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!



Time Management

1. What do you value in your life?

1. Where do you spend your time?



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



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´



Nursing Process

Assessment

Analysis

Plan Implementation

Evaluation



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



Elements of a Multiple-Choice Q

Stem

Options

Distractors

+ / - polarity- concerned with T / F



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.



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



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)



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)



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



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



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



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)



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



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)



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



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)



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?



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



What¶s your answer and why?

Is it A or B or C or D?



Answer is:

B. health of other family members

Why?

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