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16 Cards in this Set

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What is the (NCLEX - RN)?
National Council Licensing Examination for Registered Nurses (NCLEX-RN) - This examination must be taken by all graduates of diploma, associate degree and baccalaureate degree nursing programs prior to a license being issued; successful completion of the NCLEX-RN is a requirement for practice as a registered nurse.
National Council of State Boards of Nursing (NCSBN)
The body given the task of providing a means to ensure that those who are licensed to practice as nurses are "safe" in terms of their knowledge base
Steps of development of the NCLEX - RN...
-Post WW2 American Nurses Association created the Council of States Boards of Nursing, included representatives from every state

-Advocated for a universal standardized licensing examination


-Each state submitted sample questions, graded by machines instead of by hand


-Became known as the State Board Test Pool Examination

Changes in the NCLEX - RN...
-Revised from 6 separate test for various specialties into one test addressing all of them

-Content changed to address client needs in areas such as:


*safe and effective care environment


*Health promotion and maintenance


*Psychosocial integrity


*Physiologic Integrity


-1994: Converted to a Computer Adaptive Test (CAT)



Computer Adaptive Testing (CAT)
An interactive testing format used on the NCLEX-RN to adjust the type of question and level of testing difficulty based on the test takers previous response. In the NCLEX-RN examination, the testing continues until the student either achieves a consistent level of test item difficulty that indicates a satisfactory performance level and passing of the examination, does not achieve a consistent level of testing difficulty required to indicated a satisfactory performance level and thus fails the examination, or completes all opf the test items on the examination or time expires on the test
Structure of the NCLEX-RN...
Multiple choice, multiple response, fill-in-the-blank, calculations, hot spots, exhibits, drag/drop and ordered response questions
Test Plan
A blueprint for the licensing examination that outlines the examination's content areas and the percentage of questions devoted to each content area
What is the test plan organized around?
A client needs framework - providing a structure within which nursing actions and competencies can be defined
What are the four main processes that are considered fundamental to nursing practice?
1. Nursing Process

2. Caring


3. Communication and Documentation


4. Teaching/Learning

What are the four categories of the client needs framework?
1. Safe and Effective Care Environment

2. Health Promotion and Maintenance


3. Psychosocial Integrity


4. Physiological Integrity



Safe and Effective Care Environment...
Directing and providing nursing care in a care setting in a manner that protects clients, family, significant others and other healthcare providers





Safe and Effective Care Environment is sub-divided into which two categories?
-Management of care: includes prioritizing client care, delegating and supervising care, making appropriate referrals to community resources, maintaining client confidentiality and providing/participating in staff education

-Safety and Infection control: focuses on health and environmental hazards in the care setting, includes areas such as medical and surgical asepsis, safe sue of medical devices and disaster planning.

Health Promotion and Maintenance...
Addresses incorporating concepts from growth and development and the prevention and early detection of health problems into the provision of nursing care, as well as nursing strategies designed to promote the achievement of optimal client health
Psychosocial Integrity...
Addresses areas related to promoting and supporting the emotional, mental and social well-being of the client and family/significant others experiencing stressful events, as well as clients with acute or chronic mental illness

-Assess clients and families at risk of mental health problems, provide care to clients in a variety of situations, lead group therapy sessions, incorporate client management techniques and use therapeutic communication

Physiological Integrity...
Focuses on nursing care that is related to safely meeting the client's activities of daily living, providing safe administration of medication, decreasing the potential for client complications and managing the nursing care of clients with acute, chronic and life threatening health problems
What four sub-categories is physiological integrity divided into?
1. Basic Care and Comfort

2. Pharmacological and Parenteral Therapies


3. Reduction of Risk Potential


4. Physiological Adaptation