Hurst Reviews NCLEX-RN Review 1st edition Hurst eBook

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  • Download: Hurst Reviews NCLEX-RN Review 1st edition Hurst eBook
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  • Published: 2008
  • ISBN-10: 0071484310
  • ISBN-13: 978-0071484312

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Hurst Reviews NCLEX-RN Review 1st edition Hurst eBook

Chapter 1:     LET’S GET IT STARTED IN HERE!

This is where you need to play the song “Let’s Get It Started in Here” by

the Black Eyed Peas to get you pumped-up!

Now don’t think because this is the first chapter that you can skip it.

You must read it in order to understand how we will work together to

achieve NCLEX® success. This book parallels the same successful

approach I use when teaching NCLEX® Review classes. This chapter

serves as the beginning of your journey in conquering the NCLEX®!

So, you’ve finished nursing school.What an accomplishment! Can

you believe it’s really over? I’ll bet you are still walking around feeling

like you have a care plan to turn in to your clinical instructor! Now

you have to take one more test! I know that’s very frustrating. You’re

anxious to take the test, so you can get to work to help buy that new

car you’ve already picked out. Or, maybe the nurse manager at your

new job or a family member is pressuring you to take the test sooner

rather than later.

Maybe you have taken the test five times already and you feel there is

no hope for you. Guess what? There is hope! Just because a student may

have to take the test more than one time doesn’t mean he or she isn’t

going to be a great nurse. If you follow this book and do what I say, you

will achieve NCLEX® success!

✚ Don’t assume anything

Some of you may assume that passing nursing school and the

NCLEX® predictor tests assures your ability to pass the NCLEX®.

Your teachers have probably emphasized that NCLEX® tests for

minimum nursing competency. You may be saying to yourself, “Surely,

I’m minimally competent.” Unfortunately, these things may set you up

for false reassurance.

Pretend it’s new!

Let me emphasize one important point: NCLEX® is not like any test

you have ever taken. Your safest approach to this test is to pretend you

are starting your very first IV, and you have to remember each step

you learned in the clinical learning laboratory in order to successfully

insert the IV. Doing something for the first time can be very scary,

but I will help you to overcome those feelings as far as NCLEX® is

concerned.

✚ What’s the good news?

Yes, there is good news! You can pass the first time if you CHOOSE.

Achieving success in anything requires the investment of time. I’m

not advocating weeks and weeks of studying. I’m encouraging you

to study this book thoroughly, so that you can walk into the testing

center with a level of confidence that will propel you to pass the

FIRST time!

NCLEX® is not like any test you

have ever taken!

My goal is for  you to pass NCLEX®

the  first time!

CHAPTER 1 ✚ Let’s Get It Started in Here! 3

WHAT’S THE NCLEX®, AND WHY DO I HAVE

TO TAKE IT?

Look at it this way: This could be the most important test you ever take!

Let’s look more closely at the NCLEX® and why it is important.

✚ Define time

The NCLEX®, or National Council Licensure Examination, is a test that

determines if you have the minimum level of knowledge necessary to

practice nursing safely. The test is written by nurses with advanced

degrees and clinical expertise in each specific area of nursing.1

✚ What exactly does “practice nursing safely”

mean?

The American Nurses Association (ANA) developed a standard set of

protocols to guide nurses in making decisions regarding the care of

clients.2 Nursing in its basic form provides care to clients in order

to help them achieve specific goals to return them to wellness, to return

them to an adapted state of wellness, or to help the client die with dignity

and peace.2 Practicing these services without causing harm to the

client, or the lack of practicing these services, at the very least, is what

NCLEX® considers as the minimum level of knowledge needed to

practice nursing safely.1 In other words, nurses are safely helping

clients return to the level of self-care or wellness before their illness.

That was deep!

✚ Applying your knowledge

Passing the NCLEX® does not include learning and memorizing a

never-ending amount of content. Instead, the key is to take what you

DO know and apply it to concepts you may never have heard of. How?

