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How to PASS the NCLEX [7 Day Training] Day #1 How to prepare for NCLEX Success — Transcript

by NCLEX Crusade International · 10,748 words · 1,779 segments · language en · Watch on YouTube

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0:00All right, guys. So, welcome to ENLEX
0:03Crusade International. It is a pleasure
0:06for me to begin this 7-day ENLEX
0:10preparation, ENLEX training for all of
0:13you. I hope this training is beneficial
0:17that you find what you're looking for. I
0:20have been communicating with you guys
0:22over the past few days in our telegram
0:24group and I can sense the frustration in
0:29many in many of the students that are
0:32preparing for the ENLEX. Some of you
0:34have taken the ENLEX before on multiple
0:36occasions and have failed and I want you
0:39to know that it is okay. Failure is part
0:43of success. Some students prepare for
0:47the ENLEX, they take it and they pass in
0:50their first attempt. While other
0:52students it might take them one, two or
0:55three attempts and it is okay because at
0:59the end of the journey it's going to say
1:02XYZ student you are a registered nurse
1:05or an LPN in the United States or
1:09Canada. So it is okay. Welcome to
1:13Enkllex Crusade International and I hope
1:17that for the next 60 minutes you find
1:20useful information that helps you
1:23prepare for the ENLEX the right way. All
1:27right, if you can tell me in the chat
1:29where are you connecting from? Tell me
1:32the country, the state if you're in the
1:35United States, the city that you're
1:37connecting from and I will welcome each
1:39one of you. Today is going to be a very
1:43interesting session. Relax, calm down.
1:47It's going to be okay. You're going to
1:49learn a lot. I assure you this. You will
1:52never think about the ENLEX the same
1:56way. All right. So, let's see where are
1:58you guys logging in from or joining our
2:01YouTube international
2:04academy. Where are you logging in from?
2:06Miami, Florida. All right. New Jersey.
2:10Bradenton,
2:12Canada. Wow, welcome Canada. New York.
2:16So, a lot of you from the US. Very good.
2:21Nigeria.
2:22Excellent.
2:25South Africa.
2:27Welcome.
2:36Massachusetts, Houston, New York, Miami,
2:41KSA,
2:47Nigeria. Wow, a lot of people from
2:49Nigeria. Awesome.
2:52Philadelphia, Ontario, Canada,
3:00Mexico,
3:04Colombia.
3:09All right.
3:11Very good. Excellent. Well, welcome
3:13everyone. So, what is the purpose of
3:16this 7-day training?
3:19Why am I here? what can I really teach
3:21you? So, this seven-day training, my
3:26purpose is to guide you and mentor you
3:29and to show you the proper way to
3:32prepare and pass the ENLEX.
3:36The big question is, can I really do
3:39that? Can I help you? And for many of
3:43you, you have never seen me before.
3:47I am not as famous as other um enclelex
3:52preparation mentors or softwares or
3:56qbanks that exist now and day. But can I
4:00really help you? And I want to answer
4:03this question with this.
4:06I I am 100% sure that I can help you
4:11prepare the right way.
4:14You might be listening to me and you can
4:16say, "So, what can this gentleman with
4:20this funny accent can teach me today?"
4:24And I want you to know this. Just
4:26because I speak with an accent doesn't
4:29mean I think with an accent. I have a
4:32lot to teach you. And you're going to
4:34hear me saying things that you've never
4:36heard before.
4:39Why focus your time on being here for an
4:42hour? Throughout this 7-day training, I
4:46will teach you strategies that you need
4:49to know. I will teach you how to think
4:52critically.
4:54I will teach you to focus on what is
4:58important on an enclelex question.
5:02And I want to give this disclosure the
5:04beginning of our training day one.
5:07This is a free YouTube training. Okay? I
5:13will not ask you for money for this
5:15training. It is free. That's why I put
5:18it on YouTube. However, you need to be
5:21careful with scammers out there.
5:26I have been in YouTube for a while and I
5:29know that sometimes
5:32scammers go into videos and chats and
5:35they start requesting money. Do not fall
5:38into that scam.
5:41Do not buy anything online that says a
5:45flea free enclelex questions or a list
5:49of re real enlex question. It doesn't
5:53exist.
5:54You have to prepare the right way. You
5:58will not find an easy way out to passing
6:01the anklex. And that is important.
6:04So I want you to know that for the
6:09remainder of the training, you don't
6:11have to pay a single dime. That's why
6:13it's free and I put it on YouTube.
6:16However, YouTube has a feature that you
6:21can put super chat, super stickers. I'm
6:24not too familiar with it, but I've seen
6:26my student use it before in other live
6:28trainings. You're more than welcome. If
6:31you want to support our channel that
6:33way, you're welcome to do it. Anklex
6:36Crusade International appreciates it,
6:38but you don't have to pay anything for
6:40the train. So, thank you, Mr. Jorge
6:44Martinez, for helping our channel. I
6:48appreciate that.
6:50All right, so let's begin.
6:58What I want you to do now, I want you to
7:00eliminate any type of distraction that
7:04could
7:06hinder your ability to learn the things
7:09that I'm going to teach you today. So,
7:12put your cell phone mute, put it on the
7:15side, turn off the TV, and focus. And
7:19the most important thing, have something
7:20to write. Get a pen, a paper, and start
7:24writing the information that I will be
7:26sharing with you throughout this
7:28training. I'm going to try to make it in
7:3260 minutes, but disclaimer, it could
7:35take take us a little bit longer than 60
7:38minutes, but 60 minutes is minimum. I
7:42know some of you is very late. It's like
7:451:00 a.m. or 2 or 3:00 a.m. in your
7:47country, and it is okay. Remember that
7:50you can always re-watch this uh training
7:54on YouTube at another occasion, but we
7:57will be live for 7 days starting today
8:01until Sunday every day at 5:00 p.m.
8:05Eastern Standard Time. And we will meet
8:08usually from 5 to 6:20
8:12Eastern Standard Time. I want to share
8:15with you the agenda that I have for our
8:207day training. Thank you, Miss Betty
8:24Delgado for supporting our YouTube
8:27channel. I appreciate it. So, let's talk
8:30about our 7-day agenda. In day one,
8:33which is today, we will talk about
8:37understanding the ENLEX world.
8:41I want you to understand the exam that
8:44you will be taking in the next few
8:48weeks, months or maybe next year.
8:51Day two, we're going to talk about ENLEX
8:54categories. Physiological integrity,
8:57basic care and comfort, psychosocial
8:59integrity, those specific categories.
9:02And what we will do, we will focus on
9:05each one of them. I will teach you what
9:08you need to know for each one of them
9:11and the most important thing we will
9:13practice questions together in those and
9:17clicks categories. Remember this
9:20training is not about content. Although
9:23I may share some nursing content
9:26throughout the training, the purpose of
9:28the training is not to teach you
9:30content. I want to focus on critical
9:33thinking. Okay. Day three and day four
9:37we will continue discussing ENLEX
9:39categories and we will continue to
9:42practice ENLEX style questions.
9:46Day five and day six is very important
9:51to see them live if you can. I know some
9:56of these viewers are in India and it's
9:59very late over there but the priority
10:03strategies section is very important to
10:06see it live because that way you can
10:08interact and ask questions.
