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    NLE TEST PLAN

    PROFESSIONAL REGULATION COMMISSION-

    BOARD OF NURSING

    NURSING PRACTICE I

    Test Description :

    Theories, concepts, principles and processes basic to the practice of

    nursing with emphasis on health promotion and health maintenance. It includesbasic nursing skills in the care of clients across age groups in any setting.

    Moreover, it encompasses the varied roles, functions and responsibilitiesof the professional nurse in varied health care settings.

    TEST SCOPE

    I. Safe and Quality Care, Health Education, Communication, and

    Collaboration and Teamwork

    A. The nursing process

    B. Basic nursing skills

    1. Admission and discharge2. Vital signs3. Physical examination and health assessment4. Administration of medications5. Asepsis and infection control6. First aid measures7. Wound care8. Peri-operative care9. Post-mortem care

    C. Measures to meet physiological needs

    1. Oxygenation2. Nutrition3. Activity, rest and sleep4. Fluid and electrolyte balance5. Urinary elimination6. Bowel elimination7. Safety, comfort and hygiene8. Mobility and immobility

    D. Health Education

    1. Teaching and learning principles in the care of clients2. Health education in all levels3. Discharge planning

    E. Communication

    1. Dynamics of communication2. Nurse-client relationship3. Professional-professional relationship4. Therapeutic use of self5. Use of information technology

    F. Collaboration and Teamwork

    1. Networking2. Inter-agency partnership3. Teamwork strategies4.

    Nursing and partnership with other professions and agencies

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    II. Ethico-Moral Responsibility and Legal Responsibility

    A. Bioethical principles

    1. Beneficence2. Non-malefescence3. Justice4. Autonomy5. Stewardship6. Truth telling7. Confidentiality8. Privacy9. Informed consent

    B. Patients Bill of Rights

    C. Code of Ethics in Nursing

    D. Legal Responsibility

    1. Legal aspects in the practice of nursing2. The Philippine Nursing Act of 2002 (R.A. 9173)3. Related laws affecting the practice of nursing

    III. Personal and Professional Growth and Development

    A. Historical perspectives in nursing

    B. Nursing as a profession

    C. Theoretical foundation of nursing applied in health care situations

    D. Continuing professional education

    E. Professional organizations in nursing

    F. The nurse in health care

    1. Eleven Key Areas of Responsibilities2. Fields of nursing3. Roles and functions

    IV. Management of Environment and Resources and Environment

    A. Theories and principles of management

    B. Nursing administration and management

    C. Theories, principles and styles of leadership

    D. Concepts and principles of organization

    E. Patient care classification

    F. Nursing care systems

    G. Delegation and accountability

    H. Records Management

    1. Anecdotal report2. Incident report3. Memorandum4. Hospital manual5. Documentation6. Endorsement and end-of-shift report7. Referral

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    V. Quality Improvement and Research

    A. Standards of nursing practice

    B. Nursing audit

    C. Accreditation/certification in nursing practiceD. Quality assurance

    E. Research

    1. Problem identification2. Ethics and science of research3. The scientific approach4. Research process5. Research designs and methodology

    a. Qualitativeb. Quantitative

    6. Utilization and dissemination of research findings

    NURSING PRACTICE II

    Test Description :

    Theories, concepts, principles and processes in the care of individuals,

    families, groups and communities to promote health and prevent illness, andalleviate pain and discomfort, utilizing the nursing process as framework. Thisincludes care of high risk and at-risk mothers, children and families during the

    various stages of life cycle.

    TEST SCOPE

    Part I: CHN

    I. Safe & Quality Care, Health Education, and Communication,

    Collaboration and Teamwork

    A. Principles and Standards of CHN

    B. Levels of Care

    C. Types of Clientele

    D. Health Care Delivery System

    E. PHC as a Strategy

    F. Family-based Nursing Services (Family Health Nursing Process)

    G. Population Group-based Nursing Services

    H. Community-based Nursing Services/Community Health Nursing Process

    I. Community Organizing

    J. Public Health Programs

    II. Research and Quality Improvement

    A. Research in the Community

    B. National Health Situation

    C. Vital Statistics

    D. Epidemiology

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    E. Demography

    III. Management of Resources & Environment and RecordsManagement

    A. Field Health Services and Information System

    B. Target-setting

    C. Environmental Sanitation

    IV. Ethico-Moral-Legal Responsibility

    A. Socio-cultural values, beliefs, and practices of individuals,

    families, groups and communities.