Don’t worry; we’ll work through this together. This concept of applying

your knowledge will prevent you from panicking at the sight of a

question that asks you about some unfamiliar disease. I have successfully

used this method of analyzing test questions since I began teaching

in schools of nursing in 1988. You will learn how to methodically

work through this type of question and confidently select the correct

answer.

 CASE IN POINT Imagine you work on a medical-surgical unit. You are

given your assignment of six acutely ill clients. Do you know every detail

listed in your clients’ charts? Of course not! But, you are still responsible

for caring for these clients.What do you do? Do you rush to the computer

on your unit to look up the etiology of every disease your clients

have? No way! You implement what you do know by applying basic principles

of safety to prevent harm to your clients.We will use this same

approach with NCLEX® test questions.

Don’t let distractions or a long list

of client needs supersede the

safety of any client!

If you’ve never heard of a disease

or illness that is presented on the

NCLEX®, then no one else has

either! This is most likely a distracter

that the NCLEX® Lady has

cooked up!

4 MARLENE HURST ✚ Hurst Reviews: NCLEX-RN® Review

✚ Don’t believe everything you hear

There is a rumor floating around that if you don’t know the answer on a

standardized test, pick “C.” That is simply untrue; it will not help you

pass this particular exam. The key to passing the NCLEX® is to take the

knowledge you do know and apply it to new and different concepts.

The NCLEX® Lady views you, the test-taker, as a new nurse

with only two weeks of vast nursing knowledge. This should

be a relief that you do not have to know everything about

nursing! We aren’t trying to make l00% on this test. We got

over that compulsion a long time ago! However, you want to

approach this test as if you are a brand new nurse, not an

experienced nurse. In fact, if you approach the test like you are

an experienced nurse, you will scare the NCLEX® Lady! This

book will show you how to think like a new nurse.

✚ Will taking a million practice tests help me pass?

Many of you have been told you need to take a million practice tests in

order to pass the NCLEX®. Your friends have been smothering you with

study guides, workbooks, and CDs. Your plan is to memorize these questions.

Bad move! No matter how many questions you memorize,

NCLEX® has many thousands more waiting for you. This book will show

you how to answer the test questions in a way that makes the NCLEX®

Lady very happy.

CORE CONTENT AND THE NCLEX®

You will hear me refer to “core content” many times in our journey

together. If you feel you need a quick review of core content please take a

look at my online review. You may want to hear me discuss the patient

core content. So check out www.hurstreview.com. Let’s take a brief look

at core content, because it will be a key factor in your test preparation.

✚ Define time

The core content is the information you must know without a doubt and

without hesitation if you wish to pass the NCLEX® the first time.

✚ Without a doubt and without hesitation

Heavy words! So, what exactly is the core content that I should know

without a doubt and without hesitation? The core content that I will

keep referring to is information such as fluids and electrolytes or

acid–base balance.

CHAPTER 1 ✚ Let’s Get It Started in Here! 5

 CASE IN POINT Let’s take a look at an example that includes core content

that you should know without a doubt and without hesitation.

The nurse is caring for an 8-hour postop thyroidectomy client.Which

client symptom should concern the nurse the most?

1. Slight twitch of the left arm.

2. Depressed patellar reflex.

3. Blood pressure of 136/83 mm Hg, pulse of 72 beats/min, respiratory

rate of 18 breaths/min.

4. Occasional premature ventricular contractions (PVCs) noted per the

monitor.

Let’s use a step-by-step process to answer this question.

Step #1: Did you know that while reading this question your main

focus should include hypocalcemia? To answer this question, you have

to use multi-logical thinking. You have to be knowledgeable about a

thyroidectomy and the related complications. Remember: NCLEX®

questions usually focus on actual or potential problems that can

occur. There aren’t many “happy” NCLEX® questions. Note: After a

thyroidectomy there is a chance the surgeon could accidentally remove

the parathyroid glands.

