TEST-TAKING TIPS (Part 4)
sent by Mrs.
Sheila Marie Subong-Gernade
answer choices in which the nurse is telling the patient what to do
without regard to the patient’s desires or feelings. Example:
that the patient follow unit rules
- insisting that the
patient do what you command, immediately
close-ended questions that can be answered with the words YES, NO or
other monosyllabic answers. Close-ended questions discourage the
patient from sharing thoughts and feelings. Example:
you feeling guilty about what happened?"
- "How many children
do you have?"
responses that are "why" questions: ones that seek reasons or
justification. "Why" questions imply disapproval of the patient who may
become defensive. Any response that puts the patient on the defensive
is nontherapeutic and therefore incorrect. Example:
makes you think that?"
- "Why do you feel
being a junior psychiatrist. Eliminate responses that include the word
"explore". It is not the nurse’s role to delve into reasons why the
patient is feeling a particular way. The patient must be allowed to
verbalize the fact that he or she is sad, angry, fearful or
overwhelmed. Example of "let’s explore" responses:
talk about why you didn’t take your medication."
- "tell my why you really
choices that offer false reassurance. These responses would discourage
communication between the nurse and the patient by not allowing the
patient to explore his or her own ideas and feelings. False reassurance
discounts that what the patient is feeling.
going to be OK."
- "Don’t worry. Your
doctors will do everything necessary for your care."
choices if the focus of the comment is on the nurse. Be careful,
because these answers may sound very empathetic. The focus of your
communication should always be on the patient. Example:
happened to me once."
- "I know from
experience this is hard for you."
|DON'T PASS THE BUCK!
More often than
answer choice that states "call
the physician, or refer to somebody" is the WRONG
answer. Usually there is
something you need to do before you make the call. In a given
situation, the test wants to
know what a registered professional nurse will do….not what the
physician is going to
A 53 year old man is receiving PRBC. Several
minutes after the infusion is started, he complains for itching and
develops hives on his chest and abdomen. Which of the following actions
should the nurse take first?
slow down the rate of the transfusion
B. call the physician for an order of antihistamine
C. mix IV fluid with the blood to dilute it
D. stop the transfusion
sounds like the patient is having an allergic reaction tot he
transfusion. What should you do first for this patient?
slowing down the rate of transfusion is not the right action
B. antihistamines are given for allergic reactions. This answer is a
possibility but there is something you should do first!
C. This does not have anything to do with an allergic transfusion
D. This is the best action to take first before calling the
RULES OF MANAGEMENT
not delegate the functions of ASSESSMENT, EVALUATION, AND NURSING
Do not make decisions
regarding management of care based on decisions you may have observed
during your clinical experience in the hospital. The answers
to the questions are found in nursing textbooks or journals.
Delegate activities for
stable patients with predictable outcomes. If the patient is unstable,
or the outcome of an activity is not assured, if should not be
Delegate activities that
involve standard, unchanging procedures. Activities that frequently
reoccur in daily patient care can be delegated such as bathing,
feeding, dressing or transferring patients.
Remember Maslow, ABC’s and stable versus unstable when determining
which patient should you attend first.
THE FOLLOWING ON THE EXAM DAY
MOVING FORWARD. By the test day, do enough preparation so
that it becomes an instinct to keep moving forward instead of getting
bogged down in a difficult question. The best test takers don’t get
bothered by difficult questions because they accept that everyone
encounters them on the exam.
LISTEN TO NEGATIVE WORDS OR BEHAVIOR. Don’t be distracted by
the ignorant babble or the behavior of other, less prepared, less
skilled examinees around you. Negative thoughts lead to negative
feelings and may interfere with you performing your best on the test
BE ANXIOUS IF OTHER TEST TAKERS SEEM TO BE WORKING HARDER OR ANSWERING
QUESTIONS MORE QUICKLY. Continue to spend your time patiently
but doggedly thinking through your answers. Set your own pace and stick
BREATHING!!! Some test takers start holding their breath
without realizing it. This can hurt confidence and accuracy. Do what
you can to instill awareness or proper breathing before and during each
study or testing session.
SOME QUICK ISOMETRICS DURING THE TEST. This is helpful
especially if your concentration is wandering or energy is waning. For
example, put your palms together and press intensely for a few seconds.
saying this to yourself everyday:
day in every
way I am getting better and better" - Dr. Emile Coue
Study Tips: Page
1 | Page 2 | Page 3 | Page 4
Tips & Articles for
Parvae Lucies Domini (http://www.ann2.net/pld)
Thanks to Mrs. Sheila Subong-Gernade for sending these tips