First, the content structure of the test paper
The examination paper content structure of nurse qualification examination includes three aspects. They are:
1. Main nursing tasks
2. Nursing knowledge needed to complete the task.
3. Various common diseases
Each problem can include the above three aspects, that is, using what you have learned to complete a specific nursing task with common diseases as the background.
For example, the patient, male, 78 years old, suffered from essential hypertension for 26 years and was admitted to hospital due to heart failure. The doctor prescribed oral digoxin. Before applying digoxin to patients, nurses should first evaluate the following contents:
A. Heart rate and rhythm
B.24-hour urine volume
C. respiratory frequency
D. blood pressure
E. degree of edema
This topic mainly investigates the patients with hypertension complicated with heart failure (disease background). Nurses should use their own nursing knowledge (pharmacological knowledge) to evaluate patients (tasks) before taking drugs.
Second, the main nursing tasks involved in the inspection
The main nursing tasks refer to the common nursing tasks of nurses in the early stage of clinical work (0-3 years). There are seven categories of nursing tasks involved in the examination, namely: table 1: classification tasks of nursing qualification examination.
1. Take care of patients and meet their basic needs:
Carry out patients' daily nursing activities and nursing specific operations (such as daily life nursing, measuring vital signs, moving patients and maintaining patients' posture; Perform specific nursing operations, such as wound care, catheter placement, intravenous infusion, etc. )
2. Tasks related to adjuvant therapy:
Carry out activities of safe medication and assistance in treatment (including: checking compatibility contraindications, administering drugs according to correct procedures, administering drugs by different methods/routes, observing efficacy/adverse reactions, etc.). ).
3. Communication and coordination activities:
Communicate with patients to meet their psychological needs (including evaluating patient/family support system, coping and maintenance, etc.). ) and communicate effectively in the medical team.
4. Ensure patient safety:
Provide patients with a safe and effective treatment and rehabilitation environment (such as protecting patients from the threat of various injuries, providing a safe nursing environment, and evaluating the safety and effectiveness of patient care tools. )
5. Health guidance:
Provide education support for patients and their families (evaluate knowledge level, explain patients' current situation, provide health knowledge and nursing information, etc.). )
6. Assessment/evaluation activities:
Implement evaluation/evaluation procedures for patients (such as evaluating physiological status, collecting various specimens, evaluating laboratory test results, observing therapeutic effect, and repeating evaluation). ).
7. Moral/legal activities:
Carry out activities related to the ethical and legal aspects of nursing work (such as protecting patients' privacy and reporting specific incidents as required)
Third, the knowledge module involved in the exam
Related knowledge module refers to the requirements of nurses for related knowledge when they complete the above nursing tasks, which mainly includes basic medical knowledge, nursing professional knowledge and skills closely related to nursing work, social medicine and humanistic knowledge related to nursing work.
The knowledge involved in the examination includes:
1. Basic medical knowledge needed for nursing work: basic knowledge of modern medicine, including:
The process of human life; Anatomy, physiology, pathology and pathophysiology, pharmacology, psychology, immunology, medical microbiology and parasitology, nutrition, preventive medicine and other knowledge.
2. Social and humanistic knowledge related to nursing, including laws and regulations, nursing management, nursing ethics and interpersonal communication knowledge.
3. Nursing professional knowledge and skills: Clinical knowledge and skills needed in nursing work are the main part of the exam. Including basic nursing skills, clinical manifestations of diseases, treatment principles, health assessment, nursing procedures and professional knowledge, health education and appropriate basic knowledge and skills of traditional Chinese medicine nursing.
Among the above knowledge modules, the examination contents of basic nursing, laws and regulations and nursing management, nursing ethics and interpersonal communication are shown in (5), and other knowledge modules highly related to clinical diseases will be tested in the background of various common diseases. For example, combined with arrhythmia, the ability of candidates to complete clinical tasks by using relevant basic medical knowledge, clinical manifestations of diseases, treatment principles, health assessment, nursing procedures, nursing professional knowledge, health education and other knowledge and skills is examined.
Four, check involves a variety of common diseases.
Refers to the types of diseases that nurses care for patients at the beginning of clinical work. Its main classification basis is the tenth edition of the International Classification of Diseases (ICD- 10). The frequency of these diseases in the examination paper is related to the incidence of various diseases in clinic. When examining basic medical knowledge, nursing professional knowledge and skills, these diseases will appear as important information in the examination questions.
The following diseases may occur in the examination.
1. circulatory system diseases, including: cardiac insufficiency, arrhythmia, congenital heart disease, hypertension, coronary atherosclerotic heart disease, valvular heart disease, infective endocarditis, myocardial disease, pericardial disease, peripheral vascular disease, varicose veins of lower limbs, thromboangiitis obliterans and cardiac arrest.
