Student resources: Good links
guidelines and standards:
AHRQ, Centers for Disease Control and Prevention, The Joint Commission,
Food and Drug Administration
NCLEX info: National
Council of State Boards of Nursing
Professional associations: American Nurses Association, National Student Nurses'
Career sites: J&J's Discover
Nursing, Career Center at NursingCenter.com, Nursing2007 job satisfaction survey report
Learn a new word
Sensitive to ultraviolet rays.
provided by stedmans.com
what to assess in the postpartum client, remember BUBBLE:
Bowels and bladder
Review Made Incredibly Easy!, 4th edition, Lippincott
Williams & Wilkins, 2007.
If you'd like to request a free copy
of the Nursing2009 Career Directory, click here.
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Welcome to the LWW
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in conjunction with NursingCenter.com--absolutely . Written especially
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medication errors to avoid, advice on how to care for
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In this issue...
Improve your efficiency as you study with metalearning
Skills: The alphabet of pain assessment
Yourself: NCLEX practice
||Recommended readings from Nursing2009
Social! Visit Nursing2009 and NursingCenter.com on Facebook
||Click on icon to e-mail this to a friend
Tips: Improve your efficiency as you study with
metalearning? The prefix meta means
something that is aware of itself and refers
to itself. Metalearning is a process where you
ask yourself questions to become aware of your
own motives, understanding, challenges, and
you ask yourself a series of questions:
- Why am
I reading or listening to this? In the
metalearning process, you briefly state your
purpose for studying certain material. Your
purpose and goals set the stage for your study
the basic content of this material? Preview
material before you read. For long or complex
material, translate your preview into a chapter
map or outline. You also might want to write
what you know about the topic and what you'd
like to know or think you will know once you're
are the orientation questions? Orientation
questions give background information on a
topic or concept by asking about definitions,
examples, types, relationships, or comparisons.
The purpose of using orientation questions
is to see how many questions you can ask about
the material and how many answers you can
really important in this material? Identify
information you should focus on, ignore, or
just skim. As in planning ahead, this helps
you figure out where to spend your time. If
you can't decide whether something is
important or whether it should be skimmed
or ignored, assume it's important.
- How would
I put this information in my own words?
Putting things in your own words is called
paraphrasing. Paraphrasing helps you understand
concepts better and identify gaps in your
learning right away. Make sure you can put
unique terminology for each subject into your
- How can
I draw the information? Visual learners
can get a lot out of drawing the information
they're studying. Representing information
in pictures is very useful for building understanding.
- How does
the information fit with what I already know?
If you already have a solid foundation of
knowledge about a topic, you can learn new
things about that topic more easily.
Success for Health Professionals Made Incredibly
Easy! by Nancy Olrech, Lippincott Williams
& Wilkins, 2008.
|Basic Skills: The alphabet
of pain assessment
Use the PQRST
mnemonic device to obtain more information about
your patient's pain. Asking these questions
elicits important details about his pain.
- What provokes
or worsens your pain?
- What relieves
the pain or causes it to subside?
- What does
the pain feel like? Is it aching, intense,
knifelike, burning, or cramping?
- Are you having
pain right now? If so, is it more or less
severe than usual?
- To what degree
does the pain affect your normal activities?
- Do you have
other symptoms along with the pain, such as
nausea or vomiting?
- Where is
- Does the
pain radiate to other parts of your body?
- How severe
is your pain? How would you rate it on a 0-to-10
scale, with 0 being no pain and 10 being the
worst pain imaginable?
- How would
you describe the intensity of your pain at
its best? At its worst? Right now?
- When did
your pain begin?
- At what time
of day is your pain best? What time is worst?
- Is the onset
sudden or gradual?
- Is the pain
constant or intermittent?
Facts Made Incredibly Quick!, Lippincott
Williams & Wilkins, 2006.
Yourself: NCLEX practice questions
about passing the NCLEX? The more practice questions
you do, the more confident you'll feel. Try
these, then review the answers and rationales
that follow. Experts recommend taking many practice
questions before the NCLEX, so take advantage
of review courses, books, and other products
to help you succeed and pass the NCLEX. ANSWERS
characteristic is expected for a client
with paranoid personality disorder who receives
client is overly dramatic after hearing
client focuses on self to not become overanxious.
client responds from a rational, objective
point of view.
client doesn’t spend time thinking
about the information.
term describes an effect of isolation?
health finding is expected in a client who
chronically abuses alcohol?
nurse notes a change in voice and mannerisms
of a client with dissociative identity disorder
(DID) after he learns that his wife has
filed for a divorce. Which nursing intervention
is most appropriate?
discussing the client’s feelings.
the client to discuss his feelings.
encouragement to the client that he’ll
be able to cope with the divorce.
the client to verbalize his feelings about
client with an ileostomy tells the nurse
he can’t have an erection. Which pertinent
information should the nurse know?
client will never regain functioning.
client needs an abdominal X-ray.
client has no problem with self-control.
is uncommon following an ileostomy.
|Recommended readings from Nursing2009
miss these substantive, peer-reviewed features
from the May issue of Nursing2009.
They'll help you learn about evidence-based
ischemic stroke: Not a moment to lose
By Julie Miller, RN, CCRN, BSN, and Janice
Mink, RN, CCRN, CNRN
Be prepared to assess your patient’s
condition and intervene within the narrow
therapeutic window for fibrinolytic therapy.
to protect yourself after body fluid exposure
By Andine Davenport, RN, COHN-S, and Frank
Myers, CIC, MA
Injured by a contaminated needle? Don’t
panic. Instead, follow this evidence-based
advice to reduce your risk of contracting
a bloodborne disease.
|Get Social! Visit Nursing2009 and NursingCenter.com
by our Facebook page and become a fan of Nursing2009 or NursingCenter.com!
Join the fun with our lively discussions, nursing
news updates, and more. Just click here for Nursing2009 or here for NursingCenter.com.
|Answers to NCLEX practice questions
3 Clients with paranoid personality
disorder are affectively restricted, appear
unemotional, and appear rational and objective.
Clients with histrionic personality disorder
are overly dramatic in response to stress. Clients
with narcissistic personality disorder focus
on themselves and don’t spend time thinking
about bad news. Clients with an obsessive-compulsive
personality disorder are preoccupied with the
fear of becoming very anxious and losing control.
2. 2 Prolonged isolation can
produce sensory deprivation, manifested by hallucinations.
A delusion is a false, fixed belief that has
no basis in reality. Lack of volition is a symptom
associated with type I negative symptoms of
schizophrenia. Waxy flexibility is a motor disturbance
that’s a predominant feature of catatonic
3. 1 A major effect of alcohol
on the body is liver impairment, and an enlarged
liver is a common physical finding. Nasal irritation
is commonly seen in clients who snort cocaine.
Muscle wasting and limb paresthesia don’t
tend to occur with clients who abuse alcohol.
4. 4 Encouraging a client with
DID to verbalize his feelings will help him
cope with his anxieties. Forcing the client
to discuss his feelings can increase his level
of anxiety. Avoiding discussion of feelings
doesn’t reduce anxiety and avoids the
issue. Offering encouragement that the client
will be able to cope with the divorce gives
false reassurance and can erode the client’s
trust in the nurse.
5. 4 Sexual dysfunction is
uncommon after an ileostomy. Psychological causes
of impotence should be explored. An abdominal
X-ray isn’t indicated for sexual dysfunction.
An ileostomy can change a person’s self-control,
making sexual functioning difficult.
Questions & Answers Made Incredibly Easy!,
4th edition, Lippincott Williams &
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