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The Decision Tree...

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on 23 October 2013

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Transcript of The Decision Tree...

The Decision Tree...
Step 1
Can you identify the topic of the question?
Do you know what they are asking?
If not then you read the answer choices for clues. Then identify the topic of the question.

Hint: NCLEX "hides" the topic of the quesition

What is it?
The decision tree is a decision making process in the NCLEX world. This is something that Kaplan uses in teaching us how to answer those tough critical thinking questions.

Step 2
Step 2- Are the questions assessments or implementations?
If they answer choices are mix of both read the stem of the question again to determine if you should asses or implement.

Hint: Is validation required?

Step 3
Step 3: Does Maslow fit?
If Maslow fits, eliminate the phsychosocial answers and make sure the physical answer choices make sense. Apply the ABC's.
Hint: Physical needs take priority over psychosocial needs.
Eliminate pain, it’s considered as psychosocial need.
Step 4

Step 4: Are all the answers choices physical? Apply ABC's
Hint: Don’t automatically select respiratory answers.
Step 5
If the choices are not all physical then you would proceed to ask yourself what is the outcome of each of the remaining answers?

Hint: Don’t select answers that “sound” right. Evaluate and ask yourself, “If I do this, what will the outcome be?”
Common Nclex traps
Do not ask “Why?”
Do not leave the patient.
Do not persuade the patient.
Do not say, “Don’t worry!”
Do not pass the buck.
Do not read into the question.
Do not ‘do nothing.’
Some Questions?

A young married women tells the nurse that she is going to have a tubal ligation because there are two people with retardation in her husbands family ans she is afraid the problem will surface in her children. The nurse should:

a) Help the women reject the idea of sterilization
b)Strengthen the couples resolve to remain childless.
c)Help the couple decide to have children
d)Increase the couples knowledge about genetic inheritance.

A women is taking oral contraceptives. The nurse teaches the client to report which of the following danger signs?

a)Breakthrough bleeding.
b)Sever calf pain.
c)Mild headache.
d)Weight gain of 3 lbs.
The nurse is planning care for a client with MS. The client is concerned about weakness and the variability of the symptoms. Which of the following is the priority nursing care goal at this time?

a) protein and carbs.

b)Provide rest b/w activities.
c)Reinforce need for bed rest.
d)Administer baclofen (Lioresal)
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