10:11Okay, that is going to be the most
10:14beneficial. Is it a sacrifice? Yes. But
10:17it will be worth it. Thank you Miss Jani
10:21Dega. Thank you for supporting our ENLEX
10:25Crusade International YouTube channel. I
10:28appreciate it. All right. And then day
10:32five, day six priorities. And day seven,
10:35what I want to do is I'm going to talk
10:37about next steps that I can do to
10:40continue helping you. I want to get some
10:43insight on what other training you would
10:46like to receive. Let me tell you
10:48something. We're going to be together
10:50for a long time and I will continue to
10:53post trainings for free here on YouTube
10:57to help each one of you out. The only
11:00thing that I ask in return just help me
11:03out as well. Share the content with
11:06other nursing students, other
11:08individuals that they are preparing for
11:10the ENLEX. Help them out as well. And at
11:13the same time, you're going to help me
11:15grow my YouTube channel. So I don't want
11:18you to think that this is only a
11:20one-time event. This event is going to
11:24be only this time I will not do it ever
11:26again live but I want to uh give you
11:30guys other trainings on other topics to
11:32continue helping you for uh enclelex
11:36preparation. H I want to thank Miss
11:39Alexandra Tronoso. Thank you for uh
11:43supporting our YouTube channel. Thank
11:46you very much.
11:48All right. All right. All right. All
11:49right. So, it is important do not miss
11:53any of these sessions live if you want
11:56to interact because in the future we
11:59will not give this same training ever
12:02again. My goal, my plan is once this
12:06whole training is done, I will get small
12:08clips and I will put it on other YouTube
12:11videos to help you find specific topics
12:14because I know that sometimes when the
12:17video is too long, students get lost in
12:20the middle and they don't find the
12:21information and everybody don't have 60
12:25minutes or an hour and a half to watch a
12:28a a YouTube training. So that's why I
12:31want to uh later on with time cut them
12:34in into smaller pieces and put other
12:37videos to help support your training.
12:39Okay,
12:42very good. Thank you, Miss Gel Careno,
12:46for supporting my YouTube channel. Thank
12:48you very much.
12:52All right, so day seven is going to be
12:54an open Q&A session. So basically on day
12:59seven, you're going to have the
13:00opportunity to ask any question live via
13:03the chat. I will be monitoring the chat
13:05and I will be answering each question.
13:09It can be about ENLEX preparation. It
13:12could be about the exam day. Any
13:14information that you could have, I'll do
13:16the best I can to give you an answer. I
13:20might not have all the answers, but I'll
13:22do the best I can to help you out. So
13:24that's going to be a very important day
13:26as well. And every day, day one, day
13:29two, day three, all the way to day
13:31seven, we're also going to have a small
13:33session at the end of Q&A so I can
13:37answer any questions that you have um
13:40think thought about during the training.
13:42Okay.
13:44Thank you, Miss Anubis uh Almagro for
13:48supporting our YouTube channel.
13:52All right, let's continue.
13:55So, what is today's agenda? Day one.
13:58Today's day one of our 7-day ENLEX
14:01preparation training. In today's uh day
14:04one agenda, we will discuss who is Enlex
14:09Crusade International. I will talk to
14:11you about the key to success,
14:15the key to passing the ENLEX.
14:19We'll talk about understanding the ENLEX
14:21world. I will share with you some
14:24important information to use in your
14:26ENLEX preparation and at the end we will
14:30have a Q&A session. So let's begin with
14:34who we are. Who is ENLEX Crusade
14:38International? My name is Reineer Arad.
14:41I'm a registered nurse in the United
14:44States. I have worked in many hospitals
14:47throughout the uh Bay Area here in
14:50Tampa, Florida. I live in Florida and
14:53I've been a nurse for over five years.
14:56Basically, Enklick Crusade International
15:01uh was developed back in 2017
15:05and
15:07our first academy was called Enkllex
15:10Crusade, not international. And
15:12basically I was focusing on helping
15:16Latino nurses prepare for the ENLEX
15:19nurses that English was their second
15:21language and they only spoke Spanish or
15:24primarily Spanish. So we developed the
15:27academy for them and we created several
15:30ENLEX preparation courses that up to up
15:33to today we continue to use and guide
15:36them. We've had over 5,000 students
15:40prepare for the ENLEX with us. So, we
15:43are more known in the Spanish community
15:46than the English community. So, that's
15:48why you see that it's a a new YouTube
15:51channel. I recently started working on
15:54this YouTube channel, but I can tell
15:57already that I will be able to help a
16:00lot of you guys, especially if English
16:03is your second language, but you live in
16:06in a country where you don't speak
16:08Spanish either. So, this academy, the
16:12and this YouTube channel, Enclelex
16:13Crusade International, will help you out
16:16greatly. And for those students that
16:19English is their primary language, you
16:22know what? You have no excuse. You have
16:24no excuse to prepare and pass this
16:26ENCLEX. If this guy with a phony accent,
16:29I was a police officer before. If I pass
16:33the ENLEX, why can't you? If hundreds of
16:37my students who that English is their
16:40second language has passed the ENLEX,
16:43why can't you? I will share with you the
16:46tools that you need to pass the ENL.
16:52We've had we have students all over the
16:54world. We started with students in the
16:56United States, but now we have students
16:59in Colombia. We have students in Peru,
17:03Argentina, Spain,
17:06uh Cubans that immigrate to the United
17:09States. We've have a lot of people from
17:12Lat Latin America, Mexico. We have
17:15students all over the world. We have a
17:17bilingual academy. We have a very high
17:20passing rate. And we've been mentors in
17:23many universities here in the United
17:25States in Florida.
17:28Now, let's talk about business. Let's
17:30talk about the Enclelex world.
17:33Thank you, Gladis Bell and Dennia
17:37Sanchez for uh supporting our YouTube
17:40channel. I appreciate it. So, what do
17:44you need to do to master the ENLEX? The
17:48first thing that you need to do is
17:50change
17:52change your perception about the ENLEX.
17:57change the way you are studying or
18:00preparing for the encling
18:21over the past four or five years I see
18:23students making the same mistakes
18:26mistakes over and over and those
18:28mistakes is what is guiding them to fail
18:32the ENLEX but you cannot change if you
18:36don't know what to change into and that
18:39is what I want to talk to you today the
18:43three pillars of success
18:47usually students have a plan a plan that
18:50they think work for them a plan that
18:53they have seen has worked with other
18:56people. They see other nursing students
18:59and they say, "Well, they did that and
19:01that worked for them, so it's going to
19:02work for me, too." Not necessarily.
19:06A lot of students, a lot of nursing
19:08students are on this plan A. And what is
19:12plan A? They either ask a friend,
19:17they start memorizing questions that
19:19other students have seen on their enlex
19:23day
19:24only to discover later on that the same
19:28questions those student had on their
19:30test they will not see on their test.
19:35So I think that
19:38preparing for the ENLEX
19:40following what worked for somebody else
19:44might not necessarily work for you.
19:47I don't know if you have seen or heard
19:50students say, "Well, that student used
19:53the UW world and it was great for them
19:56and you go and you use the UW world and
19:59you go to the ENLEX and you fail.
20:02Why? If it was beneficial for one
20:06student, why wasn't it beneficial to
20:09you?" Well, maybe you didn't use it the
20:12correct way.
20:14Maybe you've heard students saying, "I
20:16used Kaplan. It was great. I passed the
20:20ENLEX on the first attempt with 75
20:23questions." You take the ENLEX and you
20:26fail. Why?
