Tuesday, December 9, 2014

Cracking this Asinine Testing Insanity



Acronym notwithstanding, standardized testing for nursing sucks because there's always more than one right answer, but only one is the most right answer.  To make matters worse, one test prep company, like say, Lippincott, will tell you one answer is the most right answer, and another, like Assessment Technologies Institute will tell you the other.  And worst of all, sometimes the same company just can't seem to make up its mind (ahem, you know which I'm talking about).  Take for example, suspected domestic abuse--this questions ALWAYS gets me.

It's usually a question like: "You are a nurse working in the ER bay, and a child comes in with multiple bruises on her hands and thighs.  You suspect abuse.  What is your nursing priority?"

a) Obviously wrong answer.
b) Obviously wrong answer.
c) Some variation of calling DCFS.
d) Some variation of assessment.

I got this question as part of a test prep engine from a company and the answer was (d) because you have to finish assessing for all signs of abuse and then I took a test for class from the same company today and I picked the same answer and I got it wrong.

And I was just like:

Here's another annoying one:

You're a nurse on a mental health inpatient floor and a patient with panic disorder presents with tachypnea, diaphoresis, paleness, and is sliding down a wall into a seated position.  Your priority is to:
a) Obviously wrong answer.
b) Obviously wrong answer.
c) Some variation of give him a paper bag to breathe into.
d) Some variation of tell the patient he is in a safe place, and to slow down his breathing.

My medsurg brain flew to "respiratory alkalosis, give him a bag to breathe into," but no, apparently I was supposed to tell a panicked patient that he is in a safe place and to slow down his breathing.  Keep in mind that panic, as opposed to severe stress, is qualified by the person losing control of himself, so, trying to teach (keyword) someone to slow down his breathing is kind of futile, right?  I don't know.  (But then again, my professor made this question up so, who knows, maybe she was wrong.  I digress.)

I always ALWAYS get these wrong.  I swear, the same online test will say one answer for one question and the other answer for a procedurally and situationally similar question later down the line.
It's infuriating.
It's brain fuckery.
I confess.  Depending on how confident I feel on the rest of the test, if a test has two similar question, I'll pick "c" for one question, and "d" for the other just to negate the wrong answer rather than gamble and potentially get both questions wrong.

So let me ask you, how do you reason through questions like these?

Tangentially related material:
State Child Abuse Reporting Numbers
5 Reasons Why Feminism Needs to Address Child Abuse

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