NCSBN NCLEX Exam Overview

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Questions and Answers

Which of the following is NOT one of the three elements of health as defined by Jean Watson?

  • Absence of illness
  • High level of physical, mental, and social functioning
  • Perfect body (correct)
  • General adaptive-maintenance level of daily functioning

What is the first stage in the Five Stages of Illness Behavior?

  • Sick role behavior
  • Experiencing symptoms (correct)
  • Recovery
  • Dependence on others

Which dimension is NOT listed as a factor along the health and illness continuum?

  • Biological factors
  • Social media habits (correct)
  • Family relationships
  • Nutrition

What does health emphasize according to the broader definition presented?

<p>An ideal state of physical wellness and mental well-being (D)</p> Signup and view all the answers

Which of the following factors is NOT listed as a disruptor of health?

<p>Excessive exercise (C)</p> Signup and view all the answers

Jean Watson's theory indicates that health includes the absence of which element?

<p>Illness (B)</p> Signup and view all the answers

Which of the following reflects a common misconception regarding the definition of health?

<p>Health can be bought (B)</p> Signup and view all the answers

What aspect describes how illness is usually perceived according to nurses' understanding?

<p>Based on how it affects personal feelings (A)</p> Signup and view all the answers

What best describes the relationship between health and illness?

<p>Health and illness are influenced by the client’s attitude and lifestyle choices. (C)</p> Signup and view all the answers

Which factor does NOT influence illness behavior?

<p>Social media usage (C)</p> Signup and view all the answers

In the context of cultural beliefs, how is a hot illness typically treated?

<p>With a cold treatment to restore balance. (A)</p> Signup and view all the answers

What are the levels of prevention aimed at?

<p>Increasing well-being and avoiding illness. (C)</p> Signup and view all the answers

Which of the following is considered a factor that disrupts health?

<p>Mental illness (A)</p> Signup and view all the answers

Which of these is NOT a cultural barrier to providing healthcare?

<p>Cultural fluidity (C)</p> Signup and view all the answers

What is the purpose of health promotion activities?

<p>To increase overall health and well-being. (B)</p> Signup and view all the answers

Which of the following describes 'hardiness' in the context of illness behavior?

<p>A personal trait that influences how individuals cope with illness. (C)</p> Signup and view all the answers

What is the primary purpose of the NCLEX exam?

<p>To assess the competency of nursing school graduates (C)</p> Signup and view all the answers

Which methodological approach does the NCLEX employ to ensure valid measurement?

<p>Computerized adaptive testing (CAT) (A)</p> Signup and view all the answers

What was the main goal of the NGN project?

<p>To better measure clinical judgment and decision-making (D)</p> Signup and view all the answers

Which area is NOT included in the Test Plan structure for the NCLEX exam?

<p>Financial Management in Healthcare (C)</p> Signup and view all the answers

According to the WHO, how is health defined?

<p>Complete physical, mental, and social well-being (B)</p> Signup and view all the answers

Which principle did Florence Nightingale emphasize for maintaining health?

<p>Cleanliness and proper sanitation (D)</p> Signup and view all the answers

What does the structure of the Test Plan encompass in relation to nursing?

<p>Areas related to effective nursing practices and safety (A)</p> Signup and view all the answers

Which of these best represents Traditional Chinese Medicine's view on health?

<p>Health is the balance of yin and yang energy forces (A)</p> Signup and view all the answers

What is the main goal of primary prevention activities?

<p>Preventing or slowing the onset of disease (D)</p> Signup and view all the answers

Which activity is representative of secondary prevention?

<p>Providing cholesterol screening (C)</p> Signup and view all the answers

What does tertiary prevention primarily focus on?

<p>Stopping disease progression and rehabilitation (A)</p> Signup and view all the answers

Which intervention is most aligned with primary prevention in heart disease?

<p>Providing dietary education for lifestyle changes (B)</p> Signup and view all the answers

In the nursing process, what does the assessment phase include?

