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REWORD
THE QUESTION (find out what
each question
is really asking)
Step
1. Read each question carefully from the first word to
the last word. Do not skim over the words or read them too quickly.
Step 2. Look
for hints in the wording of the question stem. The adjectives MOST,
FIRST, BEST, and INITIAL
indicate that you must establish priorities. The phrase FURTHER
TEACHING IS NECESSARY indicates that the answer
will contain incorrect information. The phrase "CLIENT
UNDERSTANDS THE TEACHING" indicates that the answer
will be correct information.
Step 3. Reword
the question stem in your own words so that it can be answered with a "yes"
or a " no" or with a specific bit of information.
Begin your questions with "what", "when", or "why".
Example:
A 6 yr. old girl with a
fractured femur is brought to the ER by her parents. When asked how the
injury occurred, her parents state that she fell off the sofa. On
examination, the nurse finds several lesions on the child’s buttock.
Which of the following statements most appropriately reflects how the
nurse should document these findings?
1. Read the question stem carefully.
2. Pay attention to the adjectives.
"Most appropriately" tells you that you need to select the
best answer.
3. Reword the question stem in your
own words. In this case, it is: "What is the best charting
for this situation?"
A 47 year old male construction worker is
admitted to the hospital for treatment of active tuberculosis. The
nurse teaches the patient about tuberculosis. Which statement, if made
by the patient, would indicate to the nurse that further teaching is
necessary?
1. Read the question stem carefully.
2. Look for hints. Pay particular
attention to the statement "further teaching is necessary".
You are looking for negative information.
3. Reword the question stem in your
own words. In this case, it is: "What is incorrect
information about tuberculosis?"
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