NURSING PROCESS

NP I NP II NP III NP IV NP V
Community Care of
Care of Care of
Health Clients with
Basic Clients with Clients with
Nursing and Physiologic
Foundation of Physiologic Physiologic
Care of and
Nursing and and and Psycho-
Healthy/At Psycho-
Professional Psychosocial social
Practice Risk social
Alterations Alterations
Mother and Alterations
Child [A] [B]
[C]

ACROSS THE LIFESPAN

INDIVIDUALS, FAMILIES, GROUPS, COMMUNITY
IN VARIED SETTINGS
 NURSING PROCESS
NP I NP II NP III NP IV NP V
Care of
Care of Care of
Clients with
Care of Clients with Clients with
Physiologic
Healthy/At Physiologic Physiologic
Community and
Risk and and Psycho-
Health Nursing Psycho-
Mother and Psychosocial social
social
Child Alterations Alterations
Alterations
[A] [B]
[C]

ACROSS THE LIFESPAN

INDIVIDUALS, FAMILIES, GROUPS, COMMUNITY
IN VARIED SETTINGS
 PREVENTIVE
NURSING PROCESS

NP I NP II NP III NP IV NP V
PATIENT C
SAFE AND QUALITY NURSING CARE
COMUNICATION
P CARE U C
COLLABORATION AND TEAMWORK
R R
COMPETENCIES
O
HEALTH EDUCATION
A U
RESEARCH
M ENHANCING T R
QUALITY IMPROVEMENT
O ETHICO –MORAL RESPONSIBILITY I A
T LEGAL RESPONSIBILITY EMPOWERING V T
I PERSONAL AND PROFESSIONAL DEVELOPMENT E
V RECORDS MANAGEMENT I
ENABLING
E MANAGEMENT OF RESOURCES AND ENVIRONMENT V
Basic CHN & Care of Care of Clients w/ Care of Clients w/ Care of Clients
Foundation of Normal Mother & Physiologic & Physiologic & w/ Physiologic &
E
Nursing and Child Psychosocial Psychosocial Psychosocial
Professional Alterations Alterations Alterations
Practice Part A Part B Part C
REHABILITATIVE
ACROSS THE LIFESPAN
• Management of • Research
resources and
environment • Quality
improvement
• Record
management

SQC, Comm,
Collaboration
& HE

Patient Care Competencies (65)

Empowering (15)

• Legal responsibilities
• Ethico-moral responsibilities
• Personal and professional development

