cameron46 757 Views
Joined: Jul 16, '10;
Posts: 8 (50% Liked)
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Re: AnxiousMSN's reply:
Your emotions are evidentally on the surface now & rightly so.
Its possible that you may be loosing some perspective on the intent of the exam from ANCC.
Look at my earlier posts (one where I provided fairly extensive feedback on exam prep & mindset).
Remember, only 37 or so questions are on direct medical systems (as published on the website's exam reference guide blueprint). A dozen or so on health promo (primary/ secondary; what to screen for & when etc).
The vast majority are broad NP regulatory issues; decsion making (not necessarily medical based; ie given a scenario- when it would be prudent to consult an MD/specialist & why/ why not etc); steculture; ethics; research; HC system trends/issues/policy; communication & teaching.
Most of the questions will draw upon your assimilated knowledge from nursing/ grad school and ask you to look at 4 answers- 2 are usually correct. The trick is deciding which one is MOST correct/THE BEST option based on the factors posed in the question. THe majority of these I felt you could not completely study for.
Additional advice for 2 days before (in addition to my earlier post):
1. Relax, self-empower yourself.
2.Approach each question rationally and know that you have the ability otherwise you wouldn't be where you are now.
3. The mark you got on AANP's exam may be good enought for ANCC - who knows b/c the grading scales are different - the AANP score may be a higher one on the ANCC; psyching yourself out will be self-defeating.
4. I would review the major principles of the systems tomorrow (that you are rusty on)- the major common d/o (ie HTN, Diabetes, Anemia etc)
5. The day before I would focus on all the non-medical ones (ie if it is relevant for you- review all the ethical principles & be able to frame them in a scenario in order to be able to apply them on the exam. For ex- if I was given the principle "veracity" in a question stem - can I think of an example that would apply etc). For ex- If I was informed that a marginalized patient who didn't speak english needs to be referred to a neurologist- what would be THE FIRST priority of care etc?
Hope this helps- & that you ace your exam on Wed!
RE: Zenman's Question.
I agree with Newgrad 13 & Blessedx3.
Being in Canada, you have to wait a couple of months for the ANCC and your provincial jurisdiction to convene on the results; this process is quite lengthy. Luckily in the US it is ' on the spot' results.
THe ANCC's published exam reference guides on their website clearly lay out the structue & format of the exam for each specific subject area (Adult, Family, Acute care etc).
All questions are required; as well as a group of exprimental questions. The computer does not automatically stop during the exam.
I've heard mixed consensus on the 'results communication' process at the end of the exam session.
Some individuals have reported "tentative pass" which is displayed on the screen; others have not.
Their is a general consensus however, that the exam centre staff will run a final report (in the case of 'tentative'/otherwise) and confirm your status before you exit the exam centre.
They will verbally inform you Pass/ Fail.
You will probably jump for joy when they say 'PASS'!
You will receive a written confirmation in the mail with appropriate follow-up instructions
(to re-test or to register your NP license in your chosen jurisdiction).
Best luck to ace the exam, Cameron46 (I posted earlier on extensive prep/tips for success)
i passed the ancc adult np exam!
(in case any one who read my earlier posts was wondering)
only 1-2 weeks before i commence my new np role on a medical psych consult team in an urban teaching hospital.
best to those who are preparing/just wrote their exams!
wow fnpgrad- your concerns appear to be somewhat anxiety based. its normal to have some intrepidation towards this experience- i had as well.
my best piece of advice in retrospect would be the following:
1. proper rest: make sure you obtain sufficient deep sleep the evening prior to your exam. your baseline is different than others & d/t the psychological strain its normal for your sleep to be somewhat less/interrupted. i was ok with about 5.5- 6 hrs sleep the night before.
2. relax & breathe: as fitzgerald states in her intro [p.16]: " i am breathing in 'self-confidence' and exhaling out my 'fear'".
i applied it once during the adult np exam & it worked.
the key is to recognize that an adaptive response is to be somewhat anxious and feel uncertain despite extensive preparation, but not to let that overtake you and diminish your potential performance. excessive anxiety may potentially inerfere with your ability to rationalize and apply acquired info in new situations that the exam will have.
3. expect the unexpected: following up on #2 above; although i wrote the adult np exam by ancc there was a fairly large component of questions (approx 25%) that were either totally foreign or vaguely familiar.
you will be in position to reason out what you do know and apply it in a situation that is new or remotely familiar. for instance although you may know what ethnic group may be most affected by a particular condition, a question may ask you for which group is least affected. within the same question (ex about hypertension or niddm) you may also be given anemia values where you have to know what's normal/ abnormal as well in order to narrow down your choice.
therefore in one question you are asked to solve 2 problems at the same time & in an order that is in reverse to how you normally think.
its not impossible - just remember to be logical and approach each question as its own exam & take a reasonalbe time with it. the good news is that there is a bunch of questions that you will readily know & can cross them off right away- which gives you more time for the harder ones.
4. format/ time: i would recommend doing all of the questions in the order given as you proceed with 1 minute per question. you need to stick to this in order to finish on time.
in terms of test centre regulations there may be minor differences i assume but re: my experience in relation to your questions.
1. arrival: you must arrive earlier than your test time.
for instance my exam time was 1330. i therefore arrived at 1300.
you will have to accomodate time for travel and/or parking and to arrive at the reception desk early.
if you are going to a large office with slow elevators - you will need a few extra minutes etc. mine was on ground level and 3 blocks from my loft- so a no brainer.
