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Damion Jenkins MSN, RN

NCLEX Prep Expert - 100% Pass Rate

Hi! I am Damion - an NCLEX Prep Expert Tutor and Writer! I am the owner and operator of TheNurseSpeak.com.

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Damion Jenkins is a MSN, RN and specializes in NCLEX Prep Expert - 100% Pass Rate.

Hi! I am Damion - an NCLEX Prep Expert Tutor and Writer! I am the owner and operator of TheNurseSpeak.com. - a nursing education and consulting company & blog.

Did you know that over 20% of new grad nurses fail the NCLEX?!? -I help to increase the number of nurses entering the profession by helping them develop strategies for NCLEX success!

To learn more, please visit thenursespeak.com or message me so we can discuss how I can help you become a licensed nurse!

Damion Jenkins's Latest Activity

  1. Damion Jenkins

    How to Bring Holiday Cheer to the Bedside

    Of course we will have days that bring on the normal stress of the job, however many of us may feel the struggle a bit more ourselves with being away from our families because holiday shift bidding didn’t go as planned. Even though it comes with the territory of being a nurse, it doesn’t make being away from our loved ones any easier. Therefore, it’s essential to make the best of our holiday shifts and bring our colleagues, patients and their families the warmth and joy of the season! Here are three easy ways to sprinkle in a bit of Holiday cheer at the bedside: Live in the Light of GRATITUDE Start each of your days off by giving thanks for all that you have. It’s easy to get used to all of the comforts and conveniences that we’ve worked our butts off to enjoy, but we should always be wise to give thanks for what we have that’s going right for us, rather than focusing on the negative. One easy way to do this is to consider the fact that we get to go home to our families at the end of our shifts, and that our patients in many cases cannot. We should also be grateful that we have the opportunity and capacity to provide service to our patients and their families during the holidays. Whether they say so or not, I know my services are very much appreciated and that makes me feel good. So when you’re feeling frustrated or feeling down because you are not with your family during your holiday shifts, just think about all the things you are grateful for and your spirits will sure to be lifted! Be Festive and Create Some FUN at Work Whether it be caroling on the unit, making holiday cards for your patients, or participating in a pot-luck lunches, be sure to join in on the festivities! We all know that organizing a pot-luck luncheon for staff in a healthcare facility can be a challenge, but when we finally get that chance to break free from patient care to grab a bite to eat – NOTHING is better than having a home cooked holiday meal! Also, be sure to involve your patients and their family members in holiday festivities as well. It’s really something special when you can take a few extra minutes out of your shift to do something so very meaningful for your patients. So instead of being a Grinch because you are stuck at work during the holidays – make sure you have a little fun by sharing in the Joy of the season! Spend MORE Quality Time with Your Patients and Their Families Nothing means more to a patient and their family than a nurse or nursing assistant who spends a lot of quality time with them. Patients often complain that they get to see their healthcare providers and nursing staff far less than they would like. In order to bring your patients and their families some of that Holiday Spirit, plan to spend a little more time with them. Engaging in conversation about their holiday traditions, about their family members, and even what they plan to do after they are discharged (if possible), will really help to brighten up their stay, and help to pass the time. It’s understandable that you’ll find yourself busy per the usual, but finding an extra 30 minutes or so per patient will mean the world to them! So if you find yourself working this holiday season, be sure to implement these three simple, yet effective ways to help bring holiday cheer to the bedside! Best Wishes and Happy Holidays! -Damion
  2. Success success success . 

    I am now a state registered nurse. I passed my NCLEX-RN. Thanks to one NCLEX expert.

    OMG i am super happy because I have been trying for the last three years. Thank you god.

     If you have any difficulties concerning the NCLEX exams as a whole then get back to me for help. 


