THE CLIENT IS KEY

T. C. I. K. THE CLIENT IS KEYHPS 103FOUNDATION COMPETENCIES IN HEALTH SCIENCE

Four techniques for solving multiple choice questionsT Determine the type of stem.

Four techniques for solving multiple choice questionsC Determine who the client is.

Four techniques for solving multiple choice questionsI Determine what the issue is.

Four techniques for solving multiple choice questionsK Identify the key words.

COMPONENTS OF A MULTIPLE CHOICE QUESTION

Three components of a multiple choice questionThe scenarioThe stemThe options

ScenarioThis scenario provides information about a clinical health problem, and the information to consider when answering the question

StemThe stem asks something about the scenario.Read carefully to identify specifically what is being asked.

OptionsThe options are the possible answers.Read every option carefully.Reread the stem to be sure you understand what is being asked.

Steps for using the stem to answer multiple choice questions

Steps for using the stem to answer multiple choice questions.Read the stem.RE-read the stem with each option as a true-false statement.Eliminate the distractors and select from the remaining options.Always GO WITH WHAT YOU KNOW.

Read the stem.Finish the statement in your mind, and check to see if the answer is one of the options.

Your answer may or may not be one of the options, but you will be thinking along the same channels.

Re-read as four true-false statements.

Read the statement with the first option.If the statement is false, cross off the letter of that option. This is a distractor and will not be the correct answer.

If the statement is true, it may be the correct answer. Place a + in front of this optionYou wont know if this is the correct answer until you read all four options.

If you are uncertain about an option, place a ? in front of that option.

After reading all four options, eliminate the distractors and select from the remaining options.

GO WITH WHAT YOU KNOWIf you placed an X in front of two options, And a + in front of one option,And a ? in front of one option,SELECT the option with the +.

DRILL: Practice questions.

T C I K: The Client is KeyTDetermine the type of stem.

Type of StemThere are two types of multiple choice question stems:A true-response stem.A false-response stem.

Type of StemIn true-response stem , the answer is true regarding the case scenario.

Type of StemKey words in a true-response stem include:Most or most appropriateMost likelyBest judgment

Type of StemOther key words include:InitialFirstChiefImmediate

Type of StemFalse-response stem uses key words that ask for an answer that is NOT true regarding the case scenario.

Type of StemKey words include:Least likelyNeed for further instructions or educationLowest priority

Type of StemOther key words include:IncorrectUnsafeExcept, not, or avoid

T C I K: The Client is KeyDetermine who the client is.

Who is the ClientThe client is the person of focus.

Who is the ClientThe client may be:The person with the health problemA relative A friendA spouse or significant otherA roommateA member of the health care team

DRILL: Practice Questions (Determine who the client is)

T C I K: The Client Is KeyDetermine what the issue is.

What is the issue?The issue is the specific subject content that the question is asking about.

What is the issue?The issue may include:A medication or intravenous (IV) therapyA side effect of a medicationAn adverse or toxic effect of a medicationA treatment or a procedureA complication of a health care problem, treatment, or procedureA specific nursing action

DRILL: Practice questions (Determine who the client is).

T C I K: The Client is KeyIdentify the key words.

What are the key words?Common key words:Early or lateBestFirstInitialImmediatelyMost likely or least likely

What are the key words?Most appropriate or least appropriateOn the day ofAfter several days

What are the key words?Key words are important to identify because they will assist in eliminating the incorrect options.

What are the key words?Some of the key words may indicate that all of the options are correct.It will be necessary to prioritize in order to select the correct option.

Drill: Practice Question (Identify the key words).

T C I K: The Client Is KeyDetermine the type of stem.Determine who the client is.Determine what the issue is.Identify key words.