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NLE TEST PLAN for JULY 2012 NLE

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 includes basic nursing skills in the care of clients across age groups in any setting. Moreover, it encompasses the varied roles, functions and responsibilities of 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. 2. 3. 4. 5. 6. 7. 8. 9. Admission and discharge Vital signs Physical examination and health assessment Administration of medications Asepsis and infection control First aid measures Wound care Peri-operative care Post-mortem care

C. Measures to meet physiological needs 1. 2. 3. 4. 5. 6. 7. 8. Oxygenation Nutrition Activity, rest and sleep Fluid and electrolyte balance Urinary elimination Bowel elimination Safety, comfort and hygiene Mobility and immobility

D. Health Education 1. Teaching and learning principles in the care of clients 2. Health education in all levels 3. Discharge planning E. Communication 1. 2. 3. 4. 5. Dynamics of communication Nurse-client relationship Professional-professional relationship Therapeutic use of self Use of information technology

F. Collaboration and Teamwork 1. 2. 3. 4. Networking Inter-agency partnership Teamwork strategies Nursing and partnership with other professions and agencies

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II. Ethico-Moral Responsibility and Legal Responsibility A. Bioethical principles 1. 2. 3. 4. 5. 6. 7. 8. 9. Beneficence Non-malefescence Justice Autonomy Stewardship Truth telling Confidentiality Privacy Informed consent

B. Patients Bill of Rights C. Code of Ethics in Nursing D. Legal Responsibility 1. Legal aspects in the practice of nursing 2. 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 Responsibilities 2. Fields of nursing 3. 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. 2. 3. 4. 5. 6. 7. Anecdotal report Incident report Memorandum Hospital manual Documentation Endorsement and end-of-shift report Referral

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V. Quality Improvement and Research A. Standards of nursing practice B. Nursing audit C. Accreditation/certification in nursing practice D. Quality assurance E. Research 1. 2. 3. 4. 5. Problem identification Ethics and science of research The scientific approach Research process Research designs and methodology a. Qualitative b. 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, and alleviate pain and discomfort, utilizing the nursing process as framework. This includes 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 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 Health Nursing Process

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E. Demography

III. Management of Resources & Environment and Records Management 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. b. c. 4. 5. 6. 7. 8. Nutrition Safety Language development Discipline Play Immunization Anticipatory guidance Values formation

C. 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 screening 3. 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. Prematurity 2. Congenital defects 3. 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

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 Oxygenation 2. Disturbances in Metabolic and Endocrine Functioning 3. Disturbances in Elimination Test IV A. Alterations in Human Functioning 1. 2. 3. 4. 5. 6. Disturbances in Fluids and Electrolytes Inflammatory and Infectious Disturbances Disturbances in Immunologic Functioning Disturbances in Cellular Functioning Client in Biologic Crisis Emergency and Disaster Nursing

Test V A. Disturbances in Perception and coordination 1. 2. 3. 4. Neurologic disorders Sensory disorders Musculoskeletal disorders Degenerative disorders

B. Maladaptive Patterns of Behavior 1. Anxiety Response and anxiety related disorders 2. Psychophysiologic responses, somatoform and sleep disorders 3. Abuse and violence 4. Emotional responses and mood disorders 5. Schizophrenia and other psychotic and mood disorders 6. Social responses and personality disorders 7. Substance related disorders 8. Eating disorders 9. Sexual Disorders 10. 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 Responsibility A. Confidentiality B. Clients Rights 1. Informed consent 2. 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

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