I am not sure how to prioritize nursing interventions on NCLEX questions. Many of the answers seem equally important. How do I increase my likelihood of choosing the right one?
In "real life" hospital nursing, you have a million tasks to accomplish and have to organize them based on urgency. It can be difficult to conceptualize if you have not experienced them as a licensed nurse, but there is a general pattern with these exam questions. They always say "airway, breathing, and circulation", because someone can decompensate very quickly if their airway is compromised--much more quickly than if there is an issue with an infection or bleeding issue. We will do a few practice questions and review rationales to improve your practice test scores. Sometimes it is more about improving test taking skills than a knowledge deficit.
My instructor keeps saying that I am not organized when I write, and that my sentences are too long. How can I put together my ideas in away that answers the question clearly and avoid run-on sentences?
I have been an editor for publications in high school and college, and am often chosen to be editor for group projects in graduate school. I have found that having another set of eyes to revise your writing and offer feedback can help you gain perspective on how you can improve your style and approach. It can be difficult for some people to have their writing "critiqued" because writing is very expressive and personal. However, conquering this fear by trusting a tutor, mentor, or trusted friend to review your prose can provide a lot of insight, and greatly improve your writing abilities. Organizing your thoughts can be difficult especially if you have just read some material and are trying to synthesize a lot of information. Your ultimate goal in most cases is to answer the question. My AP Literature teacher would write this on the board everyday in capital letters so we would look up and be reminded. It can be easy to go on tangents when you are on a time constraint or do not have a clear argument in mind. Depending on your writing level, I would advise to create a general outline initially to document your thoughts and core concepts. From there, we would figure out how these ideas can answer the prompt or convey a point. With regards to challenges with grammar such as avoiding run-on sentences, I would show you a side by side comparison and read aloud the sentence, so you understand why it is too verbose. Occasionally, it is hard to see from a writer's point of view that simplicity can sometimes provide more clarity. I can provide you with "track changes" on Microsoft Word and answer any questions during our tutoring sessions. You should notice an improvement in your grades if you do some revisions.
I am having trouble adding large numbers, and working with fractions. Can you give me some tips for how to improve?
I am a very visual person (I studied fine arts and science), so I would do a lot of illustrating to provide examples. There are different ways that you can add large numbers with multiple digits. Sometimes to work more quickly, you can group numbers by "hundreds", "tens", and "ones" and add them together in the end. The traditional way is the "carry over" method, which works better for much larger numbers. I will demonstrate these methods by doing a couple problems for you and then have you repeat after me with a similar problem. With fractions, it is usually best understood in a real life situation, and in images. For example, splitting a pie or brownie you just baked into equal parts, and distributing them accordingly (maybe one person wants a big piece, another wants a small one). In addition to cooking, money can also be an example, and I can draw portions for you if you don't understand. Techniques to add fractions, multiply them, and divide them need to be practiced too with some repetition to ensure comprehension, but it is best to understand the core concept and application to generate interest. I would modify the way I explain concepts based on developmental level for children, and adapt it for adults.