<p>Collecting and categorizing data (B)</p> Signup and view all the answers

Which type of prevention includes prenatal group education?

<p>Primary prevention (A)</p> Signup and view all the answers

What type of family environment might most effectively promote wellness in a client?

<p>Encourages open emotional expressions (A)</p> Signup and view all the answers

Which of the following best exemplifies health promotion?

<p>Implementing exercise programs for seniors (B)</p> Signup and view all the answers

Flashcards

What is NCSBN?

Develops and administers the NCLEX exam for nursing school graduates in the U.S. and Canada.

What is a Test Plan?

A comprehensive document outlining the content, administration, and item writing guidelines for the NCLEX exam.

What is the NGN Project?

Aims to improve the assessment of clinical judgment and decision-making abilities in nursing candidates through innovative exam question types.

What are the main categories of the NCLEX?

The NCLEX exam's structure is organized around these overarching categories, representing the key domains of nursing practice.

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What is the 'Safe and Effective Care Environment' category on the NCLEX?

This category covers all aspects of providing safe and effective care in a hospital setting.

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What is the 'Psychosocial Integrity' category on the NCLEX?

Considers the psychological and social factors that impact a patient's health and well-being.

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What is the 'Health Promotion and Maintenance' category on the NCLEX?

This category emphasizes the application of scientific principles and clinical knowledge to promote and maintain patients' health.

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What is the 'Physiological Integrity' category on the NCLEX?

Focuses on the physiological processes of the body, including how to manage illnesses and promote recovery.

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What is illness?

An alteration in health, disrupting normal functioning. It can encompass physical, mental, and emotional well-being.

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What is health?

A state of overall well-being, encompassing physical, mental, and social dimensions. It goes beyond the absence of disease.

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What is illness behavior?

The study of how individuals and groups respond to illness and how their beliefs affect their health-seeking behavior.

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What is acute illness?

A condition that develops suddenly and lasts for a short period of time.

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What is chronic illness?

A condition that persists for a long time, often with ongoing symptoms and management needs.

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What is remission?

A temporary period during which the symptoms of a chronic disease improve or disappear.

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What is exacerbation?

A period during which the symptoms of a chronic disease worsen or reappear.

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What is hardiness?

The ability to resist stress and adapt to challenges, enhancing resilience to illness.

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Jean Watson's Health Definition

Jean Watson's definition of health encompasses three key elements: high overall physical, mental, and social functioning; adaptive daily functioning; and the absence of illness or efforts to prevent it.

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Stages of Illness Behavior

The stages of illness behavior describe the typical steps a person takes when experiencing illness, from noticing symptoms to seeking professional help and recovering. These stages are:

  1. Experiencing symptoms: Realizing something isn't right.
  2. Sick role behavior: Accepting illness and taking time off.
  3. Seeking professional care: Consulting doctors or specialists.
  4. Dependence on others: Relying on help during recovery.
  5. Recovery: Regaining health and returning to normalcy.
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Biological Factors

Biological factors encompass the body's physical health, including genetics, immune system, and organ function. These factors significantly influence overall health.

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Nutrition

Nutrition plays a vital role in health by providing essential nutrients for growth, repair, and energy. A balanced diet supports overall well-being.

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Physical Activity

Regular physical activity promotes cardiovascular health, improves mood, and reduces disease risk. It's a key factor in overall well-being.

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Lifestyle Choices

Lifestyle choices, such as diet, exercise, smoking, and alcohol consumption, have a significant impact on health. Choosing healthy options promotes well-being.

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Family Relationships

Social connections and support from family and friends offer emotional well-being and a sense of belonging, contributing to overall health.

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Factors Disrupting Health

Illness can be caused by various factors, including physical disease, injury, mental health conditions, pain, loss, and the fear of death. These factors can disrupt health and well-being.

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Primary Prevention

Actions aimed at preventing disease before it starts, such as promoting healthy lifestyle choices and vaccinations.

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Secondary Prevention

Activities focused on early detection and treatment of disease, such as screenings and diagnostic tests.

