Questions and answers about becoming an NCLEX item writer.
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Biomedical subjects
Publications and source records attributed to A Wendt.
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In many European countries, social-medical aspects in the management of diabetes mellitus are not satisfactorily respected. Our contribution reports a study addressing the impact of diabetes on the patient's career and daily work, in order to determine the extent to which diabetics are being discriminated against at work. Type I diabetics were questioned about their experience, and not on the objective burden. A questionnaire was developed to evaluate patients' social and employment problems. Few elements of an education program for Type I diabetes optimizing social skills (social competence) are demonstrated. In a group of 6-8 patients, assertive behavior in the work place is modelled (e.g., for hypoglycaemia, social phobia) by applying psychological methods (behavior modification role-playing). These methods can help diabetic patients to master their discrimination. They learn assertive behavior in social situations with superiors and colleagues and develop self-confidence (self-efficacy). This special education program supports Type I diabetics in coping with employment discrimination.
As a component of an undergraduate nursing program evaluation, the purpose of this study was to investigate the effect of the psychiatric clinical learning site on students' attitudes toward mental illness and psychiatric nursing. A pretest-posttest quasi-experimental design was utilized. The dependent measures included an Environmental Rating Scale, an Attitude Toward Mental Illness Scale, and an Attitude Toward Psychiatric Nursing Scale. The non-probability sample of convenience included 45 students enrolled in the senior level psychiatric nursing module of a baccalaureate nursing program at a midwest, metropolitan liberal arts college. The subjects were randomly assigned to a Veterans Administration (VA) Medical Center and a private hospital. The results indicated that after controlling for students' attitudes toward mental illness and psychiatric nursing prior to the psychiatric nursing module, clinical site location did not account for any significant variance in students' attitudes after the module. However, correlation analysis of the specific components of the Environmental Rating Scale did demonstrate statistically significant associations with a decrease in authoritative, restrictive attitudes toward mental illness, and an increase in the milieu therapy and community mental health orientations to psychiatric nursing.
In 10 male Syrian golden hamsters at the age of 3, 4, 5, 6 or 7 months each the two first lower molars have been evaluated histomorphologically to get an exact statement about the spontaneous illness rate of our used animals. In this connection efforts were made to classify the histopathological lesions into initial, early, established and advanced lesions in accordance with Page and Schroeder (1976). Altogether occurred 4 initial, 64 early and 32 established lesions in 100 examined golden hamster molars. In no case advanced lesions have been stated. Referring to the various age groups a regular periodontal progression was not detectable. Histologically healthy marginal periodontium could not been found in the conventional Syrian golden hamster. Similar examinations have this to consider.
On the basis of a representative information search it is reported on the necessity and utility of animal test studies for research work in periodontology. Findings on the wellaimed use of test animals for this purpose are shown with particular regard to rats and hamsters. Advantages and disadvantages of using rodents are contrasted.
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With the aging of the population, health care workers must be prepared to deal with clients and families facing end-of-life (EOL) issues. Nurses, as one of the primary providers of care and the largest professional group to provide care, can make a significant impact on EOL care. This article uses 15 nursing competencies that have been identified as important in providing high-quality care to clients and the families of clients at the end of life and delineates where these competencies are addressed in the 1998 NCLEX-RN Test Plan. Available resources that provide information on EOL content are mentioned as well as how to become involved in the NCLEX item development process.
The NCLEX-RN Test Plan has been revised. The test plan retains "Client Needs" as the major content dimension and integrates "Phases of the Nursing Process" into all areas. Client Needs are divided into four categories. The four categories are divided further into a total of 10 subcategories that will be used to determine the percentage of questions on each candidate's examination. The authors describe the changes to the NCLEX-RN Test Plan and implications for nursing educators.
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Cytomegalovirus (CMV) infection is ubiquitous and results in a wide spectrum of clinical manifestations ranging from asymptomatic infection to severe life threatening disease. Infection in normal children and adults usually causes no symptoms but in the immunocompromised host, CMV may result in severe opportunistic infections with high morbidity and mortality. Historically, virus detection was dependent on culture of the virus or on a centrifugation culture system referred to as a shell vial assay. The shell vial assay frequently lacked sensitivity and was unable to detect infection in its early phase. Also, as with culture assays, the results were affected by antiviral therapy. The CMV antigenemia assay was developed to provide more rapid results and has gained wide usage. This assay is limited to detection of the virus in white blood cells and is more sensitive than culture or the shell vial assay. Application of the polymerase chain reaction (PCR) to these problems has resulted in the development of assays for CMV which are more sensitive than previously available methods. This method employs liquid hybridization with 32P labeled probes and gel retardation analysis for detection of amplified DNA specific for each virus. A comparison of the detection of CMV by an antigenemia assay or the PCR method in the leukocytes of renal transplant patients revealed that the PCR assay detects cytomegalovirus earlier and more consistently than the antigenemia assay. Finally, the application of a fluorescent dye detection system and image analysis of the acrylamide gel with a laser scanner provides additional sensitivity to the detection of cytomegalovirus, as well as avoiding the use of radioactivity, making the assay more adaptable to the clinical laboratory.
One nursing organization that closely tracks the direction of healthcare and nursing practice is the National Council of State Boards of Nursing, Inc. As the developer of the National Council Licensure Examination for Registered Nurses (NCLEX-RN examination), maintaining currency of the examination is of primary importance to the National Council. The authors discuss recent trends in the NCLEX-RN Test Plan.
A Diagnostic Profile Report (DP) is sent to every NCLEX examination candidate who fails, in an effort to help the candidate identify strengths and weaknesses. A candidate may require assistance to make the best use of the information in preparing to take the NCLEX examination again. A nurse educator who is knowledgeable about interpreting the DP is able to help the graduate maximize these preparation efforts. The DP highlights areas of relative strengths and weaknesses, identifies overall performance, and lists the number of questions the candidate took. Different DPs are generated for candidates who did not take the minimum number of questions or who ran out of time before a pass/fail decision could be made. The "last 60" rule, which is used to make pass/fail decisions for candidates who run out of time before answering the maximum number of questions, is also explained.