20:29I think that many students
20:33use same the same resources, but they
20:37use it differently. And the way you use
20:40the resource is what's going to make it
20:42count. Tonight, today I will share with
20:45you how to use some of the resources
20:48that exist today for you in order to
20:52prepare for the ENLEX the right way. I
20:55encourage you to find a mentor and
20:59follow a system. What do I mean by this?
21:05I can be your mentor if you want to. You
21:08can follow me on my YouTube channel,
21:10watch my videos, listen to my videos,
21:14and you will learn and I will guide you.
21:16That's why I have created this 7-day
21:19training for you. But if it's not me,
21:23find a mentor that is known to have been
21:27successful. Find a mentor that can
21:31really help you and guide you and teach
21:35you the fundamental tools to passing the
21:38ENLEX and follow that system because if
21:42other students have used them and they
21:45pass so can you. And I always tell this
21:48to my students you know we've we've
21:51taught over 5,000 students and I will
21:55tell you do all my students pass? No,
21:58I'm not going to sit here and lie to
22:00your face. No, not all my student pass.
22:03I don't believe in the 99.999%
22:06passing rate. That is a lie. Because
22:10there are multiple characteristics that
22:14will determine if a student pass or fail
22:18and does not necessarily have to do with
22:21the system itself.
22:24It could be
22:26for for example language barrier. The
22:29system can be great but if you don't
22:31understand the enclelex questions I mean
22:33it's going to be very difficult for you
22:35to pass the ENLEX.
22:37So I I do think that it's good to have a
22:40mentor but hear me out. Try not to have
22:45many mentors.
22:48Why not Rey? Why can I not have multiple
22:52mentors? Because different mentors have
22:56different guidelines of or different way
23:00of seeing how to prepare for the ENLEX.
23:03And sometimes when you're listening to a
23:06lot of people, you get more confused
23:09because a professor may say one thing
23:12and then the other professor says the
23:15same thing but different and you get all
23:16confused. So if after today's training
23:21you like the way I teach you, you like
23:24my focus, you're more than welcome to
23:27follow me on our ENLEX Crusade
23:30International YouTube and I will tell
23:32you it will make a difference. So let's
23:36talk about the key to passing the ENLEX.
23:40Let's get to to the most important topic
23:44of tonight. Thank you, Mariel Marano.
23:48Thank you Leoda for supporting
23:52our channel.
23:54I appreciate it.
23:56So, what is the key to passing the
23:58ENLEX?
24:00Number one, understanding the ENLEX
24:04world.
24:05Number two, develop your critical
24:08thinking. Number three, apply priority
24:13strategies.
24:15If you do this, if you understand the
24:18ENLEX world, you develop your critical
24:21thinking and you apply prioritization
24:23strategies, you will pass the ENLEX. I
24:26guarantee you that. Now, when is this
24:30going to happen? I don't know. It
24:32depends on you. It depend on how strict
24:36you are on your studying. It it depends
24:41how often you practice your critical
24:43thinking. It depends on how often you
24:47practice questions.
24:49It depends on how many hours you're
24:51dedicating for ENLEX preparation.
24:56So let's begin with key number one,
24:59understanding the ENLEX world.
25:02And what I am going to do, what I'm
25:04going to tell you next, you've probably
25:08never heard before
25:10because every other mentor out there
25:15says the contrary to what I'm going I'm
25:17about to say.
25:19You do not need to be an expert in
25:24nursing content. I want you to hear me
25:28out. I'm not saying that you're not
25:31going to study nursing content. What I
25:35am saying is that you do not need to be
25:38an expert in nursing content. You are
25:43not presenting to the medical exam.
25:46You're presenting to a nursing exam.
25:50So yes, you are going to study content,
25:54but you do not need to become an expert.
25:58And this is the best way.
26:02This is the best image that I have on my
26:05mind to show you how the ENCLEX is.
26:11I don't know how it is in other
26:13countries, but here in the US, when you
26:16want to become a a driver, you have to
26:20go to the DMV and do a a a what is it
26:24called? A a written and a practical
26:27test.
26:28The day you go for your practical test,
26:30an instructor is going to sit by you
26:33during this practical test. And that
26:37instructor
26:38can care less if you know how the fuel
26:42injectors in the car works.
26:46That instructor don't care if you are an
26:50expert in engineering, in mechanical
26:53engineering.
26:55All they care is that you know how to go
26:58straight, backward, right, left without
27:03killing somebody.
27:05Enclelex is similar to this.
27:09You do not need to be a doctor, but you
27:12need to be a safe nurse.
27:17So what is the ENLEX? ENLEX is a
27:20diagnostic exam that measures your
27:24competency level in nursing content and
27:28patient care. But this is the key. This
27:31is the most important.
27:33The purpose of the ENLEX is to identify
27:37if you can perform nursing care in a
27:40safe and effective way.
27:44So how do you prove the enclelex that
27:46you are safe and that you are effective?
27:51Answering enclelex questions the right
27:54way.
27:56So how do you answer ENLEX questions the
27:59right way? You need to know the
28:01difference between a recall and
28:04recognition style question,
28:07an analysis style question, and an
28:10application style question.
28:14You see, when you take the ENLEX,
28:16they're going to be a variety of
28:18questions. Some questions are going to
28:21be easier than others, and some
28:23questions are going to be harder than
28:24others.
28:27At all times, the ENLEX is going to be
28:29measuring if you know how to be safe, if
28:32you're going to protect your patient. So
28:35the first thing that I want to do is
28:37show you in the following slides
28:41how to answer
28:43and how to identify different style of
28:47questions
28:49because
28:51in order to answer recall and
28:55recognition style question is different
28:59than what you need to know to answer
29:01analysis style question or application
29:05style question. So let's see the
29:08difference in the following slides.
29:12Thank you Janice Celis Mendulsa. Thank
29:15you Anita for supporting our YouTube
29:18channel. I appreciate it.
29:22So this next section is going to be
29:25interactive.
29:26I will pose a question and I will give
29:29you about a minute to answer that
29:32specific question. And what I want you
29:34to do once you know the answer, I want
29:37you to type the answer in the comment
29:40section.
29:41All right. Now, these first questions,
29:45they're very simple. Okay? It's not hard
29:48because this first question that I'm
29:50going to show you is on the recall and
29:54recognition side of ENL style questions.
29:58Recalling recognition style questions
30:00are those that are below the passing
30:03standard. Their basic content question.
30:08You can be an expert in nursing content
30:11and you are going to be able to answer
30:13this question perfectly.
30:16But you can be an expert in nursing
30:18content and that is not going to
30:22necessarily help you answer the
30:24following types of question which is
30:27analysis and application. So let's see
30:30let's see the first question.
30:33It says which of the following is a
30:36complication that occurs after a
30:39perccutaneous
30:41liver biopsy?
30:44We have answer A. nausea and vomiting,
30:47constipation,
30:48hemorrhage, pain at the biopsy site.
30:53So
30:55I will wait and give you about a minute,
30:58minute and a half to answer this
31:00question. I hope you get this question
31:02correctly because it is a very simple
31:06question. So I'm looking at the chat
31:10waiting for your answers.
31:23All right. So, I see many of you are
31:26answering C.
31:29Some of you answered D.
31:36Okay.
31:51All right.