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Tertiary Prevention

Interventions to slow down or stop the progression of a disease and manage its effects.

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What type of family would most likely be helpful in encouraging the client to experience a high level of wellness?

A family that fosters open communication, provides emotional support, and encourages healthy behaviors in its members.

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Nursing Process

The systematic process nurses use to provide care to patients, which involves assessment, diagnosis, planning, intervention, and evaluation.

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Subjective Data

Information that is collected directly from the patient during the assessment process, such as their personal history, symptoms, and feelings.

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Objective Data

Information that is gathered from observation, physical examination, and diagnostic tests.

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Study Notes

National Council of State Boards of Nursing (NCSBN)

  • NCSBN develops the NCLEX exam
  • The exam assesses nursing school graduates in the U.S. and Canada
  • NCSBN is dedicated to developing psychometrically sound and legally defensible nurse licensure and certification examinations consistent with current entry-level practice
  • The NCLEX uses computerized adaptive testing (CAT) for a valid and reliable measurement of nursing competence

Test Plan and the NGN Project

  • The test plan includes in-depth information about exam content, administration, item writing tips, and clinical judgment
  • The NGN project aimed to better measure nursing candidates' clinical judgment and decision-making abilities through innovative item types

Distribution of Content for the NCLEX-RN Test Plan

  • Physiological Adaptation accounts for 14% of the exam
  • Management of Care takes up 20% of the exam
  • Reduction of Risk Potential is 12%
  • Pharmacological & Parenteral Therapies is 15%
  • Safety & Infection Control is 12%
  • Basic Care & Comfort, Health Promotion and Maintenance, and Psychosocial Integrity each account for 9%

Test Plan Structure

  • Safe and Effective Care Environment includes Management of Care, Safety and Infection Control, Health Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity
  • Basic Care and Comfort, Pharmacological and Parenteral Therapies, Reduction of Risk Potential, and Physiological Adaptation are also components

Dimensions of Health Along Health and Illness Continuum

  • Biological factors
  • Nutrition
  • Physical activity
  • Sleep and rest
  • Meaningful work
  • Lifestyle choices
  • Family relationships
  • Culture
  • Religion and spirituality
  • Environmental factors
  • Finances

What Factors Disrupt Health?

  • Physical disease
  • Injury
  • Mental illness
  • Pain
  • Loss
  • Impending death
  • Competing demands
  • The unknown
  • Imbalance
  • Isolation

Nurses' Understanding of Health and Illness

  • Experiences are unique to each individual
  • Illness is often described in terms of how it makes a person feel
  • Illness is a disruption of health
  • Health and illness are influenced by the client's attitude and lifestyle choices

Factors That Influence Illness Behavior

  • Nature of the illness
  • Hardiness
  • Intensity, duration, and multiplicity of the disruption

Nature of the Illness

  • Acute illness
  • Chronic illness
  • Remission or exacerbation

Levels of Prevention

  • Primary prevention aims to prevent or slow the onset of disease
  • Secondary prevention involves screening and education for early detection of illnesses
  • Tertiary prevention focuses on stopping disease progression and returning individuals to their pre-illness state

Dosage Calculation Conversion

  • Various conversions are listed for milligrams (mg), micrograms (mcg), grams (gm), liters (L), milliliters (mL), teaspoons (tsp), tablespoons (Tbsp), ounces (oz), cups, kilograms (kg), and pounds (lbs)

Weight Abbreviations

  • A table listing abbreviations for various weight measurements

Question #2

  • An infant weighing 2,375 grams receives 150 mg/kg of ampicillin daily in 4 equal doses
  • The question asks for the amount of milligrams per dose

Yin Yang Symbol

  • Yin and Yang are complementary principles in Chinese philosophy
  • Yin is negative, dark, and feminine
  • Yang is positive, bright, and masculine
  • Their interaction maintains the harmony of the universe and influences everything within it

Hot and Cold

  • Illness may be due to an imbalance of hot and cold
  • Treatment needs to restore the balance (treating hot with cold and vice versa)

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