2. security: do not bring extra things as you have to lock up your stuff in a locker- including your watch etc. you have to sign out & in every time you go to the washroom. luckily mine was on the same floor and only about 15 ft away. i would recommed verifying the washroom location prior to your start time so that you are aware of where it is and may lessen any uncertainty. plus you will know the approximate time involved to incorporate a biobreak. i have more than enough time to leave the room twice.
3. gum/ mints/ candy: no gum is allowed at any as far as i know.
one of my colleagues was bold & 'cheeked' it but if the invigilators see you actively chewing (you are on camera) you may be forced to deal with the consequences. there was a waiver with instructions prior to starting the exam; chewing gum is an exam infraction- not fun if your'e caught; depending on if the exam invigilator wants to play robocop!
mints/ candy were allowed- but you had to take them out of the wrapper. they allowed me to take in one of my werther's candies in a kleenex that they supplied.
a) scratchpad: they will provide 2 pencils with erasers & a little booklet with blank paper for your use. i only used about 1/3 of one page.
there was hardly any calcuatlations. i think i had to add up something once or twice but that was about it.
b) reference list: the ancc gives you a lab/reference booklet (approx 30 pgs). the questions focus on the main values. from extensive studying i knew the main ones by heart. they do not focus on any obscure values- not to worry. you can use the book to confirm or look up values if you need to. i used it about 5 times. however, the placement of some of the values did not appear logical in the refernce book. i can't recall exact details of course, but for ex. looking up an 'hdl' level, you would think to go to "h' or "l" for lipids but it may have been placed under "t" with the 'triglyceride' section. so i had to look around a little bit for it but was able to peruse quickly.
4. time: there is a 5-10 minute pc tutorial on how to navigate the screen. it took me about 4-5 minutes to do it. the pc is simple to use. you can put your hand up & a helper will see you on camera & come to your assistance.
you then have 3.5 hrs for the full exam. you can use a 'mark' button to identify questions that you need to review/ go back to at the end.
it is very user friendly. i finished with 57 minutes left over.
i started to review my 'marked' questions (30 marked out of 150- i'm in canada- so now experimental ques) but after about a dozen i thought forget this i;m done- plus you shouldn't really change after contemplating carefully anyways.
5. results: if you are in the us you will know right away if you pass i believe. your results follow-up in the mail with an official letter. perhaps you can have a close friend/ significant other to be available after your writing for support/ to celebrate depending on the outcome.
6. postponing: it wouldn't be wise/ appropriate for another individual to counsel you on that unless the details of your situation were more apparent. it is a personal decision that should be based on your particular circumstances.
although, if you are adquately prepared there is no point in putting off the inevitable. i;m not sure about the family exam, but for the adult; the medical was only 37 questions.
the ancc blueprint on the website lays this out. the majority of the questions were on areas of np practice that you can't reallly study for anyways: communication, team decision making, hc policy, research, ethics, culture etc that you know from being an rn/ grad school. however, your particular exam may be different.
hope this helps. remember you are an intelligent & capable individual otherwise you would not have come this far! it always works out in the end- some way or another.....best of luck.
I agree mainly with Canoehead- do NOT contact VP of HR; that may be inferred that you are not following directions/ are inpatient/ too aggressive.
Follow-up with the Telemetry manager would be adviseable after you give HR 1 week; its only been 2 days from your original post.
You can not control everything in life - including the timing of important events.
If it is meant to be it will happen. Despite the 'return of the school year' -if the position is meant to be yours it will happen- your employer can easily find another replacement. Diplomatic discussion with your current boss and potential new employer will enable you to transition to your new role. THis is a career- your'e not 'flipping burgers' so an issue with scheduling should not be a prime focus.
I agree with the other posts (especially Lunah); go with where you are content.
Having a comfortable working environment with staff that support you is a great benefit- in any area of work.
The opportunity to explore med/surg per diem or shadow in the ICU may assist with your decision making.
Close friends who've done ICU said the experience was definitely worth doing but the challenges include a high degree of mechanical support combined with confronting caregivers' stress. They don't call it 'intensive' care for nothing; its far from 'easy' care and the cleaning/turing/monitoring is very labour intensive. ER is more broad; fast paced and of course has the adrenaline component. The competing demands on the floor (I did a lot of agency relief) and issues that you confront there can be very stressful too. Skills are relative to any area of care & certainly there a core group of skills that you have developed competence in. Additional skills that are not common to your area could be explored through in-services or continuing education. Any one can learn basic skills- you've already demonstrated that by passing an accredited nursing program. Remaining in the ER, even long term has the potential for you to be viewed as a highly competent practitioner- with a lot of knowledge AND SKILLS.
Wait a go DoJo! I agree with you; the exam is quite challenging.
I studied extensively and didn't feel great about the experience- which is rather unique for me.
Having completed a rigorous Masters NP program in Canada- we don't obtain our results for about 2 months.
I found Leik (print) & Fitzgerald (audio) useful for consolidating the medical content that you need to brush up on.
Unfortunately the overwhelming part of the exam is on extraneous content related to the NP role/decision making, ethics, culture and policy- at times too ambiguous; at times extremely detailed- not fun.
Recently did the ANCC Adult NP exam.
Mainly NP role and practice issues, culture, ethics and decision making.
Leik (print) & Fitzgerald (audio) useful for consolidating medical content.
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