Decide What the Question is Dealing With: *Which part of the Nursing Process: Assessment; Analysis; Planning; Implementati

on or Evaluation? *Next, Decide the Order of Priority First you must decide what part of the nursing process the question is connected with: ANALYSIS--is the process of identifying potential and actual health problems. Mo st identify pertinent assessment information and assimilate it into the nursing diagnosis. Prioritize the needs that have been identified during analysis. Some common words that are associated with ANALYSIS questions: *diagnose; contrast; compare; analyze; order; prioritize; define; classify; cata gorize; synthesize; sort; arrange; ASSESSMENT--consists of a collection of data. ost procedures is included. Also included the symptoms of health problems both present and d confirmation of findings are also included. intervention. Baseline information for pre and p recognition of pertinent signs and potential. Verification of data an Assess a situation before doing an

Some common words that are associated with ASSESSMENT questions: observe; gather; collect; differentiate; assess; recognize; detect; distinguish; identify; display; indicate; describe; PLANNING--Involves formulating goals and outcomes. It also involves various memb ers of the health care team and the patient's family. All outcome criteria must be able to be evaluated with a specific time frame. Be sure to establish priorit ies and modify according to question. Some common words that are associated with PLANNING questions: rearrange; reconstruct; determine; outcomes; formulate; include; expected; desig nate; plan; generate; short/long term goal; develop; IMPLEMENTATION--Addresses the actual/direct care of a patient. Direct care entai ls pre, intra and postoperative management, preforming procedures, treatments, a ctivities of daily living. Also includes the coordination of care and referral o n discharge. It involves documentation and therapeutic response to intervention and patient teaching for health promotion and helping the patient maintain prope r health. Some common words that are associated with IMPLEMENTATION questions: *document; explain; give; inform; administer; implement; encourage; advise; prov ide; perform; EVALUATION--Determines if the interventions were effective. Were goals met? Was the care delivered properly? Are modification plans needed. Addresses the effect iveness of patient teaching and understands and determines in proper care was of fered. Evaluation can involve documentation, reporting issues, evaluates care gi ven and determine the appropriateness of delegating to others. Most significantl y, it finds out the response of the patient to care and the extent to which the goals we met. Some common words that are associated with EVALUATION questions: monitor; expand; evaluate; synthesize; determine; consider; question; repeat; ou tcomes; demonstrate; reestablish; After determining what part of the nursing process the question is concerned wit

h, next focus your attention on determining the category of priority: Safe and effective care environment is always first. Patient safety is related t o the proper preparation and delivery of nursing techniques and procedures as pa rt of the nursing practice. It relates to every aspect of the delivery of care. Physiologic integrity is the ability to provide competent care Information that may be described as traditionally medical- surgical and pediatric nursing falls into this category. Specific questions in this area can be related to many direc t-care aspects of nursing practice. The importance of this area is highlighted b ecause it is one in which planning, implementation and evaluation of care needs can easily be identified and tested. Physiologic integrity is always a slight lo wer priority than safety unless it involves airway, breathing and circulation. " ABC's" always comes first! Psychosocial integrity tests the knowledge about a patients response to a diseas e or disorder. An understanding of stress, anxiety and ways to cope are essentia l. This is a lower priority the physiological integrity. Health maintenance deals with health promotion, health teaching, disease prevent ion and assessment of risk factors for health problems. Normal growth and develo pment is a major theme in this category. This however, is a low priority. In Summary, when choosing the right answer for you NCLEX exam question 1) ask yo urself, "what part of the nursing process is this question dealing with: analysi s, assessment, planning, implantation or evaluation? and 2) Remember to prioriti ze your choices: safety always being first, 2)physiological integrity, 3)psychos ocial integrity and health maintenance always has the lowest priority when choos ing an answer. Other tidbits: avoid choices with the answers "all" "always" "never" or "none". Nothing is ever a definite in Science. look for answers that are different. If three answers say the same thing but in different words, choose the answer that is different. when given choices that are pharmacologically based or non pharmacologically bas ed, choose the non pharmacological intervention. It is more often then not, the correct answer. SOURCE: http://caring4you.net/answer.html