This is what I do:
I do not read the chapters before class, I used to do that and stopped. Rightnow, I am reading the chapters after lecture, which help to reinforce the materials covered in class. I record the lectures and listen while I go over the powerpoint notes. I do not take notes in class, I spend time listening and hightlighting what the instructor stresses. I usually read the chapters the next day after lecture where I take my time to understand and digest the materials by focusing on key areas (nursing assessment
, diagnosis, planning, interventions and evaluation). I also pay attention to the charts, graphs and answer all the questions from the back of the book. I have a workbook along with my text book, it is a waste of money because I was spending too much times trying to answer the questions rather than reading. I prefer to just use the internet site companion and do the questions on the back of the book. On the first test, there were more than 20 questions that came straight from the internet site. Rightnow, what I am doing is helping me because I have a 93 average. Good luck to you.