JyRn18

Hi there, I wanted to see how long it took new grads to get a job after passing the NCLEX? I am currently set to graduate from an ADN program in two weeks. Our school has told us that we can expect to take the NCLEX Feb/March 2019. I am currently working as a CNA & plan to begin applying to jobs at my facility upon graduating. About how long does it take most people to find a job once they have passed the NCLEX? Is 2-3 months after an unrealistic expectation? I would like to know your thoughts & experiences.

I am currently in my last semester of nursing school & it took me a lot of practice questions to not "read too much into the question." However, as I get to more NCLEX style questions I have realized that the question that is being asked won't always be within the first pieces of information given. The question that you gave was the following: "A Native American patient has been refusing to take their medication or attend treatment, which of the following would be a proper nursing response?" A. Something outrageously not right B. Something also clearly not right C. Enlist the help of a family member, to discover if their are traditional healing practices the patient may be more receptive too. D. Recommend to the provider that the patient be referred for a consult with a social worker. " Upon dissecting the question the first piece of information refers to the patients' culture so instinctually the eye goes to that fact and deems this a question pertaining to cultural competence. The remainder of the question asks the following: "which of the following would be a proper nursing response?" or in other words which of these answers is part of the nursing process. I see that in your examination of this question that you eliminated responses A & B because either they were unethical, illegal or non-therapeutic responses leaving you with responses C & D. Response D states "Recommend to the provider that the patient be referred for a consult with a social worker." Which as you stated "In D we are bringing the patient's lack of compliance to the provider's attention and using a collaborative team effort (social worker) to help address and overcome the patient's concerns with both the medication and treatment." While this response seems perfectly suitable and acceptable as the correct answer if you review it with in the context of the nursing process (ADPIE) this may fall under the Implementation portion of the nursing process. Response #C states: "Enlist the help of a family member, to DISCOVER if their are traditional healing practices the patient may be more receptive too." Key word being discover, or in other words ASSESS. The response does not indicate that protected health information would need to be divulged in order to conduct this assessment so therefore per the wording would not violate patient's privacy Also response D would not demonstrate cultural competence as it would be assuming that our medical practices are the only acceptable methods of healing & the RN would be advocating for her belief as opposed to the beliefs and practices of the patient she is treating.

I had this issue when entering school myself. I found that the more you practiced the better you became. Try interviewing people outside of a hospital situation, it may help you in finding a style of communication that best suits you. I have also found that asking open ended questions are best because patients will be open to sharing their stories and it will be easier to pick up on key points essential to your assesments.

First off, congratulations on getting into a nursing program! I definitely can relate to your post. I too doubted myself when I was taking A&P as well. My previous degree was completely unrelated & everything was new to me. However you did get into the program and once I got into nursing school I realized that many of those pre-requisites were designed to weed out those who didn't possess the academic skills to get into a program. You will see once you begin taking your first nursing classes the focus won't be so much on the details of the anatomy & physiology of the body but how you would intervene as an RN in the disease process.

I am currently in my third semester in an RN program taking Pediatric nursing. Up until this point I have managed to maintain a 3.0 GPA, however I am finding this semester a bit more difficult than the others? Realistically how many hours should I be studying per day? per week?