Step #2: Now you need to know about the parathyroids. Parathyroids

increase serum calcium. So, if a couple of the parathyroids are accidentally

removed, then the serum calcium goes down. Next, home in

on how fluctuations in calcium affect the body. If the serum calcium is

raised, then the body will be sedated. If the serum calcium is lowered,

the body will be tight or contracted. This is my simple way of looking

at it.

Step #3:What can tightened or contracted muscles lead to? Seizures.

When that arm starts to twitch, you should worry and assume the

worst: the client may be headed toward a seizure. The client’s patellar

reflex is depressed due to the effects of general anesthesia. Also, if the

calcium drops, the reflexes increase—not decrease. The vital signs

remain normal. Okay, I know the PVCs worried you, but the answer

choice said “occasional.” You’ll want to watch this to make sure the

PVCs do not increase. This is not highly unusual; many people have

occasional PVCs.

Step #4: Now we have arrived at the correct answer, #1.Muscle twitching

is a specific sign you must watch for in the care of the post-thyroidectomy

client.

See how your knowledge of core content was needed in order to answer

this question?

✚ More good news

Once again, the good news is you do not have to know everything in the

world about nursing to pass the NCLEX®. It is not necessary to reread

every class note or textbook. Remember, the NCLEX® Lady thinks of you

6 MARLENE HURST ✚ Hurst Reviews: NCLEX-RN® Review

as someone with only two weeks of vast nursing knowledge! Every test

question stems from core content. This book will provide you with many

opportunities to refresh your core content knowledge and put this

knowledge into practice with test questions.

SUMMARY

I’m excited about this opportunity to help you achieve your goal, and

hope you will not only learn, but actually enjoy studying with me.My

successful approach is unique, so it is important for you to pay close

attention to every word in this book. Now let’s get it started in here!

References

1. National Council of State Boards of Nursing. NCLEX Examinations.

Available at: www.ncsbn.org. Accessed October 25, 2006.

2. American Nurses Association. Nursing: Scope and Standards of Practice.

Introduction.Washington, DC: ANA; 2004.

Bibliography

American Nurses Association. Nursing: Scope and Standards of Practice.

Washington, DC: ANA; 2004.

Huber D. Leadership and Nursing Care Management. 2nd ed.

Philadelphia: Saunders; 2002.

Hurst Review Services. Available at www.hurstreview.com.

National Council of State Boards of Nursing. Available at

www.ncsbn.org.

You will never be more motivated

than you are right now to study for

the NCLEX®! Now is the time to

take action to pass the test so you

may get on with your life!

Hurst Reviews NCLEX-RN Review 1st edition Hurst eBook

Table of Contents

UNIT 1 CURRENT THEORIES AND PRACTICE

Chapter 1 Foundations of Psychiatric-Mental Health Nursing

Chapter 2 Neurobiologic Theories and Psychopharmacology

Chapter 3 Psychosocial Theories and Therapy
Chapter 4 Treatment Settings and Therapeutic Programs

UNIT 2 BUILDING THE NURSE-CLIENT RELATIONSHIP

Chapter 5 Therapeutic Relationships

Chapter 6 Therapeutic Communication

Chapter 7 Client’s Response to Illness

Chapter 8 Assessment

UNIT 3 CURRENT SOCIAL AND EMOTIONAL CONCERNS

Chapter 9 Legal and Ethical Issues
Chapter 10 Anger, Hostility, and Aggression

Chapter 11 Abuse and Violence
Chapter 12 Grief and Loss

UNIT 4 NURSING PRACTICE FOR PSYCHIATRIC DISORDERS

Chapter 13 Anxiety,Anxiety Disorders and Stress-Related Illness

Chapter 14 Schizophrenia
Chapter 15 Mood Disorders
Chapter 16 Personality Disorders

Chapter 17 Substance Abuse
Chapter 18 Eating Disorders
Chapter 19 Somatoform Disorders
Chapter 20 Child and Adolescent Disorders

Chapter 21 Cognitive Disorders