TEST TAKING STRATEGIES: PART 1 Identifying the 4 critical elements: -ISSUE-questions that is being ask -KEYWORDS -CLIENT-the client

can be the family, the clerk or the patient -TYPE OF STEM- if the question is asking for a (+) or (-) answer STEPS IN TAKING THE EXAM: 1. READ THE SITUATION AND THE STEM QUESTIONS -identify the ISSUE. -underline KEYWORDS. -know the CLIENT. -if the question is asking for a (+) OR (-) answer. - REWORD THE QUESTION IN TAGALOG TO UNDERSTAND THE QUESTION. 2. READ ALL THE CHOICES: - use the PROCESS OF ELIMINATION. -eliminate WRONG CHOICES AND DISTRACTORS. -RETAIN all possible correct answer= consider choices you dont know as one of the possible correct answer. FOR THE RETAINED CHOICES: 1. choices must be RELATED TO THE ISSUE OR THE QUESTION. 2. if all choices are related to the issue you use the GLOBAL RESPONSE OR UMBRELLA TECHNIQUE- if choice A is under choice C then the possible correct answer is letter C..gets mo??ahahahaha..(example: A.check for distal and proximal pulses and C. Check for sensation,capillary circulation, pain and pulses,,since choice A is under choice C,then choice C is the correct answer.:)) 3.If GLOBAL RESPONSE IS NOT EFFECTIVE, use WORD IS TO WORD OR PHRASE IS TO PHRASE. (example: pt.post op cardiac cath. Nursing plan?? A. monitor V/s B. warm compress on the insertion site C. place client in high fowlers D. Check for cardiac arrthymias..since letter D, has the same word CARDIAC,with the question then the answer is D..gets??ahahahaha) 4. PAG WALA NANG PAGASA- LONGEST ANSWER NA LANG..ahahahaha,,no joke..:) PART 2: POWER OF ANALYSIS-ODD MAN OUT TYPE OF CHOICES LNG ITO..:) IN PHARMACOLOGY: -Pharma common side efx are G.I. symptoms: a.abdominal problem b. nausea and vomiting c. Headache -side efx should be something mild -adverse efx- are signs of toxicity like heap and nephro.:) PART 3: COMMUNICATION STRATEGY MUST FOCUS ON FEELINGS -RECOGNIZE AND ACCEPTANCE OF ANXIETY -RECOGNIZE FEARS -KNOWING THE CONCERNS THERAPEUTIC COMMUNICATION: -silence -OFFERING SELF IS ALWAYS CORRECT -showing empathy not sympathy (emotionally affected-no no!) -Focusing -RESTATEMENT -VALIDATE/ CLARIFY- dont conclude pt. feeling -giving information- based on facts(the doctor is responsible in THOROUGHLY explaining the procedure.) -dealing with here and now- limot ko na ito,,ahahahaha NON-THERACOM: -dont ask WHY!! -do not negate feelings

-do not analyze or interpret what the pt says. -dont give false assurance -dont pass the bulk -do not shift focus -do not GIVE ADVICE -do not argue or belittle nor be judgmental of the pt. (this is part of your illness- non theracom) GIVING APPROVAL-THATS GOOD.IM GLAD THAT YOU.-NO NO! AGREEING-THATS RIGHTI AGREE.-NO NO! DISAPPROVING- THATS BAD..ID RATHER-NO NO! DISAGREEING- ITS WRONG..DONT BELIEVE THAT.-NO NO! PROBING- NOW TELL ME ABOUT..TELL ME YOUR LIFE HX-NO NO! ADVISING- I THINK YOU SHOULD.WHY DONT YOU..NO NO! -if all choices are nontheracom,focus on the feelings PART 4: PRIORITY SETTING COMMON WORDS IF THE QUESTION IS ASKING FOR PRIORITY: -initial -essential -immediate -highest -best -most -IF YOU HAVE 0% IDEA follow this step: A. MASLOWS HIEARCHY a.physiologic- AIRWAY,BREATHING, CIRCULATION B. SAFETY- NANINIGURADO C.PSYCHOSOCIAL NEEDS (love and belongingness and self-esteem) D.if the pt has CONCERN- your answer must be an INTERVENTION. E. ASSESSMENT PART 5: ELIMINATE THE EXTREMES -eliminate the lowest and highest number. PART 6: PLANNING: -if the question is asking for a plan of care for a pt. the answer should be a NURSING CARE PLAN NOT A MEDICAL PLAN. EXAMPLE: WHICH OF THE FF IS THE PLAN OF CARE IF A PT WILL UNDERGO ECT TOM.?? a. ADMINISTER PRE-EC MEDS b. OBTAIN CONSENT c. ORIENT PT AFTER ECT d. BRING RELATIVES DURING ECT -correct answer is D, this is a independent intervention. Obtaining a consent is a physicians duty. PART 7: ELIMINATE OPTION THAT CONTAINS ABSOLUTE WORDS: -ALL -ALWAYS -EVERY -MUST NONE -NEVER -ONLY *NOT EFFECTIVE ALL THE TIME*-BE CAREFUL! PART 8:CONTRADICTING CHOICES-LAM MO NA IAN.:)) PART 9: CHN AND CD: CHN: ALL OF THE ABOVE IS NOT ALWAYS CORRECT, BUT 80-90% EFFECTIVE FOR CHN, CD AND OB. CD: UNIVERSAL PRECAUTION- ALWAYS HANDWASHING..:)) PART 10:MANAGEMENT OF CARE -CAN BE DELEGATED a.taking v/s

b. feelings of client c.hygiene care d.transport of pt with stable condition. -but be sure to double check what you have delegated,like v/s and patients statement-CANNOT BE DELEGATED a. assessment function b. interventions c. diagnosis- evaluation and teaching client or family