31:52Thank you, Miss Tanya, for that super
31:55sticker. I appreciate it. Thanks for the
31:57support to our channel. Thank you, Miss
32:00Elizabeth Bautiel
32:02and Miss Nerladis
32:06Galves. Thank you, Miss Nlades, for
32:09supporting
32:11our channel. I appreciate it. So, what
32:14is a complication that occurs
32:18after a perccutaneous liver biopsy? So,
32:20let me get my handydandy pen. You're
32:22going to you're going to you're going to
32:24love this pen, this red markings on the
32:27PowerPoint presentation. So
32:30complication, this question is about
32:32complication
32:34after. This is an important keyword and
32:37we're going to talk about keywords in a
32:39little bit. After a perccutaneous liver
32:42biopsy, why is why is this word
32:44important? Because if it says before a
32:47perccutaneous liver biopsy is a totally
32:49different question. The answer might be
32:52different. It may be nursing
32:54interventions before the liver biopsy or
32:57nursing interventions after the liver
33:00biopsy. So which of the following is a
33:02complication after a perccutaneous liver
33:06biopsy?
33:08We know that the most important answer
33:12is hemorrhage.
33:14Why? because after the perccutaneous
33:18liver biopsy the highest risk that we
33:21can encounter is hemorrhage.
33:25Now
33:26are we going to see pain
33:30post perccutaneous liver biopsy? Yes.
33:33But what is the difference? What is what
33:36does complication
33:39means? When you see the word
33:41complication,
33:42you're looking for something that is
33:45unexpected,
33:47not expected.
33:49You see, pain at the biopsy site is
33:53expected because the patient just
33:55undergo undergo a perccutaneous liver
33:58biopsy.
34:00So
34:02complication means I'm looking for
34:05something unexpected
34:07that is going to cause great
34:09complication on the patient.
34:13So the correct answer is
34:16hemorrhage.
34:19Good job. Now this is a recall and
34:23recognition style question.
34:26Look at this question. Now
34:29this is a little bit more difficult
34:33style of question. You have to really
34:35understand what is going on. I will give
34:38you minute and a half to answer this
34:42question.
34:52Thank you, Miss Barbara,
34:55for supporting our YouTube channel.
34:58Thank you, Miss Unette, for supporting
35:00our YouTube channel.
35:03Thank you, Miss Lordes,
35:06Rodriguez,
35:08Mr. Anam Rushelle,
35:13Jarila Pon, thank you for supporting our
35:16channel.
35:20All right. So, what's the answer?
35:38All right. I see some answering. C
35:43D.
35:46It says, "Which of the following
35:48symptoms observed after a perccutaneous
35:51liver biopsy will indicate a
35:54complication from the procedure?"
35:57So, professor, this is about the same
36:00question. What's different here? It's
36:03the same question.
36:05Very similar answers, but there's
36:08something new, something different.
36:10That's why this question is a little bit
36:14harder than the question before
36:17because now
36:19answer C is still the correct answer but
36:24it does not say hemorrhage. It says
36:28tachiardia a pulse of 120 hypotension 90
36:34over 60 and normal respiratory rate.
36:40It does not say hemorrhage anywhere but
36:44there are clinical manifestations of
36:48hemorrhage or bleeding which is
36:52compensatory tachicardia and
36:54hypotension.
36:57So, this question right here is still a
37:01contentbased question, but it's a little
37:04bit harder than the question before.
37:08Now,
37:10look on the next example.
37:13The real difference between a content
37:16style question and an analysis and
37:20application style question. See in this
37:24question
37:26you could be an expert at liver biopsy.
37:31Maybe you study the standards fully, the
37:34whole book,
37:36and you still might not be able to
37:38answer this question correctly.
37:40Because in these types of questions,
37:44usually what you will see is multiple
37:47correct answers,
37:50but you have to identify which one is
37:52the priority or the most important.
37:57The [clears throat] questions before
37:59they were mainly right or wrong answers,
38:02but in this one you have several answers
38:07that could be correct.
38:09In other words, in a priority question,
38:12you could see a mixture of correct
38:15answer, but you have to identify which
38:18one is the most important one.
38:22So, let's see.
38:25Thank you, Miss Oani Fontaine, for
38:28supporting our channel. Thank you very
38:31much. Thank you, Miss Risa, for
38:34supporting our YouTube channel. And
38:38thank you, Miss uh Delgato, for
38:41supporting our YouTube channel.
38:44So, a nurse is providing a care for a
38:47client in the medical surgical unit.
38:51The unit where the patient is located is
38:53important.
38:55Which nursing intervention post
38:58liver biopsy is the priority? Remember
39:02keyword post biopsy. Why is this post
39:07important?
39:09Answer number one.
39:12assessed for the completion of informed
39:15consent
39:16is a nursing intervention
39:19prior to the liver biopsy, not post
39:23liver biopsy. So answer number one,
39:27we're going to eliminate.
39:30I want you to listen
39:34my analysis process.
39:38The questions today are not very
39:40difficult, but I do not want to
39:42frustrate you guys on the first day. So,
39:44we're gonna take it easy today. It's
39:45going to get way harder as the week
39:48progresses, okay? But hear me out.
39:54Listen to my thinking process. I am not
39:57looking for the right answer. I'm
39:59looking for an incorrect answer that I
40:02can eliminate.
40:04I'm using what is called the process of
40:06elimination which is the best technique
40:10that you can use to answer and click
40:13style questions.
40:16Thank you Miss Areli Monterero for
40:19supporting our YouTube channel.
40:24All right, so answer number one is
40:27eliminated. Answer number two says,
40:28"Inform the client of the importance of
40:32maintaining bed rest for several hours."
40:40Important answer. Answer number three,
40:43assess the biopsy site for bleeding.
40:48H
40:50very important. And answer number four,
40:53position the client supine to prevent
40:57bleeding. Ding ding ding ding ding ding
41:00ding. Houston, we have a problem.
41:03Why?
41:05Anytime you see a change in position in
41:09an enclelex question or an enclelex
41:12answer, you have to think about that
41:15position and determine
41:17why would I put the patient in that
41:20position and how is it going to help?
41:26How is that position change going to
41:29help prevent or promote something?
41:34So you have to think is supine position
41:38the right position post liver biopsy
41:43and is it really going to prevent
41:46bleeding.
41:49So that is a very important question you
41:51need to ask yourself.
41:55So the answer is no wrong.
41:59This is the incorrect position post
42:03liver biopsy.
42:05Why is it incorrect? Because the patient
42:08is positioned on the right side to
42:11prevent bleeding
42:14not supine.
42:16So answer number four I can eliminate.
42:22So another answer that I can eliminate.
42:27Now we have two and three. We have bed
42:31rest that that is important and
42:35assessment.
42:38Sometime during the training you will
42:40learn a strategy that is called
42:43assessment versus implementation
42:46strategy. That is an advanced critical
42:48thinking strategy that can help you
42:51prioritize.
42:53We're not going to go into that strategy
42:55today because I will drive you crazy if
42:57I tell you all that today. We will
42:59discuss it in the last few days of this
43:03week training. This is why I'm telling
43:05you, you will learn a lot in this
43:09training.
43:11That's why on the video that I that I
43:14put, I said I try I try to be funny a
43:17little bit there. said, "Can can this
43:19really free YouTube training teach me
43:22something?" We're so accustomed that
43:25something for free is not valuable. It's
43:28free because I want to help you guys
43:30out. Thank God we have our academy. We
43:33have a lot of students, but I want to
43:35help this community.
43:37I have been watching a lot of videos on
43:40YouTube for Enclelex preparation. the
43:43videos that you guys are seeing every
43:45day and many of them they're lacking
43:48this very important concept which is
43:51critical thinking and prioritization.
43:54Why nobody's teaching about that? That
43:57is the question I ask myself. Why I do
44:00not see people really going into indepth
44:04about critical thinking because that is
44:06the key to passing the ENLEX.
