NSG100 Final Exam
The NSG 100 final exam consists of 80 items. You will have 1 hour and 40 minutes to complete the exam. Below is an approximate breakdown of the items by concept.
Use the NSG 100 objectives to guide your review. Know the nursing process for Exemplars. Consider creating a concept map for the exemplars, following the examples used in class. Remember, many of the concepts build upon each other.
When reading the stem of the question, do not put any additional information in or take any information out. You have all of the information you need in the stem to answer the question.
2. Before selecting the answer to each question, do the following
a. Read the stem carefully. Put it in your own words. Be sure you understand the concept that the question is testing (e.g. Infection control, complication of mobility symptoms of imbalanced nutrition etc.).
Figure out the focus of the question in terms of ADPIE.
Try to answer the question in your own words before looking at the answer options provided. Finally. compare your answer to the options provided.
d. Pay attention to whether the question is asking for a correct or wrong response.
3. Do not use work, personal experience, care of grandma, kids, fish. turtle etc. to answer the exam questions. The answer to the question must be evidence based and directly linked to the information about the patient in the stem.
4. Pay attention to key words in the stem -- Best, Most appropriate. First, Next etc. Each of these words guide you to select the correct answer.
5. You have studied all through the semester on each of the topics being tested. Therefore, believe in yourself and your abilities. Go with your gut. Only change the answer if you are absolutely sure it is incorrect.
6. Pace yourself. There is no need to rush. You have 1 hour and 40 minutes for 80 questions. If you find yourself rushing, close your eyes and take three big cleansing breaths then continue.
NURSING CONCEPTS
Clinical Judgement (Nursing Process) Giddens ch 38 Yoost ch 4
Differentiate the terms clinical judgment, critical thinking, and clinical reasoning
Critical thinking is a cognitive process used for rational analysis of an issue or problem, is knowledge-based, and not dependent on a particular situation.
Clinical reasoning is the thinking process by which a nurse reaches clinical judgment. It encompasses the ability to perceive the relevance of scientific evidence and how it fits the patient's needs. The nurse will use critical thinking AND scientific data AND experience. It's deeper than critical thinking by itself but not deep enough to be clinical judgment.
Clinical judgment refers to the interpretations and inferences that influence actions in clinical settings. "An interpretation or conclusion about a patient's needs, concerns, or health problems, and/or the decision to take action (or not take action), use or modify standard approaches, or improvise new ones as deemed appropriate by the patient's response"
Summarizing: Critical thinking is a