Don't know how to teach Pharm? Fake it!!!

Nursing Students General Students

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I'm currently taking Pharm as part of an ADN program at my local community college. I also took Pharm from another community college with a highly respected veteran instructor. It's fun to compare and contrast the two because one is highly respected by thousands, and the other is often perceived as a kook.

The kookie one admits that she hasn't taught Pharm before. She's been doing a really bad job of teaching the material. She creates PowerPoint talking points from the textbook, and reads from the book.

We recently studied pharmaceutics, pharmakokinetics and pharmacodynamics. Instead of administering a well written 10 question NCLEX objectively gradeable quiz, she chose to have the students answer the following:

Scenario: You are making a home visit to a client. The discharge prescriptions are the following:

Medication- A: Take 20 mg twice daily for two more days and then once a day for four days on an empty stomach.

Medication-B: Take 500 mg three times a day with meals.

The client says to you, "This is too complicated for me! Can I take 20 mg of Medication-A once a day for eight days? After all, I'll be taking the same amount of drug. And, can I take A and B at the same times? I'll never remember to take them if I have to take one before I eat and the other after."

explain to the client why the medications should be taken as prescribed.

With the number of pharm questions on the NCLEX, I can't imagine how the other students are going to be able to pass the NCLEX if our knowledge continues to tested by these types of questions. :chuckle Sure, who cares about understanding about excipients or disintegration or dissolution. Let's have a long-winded essay about following directions... :bow: If you don't know the subject and you can't test it, then FAKE IT!

Specializes in ED, ICU, PACU.
Thanks anyway. You've made your point? :no: I can tell from your response that you have a lot of experience with home visits.

HMMMMM. How would YOU really know????????

Sorry I disappointed you by not doing your work for you.

Thanks anyway. You've made your point? :no: I can tell from your response that you have a lot of experience with home visits.

With the majority of your posts its difficult to tell if you are being sarcastic, passive agressive or just rude. Either way I get a kick out of them.

With the majority of your posts its difficult to tell if you are being sarcastic, passive agressive or just rude. Either way I get a kick out of them.

That's cool. I like people interacting constructively. Even if I don't agree with people, it gives me perspective that there is another opinion other than my own.

I don't like people accusing me of not wanting to do my own work. Judgement by others can be painful and unconstructive.

In the past, I organized multi-functional teams to brainstorm and design solutions that best responded to identified challenges, risks, etc. As a Project Manager, I would respect the constructive interactions of all participants. If the project succeeded, the team got the credit. If the project failed, I would take the blame.

Nursing is a new occupation for me. Many people have experiences that I don't. I respect that and welcome their input.

Cool? And yes Bicster, I do like you participating in my discussion threads. I hope you continue to do so. :loveya:

Specializes in LTC, case mgmt, agency.
The purpose of my response was to get you thinking in the right direction rather than thinking that your instructor cannot teach. My intent was not to specifically answer your question for you; but, to put you in the right mindset.

Ditto. All of my responses were for the same reason, to get you thinking critically about why the teacher chose that type of question. :loveya: I like what you said above; Nursing is a new occupation for me. Many people have experiences that I don't. I respect that and welcome their input. I think it is wonderful that you are open to others input:) Being open and thinking critically makes a good nursing student. Keep it up.

Specializes in Maternal - Child Health.

I attended a program where NONE of the exams were NCLEX-style.

Every test was essay and/or fill in the blank (with no list of possible answers provided.)

This format was justified to us with the following explanation: Learning material to the point where a test taker can recognize the correct answer is a lower level of learning than is required of a test taker who must provide and explain the correct answer. By demanding a higher level of learning, the director theorized that we would be better prepared for NCLEX. She must have been right. The program consistently has a 96-100% pass rate for first-time takers.

I attended a program where NONE of the exams were NCLEX-style.

Every test was essay and/or fill in the blank (with no list of possible answers provided.)

This format was justified to us with the following explanation: Learning material to the point where a test taker can recognize the correct answer is a lower level of learning than is required of a test taker who must provide and explain the correct answer. By demanding a higher level of learning, the director theorized that we would be better prepared for NCLEX. She must have been right. The program consistently has a 96-100% pass rate for first-time takers.

I think that is wonderful. How you think the test will be administered can often affect how you study. Sadly, the instructor in question had set the expectation that the testing methodology would be consistent with the past. When the instructor changed the format at the last minute, you can imagine the result.

When an educator provides an explanation and the explanation is consistent with our ideal of becoming great nurses, the educator's style of leadership is often perceived as authoritative :specs: vs. authoritarian :argue:. Your instructors maturely set expectations.

It sounds like you attended a good program with good instructors. I perceive you rightfully advocate this method of testing. :)

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