Why not pass an international

nursing exam at the age of 61 ?

Why not pass an international

nursing exam at the age of 61 ?

RAY A. GAPUZ, R.N., M.A.N., D.Sc.,D.E.M.

INTERNATIONAL NURSING EDUCATOR/ENTREPRENEUR

PACITA REVILPACITA REVILPassed the CGFNS exam at Passed the CGFNS exam at

age 61, first takeage 61, first take

What made a 61 year old What made a 61 year old pass a foreign nursing test ?pass a foreign nursing test ?

1.1.Functional ConceptsFunctional Concepts

What made a 61 year old What made a 61 year old pass a foreign nursing test ?pass a foreign nursing test ?

1.1.Functional ConceptsFunctional Concepts

What made a 61 year old What made a 61 year old pass a foreign nursing test ?pass a foreign nursing test ?

1.1.Functional ConceptsFunctional Concepts2.2.Test strategiesTest strategies

What made a 61 year old What made a 61 year old pass a foreign nursing test ?pass a foreign nursing test ?

1.1.Functional ConceptsFunctional Concepts2.2.Test strategiesTest strategies

What made a 61 year old What made a 61 year old pass a foreign nursing test ?pass a foreign nursing test ?

1.1.Functional ConceptsFunctional Concepts2.2.Test strategiesTest strategies3.3.Confidence boostersConfidence boosters

What made a 61 year old What made a 61 year old pass a foreign nursing test ?pass a foreign nursing test ?

1.1.Functional ConceptsFunctional Concepts2.2.Test strategiesTest strategies3.3.Confidence boostersConfidence boosters

What are functional What are functional concepts?concepts?

Functional conceptsFunctional concepts

ideas that bridge the gap between ideas that bridge the gap between theories and examination questions theories and examination questions enabling the examinee to identify enabling the examinee to identify the best answer to a question.the best answer to a question.

Functional conceptsFunctional concepts

ideas that bridge the gap between ideas that bridge the gap between theories and examination questions theories and examination questions enabling the examinee to identify enabling the examinee to identify the best answer to a question.the best answer to a question.

PLEASE READ THIS: PLEASE READ THIS: SICKLE CELL ANEMIASICKLE CELL ANEMIA PLEASE READ THIS: PLEASE READ THIS: SICKLE CELL ANEMIASICKLE CELL ANEMIA

Sickle cell anemia is a blood disorder that affects Sickle cell anemia is a blood disorder that affects hemoglobinhemoglobin (pronounced: (pronounced: heehee-muh-glow-bin), the protein found in red blood -muh-glow-bin), the protein found in red blood cells (RBCs) that helps carry oxygen throughout the body.cells (RBCs) that helps carry oxygen throughout the body.

Sickle cell anemia occurs when a person inherits two abnormal Sickle cell anemia occurs when a person inherits two abnormal genes (one from each parent) that cause their RBCs to change genes (one from each parent) that cause their RBCs to change shape. Instead of being flexible and disc-shaped, these cells are shape. Instead of being flexible and disc-shaped, these cells are more stiff and curved in the shape of the old farm tool known as more stiff and curved in the shape of the old farm tool known as a sickle — that's where the disease gets its name. The shape is a sickle — that's where the disease gets its name. The shape is similar to a crescent moon.similar to a crescent moon.

Red blood cells with normal hemoglobin (Red blood cells with normal hemoglobin (hemoglobin Ahemoglobin A, or , or HbAHbA) ) move easily through the bloodstream, delivering oxygen to all of move easily through the bloodstream, delivering oxygen to all of the cells of the body. Abnormal RBC’s may occlude blood the cells of the body. Abnormal RBC’s may occlude blood vessels and this is precipitated by infection, dehydration and vessels and this is precipitated by infection, dehydration and stress.stress.