  3. Since nurses are expected to be self-regulated professionals, we are legally and ethically obligated to identify and make a valid attempt to resolve all practice issues as they arise as a means to minimize potential negative impacts they may have on patients, our fellow colleagues, and daily operations. In part three of this three-part series, we will focus on how to document and evaluate to improve practice issues within our work settings. Let’s take a look at two strategies we can implement to gain a better understanding of what’s going on, so we can find the best way to resolve practice issues: Document It is important to keep personal records of all steps taken to resolve a practice issue. This ensures there is an accurate account of events and that you can use to demonstrate that you’ve met your professional obligations. It is recommended that all communication with managers and other leaders of your organization be noted in your personal communication log. Additionally, it may prove to be helpful to have any discussions or meetings followed up with a summary email. This provides all parties involved with a detailed record of what was discussed and allows for you to highlight specific details, seek further clarification after you’ve thought about it for a while, and to hold other individuals accountable for their contributions to the discussion and/or meeting. Each board of nursing offers detailed information about the legal and ethical responsibilities relating to reporting and documenting challenging situations within practice. The boards of nursing help to clarify the nurse’s legal and ethical obligation to report incompetent, unethical or impaired practice of a nurse or unethical conduct by any health professional to management, administration and/or the appropriate regulatory body. When documenting any of the above mentioned, be sure to include the following: The practice issue witnessed When the practice issue occurred (specific date and time) Exactly what happened - be sure to remain objective and factual. Describe how the issue has impacted your ability to meet Standards of Practice, Code of Ethics or organizational policies Any other relevant information A request for leadership to follow-up It is essential to note that the client chart is NOT the place to document discussions regarding a practice issue unless the practice issue had a direct impact on the client. You may also be required to document the practice issue in an incident reporting system. Be sure to know your organization’s policies regarding documentation and/or refer to your state’s board of nursing for more information regarding principles of documentation related to practice issues. Evaluate The final step of the nursing process evaluation - and now you must evaluate if the practice issue has been resolved and to determine how your actions may have impacted on the issue itself. If the practice issue was addressed with the support of others, it is important to include them in the evaluation process. Remember that you are never alone in nursing practice - it is always a team effort! Evaluation helps to ensure that the issue has been addressed and serves as a way to examine what you would do or change in the event of another practice issue. Depending on the severity of the issue, it may not be possible to resolve it immediately and this should be considered during the evaluation process. If your organization’s leadership decides that it is best for them to manage the practice issue without your involvement, it is appropriate to ask that you be informed when it has been addressed or resolved. Be aware that because of confidentiality, the leadership may not be able to provide you with detailed information about how they have resolved the issue. They may only be able to inform you that the issue has been addressed. If you see the practice issue reoccur in the future, it is important to let leadership know and follow the same process as before. You’ll find that as you move through your career, and from one facility to another, things fall between the cracks as individuals leave organizations. It is very likely that an issue that you help to resolve one year, may resurface within the next year or so. If you’ve determined that the practice issues have not been resolved, take a step back and consider why. Review the process you used by asking yourself the following: Did you clearly identify the issue? Could you define how and when client care or service was affected? Were the right people involved in the discussions and attempts to resolve the issue? Is there evidence that your leadership team took steps to address the practice issue? What could have been done differently? Once you have reviewed all of the possibilities, you’ll choose your next steps. If the practice issue persists you need to continue to take action until it is addressed. Further action could include: Request a meeting if you have not yet had a meeting with your leadership team. Meet with your direct supervisor again to determine when resolution is likely if you have already met with them and the issue persists. Consider discussing the practice issue with the next level of leadership in your organization if your direct supervisor does not provide the support needed for resolution. Continue to notify the appropriate people until the issue has been resolved. In this three-part series, we’ve discussed the six steps in resolving practice issues within nursing practice. The six steps include: Identifying Practice Issues Fully Exploring the Anticipated Effect and Outcomes of the Practice Issue(s) Identifying Resources Taking Action Documenting Evaluating Does the above list of steps sound familiar? If you guessed - The Nursing Process, you’d be correct! The Nursing Process is always the most important tool that nurses can use to resolve highly complex situations - even major practice issues. To read the first 2 parts of this series, go to: Strategies for Nursing Success: Part 1 of 3 - Identifying Practice Issues Strategies for Nursing Success: Part 2 of 3 - Identifying Resources and Taking Action to Improve Practice Issues If you have any other tips or suggestions you’d like to share regarding resolving practice issues, please feel free to leave your thoughts in the comments section below! Best, Damion
  4. Damion Jenkins

    Help failed NCLEX twice

    Hello Future_BSNRN! First, let me say that you are NOT alone! Did you know that more than 20% of new grad nurses have a difficult time passing the NCLEX?!? The most important thing is that it's not even your fault! The NCLEX is written at a very high level, which challenges test-takers to apply and analyze nursing school content - which is something nursing schools don't have the opportunity to really do as students are still learning the information. Therefore, many students do not get enough practice with answering NCLEX style questions that are considered - Passing! Just think about it. IF nursing professors wrote all of their exam questions at the NCLEX passing level - application and analysis - most of the nursing students would fail. This is because the questions are written in a way that challenges you to critically think about information you should already know. This is impossible during nursing school - with the exception of an exit exam *which just isn't enough practice in my professional opinion. I would like to recommend that you consider one-to-one tutoring. Sometimes it requires an expert to help you identify where you need to focus and how to navigate through the overwhelming amount of NCLEX prep resources out there, and focus on test-taking strategy. If you'd like to learn more, please do not hesitate to view my profile or DM me on here where you can view how to contact me. Good luck - you can do this! Best, Damion
  5. Damion Jenkins