Competency-Based Test Framework

 NURSE
LICENSURE
EXAMINATION
I. PATIENT CARE COMPETENCIES (65%)
A. SAFE QUALITY CARE (50%)
A1. 1 Situation - Care of clients during admission and discharge in any setting
A 2. 1 Situation - Care of client with problem in thermoregulation
A 3. 1 Situation - Care of clients to maintain blood pressure and pulse within normal range
A 4. 1 Situation - Care of clients requiring medication/drug management
A 5. 1 Situation - Care of clients to promote & maintain safety, and those with risk for infection
A 6. 1 Situation - Care of clients with mild oxygenation problems
A 7. 1 Situation - Care of clients requiring nutritional management & those with elimination problems
A 8. 1 Situation - Care of clients to promote comfort and hygiene
A 9. 1 Situation - Care of clients with mobility / immobility problems
A 10. 1 Situation - Care of the dying person ( End of Life Care)
B. COMMUNICATION (5%)
B1. 1 Situation Application Focus :Nurse –Client interaction
C. COLLABORATION & TEAM WORK (5%)
C1 1 Situation. Integration
D. HEALTH EDUCATION (5%)
D1.1 Situation Application Focus: Health Promotion, Healthy Life Style
II. EMPOWERING COMPETENCIES (15%)
E. ETHICO-MORAL RESPONSIBILITY (5%)
E1 1 Situations Application Focus: related to the above concepts
F. LEGAL (5%)
F1 1 Situation Focus on Nursing Law
G. PERSONAL AND PROFESSIONAL GROWTH (5%)
G1. 1 Situation Application: Focus: New graduate
III. ENABLING COMPETENCIES (10%)
H. MANAGEMENT OF RESOURCES AND THE ENVIRONMENT (5%)
H1 1 Situation Application Focus-related to the above concepts
I. RECORD MANAGEMENT (5%)
I1. 1 Situation Application: Focus - Documentation
IV ENHANCING COMPETENCIES (10%)
J. RESEARCH (5%)
J1.1 Situation Application: Evidence based – Clinical nursing procedures/ health promotion etc
K. QUALITY IMPROVEMENT (5%)
K1. 1 Situation Application Focus-related to the above concepts
TOTAL 20 SITUATIONS (5 QUESTIONS EACH) – 100 QUESTIONS
I. PATIENT CARE COMPETENCIES (65%)
A. SAFE QUALITY CARE (50%)
PART I CHN (25%)
A1. 2 Situations - Care of normal and at risk families
A 2. 1 Situation - Care of population groups
A 3. 2 Situations - Care of the communities
PART II MCN (25%)
A 6. 1 Situation - Care of the newborn infant
A 7. 1 Situation - Care of the normal child and those with common alterations/illness
A 8. 1 Situation - Care of the client with sexuality, reproductive health, & fertility problems
A 9. 1 Situation - Care of the normal pregnant woman going through the various stages of pregnancy
A 10. 1 Situation - Care of the pregnant woman with complications of pregnancy
A. COMMUNICATION (5%)
B1. 1 Situation Application: Focus – CHN, MCN
C. COLLABORATION & TEAM WORK (5%)
C1 1 Situation Application: Focus – CHN, MCN
D. HEALTH EDUCATION (5%)
D1. 1 Situation Application: Focus – Family, Popn Group, Community, Pregnant Mother,
II. EMPOWERING COMPETENCIES (15%)
E. ETHICO-MORAL RESPONSIBILITY (5%)
E1 1 Situation Application Focus – CHN, MCN
F. LEGAL (5%)
F1 1 Situation Application Focus – CHN, MCN
G. PERSONAL AND PROFESSIONAL GROWTH (5%)
G1. 1 Situation Application Focus-related to the above concepts
III. ENABLING COMPETENCIES (10%)
H. MANAGEMENT OF RESOURCES AND THE ENVIRONMENT (5%)
H1 1 Situation Application Focus – CHN, MCN
I. RECORD MANAGEMENT (5%)
I1. 1 1 Situation Application Focus-related to the above concepts
IV ENHANCING COMPETENCIES (10%)
J. RESEARCH (5%)
J1.1 Situation Application: Focused in QI
K. QUALITY IMPROVEMENT (5%)
K1. 1 Situation Application Focus-related to the above concepts
TOTAL 20 SITUATIONS (5 QUESTIONS EACH) – 100 QUESTIONS
I. PATIENT CARE COMPETENCIES (65%)
A. SAFE QUALITY CARE (50%)
A1. 2 Situations : Care of clients in pain
A2. 2 Situations: Care of clients undergoing the peri-operative phases of care
A3. 2 Situations : Care of clients with alterations in oxygenation
A4. 2 Situations : Care of clients with alterations in endocrine & metabolism
A5. 2 Situations : Care of clients with alterations in nutrition & metabolic function
B. COMMUNICATION (5%)
B1. 1 Situation Application Focus -related to the above concepts
C. COLLABORATION & TEAM WORK (5%)
C1 1 Situation Application Focus -related to the above concepts
D. HEALTH EDUCATION (5%)
D1. 1 Situation Application Focus-related to the above concepts,
II. EMPOWERING COMPETENCIES (15%)
E. ETHICO-MORAL RESPONSIBILITY (5%)
E1 1 Situation Application Focus-related to the above concepts,
F. LEGAL (5%)
