TEST PERCENTAGE MONITORING

Safety and Effective Care Environment

Test 1 - 15/25 - 60%

http://nclexreviewers.com/nclex-sample-questions/safe-and-effective-care-environment/safe-and-effective-care-environment-nclex-review-questions.html

Test 2 -

the health care team

occupational therapist -  helps physically disabled clients adapt to physical limitations and is most qualified to help a child with cerebral palsy eat and perform other activities of daily living.

registered dietitian - manages and plans for the nutritional needs of children with cerebral palsy but isn’t trained in modifying or fitting utensils with assistive devices.

physical therapist - is trained to help a child with cerebral palsy gain function and prevent further disability but not to assist the child in performing activities of daily living.

nursing assistant  - can help a child eat; however, the nursing assistant isn’t trained in modifying utensils.

Types of Nursing Intervention

Nursing interventions are classified as independent, interdependent, or dependent.

1. independent intervention - represents an altering the drug schedule to coincide with the client’s daily routine  ,
2. interdependent intervention - consulting with the physician and pharmacist to change a client’s medication

3. dependent intervention - administering an already-prescribed drug on time is a .

4. intradependent nursing intervention doesn’t exist.

Client Advocay and Confidentiality

The nurse violated confidentiality by informing the officer that the client wasn’t in treatment. Even with law enforcement agents, the nurse must be a client advocate and protect the client’s confidentiality. Information can be legally withheld when a court order isn’t in place.

therapeutic nurse-client relationship

Although all of the options are desirable, knowledge of self is the basis for building a strong, therapeutic nurse-client relationship. Being aware of and understanding personal feelings and behavior are prerequisites for understanding and helping clients.

When a nurse attempts to influence a family’s decision with her own opinions and values, the situation becomes one of over involvement on the nurse’s part and a non therapeutic relationship. When a nurse keeps communication channels open, works with family members to decrease their dependence on health care providers, and instructs family members so they can accomplish tasks independently, she has developed an appropriate therapeutic relationship.

restraint or seclusion

The primary physician in charge of a client’s care must write an order for the restraint within 8 hours. In an emergency, a client who is a threat to himself or others may be restrained without an order. Voluntary clients have the right to leave against medical advice. A minor is treated the same as an adult regarding restraints.

organ donnation

The donor and recipient must have compatible blood and tissue types. They should be fairly close in size and age. When a living donor is considered, it’s preferable to have a relative donate the organ. Need is important but it can’t be the critical factor if a compatible donor isn’t available.

telephone medication order

When taking a medication order over the telephone, standard practice requires verbal verification of the order and the physician’s written signature within 24 hours. The nurse practice act doesn’t prohibit taking medication orders over the telephone

MY WEAK POINTS

1. What is a Client pod? ex. 12 client-pod

2. Types of Nursing Intervention ? interdependent,intradependent,dependent, independent

3. Client's Bill of Rights
standards of nursing practice
nurse practice act
code for nurses

4. mitral valve prolapse

5.congenital clubfoot

6. telephone medication order

STUDY GUIDE

Categories and Subcategories of Client Needs

A.      Safe and Effective Care Environment

1.       Mgt. of Care

·         Advance Directives

·         Advocacy

·         Case Mgt

·         Client Rights

·         Collaboration with Multidisciplinary Team

·         Concepts of Mgt

·         Confidentiality

·         Consultation

·         Continuity of Care

·         Delegation

·         Establishing Priorities    

·         Ethical Practice

·         Incident / Irregular Occurrence/Variance Reports

·         Informed Consent

·         Legal Rights And Responsibilities

·         Organ Donation

·         Performance Improvement (quality Assurance

·         Referrals

·         Resource Mgt

·         Staff Education

·         Supervision

Safety And Infection Control

·         Accident Prevention

·         Disaster Planning

·         Emergency Response Plan

·         Error Prevention

·         Handling Hazardous and Infectious Materials

·         Home Safety

·         Injury Prevention

·         Medical  and Surgical Asepsis

·         Reporting of Incident / Event/ Irregular Occurrence / Variance

·         Safe Use of Equipment

·         Security Plan

·         Standard/ Transmission – Based / Other Precautions

·         Use of Restraints / Safety Devices 
B
B.B. Health Promotion and Maintenance