    Studying for NCLEX

    Hi everyone! As an NCLEX Expert, I'd like to add a few recommendations and provide some clarification. 1) You must know your nursing content. The NCLEX assumes that you already know the content. With that being said, I do NOT recommend spending copious amounts of time reviewing content. Rather than that, be sure to review the NCSBN test plan for the topics you're responsible for knowing. This is your GUIDE to the content. If you cannot articulate the nursing considerations for each topic area, then you should do a quick review. 2) Learning NCLEX test-taking strategies is very important. The passing level questions on the exam are written at the application and analysis level and require a great deal of critical thinking - something nursing schools cannot do at the same level as the NCLEX because you are still learning the material. 3) You should spend most of you time answering practice questions and keeping track of your accuracy score. I recommend that you consistently score at least 55% or higher for the LPN exam. 65% or higher for the RN exam. You should complete a minimum of 75 practice questions (random and comprehensive) with each practice session. This will help to build your endurance and keep time. You should also limit interruptions and try to complete all 75 questions in one sitting, and act as if you are sitting for the exam itself. 4) I personally like NCLEX Prep q-banks that are online as it helps to simulate taking the NCLEX, however paper practice questions are still just as good, but you have to manually calculate your score and time spent answering 75 questions. If you have any further questions, please feel free to reach out. Good luck! You got this! -Damion
  6. Damion Jenkins