F1 1 Situation Application Focus-related to the above concepts,
G. PERSONAL AND PROFESSIONAL GROWTH (5%)
G1. 1 Situation Application Focus-related to the above concepts
III. ENABLING COMPETENCIES (10%)
H. MANAGEMENT OF RESOURCES AND THE ENVIRONMENT (5%)
H1 1 Situation Application Focus-related to the above concepts,
I. RECORD MANAGEMENT (5%)
I1. 1 1 Situation Application Focus-related to the above concepts
IV ENHANCING COMPETENCIES (10%)
J. RESEARCH (5%)
J1.1 Situation Application: Focused in QI
K. QUALITY IMPROVEMENT (5%)
K1. 1 Situation Application Focus-related to the above concepts
TOTAL 20 SITUATIONS (5 QUESTIONS EACH) – 100 QUESTIONS
I. PATIENT CARE COMPETENCIES (65%)
A. SAFE QUALITY CARE (50%)
A1. 2 Situations : Care of clients with alterations in fluid and electrolyte and acid
base balance
A2. 2 Situations: Care of clients with alterations in inflammatory & immunologic
response
A3. 2 Situations : Care of clients with cellular aberrations
A4. 2 Situations : Care of clients in acute biologic crisis
A5. 2 Situations : Care of clients in emergency and disaster situations
B. COMMUNICATION (5%)
B1. 1 Situation Application Focus -related to the above concepts
C. COLLABORATION & TEAM WORK (5%)
C1 1 Situation Application Focus -related to the above concepts
D. HEALTH EDUCATION (5%)
D1. 1 Situation Application Focus-related to the above concepts,
II. EMPOWERING COMPETENCIES (15%)
E. ETHICO-MORAL RESPONSIBILITY (5%)
E1 1 Situation Application Focus-related to the above concepts,
F. LEGAL (5%)
F1 1 Situation Application Focus-related to the above concepts,
G. PERSONAL AND PROFESSIONAL GROWTH (5%)
G1. 1 Situation Application Focus-related to the above concepts
III. ENABLING COMPETENCIES (10%)
H. MANAGEMENT OF RESOURCES AND THE ENVIRONMENT (5%)
H1 1 Situation Application Focus-related to the above concepts,
I. RECORD MANAGEMENT (5%)
I1. 1 1 Situation Application Focus-related to the above concepts
IV. ENHANCING COMPETENCIES (10%)
J. RESEARCH (5%)
J1.1 Situation Application: Focused in QI
K. QUALITY IMPROVEMENT (5%)
K1. 1 Situation Application Focus-related to the above concepts
TOTAL 20 SITUATIONS (5 QUESTIONS EACH) – 100 QUESTIONS
I. PATIENT CARE COMPETENCIES (65%)
A.SAFE QUALITY CARE (50%)
PART I. Care of Clients with Alterations in Perception & Coordination
A1.1 Situation Care of clients with alterations in neurologic functioning
A2. 1Situation Care of clients with alterations in sensory functions
A3. 1 Situation Care of clients with alterations in musculoskeletal functions
A4. 1 Situation Care of clients with degenerative problems affecting perception& coordination
PART II Care of clients with maladaptive patterns of behaviour
A5. 1 Situation Care of Clients with Age-related maladaptive patterns
A6. 1 Situation Care of Clients with Alterations in thought & perception
A7. 1 Situation Care of Clients with Depression, Mania, & suicide
A8. 1 Situation Care of Clients with Stress & anxiety, Aggression, Hostility, Violence
A9. 1 Situation Care of Clients with Maladaptive patterns of personality; with Physiologic
Alterations, Psychosexual disturbances, Eating disturbances
A10. I Situation Care of Clients with Substance Abuse
B. COMMUNICATION (5%)
B1. 1 Situation Application Focus -related to the above concepts
C. COLLABORATION & TEAM WORK (5%)
II. EMPOWERING COMPETENCIES (15%)
E. ETHICO-MORAL RESPONSIBILITY (5%)
E1 1 Situation Application Focus-related to the above concepts,
F. LEGAL (5%)
F1 1 Situation Application Focus-related to the above concepts,
G. PERSONAL AND PROFESSIONAL GROWTH (5%)
G1. 1 Situation Application Focus-related to the above concepts
III. ENABLING COMPETENCIES (10%)
H. MANAGEMENT OF RESOURCES AND THE ENVIRONMENT (5%)
H1 1 Situation Application Focus-related to the above concepts,
I. RECORD MANAGEMENT (5%)
I1. 1 1 Situation Application Focus-related to the above concepts
IV. ENHANCING COMPETENCIES (10%)
J. RESEARCH (5%)
J1.1 Situation Application: Focused in QI
K. QUALITY IMPROVEMENT (5%)
K1. 1 Situation Application Focus-related to the above concepts
TOTAL 20 SITUATIONS (5 QUESTIONS EACH) – 100 QUESTIONS
 Test Framework – is competency based. Thus
we are testing the ability of the examinees to
provide first level professional nursing care
to varied clients and settings
 Thus the testing conditions are hospital and
community based clinical scenarios
 Order of Learning in the Cognitive Domain
that is given emphasis are Application,
Analysis, Synthesis and Evaluation