44:09So if you use the assessment versus
44:12implementation strategy,
44:14your answer is going to be answer number
44:17three.
44:19Why? Why answer number three? In this
44:21scenario, if you look at the stem of the
44:25question, there is no indication that
44:28the nurse has completed an assessment.
44:31The nurse hasn't hasn't completed an
44:34assessment. And this does not look like
44:37an emergency.
44:39So once you learn this strategy
44:41assessment versus implementation, you
44:42will learn that in those scenarios where
44:45the nurse has not completed an
44:48assessment and doesn't look like an
44:51emergency, the answer will be
44:54assessment, not implementation.
44:58If you use Maslo's hierarchy of needs,
45:02answer number two, it is bed rest. Bed
45:06rest is physiological.
45:09Bleeding is physiological as well. But
45:13bleeding is ABC and ABC has the
45:16priority.
45:18So if you use assessment versus
45:20implementation strategy,
45:23answer three is the correct answer. If
45:25you use Maslo's hierarchy of of needs
45:28strategy, three is the correct answer.
45:32So, as you can see, you're thinking
45:36differently now than what you're
45:38probably accustomed to think on an
45:41enclelex style question. This is only
45:43the beginning. You're not going to learn
45:46this overnight. It will take time for
45:48you to learn this, but you'll get there
45:51little bit by little bit. Okay. All
45:54right. So, answer is three. Assess
45:57biopsy site for bleeding. Thank you,
46:00Miss Graciella Maser for supporting our
46:05channel.
46:13I'm looking at the comments. Awesome.
46:16You guys are awesome.
46:19The dream 83. I love the way you teach.
46:22Thank you. I appreciate it.
46:27So if you look at this question is the
46:32same topic as the two questions before
46:36but the style of question is different.
46:38Now you have to think more in depth. Why
46:41do we have to assess for bleeding?
46:43Because the highest complication or risk
46:47involving post liver biopsy is
46:51hemorrhage bleeding. the same thing that
46:53we've been talking about for the past
46:55two questions. But answer number three
46:59doesn't say bleeding,
47:02doesn't say hypotension, and doesn't say
47:05hemorrhage, but it's a nursing
47:07intervention that you must do.
47:11Okay. H Thank you, Miss Alba.
47:15Nicole said three goes before
47:20two.
47:21Yes, Nicole. Another reason, another
47:24reason why three is the answer. Two,
47:28when it says inform the client of the
47:31importance,
47:33that's mainly psychosocial in nature.
47:36You're teaching about something. Yes,
47:38bad rest is physiological. We know that.
47:41But the the focus of answer number two
47:46is more towards teaching and nursing
47:49assessment
47:51takes the priority over teaching in this
47:54scenario.
47:57Thank you Miss Gladisbel for supporting
47:59our channel. Thank you Pilar Matoss
48:04for supporting the channel. The best
48:06professional team. Thank you so much,
48:11Nicole. Teach me math. Also, dosage
48:14calculation.
48:16We can leave that for another another
48:18day.
48:21Vivian, your teaching is top-notch.
48:23You're doing very well. Thank you,
48:26Vivian. I appreciate it. I'll tell you
48:27this, I haven't been this nervous in
48:30like 5 years cuz I'm so accustomed of
48:34doing these teachings in Spanish that
48:37I'm like thinking of what word am I
48:39going to say before I start throwing
48:41things in Spanish here and you'll be
48:43like, "Huh, what what is he talking
48:45about?" So, but thank you for the
48:47support and thank you for
48:50erh my students that I know they're
48:52here. Quick question. Who in the chat
48:55right now,
48:57how many of you are Enllex Crusade
49:00students? Like in our uh bilingual
49:03academy, how many of you are one of our
49:05students? I want to see if you guys are
49:08here supporting your professor.
49:18All right, I will see it in the
49:19comments.
49:21Thank you, Jedit. I appreciate it.
49:29All right,
49:31perfect. Well, what do you think so far
49:34of the training? We're about halfway.
49:38Okay, we still got a a lot to go
49:40through, but we're getting there.
49:43Remember, I told you today was going to
49:44be take it easy. Okay, it's the the
49:49introduction, the welcome to Anklex
49:52Crusade International. I promise
49:56it will get harder. [laughter]
50:05Thank you. Thank you for supporting our
50:07channel. I appreciate it.
50:09Thank you, Miss Dato.
50:15All right. Okay. Here's what I want you
50:18to do. Okay. Like I told you at the
50:20beginning, I want you to help me out as
50:23well. So, if you've liked this training
50:26so far, if you think that this training
50:28is going to be beneficial to you on your
50:31ENLEX preparation, do something for me.
50:35In YouTube, they like the like button.
50:38And when people like videos, they
50:41promote that video. they they they they
50:44show the video to other people. So, I
50:47want you to help me I want you to help
50:49me help other nursing students that
50:52they're preparing for the ENLEX. So, if
50:54everyone that is here in this training
50:57today, if you've liked it, if you don't
50:59like it, I understand. But if you like
51:01this training so far, go ahead and click
51:05the like button, the thumbs up button on
51:08the video. That way, it's gonna show me
51:12that you like it, and it's going to show
51:14YouTube that you like it, and it's going
51:17to help me grow my channel as well and
51:19help other people that are in need. So,
51:22if everyone can do that, snap that like
51:26button to help me and other students.
51:29Thank you, Miss Sylvia
51:33Torres, for supporting our channel.
51:37Thank you, Yadira.
51:39H one of our old student raised her
51:42nurse now in Las Vegas.
51:47Blessings, Yadira. Nice to see you here.
51:56Okay, perfect.
51:58All right, so the next thing if you like
52:02it, help me share it with other
52:04students. So maybe you know a student
52:07that is preparing for the ENLEX and
52:09they're not here. Share with them. Share
52:13on WhatsApp. Share this video on
52:16Facebook. That way other nursing
52:19students can see it as well. All right.
52:27I'm taking the Spanish version of this
52:29academy. They are the best.
52:32out of this world. Success guaranteed.
52:35Thank you, Ael. I appreciate it.
52:39Adis, thank you Adis for supporting our
52:43YouTube channel.
52:51All right. Well, thanks to everyone that
52:54like the video and share it. So, let's
52:57continue. Let's not waste any more time
52:59on that.
53:01Thank you, Mr. Martinez, for supporting
53:05our YouTube channel.
53:11All right. So, the next pillar of
53:13success for ENLEX is developing your
53:17critical thinking. Okay. So, how do you
53:21do that? How do you develop your
53:23critical thinking?
53:25You develop the critical thinking
53:28one by pra practicing questions every
53:32single day. You have to practice
53:35questions every single day and I will
53:38share with you the Qbanks that I think
53:42are the best. In a little bit I will
53:43share that with you. But there's
53:45something called the key factors of an
53:49enclelex question. There's a video on my
53:52YouTube channel that exists right now
53:55that talks about these five key factors
53:58but I would like to share it here live.
54:02So you see a different approach.
54:06So you have to identify these five key
54:08factors and they are one the client,
54:13the problem or healthcare needs, three
54:16subjective or objective data
54:20keywords and you need to identify if the
54:25question you're dealing with is a
54:27priority style question or a content
54:31question.
54:34Now, the training is not done. I see a
54:36few of you saying goodbye. No goodbyes
54:39yet. We got a lot to go through still.
54:42Okay. So, if you leave early, you will
54:44miss out on a lot of information.