Aging Process
Ante/Intra/Postpartum and Newborn Care
Developmenta Stages and Transitions
Disease Prevention
Expected Body Image Changes
Family Planning
Family Systems
Growth and Development
Health and Wellness
Health Promotion Programs
Health Screening
High Risk Behaviors
Human Sexuality
Immunizations
Lifestyle Choices
Principles of Teaching and Learning
Self -care
Techniques of Physical Assessment
C. Psychological Integrity
Abuse/Neglect
Behavioral Interventions
Chemical Dependency
Coping Mechanism
Crisis Intervention
Cultural Diversity
End of Life
Family dynamics
Grief and Loss
Mental Health Concepts
Psychopathology
Religious and Spiritual Influence on Health
Sensory/Perceptual Alterations
Situational Role Changes
Stress Management
Support Systems
Therapeutic Communication
Therapeutic Environment
Unexpected Body Image Changes

What is PVT? the good pop up

I had EVERYONE in my class that used the PVT call me (I shared PVT with the class) and ask.....the first one got home, entered his info and ... cc pmt pg. He failed. The others got the good pop up....and passed. Put your feet up and relax.....it is all over but the waiting for the official designation!

"Our records indicate that you have recently scheduled this exam. Please contact your Member Board for further assistance. Another registration cannot be made at this time."

TOPICS MOSTLY COME OUT IN THE NCLEX

1. SATA,/SATA prioritization(which pt to see/med to give first)

2. Priorotization

3. Delegation

4. Psych

5. Maternity

6. Peds

7. Endocrine

8. maths

9.  lot of pharm

10. infection control/infection control mnemonics (found in allnurses.com/feb NCLEX takers)

11. two lung sound questions where I had to use the head phones.

12. 1 audio and 1chart

13. 

RECOMMENDED REVIEWER

1.  LaCharity
$ 18.49 at http://www.amazon.com/gp/offer-listing/0323044077/ref=dp_olp_used?ie=UTF8&condition=used

2. Prentice Hall / Prentice Hall NCLEX RN (the big red book) - ind it helpful for medications and the tear out nursing notes in the front.
$ 15.17 at http://www.amazon.com/gp/offer-listing/0131195999/ref=dp_olp_used?ie=UTF8&condition=used

3. Saunders 4th edition (Comprehensive) CD with 5000 questions - more on contents
 $ 7.95 at http://www.amazon.com/gp/offer-listing/141603708X/ref=dp_olp_used?ie=UTF8&condition=used

4. Mosby/Mosby flash cards
 $ 21.03 at http://www.amazon.com/gp/offer-listing/032306972X/ref=sr_1_1_olp?ie=UTF8&qid=1320333213&sr=8-1&condition=used

5. Exam Cram 2nd Ed

$19.59 at http://www.amazon.com/Network-Exam-Cram-N10-003-ebook/dp/B00142AP6M

6. Mary Ann Hogan Comprehensive Review for Nclex
(not available right now. check back often) http://www.alibris.com/search/books/qwork/10285862/used/Comprehensive%20Review%20for%20NCLEX-RN:%20Reviews%20&%20Rationales

7. Kaplan's "Classroom Anywhere"  - decision tree that KAPLAN advised us to use when answering....

direct download mP3 at http://torrentz.eu/d907faf6504028c953bc4f208d30b4b869fb9875
$8.82/$0.30 at http://www.amazon.com/gp/offer-listing/1419552570/ref=dp_olp_used?ie=UTF8&condition=used
free download at http://ebookee.org/Kaplan-NCLEX-RN-Reviewer-MP3_130718.html

8. Hurst review
$ 50 online review for 5 days & $ 300 for 90 days online review + $ 150 for live review at http://hurst.usnx.com/live-schedule
$28.71 at http://search.barnesandnoble.com/Hurst-Reviews-NCLEX-RN-Review/Marlene-Hurst/e/9780071484312
$18.50 at http://www.amazon.com/gp/offer-listing/0071484310/ref=dp_olp_used?ie=UTF8&condition=used

9. Kaplan's Meds You Need to Know - teaches you strategies,

$ 3.15 at http://www.amazon.com/gp/offer-listing/1427797471/ref=dp_olp_used?ie=UTF8&condition=used

10. lippincott
have own CD

11. Davis's NCLEX RN Notes has a CD too that has questions as well. 

download at http://www.4shared.com/get/vQm448kn/NCLEX-RN_Notes--Core_Review__E.html
$ 23.02 at http://search.barnesandnoble.com/NCLEX-RN-Notes/Patricia-Nugent/e/9780803615700

12. NCSBN review
$ 50 for weeks, $70 for 5 weeks at http://learningext.com/hives/534b38552a/summary

13.  Qbank questions
$99 - $399 at http://www.usmleworld.com/Step1/step1_qbank.aspx

14.  Hogan's reviews and rationales book

$7.50 at http://www.amazon.com/gp/offer-listing/0130304573/ref=dp_olp_used?ie=UTF8&condition=used

NOTES TO READ (ADVANCE DIRECTIVES

ADVANCE DIRECTIVES:

Advance directives are signed, witnessed documents that provide specific instructions for treatment if a client can’t give those instructions personally when required. Depending on the client’s wishes, they may or may not include DNR orders.

