially, best,
safest, most«
These modify the question and you must
put value on an option, rank order an
option, or prioritize options.
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Stem of Q
See if there is a similar word or phrase in
stem and an option
Look for central, significant person in the
stem-don¶t get distracted by non-
significant person (s) in stem
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Options of Q
Look for ³noexceptions´ clues² never, all,
every«(usually false) Look for patient-
centered options
Look for opposites-
(usually one iscorrect, or both can beeliminated)
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Options of Q
Equally plausible options-
(usually both are
distractors)
If one option is differentthan others, the other
three are most likely
distractors
If option denies patientfeelings, concerns,
(usually a distractor)
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Study Techniques
Know your Learning Domains:
Cognitive-read
Psychomotor-perform
Affective-feeling, stories
Know the 4 types of questions:
knowledge-memory
comprehension-understand
application-use, solve, modify
analysis-interpret, recognize relationships
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Know the Q Type
Knowledge Q
memorize
use cues
When you are
administering
medications, qid
means:-once a day
-twice a day
-three times a day
-four times a day
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Know the Q Type
Comprehension Q
± Understand significance of
facts
-Understand the ³why´ and³how´ of facts
± Study in small groups
To evaluate the
therapeutic effect of a
cathartic, the nurse should
assess the patient for:-increased urinary output
-a decrease in anxiety
-a bowel movement
-pain relief
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Instructors Key
In order to answer- must know not only
that a cathartic is a laxative that stimulates
the bowel, but also that the increase in peristalsis will result in a bowel movement.
Answer is (3)
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Know the Q Type
Application Q
-use, manipulate
information
-relate new info to prior
learning
-recognize and transfer
similar principles and
their application to other nursing situations
An older adult¶s skin looks
dry, thin, and fragile.
When providing back
care, the nurse should:-apply a moisturizing body lotion
-wash the back with soap and
water
-massage using short, kneading
strokes
-leave excess lubricant on the
patient¶s skin
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Instructor¶s key
To answer ± you must know that dry, thin, fragile
skin is common in older adults and that
moisturizing lotion helps the skin to retain water
and become more supple. When presented with
this patient scenario, you have to apply your
knowledge concerning developmental changes in
older adults and the consequences of the use of
moisturizing lotion.
Answer is (1)
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Know the Q Type
Analysis Q
± Interpret data
± Recognize
relationships
A patient has dependent
edema of the ankles and
feet and is obese. Which
diet should the nurseexpect the physician to
order?
-low salt and high fat
-low salt and low calories
-high salt and high protein
-high salt and low
carbohydrates
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Instructor¶s Key
You have to understand the relationships betweensalt in the diet and fluid retention , and betweenobesity and caloric intake. You must also
understand the impact of carbohydrates, proteins,and fats in a diet for a patient with edema andobesity. When you answer this question, youmust understand and examine the information
presented, identify the interrelationships amongthe elements, and arrive at a conclusion.
Answer is (2)
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Critical thinking scenario
It is January and the weather is cold. A student
comes to the school nurse with complaints of
feeling sick to her stomach, dizziness and
headaches that last halfway through her second
class. She has had these symptoms for several
days now. In addition to assessments regarding
this student¶s menstrual cycle, what information
is essential for the nurse to obtain at this time?
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What does she need to know?
A. overall nutrition status
B. health of other family members
C. vital signs
D. date of last menstrual cycle
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What¶s your answer and why?
Is it A or B or C or D?