54:47So identify who your patient is, the
54:51problem or healthcare need subjective or
54:54objective data keywords and you need to
54:59identify if this question is priority or
55:04content base.
55:06So I want to use this example to show
55:10you how each of these key factors
55:14present on an enclelex question. Now you
55:17need to understand this. Are you going
55:20to see each key factor on every enclelex
55:24style question? No. You could see three
55:27of the factors. You could see one of the
55:30factors or four of the factors, but you
55:33need to look for them.
55:35The first one is the client. So in this
55:39question,
55:41where is the client? Well, is a woman or
55:44who is a client? is a woman.
55:50Why is this important? Well, if it's a
55:53woman or a man, a child or an adult or
55:58an elderly patient is important.
56:02Number two, second factor,
56:06what is the problem or health care
56:08needs?
56:10Well, the patient has right open upper
56:15quadrant pain. Right upper quadrant pain
56:21radiating to her back. Her pain is nine
56:26on the scale of 1 to 10.
56:29So we have determined the patient is a
56:32woman and notice they are giving you
56:35more information that is important.
56:3822 weeks gestation.
56:41It's important when they tell you the
56:43the weeks of gestation because that way
56:46you're going to know if it's in the
56:47first trimester, second trimester or
56:50third third trimester.
56:54Now, do I have subjective or objective
56:59data? That is extremely important to
57:03identify if it's subjective or objective
57:07objective data especially once you start
57:11using the assessment versus
57:13implementation strategy. So you need to
57:15learn how to identify these key factors
57:18before you start applying those
57:21strategies.
57:23So do I have subjective or objective
57:27data? In this scenario, I have objective
57:30data. I will tell you why is objective
57:32in a little bit.
57:35Other keywords,
57:38other keywords are
57:41it says that the pain is nine and it has
57:46occurred two times
57:49in the last week for about 4 hours at a
57:53time. So it's a pain that is prolonged.
57:58It's not a quick pain that comes and
58:00goes. It stays for a while.
58:05Another important word is that the pain
58:09is not associated with food intake.
58:14And then the last key point is that this
58:19question is a priority question because
58:23the keyword is highest priority.
58:28Why is this important for me?
58:31When you see that the question is a
58:34priority question, you have to use a
58:37prioritization strategy to answer that
58:39question.
58:41If you see that it's a contentbased
58:43question, then all you have to use is
58:45content. Easy.
58:47But when it says highest priority or
58:52other keywords that indicates
58:54prioritization,
58:55you have to use a strategy. Otherwise,
59:00you're not going to answer correctly.
59:05Let's go into a little bit more detail
59:07on the patient.
59:10If they tell you the patient's age,
59:13gender, ethnicity, religious belief,
59:16mental status, that is important.
59:21Nursing care is not the same for a
59:24pediatric patient than an elderly
59:26patient. It's not the same for a female
59:31or a male, for a pregnant female versus
59:35a not pregnant female. If it tells you
59:39that the patient is Jehovah witness, it
59:42tells you about the religion, that is
59:45important.
59:47If it tells you that the patient is
59:49confused or alert or lethargic, that is
59:54important as well. So you have to
59:56identify
59:58who your patient is and what is the
1:00:00status of your patient.
1:00:04What is the clinical picture scenario or
1:00:08clinical manifestations?
1:00:12If they tell you what the scenario is,
1:00:14that is important.
1:00:16For example, if he tells you that the
1:00:19scenario takes place after a plane crash
1:00:22and there are multiple victims,
1:00:26that is different that if you're doing a
1:00:29triage on in the ER with one patient
1:00:33be why is that important? Because prior
1:00:35prioritization changes when there is a
1:00:38mass casualty event versus a nonmass
1:00:42casualty event.
1:00:45So that is an example of why it's
1:00:47important to identify this.
1:00:51What are the patients symptoms
1:00:53or objective?
1:00:57And we have to go a little bit deeper
1:00:59with this because in nursing school
1:01:03they have taught us that if the nurse
1:01:07sees it is objective and it is true but
1:01:12I'm looking more about the symptoms and
1:01:15the data that the question is giving us
1:01:18and I want you to think about it this
1:01:20way especially for the assessment versus
1:01:22implementation strategy that you will
1:01:24learn later on.
1:01:26If it is described by the patient,
1:01:31okay, or not observed by the nurse, it
1:01:36is
1:01:38subjective.
1:01:42Now,
1:01:44objective data is observed by the nurse
1:01:49but in parenthesis measurable.
1:01:53That is important.
1:01:57If you have data on the stem of the
1:02:00question that is measurable, is numeric,
1:02:04you can tell the place value, that is an
1:02:08objective data. Why is this important
1:02:11for you? Because in scenarios where the
1:02:15information that they're giving you is
1:02:17subjective and it's not clear, most of
1:02:20the time the answer is going to be an
1:02:22assessment
1:02:24versus if you see a scenario that you
1:02:27have objectable data, okay, measurable
1:02:30data, especially when you have objective
1:02:34data and an emergency, usually the
1:02:38answer is an implementation. Why am I
1:02:42saying usually? Because we cannot
1:02:44generalize in anything with on the
1:02:46enclelex world. But for the most part
1:02:50when we see those scenarios, the answer
1:02:53is implementation. If you have a
1:02:55measurable data and is an emergency,
1:03:01understanding the style of question is
1:03:06important. Like I said, if you see that
1:03:08the question is a priority, then you
1:03:11have to identify what priority strategy
1:03:13you can use. But professor, how do I how
1:03:16do how can I determine that I am in
1:03:19front of a priority
1:03:22question? Well, you're going to see
1:03:24keywords like priority. Which patient is
1:03:29a priority? What is the priority nursing
1:03:32action? Now there are scenarios that you
1:03:36don't see the word priority and still
1:03:39it's a priority question. For example, a
1:03:42patient arrives in the emergency
1:03:44department. A patient arrives by
1:03:46ambulance. A patient is returning to the
1:03:50floor.
1:03:52What is the most important intervention?
1:03:56The word most important is a priority.
1:04:01Thank you, Miss Jane Gonzalez, Miss
1:04:05Mildred Mildre Diaz for supporting our
1:04:09channel. I appreciate it.
1:04:12Important. What is the most important
1:04:15intervention? What patient should the
1:04:18nurse see first, call first? That is a
1:04:21priority style of question. There are
1:04:25common keywords that indicate the need
1:04:28to prioritize. Example these words
1:04:31essential, first priority or highest
1:04:35priority,
1:04:37immediate, initial,
1:04:39most important, most likely, next,
1:04:43primary, vital, most appropriate.
1:04:49If you see this, this keywords is
1:04:54telling you that you're probably in
1:04:56front of a priority question. And
1:04:58whenever you see that, you're going to
1:05:00tell yourself, okay, what priority
1:05:02strategy can I use? Assessment versus
1:05:04implementation, master hierarchy of
1:05:07needs, the SAR method strategy, the
1:05:10doctor strategy. There's a bunch of
1:05:12prioritization strategies that you can
1:05:14learn and we will discuss some of them
1:05:17here in our in our 7-day training.
1:05:20Another
1:05:22key factor is understanding and applying
1:05:27prioritization strategies. And this is
1:05:31what most of you guys know already. This
1:05:34is the most common uh known
1:05:37prioritization strategy.
1:05:40You know that priority is established in
1:05:43this order. Airway, breathing,
1:05:45circulation. You know that airway goes
1:05:48before breathing and breathing goes
1:05:50before circulation. That is a known fact
1:05:54I will say in most nursing students.
