Quote from roscopeeco
It has nothing to do with the program. It it systemic to the whole cirriculum. You are saying that none of your tests deal with nursing diagnosis' that would make every doctor scratch their head? "Decreased cardiac output r/t blah blah blah". Why can't we call it CHF? You mean to tell me you don't take ATI test that pound you on therapeutic communication? What about the cultural competency questions. You don't have any of those on your exams either? People go to the hospital to get better, not to enjoy an all inclusive vacation. What is taught in any nursing program is what is needed to pass the NCLEX and ATI tests. The questions seem to come from the community nursing aspect instead of a acute setting.
We can't just call it CHF because nurses don't diagnose. It's an annoying distinction, I know, but it actually does stem from a nurse's scope of practice. Can I "fix" CHF as a nurse? Not really. But if I know the patient has decreased cardiac output, I can make sure the meds I'm giving will improve that; I can restrict fluids as necessary, and so forth.
As a nurse now, I don't have to write out care plans
step by step, but I do have to identify nursing diagnoses for a given patient (Acute Pain, Anxiety, Decreased Cardiac Output, Risk for Infection) and print the plans out and customize them for that patient.
I know it's frustrating; I've been there; but try to look at it for what it is and have an open mind. Some of this stuff you may never use again, but at the very least you DO need knowledge of nursing diagnoses and therapeutic communication to pass NCLEX. And you may be surprised how much of it you will continue to use in practice.