I have realized that I should clarify that my process for this question was for this question alone. I am a graduate nurse (high honors) who is studying for the NCLEX through Kaplan. Kaplan gives some very good strategies for studying for the NCLEX which is based on Bloom's Taxonomy: there are four levels of difficulty in questions - the bottom two are recall/recognition and comprehension. We get these in prerequisites and some in nursing school. They are also on the NCLEX - but are not passing level questions. The upper two levels of questions are application and analysis questions - the critical thinking questions that assume you know the content already. These are the passing NCLEX level questions. What I did for the posted question was to use some of the strategies Kaplan teaches for NCLEX. My own experience with nursing school is that the test questions were a modified version of what I am studying now.
With the Kaplan review
, I have learned not to just jump at what I think is the right answer, but to identify the topic (not always obvious if you get a lot of background information), eliminate wrong answers using a set of strategies, and then to reason out the right answer from what is left using another set of strategies. It's taking a lot of practice, but I am actually beginning to get a lot more right answers than wrong ones using these concepts.
Identify the topic of the question: it's not always obvious what is being asked.
Only eliminate answers you know to be wrong in order to find the correct answer.
Don't use background information unless absolutely necessary.
Don't read into questions or make assumptions.
You are always taking care of a patient and NCLEX is about bedside nursing.
This is not the real world, correct answers are based on the textbook.
The right answer is within the scope of nursing, don't pass the buck.
Memorize lab values.
Take care of the patient first, then the equipment.
Therapeutic communication is not authoriarian, does not ask yes or no questions, and does not ask why.
Focus on the patient, not the nurse; correct answer choices are empathetic and reflect the patient's feelings.
Learn to recognize expected outcomes
Be able to answer questions about positioning, are you preventing something or promoting something?
Don't delegate teaching, assessment, or evaluation.
To establish prioritites: what is the one thing you can do and then go home; or use Maslow if choices include both physical and psychosocial answers - eliminates the psychosocial; for the remaining choices use the ABC's; or are the answers assessments and implementation answers - in this case look for what the question is asking; and/or determine the outcome of your actions - what is the desired outcome?
I hope this clarifies things. Denise