PLEASE ANSWER PLEASE ANSWER THIS QUESTION:THIS QUESTION:PLEASE ANSWER PLEASE ANSWER THIS QUESTION:THIS QUESTION:

Which of the following statements by Which of the following statements by the mother whose child has sickle the mother whose child has sickle cell anemia would indicate a cell anemia would indicate a possible precipitating factor of the possible precipitating factor of the crisis:crisis:

a.a. ““I see to it that my child is well-I see to it that my child is well-cared for.”cared for.”

b.b. ““I don’t allow my child to go out of I don’t allow my child to go out of her room.”her room.”

c.c. ““I haven’t given my child enough I haven’t given my child enough fluids in the last few weeks.”fluids in the last few weeks.”

d.d. ““I made him sleep earlier.”I made him sleep earlier.”

Which of the following statements by Which of the following statements by the mother whose child has sickle the mother whose child has sickle cell anemia would indicate a cell anemia would indicate a possible precipitating factor of the possible precipitating factor of the crisis:crisis:

a.a. ““I see to it that my child is well-I see to it that my child is well-cared for.”cared for.”

b.b. ““I don’t allow my child to go out of I don’t allow my child to go out of her room.”her room.”

c.c. ““I haven’t given my child enough I haven’t given my child enough fluids in the last few weeks.”fluids in the last few weeks.”

d.d. ““I made him sleep earlier.”I made him sleep earlier.”

Example:Example:

Sickle cell anemiaSickle cell anemia

Functional concept:Functional concept:

HYDRATIONHYDRATION

Which of the following statements by Which of the following statements by the mother whose child has sickle the mother whose child has sickle cell anemia would indicate a cell anemia would indicate a possible precipitating factor of the possible precipitating factor of the crisis:crisis:

a.a. ““I see to it that my child is well-I see to it that my child is well-cared for.”cared for.”

b.b. ““I don’t allow my child to go out of I don’t allow my child to go out of her room.”her room.”

c.c. ““I haven’t given my child enough I haven’t given my child enough fluids in the last few weeks.”fluids in the last few weeks.”

d.d. ““I made him sleep earlier.”I made him sleep earlier.”

Upon admission of a 4-year-old child Upon admission of a 4-year-old child with sickle cell disease with vaso-with sickle cell disease with vaso-occlusive crisis, the priority occlusive crisis, the priority nursing care is or should be:nursing care is or should be:

a.a. EliminationElimination

b.b. NutritionNutrition

c.c. HydrationHydration

d.d. protectionprotection

A ten-year-old is admitted to the A ten-year-old is admitted to the hospital with sickle cell crisis. hospital with sickle cell crisis. Which patient goal is most Which patient goal is most appropriate for this child? The appropriate for this child? The patient will:patient will:

a.a. Participate in daily aerobic exercise Participate in daily aerobic exercise program program

b.b. Take an antibiotic until the Take an antibiotic until the temperature is 98.6 °Ftemperature is 98.6 °F

c.c. Increase fluid intakeIncrease fluid intake

d.d. Utilize cold compress to control Utilize cold compress to control painpain

TEST TEST STRATEGIESSTRATEGIES

How is iron best taken?

a.With meals

b.Before meals

c.With orange juice

d.After meals

APPLICATIONAPPLICATION

How is iron best taken?

a.With meals

b.Before meals

c.With orange juice

d.After meals

APPLICATIONAPPLICATION

When is iron best taken?

a.With meals

b.Before meals

c.With orange juice

d.After meals

APPLICATIONAPPLICATION

When is iron best taken?

a.With meals

b.Before meals

c.With orange juice

d.After meals

APPLICATIONAPPLICATION

PASSING THE PASSING THE TEST IS TEST IS

SOMETIMES JUST SOMETIMES JUST A MATTER OF A MATTER OF

UNDERSTANDING UNDERSTANDING TERMINOLOGIESTERMINOLOGIES

Confidence boostersConfidence boostersConfidence boostersConfidence boosters

Confidence boostersConfidence boosters

1.1. review booksreview books

Confidence boostersConfidence boosters

1.1. review booksreview books

Confidence boostersConfidence boosters

1.1. review booksreview books2.2. exam simulationexam simulation

Confidence boostersConfidence boosters

1.1. review booksreview books2.2. exam simulationexam simulation

Confidence boostersConfidence boosters

1.1. review booksreview books2.2. exam simulationexam simulation3.3. experiential learningexperiential learning

Confidence boostersConfidence boosters

1.1. review booksreview books2.2. exam simulationexam simulation3.3. experiential learningexperiential learning