Website Links

http://filipinonurse.blogspot.com/

filipinonurses.com

www.elsevierhealth.com (for NCLEX Review Course)

http://www.enursescribe.com

www.aaroncyuntalan.com

www.carlbalita.com

check yahoo email NCLEX notes from we care bec we are nurses fb account


http://thepoint.lww.com/ (lippincott's reviewer)

www.pearsonvue.com/nclex

facebook account NSCBN-NCLEX RN & NCLEX PN

allnurses.com

 http://allnurses.com/nclex-discussion-forum/welcome-nclex-february-524122-page3.html

http://nclexreviewers.com/category/nclex-review-center/california

http://freenclexquestions.blogspot.com/2009/10/kaplan-nclex-questions-sample-1.html

http://www.passnursingexams.com/index.php?option=com_content&task=view&id=20&Itemid=70
  (pay $29) with simulation NCLEX Exam

Prayer Support

1. St. Joseph of Cupertino - prayer obtained from God to be asked @ your examination, the only preposition you knew

O St. Joseph of Cupertino who by your prayer obtained from God to be asked at your examination, the only preposition you knew.
Grant that I may like you succeed in the NCLEX- RN Examination.
In Return I promise to make you known and cause you to be invoked.
O St. Joseph of Cupertino pray for me.
O holy ghost enlighten me.
Our Lady of Good Studies pray for me
Sacred Heart of Jesus, Seat of Divine Wisdom, enlighten me.


2. "Holy Spirit,
Thou make me see everything
and show me the way to reach my ideal.
You who will give the divine gift
to forgive and forget the wrong that is done to me
and who are in all instances of my life with me.
I, in this short dialogue, want to thank You for everything
and confirm once more that I never want to be separated from You
no matter how great the material desire may be.
I want to be with You and my loved ones in Your perpetual glory, Amen God please help us all.

3. PRAYERS FOR SPECIAL INTENTIONS
"St. Jude, glorious apostle, faithful servant and friend of Jesus, the name of the person (who betrayed our Lord) has caused you to be forgotten by many, but the true Church invokes you universally as the Patron of things despaired of. Pray for me, who is so miserable; pray for me, that I may finally receive the consolations and the succour of Heaven in all my necessities, tribulations, and sufferings, particularly (ADD YOUR PERSONAL REQUEST HERE), and that I may bless God with the Elect Throughout Eternity."


"May the Sacred Heart of Jesus be Adored, Glorified, Loved & Preserved throughout the world, now & forever. Sacred Heart of Jesus, please pray for me. Saint Jude, Worker of Miracles, please pray for me. Saint Jude, Helper of the Hopeless, please pray for me. Amen."

"O most holy apostle, St. Jude, faithful servant and friend of Jesus, people honor and invoke you universally, as the patron of hopeless cases, of things almost despaired of. Pray for me, for I am so helpless and alone. Please help to bring me visible and speedy assistance. Come to my assistance in this great need that I may receive the consolation and help of heaven in all my necessities, tribulations, and sufferings, particularly (state your request) and that I may praise God with you always."

"I promise, O blessed St. Jude, to be ever mindful of this great favor, to always honor you as my special and powerful patron, and to gratefully encourage devotion to you by publishing this request. Amen."

"Holy Saint Jude, Apostle and Martyr, Great in virtue and rich in miracles, Near kinsman of Jesus Christ, Faithful intercessor of all Who invoke your special patronage in time of need. To you I have recourse from the depths of my heart And humbly beg to whom God has given such great power To come to my assistance. Help me in my present and urgent petition, In return I promise to make your name known And cause you to be invoked. Saint Jude pray for me and all those who invoke your aid. Amen." 


4. http://www.prayerflowers.com/54DayNovena.htm
The Rosary Novena to our Lady

"The devotion in this novena combines three things which are dear to God in a very remarkable scheme; frequent communion, the practice of the virtues, and devotion to Mary in the Rosary.   One who will carry it out faithfully will have besieged Heaven in a way that will make him heard...Rev. R. P. Lawrence

54 Day Miracle Novena
Our church history reveals to us that on March 3, 1884, Our Lady of Pompeii appeared before the gravely ill daughter of an Italian military officer.  Through her, Our Lady gave the world the miraculous devotion of the 54 days Rosary Novena. 

