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NCLEX RN Test Plan
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- major client needs categories1. safe & effective care environment
- health promotion & maintenance
- psychosocial integrity
- physiological integrity
- subcategories1. Management of Care
- Safety and Infection Control
- Basic Care and Comfort
- Pharmacological and Parenteral Therapies
- Reduction of Risk Potential
- Physiological Adaptation
safe & effective care environmentThe nurse promotes achievement of client outcomes by providing and directing nursing care that enhances the care delivery setting in order to protect clients and health care personnel.health promotion & maintenanceThe nurse provides and directs nursing care of the client that incorporates the knowledge of expected growth and development principles; prevention and/or early detection of health problems, and strategies to achieve optimal health.psychosocial integrityThe nurse provides and directs nursing care that promotes and supports the emotional, mental and social well- being of the client experiencing stressful events, as well as clients with acute or chronic mental illness.physiological integrityThe nurse promotes physical health and wellness by providing care and comfort, reducing client risk potential and managing health alterations.
Management of Careproviding and directing nursing care that enhances the care delivery setting to protect clients and health care personnel.
Safety and Infection Controlprotecting clients and health care personnel from health and environmental hazards.Basic Care and Comfortproviding comfort and assistance in the performance of activities of daily living.Pharmacological and Parenteral Therapiesproviding care related to the administration of medica- tions and parenteral therapies.Reduction of Risk Potentialreducing the likelihood that clients will develop complications or health problems related to existing conditions, treatments or procedures.Physiological Adaptationmanaging and providing care for clients with acute, chronic or life threatening physical health conditions.integrated processesnursing process caring communication/documentation teaching/learning culture/spirituality nursing processa scientific, clinical reasoning approach to client care that includes assessment, analysis, planning, implementation and evaluation caringinteraction of the nurse and client in an atmosphere of mutual respect and trust. In this collaborative environment, the nurse provides encouragement, hope, support and compassion to help achieve desired outcomes.communication/documentationverbal and nonverbal interactions between the nurse and the client, the client's significant others and the other members of the health care team. Events and activities associated with client care are recorded in written and/or electronic records that demon- strate adherence to the standards of practice and accountability in the provision of care teaching learningfacilitation of the acquisition of knowledge, skills and attitudes promoting a change in behavior culture/sensitivityinteraction of the nurse and the client (individual, family or group, including significant others and population) which recognizes and considers the client- reported, self-identified, unique and individual preferences to client care, the applicable standard of care and legal instructions
related content: management of care-Advance Directives
-Advocacy -Case Management -Client Rights -Collaboration with Interdisciplinary Team -Concepts of Management -Confidentiality -Continuity of Care -Assignment, Delegation and Supervision -Establishing Priorities -Ethical Practice -Informed Consent -Information Technology -Legal Rights and Responsibilities -Organ Donation -Performance Improvement (Quality Improvement) -Referrals
related content: safety and infection control-Accident/Error/Injury Prevention
-Emergency Response Plan -Ergonomic Principles -Handling Hazardous and -Infectious Materials
- Home Safety
-Reporting of Incident/Event/Irregular Occurrence/Variance -Safe Use of Equipment -Security Plan -Standard precautions/transmission based precautions/surgical asepsis -use of restraints/safety devices
related content: health promotion and maintenance -Aging Process
-Ante/Intra/Postpartum and Newborn Care -Developmental Stages and Transitions
- Health Promotion/Disease Prevention
-Health Screening -High Risk Behaviors -Lifestyle Choices -Self-Care -Techniques of Physical Assessment
related content: psychosocial integrity-Abuse/Neglect
-Behavioral Interventions -Chemical and Other Dependencies/ Substance Use Disorder
- Coping Mechanisms
- End of Life Care
- Stress Management
-Crisis Intervention -Cultural Awareness/Cultural Influences on Health
-Family Dynamics -Grief and Loss -Mental Health Concepts -Religious and Spiritual Influences on Health -Sensory/Perceptual Alterations
-Support Systems -Therapeutic Communication -Therapeutic Environment
related content: basic care and comfort- Assistive Devices
-Elimination -Mobility/Immobility -Non-Pharmacological Comfort Interventions -Nutrition and Oral Hydration -Personal Hygiene
- Rest and Sleep
related content: pharmacological and parenteral
therapies -Adverse Effects, Side Effects -Blood and Blood Products -Central Venous Access Devices -Dosage Calculation -Expected Actions/Outcomes -Medication Administration -Parenteral/Intravenous Therapies -Pharmacological Pain Management -Total Parenteral Nutrition related content: reduction of risk potential-changes/abnormalities in vital signs -diagnostic tests -lab values -potential for alterations in body systems -potential for complications of diagnostic tests/treatments/ procedures -potential for complications from surgical procedures and heath alterations -system specific assessments -therapeutic procedures
related content: physiological adaptation-alterations in body systems
-fluid & electrolyte imbalances -hemodynamics -illness management -medical emergencies -pathophysiology -unexpected response to therapy what category does the subcategory "management of care" go under Safe and Effective Care Environment
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