2. Diseases of digestive system, including stomatitis, chronic gastritis, peptic ulcer, ulcerative colitis, infantile diarrhea, intestinal obstruction (including intussusception, volvulus, intestinal adhesion, etc.). ), acute appendicitis, external hernia, hemorrhoids, anal fistula, perianal abscess, liver cirrhosis (including portal hypertension), liver abscess, hepatic encephalopathy, biliary tract infection, biliary tract infection.
3. Respiratory diseases, including: acute upper respiratory infection (including acute infectious laryngitis), acute bronchitis, pneumonia (including adults and children, including bronchiolitis), bronchiectasis, chronic obstructive pulmonary disease, bronchial asthma, chronic pulmonary heart disease and hemopneumothorax.
(including spontaneous pneumothorax), respiratory failure (including acute and chronic), acute respiratory distress syndrome.
Infectious diseases, including measles, chicken pox, mumps, viral hepatitis, AIDS, Japanese encephalitis, scarlet fever, bacillary dysentery, epidemic cerebrospinal meningitis and tuberculosis (including lung, bone, kidney, intestinal tuberculosis and tuberculous meningitis).
Skin and subcutaneous tissue diseases, including furuncle, carbuncle, acute cellulitis, acute purulent infection of hand, acute lymphedema and lymphedema.
6. Diseases during pregnancy, delivery and puerperium, including: normal delivery, normal puerperium, spontaneous abortion, premature delivery, overdue pregnancy, hypertensive disorder complicating pregnancy, ectopic pregnancy, placental abruption, placenta previa, abnormal amniotic fluid volume, multiple births and giant fetuses, fetal distress, premature rupture of membranes, pregnancy-related diseases, abnormal labor force, abnormal birth canal, abnormal fetal position, postpartum hemorrhage and amniotic fluid embolism.
7. Diseases and disorders originating from perinatal, neonatal and neonatal diseases, including: positive.
Neonates, premature infants, neonatal asphyxia, neonatal hypoxic-ischemic encephalopathy, neonatal intracranial hemorrhage, neonatal jaundice, neonatal frostbite syndrome, neonatal omphalitis, neonatal hypoglycemia, neonatal hypocalcemia.
8. Urogenital diseases, including: glomerulonephritis (including acute and chronic), kidney.
Syndrome, renal failure (including acute and chronic), urolithiasis (including kidney, ureter and bladder stones), urinary system injury (including kidney, bladder and urethra injuries), urinary tract infection (pyelonephritis and cystitis), benign prostatic hyperplasia, vulvitis, vaginitis, cervicitis, pelvic inflammatory disease, dysfunctional uterine bleeding, dysmenorrhea, perimenopausal syndrome, etc.
9. Mental disorders, including: schizophrenia, depression, anxiety, obsessive-compulsive disorder, hysteria, sleep disorder, Alzheimer's disease.
10. Injury and poisoning, including: trauma, burns (including chemical burns), heatstroke, drowning, foreign body in children's trachea, rib fracture, limb fracture, pelvic fracture, skull fracture, tetanus, bite (including poisonous snakes and dogs), abdominal injury, food poisoning, carbon monoxide poisoning, organophosphorus poisoning, sedative-hypnotic poisoning and alcoholism.
1 1. Musculoskeletal system and connective tissue diseases, including: lumbago and leg pain, neck and shoulder pain, bone and joint purulent infection, spinal and spinal cord injury, joint dislocation, rheumatic fever, rheumatoid arthritis, systemic lupus erythematosus and osteoporosis.
12. Tumors include: primary bronchial lung cancer, esophageal cancer, gastric cancer, primary liver cancer, pancreatic cancer, colorectal cancer, renal cancer, bladder cancer, breast cancer, hysteromyoma, cervical cancer, endometrial cancer, ovarian cancer, choriocarcinoma, hydatidiform mole and invasive mole, leukemia, osteosarcoma and intracranial tumor.
13. Hematopoietic organs and immune diseases, including iron deficiency anemia and megaloblastic diseases.
Anemia, aplastic anemia, hemophilia, idiopathic thrombocytopenic purpura, allergic purpura, disseminated intravascular coagulation (DIC).
14. Endocrine, nutritional and metabolic diseases, including: simple goiter, thyroid dysfunction, hypothyroidism, Cushing's syndrome, diabetes (including adults and children), gout, malnutrition/insufficient calorie intake in protein, rickets caused by vitamin D deficiency, and tetany caused by vitamin D deficiency.
15. Nervous system diseases, including: increased intracranial pressure, acute cerebral hernia, scalp injury, brain injury, cerebral embolism, cerebral infarction, cerebral hemorrhage, subarachnoid hemorrhage, transient cerebral ischemia (TIA), trigeminal neuralgia, acute demyelinating polyneuritis, Parkinson's disease, epilepsy, purulent meningitis, viral meningoencephalitis and convulsions in children.
16. Factors affecting health status and their connection with health care institutions, life development health care, including: family planning, pregnancy health care, growth and development, child health care, adolescent health care, women's health care, and elderly health care.
Will involve this knowledge, I hope it will help you.