    Failed NCLEX 3 times...HELP

    Sometimes one-to-one tutoring with an Expert is much better than wasting time on a bunch of NCLEX resources. If you don't know how to study, what to study, or have an individualized tutoring plan, it can be more difficult than need be.
  7. Since nurses are expected to be self-regulated professionals, we are legally and ethically obligated to identify and make a valid attempt to resolve all practice issues as they arise as a means to minimize potential negative impacts they may have on patients, our fellow colleagues, and daily operations. In part two of this three-part series, we will focus on how to identify resources and take action to improve practice issues in our work settings. Let’s take a look at two strategies we can implement to gain a better understanding of what’s going on, so we can find the best way to resolve practice issues: Identify Resources Please Note: If you have not read part one of this series, please do so before continuing. For those of you who have, let’s pick up where we left off and begin to identify our resources that can help us to tackle practice issues. Since we previously discussed identifying practice issues, the next step is to seek out resources that could be helpful as we move through the problem-solving process. Many helpful resources can be internal or external to your organization, and any that has the potential to be of assistance should be considered. Here are examples of resources that you may want to consider for practice improvement: Colleagues Supervisors Mentors Other Health Professionals Human Resources Clinical Educators Practice Consultants Education Programs Professional Conferences Standards of Practice Nurse Practice Act from State Board of Nursing Professional Journals and Other Publications Agency Policies and Procedures Code of Ethics and More Although this is not a complete list of possible resources you may rely on to assist in resolving practice issues, they are some of the best options that offer a great deal of support and guidance. Take Action After you have identified the necessary resources to use in improving practice issues, a planned, well thought out approach is essential to finding resolve. When forming an action plan, the following steps should be considered: Brainstorm possible solutions to resolve the practice issues. Determine the potential positive and negative outcomes for each solution identified. Decide which solution(s) could be the best approach. Develop a plan outlining the actions you will take and when you will implement the chosen solution(s). The actions you take will depend on the practice issue you are facing, the level of support you gain from your team, and the resources you have available to you. Whatever action you choose, it is important to let your manager know so that they are aware and can provide support if required. When discussing a practice issue with your supervisor, you should consider doing the following: Be sure to provide a clear objective and detailed description of the practice issue, and include how the issue has impacted patient care/safety, nursing practice, team relations and work environment. Structure conversations by using the standards of practice from your state’s Nurse Practice Act and Code of Ethics. These documents help to focus the conversation on the nurses’ professional responsibilities, keeping the conversation more objective. Do your best to leave personal opinions and emotions out of the discussion as these typically make problem-solving more difficult in the work setting. Offer possible solutions that could assist in resolving the issue(s). Identify what you could do to support the resolution of the practice issue(s). It is important to note that nursing supervisors, management and leadership are also busy problem solving their own practice issues, and therefore will need you to play an active role in helping them to address the issues. Be sure to follow up on any meetings with a written letter or email that stresses the importance of the finding solution to the practice issue(s). Be sure to ask for a reasonable date in which you can expect to hear back from the supervisors, managers and nursing leadership regarding moving forward with an action plan. Much like most of what we do in nursing practice, approaching nursing supervisors, managers and leadership requires a great deal of tact and professionalism. We don’t always get this right at first, but I’ve found from experience that if you are authentic, genuine and have good intentions when you are approaching management with practice issues, a strong leader will embrace your efforts to create positive change and they will help you to find solution to the practice issue in the best way they can. So far we have discussed four steps in resolving practice issues within our nursing practice: Identifying Practice Issues Fully Exploring the Anticipated Effect and Outcomes of the Practice Issue(s) Identifying Resources Taking Action Be sure to stay tuned for part three - where we will discuss the final two strategies in resolving practice issues for nursing success! Best, Damion
  8. Thank you for contributing to the discussion. When you are up for it, we would like to hear more about tips and strategies to help improve the process and spend a lot less time receiving unsolicited sarcasm and negative thinking.
  9. Since nurses are expected to be self-regulated professionals, we are legally and ethically obligated to identify and make a valid attempt to resolve all practice issues as they arise as a means to minimize potential negative impacts they may have on patients, our fellow colleagues, and daily operations. In part one of this three part series, we will focus on how to identify practice issues and how they may negatively affect our patients, as well as our ability to perform and function at an optimal level. Let’s take a look at two strategies we can implement to gain a better understanding of what’s going on, so we can find the best way to resolve a practice issue: Identifying a Practice Issue A practice issue can be defined as any issue or situation that either compromises patient care or services by placing a client at risk for harm, or one that affects a nurse’s ability to provide patient care or services that are consistent with current standards of practice. The first step in addressing a practice issue is being able to identify one. In order to determine if your issue is indeed a practice issue, one must ask the following questions: Does the issue present a risk to patients? Does the issue make it difficult to function according to current standards of practice? Does the issue conflict with your institution’s standards, guidelines, or policies? If you answered “yes” to any of the above questions, then you may have a practice issue that needs to be resolved. If you answered “no”, your issue is not likely a practice issue but still needs to be explored further and resolved if possible. Here are some examples of practice issues: Inappropriate use of social media such as discussing your patient on Facebook. A nurse from a telemetry unit being floated to the intensive care unit and is assigned a ventilated patient without appropriate support. Withholding critical information about a patient from a member of the healthcare team. Consistently working short staffed with unsafe nurse to patient ratios. Chronic workplace bullying and lateral violence. Once you have been able to properly identify a practice issue, you must then explore the issue to determine the severity of the issue so that you may prioritize resolution accordingly. Fully Exploring a Practice Issue Taking the time to fully explore a practice issue will help you to gain additional insight and develop a shared understanding among colleagues and other members of the healthcare team. A better understanding will also help to prevent a quick response that may be influenced by incomplete information, emotions, or assumptions surround the issue. Reflecting on a practice issue before reacting is a great way to look at the situation more objectively and can help you to quickly identify potential causes. Gaining your team's perspective can also provide further clarity about the issue and supports a team approach to resolving the issue. The following questions can assist you in reflecting on and exploring a practice issue in greater detail: How does this issue place patients at risk? How does this issue affect your ability to provide patient care according to current standards of care? Does this issue go against the Nursing Code of Ethics? Does this issue put a strain on your nursing oath to do not harm? How does this issue prevent you from following agency policies and procedures? Do you have the knowledge and skill to address the practice issue? Who is affected by the practice issue and what are their perspectives? Does your organizational policies, procedures, or guidelines contribute to this issue? Is this a recurring practice issue? And if so, why is it recurring? What are some of the anticipated outcomes if the issue goes unresolved? Develop a Description Once you have explored the practice issue in full, you will need to develop a description of the issue, making sure to be as objective as possible. You’ll want to include the date, time, place, people involved and full account of how the issue affects the client, your nursing practice and/or the healthcare team. Be sure to outline all contributing factors. Having this detailed description will be helpful when communicating the issue with your nursing leadership. In many cases, common contributing factors for practice issues include, but are not limited to: Inadequate Skill Mix Lack of Accountability Decreased Resources Lack of Responsibility Ineffective Communication Breaks in Standards of Practice Outdated Policies and Procedures Challenging Legal and Ethical Issues Workplace Bullying and Lateral Violence As you can see, the first two steps in resolving practice issues involve identifying the practice issue, then fully exploring the issue and the anticipated outcomes on the quality of patient care and delivery of high-quality nursing practice. Once you have completed the first two steps, you will move into utilizing available resources and taking action to find resolution. Stay tuned for part two - where we will discuss two more strategies in resolving practice issues for nursing success! Best, Damion
  10. Damion Jenkins