    B. Code of Ethics for Government Workers

    C. WHO, DOH, LGU policies on health

    D. Local Government Code

    E. Issues

    V. Personal and Professional Development

    A. Self-assessment of CHN competencies, importance, methods

    and tools

    B. Strategies and methods of updating ones self, enhancing

    competence in community health nursing and related areas.

    Part II: MCN

    I. Safe & Quality Care, Health Education, and Communication,

    Collaboration and Teamwork

    A. Principles and Theories of Growth and Development

    B. Nursing Care in the Different Stages of Growth and

    Development including

    a. Nutritionb. Safetyc. Language development4. Discipline5. Play6.

    Immunization7. Anticipatory guidance

    8. Values formationC. Human Sexuality and Reproduction including Family

    Planning

    D. Nursing Care of Women during Normal Labor, Delivery and

    Postpartum

    E. Nursing Care of the Newborn

    1. APGAR scoring

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    2. Newborn screening3. Maintenance of body processes (oxygenation, temperature, etc.)

    F. Nursing Care of Women with complications of pregnancy,labor, delivery and

    postpartum period (High-risk conditions)

    G. Nursing Care of High-Risk Newborn

    1. Prematurity2. Congenital defects3. Infections

    H. Nursing Care of Women with disturbances in reproduction and gynecology

    II. Research and Quality Improvement

    A. Fertility Statistics

    B. Infant Morbidity and Mortality

    C. Maternal Mortality

    D. Standards of Maternal and Child Nursing Practice

    III. Management of Resources and Record Management

    A. Home-Based Mothers Record

    B. Under Five Clinic Record

    IV. Ethico-Moral-Legal Responsibility

    A. Socio-cultural values, beliefs, and practices of individuals, families related to

    MCN

    B. WHO, DOH, LGU policies on health

    C. Family Code

    D. Child and Youth Welfare Code

    E. Issues related to MCN

    V. Personal and Professional Development

    A. Self-assessment of MCN competencies, importance, methods and

    tools

    B. Strategies and methods of updating ones self, enhancing

    competence in MCN and related areas.

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    NURSING PRACTICE III, IV, and V

    Test Description :

    Theories, concepts, principles and processes in the care of clients withaltered health patterns, utilizing the nursing process and integrating the keyareas of nursing competencies.

    TEST SCOPE

    I. Safe & Quality Care, Health Education, Communication, Collaboration

    and Teamwork

    Test III

    A. Client in Pain

    B. Perioperative Care

    C. Alterations in Human Functioning

    1. Disturbances in Oxygenation2. Disturbances in Metabolic and Endocrine Functioning3. Disturbances in Elimination

    Test IV

    A. Alterations in Human Functioning

    1. Disturbances in Fluids and Electrolytes2. Inflammatory and Infectious Disturbances3. Disturbances in Immunologic Functioning4. Disturbances in Cellular Functioning5. Client in Biologic Crisis6. Emergency and Disaster Nursing

    Test V

    A. Disturbances in Perception and coordination

    1. Neurologic disorders2. Sensory disorders3. Musculoskeletal disorders4. Degenerative disorders

    B. Maladaptive Patterns of Behavior

    1. Anxiety Response and anxiety related disorders2. Psychophysiologic responses, somatoform and sleep disorders3. Abuse and violence4. Emotional responses and mood disorders5. Schizophrenia and other psychotic and mood disorders6. Social responses and personality disorders7. Substance related disorders8. Eating disorders9. Sexual Disorders10.Emotional disorders of infants, children and adolescents

    II. Communication, Collaboration & Teamwork

    A. Team Approach

    B. Referral

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    C. Network/Linkage

    D. Therapeutic communication

    III. Ethico-Moral-Legal ResponsibilityA. Confidentiality

    B. Clients Rights

    1. Informed consent2. Refusal to take medications, treatment and admission procedures

    C. Nursing accountability, liability

    D. Documentation/Charting

    E. Culture sensitivity

    III. Personal & Professional Development

    A. Nurse-Client Relationship

    B. Continuing Education

    IV. Research and Quality Improvement

    A. Evidence-based Practice

    B. Standards of Safe Practice

    V. Management of Resources, Environment and Record Management

    A. Patient Safety

    B. Standards of Documentation