1:05:59However, you might not know this other
1:06:02part of the prioritization guidance. We
1:06:05have pain, education and feelings.
1:06:09You might not know this for the ENLEX.
1:06:13Pain is considered psychosocial
1:06:17in nature.
1:06:19So if you don't know this, if you didn't
1:06:21know this, comment on the chat. I didn't
1:06:24know that. I didn't know pain was
1:06:26considered psychosocial in nature for
1:06:29the anklex. But it is. Why? The patient
1:06:33is not going to die because of pain.
1:06:36But how come, professor?
1:06:39What if a patient has chest pain from a
1:06:42myioardial inffection?
1:06:45The problem there is not the pain. The
1:06:48problem there is circulatory
1:06:51because in an MIDI inffortion there are
1:06:55occlusion of the coronary arteries or
1:06:58the coronary artery.
1:07:00So the problem there is circulatory
1:07:05that is why it has the priority not
1:07:08because of the pain
1:07:10and a lot of times I see nursing
1:07:13students prioritizing pain. I am not
1:07:17saying that pain is never the priority.
1:07:19it. There could be scenarios where pain
1:07:21is the priority but you have to learn
1:07:25how to identify when pain is the
1:07:27priority.
1:07:30So physiological needs
1:07:33has the priority over psychosocial
1:07:36needs.
1:07:38ABC is priority over pain, education and
1:07:42field.
1:07:44Now
1:07:46let's look at some examples
1:07:49and let's see how we can
1:07:52implement prioritization strategies. We
1:07:55can think critically to answer those
1:07:59style of questions. The following
1:08:01questions, they're a little bit harder.
1:08:03They're above the passing standard on
1:08:05the ENLEX. It's not the same as the
1:08:08questions that we've seen so far. So do
1:08:12not move from that chair. This is
1:08:13getting very very interesting. So let's
1:08:17go to the next question. Thank you
1:08:21Milange Noel. Thank you for supporting
1:08:24our YouTube channel. I appreciate it.
1:08:29So here's the next question. Once you're
1:08:32ready to tell the answer, go ahead and
1:08:34comment the answer in the comment
1:08:37section.
1:08:40So it says a young adult is admitted to
1:08:42the emergency department. Now we know
1:08:45about keywords. See maybe before this
1:08:48training you didn't know about keywords.
1:08:50Now you know a young adult is admitted
1:08:54to the emergency department. So we have
1:08:56a little bit description here about the
1:08:59patient. Young adult.
1:09:04What else do we have?
1:09:07this admitting to the emergency
1:09:08department after
1:09:10a automobile accident and I'm and after
1:09:14an automobile accident the client is
1:09:17anxious and complains of severe pain in
1:09:23the right
1:09:25chest from contact with the steering
1:09:29wheel.
1:09:32H we have a lot of good information
1:09:35here.
1:09:38The patient is complaining of pain. So
1:09:41the problem that we have on the stem of
1:09:43the question is pain. And how is the
1:09:47style of pain or the type of pain?
1:09:50Severe.
1:09:53So we have mild, moderate, severe.
1:09:58So this is a very important scenario.
1:10:04We're dealing with an emergency here.
1:10:07It says the nurse observes
1:10:11shallow respiration.
1:10:15Why is this important?
1:10:18The stem of the question is telling you
1:10:21that the nurse is doing or did an
1:10:25assessment.
1:10:27So we have a scenario where the nurse
1:10:30observed
1:10:32for shallow respiration. So this means
1:10:36we have a respiratory
1:10:40problem.
1:10:42So what is the priority
1:10:45for me as the nurse in a respiratory
1:10:48problem?
1:10:51You see now you have a clear picture of
1:10:55what is happening.
1:10:59Now is it makes a lot more sense than
1:11:02before because we've taken the time to
1:11:05review the question. Professor, but it
1:11:08takes a long time to do this. Not
1:11:10really. Once you develop the technique,
1:11:13you do it very quickly. It's not going
1:11:15to tell take it's not going to take you
1:11:17as much time. I'm doing it slower here
1:11:21so so it makes sense to you so you can
1:11:23learn. But you can do this very very
1:11:25quickly.
1:11:28So, we know that we're dealing with an
1:11:30emergency. We know that the nurse did an
1:11:32assessment. We know that the patient is
1:11:34in severe pain and we have a respiratory
1:11:38problem.
1:11:39How do we know that this is a priority
1:11:42question? Key word first.
1:11:47Reduce the client's anxiety. Important.
1:11:49Why is it important? The patient is
1:11:52anxious.
1:11:54Good answer.
1:11:56[clears throat]
1:11:56Maintain adequate oxygenation. Important
1:11:59answer. Why the patient has respiratory
1:12:02problem? Shallow respirations.
1:12:07Answer number three. Administer pain
1:12:09medication to decrease the chest pain.
1:12:12Important because why? The patient is in
1:12:16severe pain.
1:12:19And number four, maintain adequate
1:12:22circulating volume.
1:12:25Whoa. Okay, this one
1:12:29does not make a whole lot of sense to
1:12:31this scenario.
1:12:34There's no indication of bleeding.
1:12:37There's no hypotension
1:12:39with tachicardia like we saw in the post
1:12:43perccutaneous liver biopsy scenario. So
1:12:47maintaining adequate circulating volume
1:12:50in my opinion does not make much sense
1:12:54in this scenario. So I think we can
1:12:56eliminate it.
1:12:59So what is the first action here? To
1:13:02reduce the anxiety level to maintain
1:13:05adequate oxygenation or to administer
1:13:08pain when the three problems are
1:13:11accurate to the scenario.
1:13:15If you don't use a prioritization
1:13:17strategy, then you won't be able to know
1:13:20what's the correct answer.
1:13:24Reduce anxiety is psychosocial.
1:13:29Oxygenation is physiological.
1:13:33And you learn today that pain is
1:13:37psychosocial.
1:13:39So if we use Maslo's hierarchy of needs
1:13:43and we think about physiological needs
1:13:47takes or has the priority over
1:13:50psychosocial needs then we can eliminate
1:13:53answer number one and we can eliminate
1:13:56answer number three. So the correct
1:13:58answer is answer number two.
1:14:04Why is this the correct answer?
1:14:08For priority reasons, airway breathing
1:14:12has priority. But also, does it make
1:14:16sense to the stem of the question?
1:14:19Of course, it makes sense. The patient
1:14:21has shallow respiration. You know that
1:14:24this patient can have many complications
1:14:28including AG's complications.
1:14:33And we might go into that on another
1:14:34train.
1:14:36Learn a little bit about AG
1:14:38interpretations.
1:14:40Learn about
1:14:42acidosis and alkalossis, respiratory or
1:14:46metabolic. We can go into into that in
1:14:49another train.
1:14:52So let's look at the other question.
1:14:54Let's look at another scenario.
1:14:59So read about that question. Tell me
1:15:01what you think.
1:15:05Thank you, Mr.
1:15:08Thank you. Yeah. Yo, Yoshi Yoshi, thank
1:15:11you for the support to our YouTube
1:15:14channel. I appreciate it.
1:15:27All right. So it says the client
1:15:29diagnosed with pericarditis is
1:15:32complaining of increased pain. Which
1:15:35intervention should the nurse implement
1:15:39first? Wow, great scenario. We know it's
1:15:43a priority scenario because we see first
1:15:50it does not give you a lot of
1:15:52information about the patient. It just
1:15:54says the client. That's it. Nothing
1:15:57else. So in this scenario it's not
1:16:00important. Key note in case you didn't
1:16:02know if it doesn't specify the patient
1:16:06the patient is an adult. Okay?