  My introduction to this
Beautiful Rosary Novena       

Over 20 years ago, I met a women on an airline flight,  she saw me praying the rosary and asked me if I have ever seen or heard of this particular book called "Rosary Novenas to Our Lady".   She mentioned that this book had been around since 1924 (the novena has been around since 1884...see above) I was intrigued.  We exchanged numbers, she was going to let me know where I could get a copy of the book.   Several months later, this woman happened to be in the city where I lived, she was attending a Catholic Teachers Conference.  She called me...I was surprised that she remembered us meeting and thankful to God that she did.  She told me where I could get a copy of the Novena.  I thanked her and a week later she sent me a copy of the Novena book herself...I know with every breath I take that I was meant to have this precious Novena to pray.  I immediately started to pray the novena...it was hard at first to get use to...at that time in my life...I went to daily mass and said my prayers, but work was busy and stressful.  It was hard to find the time to really focus on the novena without being so tired.  But I felt it was something that Our Sweet Holy  Mother was calling me to do...I kept as faithful as I could to the novena...there were days that I failed but I kept going until I finished.  There was a tremendous sense of peace inside of me during and after I recited this novena.  If you had any petitions when you prayed this novena...you didn't worry about them at all.  

Holy Mother of God Pray for us "Of all prayers, the Rosary is the most beautiful and the richest in grace; of all, it is the one which is most pleasing to Mary, the Virgin Most Holy. Therefore, love the Rosary and recite it every day with devotion." Saint Pius X This novena is to be said along with a daily rosary.  My dearest Mother Mary, behold me, your child, in prayer at your feet. Accept this Holy Rosary, which I offer you in accordance with your requests at Fatima, as a proof of my tender love for you, for the intentions of the Sacred Heart of Jesus, in atonement for the offenses committed against your Immaculate Heart, and for this special favor which I earnestly request in my Rosary Novena:  (Mention your request) I beg you to present my petition to your Divine Son. If you will pray for me, I cannot be refused. I know, dearest Mother, that you want me to seek God’s Holy Will concerning my request. If what I ask for should not be granted, pray that I may receive that which will be of greater benefit to my soul. I offer you this spiritual “Bouquet of Roses” because I love you. I put all my confidence in you, since your prayers before God are most powerful. For the greater glory of God and for the sake of Jesus, your loving Son, hear and grant my prayer. Sweet Heart of Mary, be my salvation.

 Why I call this a "Miracle Novena"

After each mystery there is a special grace...of a virtue, reflecting the mystery said.   You can not go away from reciting this rosary novena empty (not fulfilled) the virtues alone...will bring the peace of God in your heart.  Also...when we ask for anything that is in God's will...He promised to give it to us...all the virtues are of His will...a tremendous blessing.   As I prayed this rosary...I could not help but feel the love I was expressing to our Precious Mother Mary.  Each bouquet of Roses is a gift you can give Our Mother.   To be able to give our Mother a gift is a grace in itself. 
I know from my heart that if you say this novena...you will be blessed in a very special way...Our Mother has promised us her blessings...and she has been true to her word.  This novena is a 54 day novena 27 days of petition and 27 days of thanks giving (equal to 6 nine day novenas).   With praying each decade of prayer we are reminded of the mystery of the rosary as well as the intention of the grace and virtue that the Holy Trinity meant for us to have through the prayers and intercession of our Precious Mother in Heaven.  This prayer became a way of life for me...when I finished my first 54 days...I felt a strong urge to start right back up again...and it stayed that way up until the day of my accident in 2003. 

The day of my accident...my husband was told that two inches forward or backward for my car I would have been dead...as he emptied the car...to drop it off  for repair...He saw the picture I had of the Blessed Mother over my visor...I know who protected me that day.  Thank you, Mother...I love you!  I miss reciting this novena for myself.  Since my injury I can not read a book very well...I am able to look at a computer screen with the letters enlarged and read for little bits of time.   It is much easier for me to  pray and follow the words on the screen.  Also before my injury...I had the novena almost memorized.  After my head injury I could no longer remember...even the prayers from my youth...like the Our Father or Hail Mary would hurt my head to recite the next line.  I know Our Precious Mother Mary, wants me to share this Rosary Novena with you...I have thought about this for very long time... how to make it easy to read for myself and others like myself, as well as all of God's children.  I hope you are all able to follow along...if you have any questions please message me...I will try to help you the best I am able.

 Dear Jesus...I thank you from the bottom of my heart...for permission granted by, Charles Fiore, with ACTA Publications to put this beautiful novena prayer on my website...this awesome novena has been around since 1925 and  was  recently revised by the publishers to include the Mysteries of Light.  
 

nclex

is a highly skilled individual with strong clinical decision-making skills and sound clinical judgment.