    This Forum is Quiet

    Hi Phyllis - I recommend that you connect with the National Nurses in Business Association. I am a member and I find it an extremely valuable resource for aspiring and current nurse entrepreneurs! I go to their annual conference each year for the past two years and I learn SO much about business strategy! Hope you find this helpful, and don't hesitate to reach out! Best, Damion
  11. Damion Jenkins

    Failed NCLEX 3 times...HELP

    Hi Dkray, First, let me say that you are NOT alone! I've helped over a hundred students and clients pass the NCLEX - some who have had up to 14 unsuccessful attempts! It's important to remember that the NCLEX is not a measure of your future success as a nurse, nor does it measure your intelligence or skill set. The NCLEX is designed to challenge your ability to critically think, and decipher the information thrown at you in a stressful setting - similar to what nurses face on the job every single day. Since the NCLEX is comprised of integrated questions that pull in several concepts per high-level question, it is easy for test-takers to choose the "distracting" answer choice rather than the correct answer choice. ATI, Kaplan and Hurst are all great resources for content review. I think what you may need is test-taking strategy tutoring. If you'd like more information, please do not hesitate to reach out. Remember this - if you can graduate nursing school, then you can pass the NCLEX! Best, Damion
  12. Damion Jenkins

    Break between graduating and taking NCLEX- RN, advise?

    Hi tmarie4, If you think you need a content review, there are several online options link Hurst, Kaplan, Remar, etc. However, I find that most nurse graduates don't need a full content review, but benefit most from individualized NCLEX test-taking strategy tutoring. There are several online tutors out there, and some (including myself) have a 100% pass rate. Good luck - you got this! -Damion
  13. Hi cicigz16! First, let me assure you that you are not alone in this! Many of my NCLEX clients have come to me feeling anxious after an unsuccessful attempt at passing the NCLEX. As an NCLEX Expert and with my 100% pass rate for two years in a row, I think I can be of assistance. Here are a couple tips to help to ease your anxieties: Focus on mastering your approach to every single question. You must approach each question the same way, every single time. The decision tree is a helpful resource if you know how to correctly apply it, however it is not the only strategy that exists in answering NCLEX style questions. You must be able to understand what the question is asking of you. (can you identify the topic?) Sometimes you cannot, and must look to the answer choices for clues. Focus on the harder, more complex, critical thinking questions that have integrated concepts - these are the ones that give you better chance at passing if you answer them correctly. Many of the test banks have a mixture of content focused questions, as well as integrated - high level questions. The high level questions should get your focus when studying. Try to reduce your stress levels. Get adequate sleep. Do not drink too much caffeine, exercise regularly, eat a healthy diet, and stay hydrated. Good luck, and don't hesitate to reach out if you need additional support! Best, Damion
  14. Damion Jenkins

    Nclex sata

    Hi bound&determined91! The answer to your question is - Yes. It is possible that all of the SATA answer choices can be correct. As an NCLEX Prep Expert, it is essential that I stay up on latest NCLEX trends and test plans. You may find it surprising to know that this is not new to the upcoming update, and has been possible since 2016. The most important thing to do when approaching SATA questions is to carefully consider each and every answer choice independently of the others. If it makes sense and goes along with what you've learned in school, then it should be considered as a correct answer choice. I hope this is helpful. Good luck! -Damion
  15. Damion Jenkins


    Hi NurseRedHeart-RN! As an NCLEX Prep Expert - I can assure you that ATI is a valuable resource for NCLEX Prep. With that being said, it is still essential that you focus on test-taking strategy in addition to content review. The NCLEX assumes that you've mastered the nursing content learned in school and will challenge you to answer integrated concept questions that may include obstetrics, medical-surgical nursing, as well as delegation and scope of practice all in the same question. Therefore it is essential that you prepare best by knowing the content as well as practicing answering NCLEX test-questions with a systematic approach. Good luck! -Damion
  16. Damion Jenkins

    Gonna Quit: When Nursing Is Rough...

    THIS!!! Until we nurses (from the bedside to nursing leadership) strive to uplift, support and mentor our own - nursing will always be one of the most undesirable positions in healthcare. The role of the nurse will always be challenging, and therefore requires continual support from our colleagues and leaders.