1:16:10Always it's an adult unless it says
1:16:13pediatric patient or an elderly adult.
1:16:16So we're dealing with an adult that was
1:16:19diagnosed with pericarditis.
1:16:22So this is the medical diagnosis
1:16:26and this is what the patient is
1:16:29complaining complaining of increased
1:16:34pain.
1:16:36The word increased means change in
1:16:40condition.
1:16:42That's what it means. So you have to
1:16:45say, okay, so the patient now has
1:16:49increased pain.
1:16:52What is that telling me?
1:16:55Well,
1:16:57I think you got to ask other questions.
1:17:00Like for example, what is the level of
1:17:02pain?
1:17:05What did it increase to and from?
1:17:09Because for example, if I tell you that
1:17:13the patient had a pain level of two and
1:17:15now has a pain level of three, did it
1:17:18increase?
1:17:20Yes, it increased, but that's not a big
1:17:23problem.
1:17:25But if it increased from one to nine,
1:17:31well, it went from a mild type of pain
1:17:34to severe pain. So in this scenario we
1:17:39don't have a whole lot of information
1:17:41about the pain. So the data that we have
1:17:45is subjective in nature.
1:17:50Is it an emergency?
1:17:53I don't know because chest pain in
1:17:56pericarditis
1:17:58is expected.
1:18:00Now what type of pain?
1:18:03What is the severity of the pain?
1:18:07So in this scenario, we're probably
1:18:10looking to do an assessment and validate
1:18:15the information that we have on the stem
1:18:17of the question.
1:18:20Administer oxygen. This is an
1:18:22implementation.
1:18:24Evaluate assessment phase urinary
1:18:28output. That's important.
1:18:30Assess the client for cardiac
1:18:32complication. assessment validation
1:18:36and encourage the client to use the
1:18:38incentives barometer teaching this and
1:18:41implementation.
1:18:43Well, we already talked about an
1:18:46assessment has not been completed in
1:18:49this scenario because all we have is
1:18:51something referred from the patient
1:18:55and I cannot tell if this is an
1:18:57emergency or not. So, I'm going to go
1:19:01with an assessment so I can eliminate
1:19:04answer number one. Wait, professor, you
1:19:08eliminated an answer that says oxygen.
1:19:12Yes. Why? There is no clinical
1:19:16indication that the patient is in any
1:19:19type of respiratory distress. So,
1:19:23there's no need to provide oxygen on
1:19:25this patient. And this is a a very
1:19:28common misconception with nursing
1:19:30students. Every time they see oxygen,
1:19:33they want to click on oxygen. Every time
1:19:35they see assessment, they want to click
1:19:36on assessment. No, it depends. It
1:19:39depends on the scenario.
1:19:42So answer number one, we can eliminate
1:19:45why there's no clinical manifestation of
1:19:47a respiratory problem.
1:19:50Assessment for urinary output, thinking
1:19:53more on circulation as well.
1:19:56Assessment for cardiac complications,
1:20:02multiple complications. H this is a good
1:20:05assessment.
1:20:07And number four, encouraging to use the
1:20:09incentives parameter.
1:20:13Can this help the patient? Yes, in the
1:20:15future, but it's not my priority action
1:20:18at this moment.
1:20:20So, we can eliminate answer number four.
1:20:23And in between two and three, which of
1:20:26the two answer go directly to the
1:20:30problem?
1:20:32Pericarditis is a cardiac problem. So I
1:20:36need to do an assessment and look for
1:20:38cardiac complications to identify if
1:20:42this pain if is secondary to
1:20:46pericarditis or if there if there is
1:20:49another type of complication going on
1:20:51that is causing the pain.
1:20:55So answer number three is the correct
1:20:59answer.
1:21:04Let's go to the following question
1:21:08says the client with increased
1:21:09intercraanial pressure is receiving
1:21:11manitol. Oh, we have a very interesting
1:21:14question now. We have pharmacology now
1:21:16involved
1:21:18because
1:21:20the stem of the question is telling us
1:21:21that the patient is receiving a
1:21:24medication.
1:21:26So we don't have a lot of information
1:21:28about the patient. We have a problem of
1:21:31increased intracranial pressure and the
1:21:35patient is receiving medication.
1:21:39Which intervention should the nurse
1:21:41implement to evaluate the effectiveness
1:21:45of the medication?
1:21:48So now what we're trying to do is an
1:21:51[snorts] evaluation to identify
1:21:54keyword if the medication is effective.
1:22:00Why is this keyword important?
1:22:03I'm not looking for a side effect of the
1:22:06medication. I'm not looking for an
1:22:09adverse effect of the medication. I am
1:22:12looking for an answer that tells me the
1:22:16patient is better. This medication is
1:22:19helping the patient with a neurological
1:22:23problem.
1:22:25So I have to look for an answer that
1:22:29tells me something neurological.
1:22:32So by telling this I think it's very
1:22:35clear
1:22:37on what the possible answer could be.
1:22:42So let's review the answers. Answer
1:22:44number one, monitor the client's vital
1:22:47sign. Important. Vital sign covers a lot
1:22:51of information. So I like answer number
1:22:53one.
1:22:55Maintain a strict intake and output.
1:23:01Intake and output is going to be more
1:23:04pertaining to I guess dehydration or
1:23:08hydration status.
1:23:11But does it tell me if the medication is
1:23:15effective in a neurological problem?
1:23:20No.
1:23:22So I think answer number two we can
1:23:25eliminate.
1:23:27Now look at answer number three. Assess
1:23:30the client neurological status. Is the
1:23:33patient alert oriented? Is the patient
1:23:36lethargic? confused.
1:23:40So answer number three is an assessment
1:23:43as well. Well, professor, what do I do
1:23:46now? I have two assessments and both of
1:23:49them are important. Vital signs, that's
1:23:52very important.
1:23:55Why not vital signs?
1:23:58Why select neurological status, which is
1:24:01the right answer, over
1:24:04vitals?
1:24:06Very simple. Whenever you see an answer
1:24:09that tells you to do vital signs, that
1:24:11is generalized, but you see another
1:24:14answer that is as specific to the
1:24:17problem,
1:24:19that validate the specific problem, you
1:24:22need to select that answer that
1:24:24validates the specific problem. In this
1:24:29scenario, answer number three is more
1:24:32specific than vital signs. that is more
1:24:36generalized
1:24:38and answer number four to check the
1:24:40osmolality levels. Well, this is
1:24:44important because we are administering
1:24:47manithol
1:24:48but does not evaluate
1:24:51the patient neurologically speaking.
1:24:55So we can eliminate answer number four.
1:25:00The correct answer is three.
1:25:05To resume nursing students, ENLEX
1:25:09crusaders,
1:25:11in order to pass the ENLEX, you need to
1:25:15have the ability to understand the ENLEX
1:25:18world. You have to understand what the
1:25:20ENLEX wants you to know. You need to
1:25:23prove them that you are a safe and
1:25:26effective nurse by thinking critically.
1:25:30You have to develop your critical
1:25:32thinking and you have to apply priority
1:25:35strategies. If you become an expert in
1:25:38content but you do not develop your
1:25:42critical thinking and you do not apply
1:25:46priority century strategies, you will
1:25:49probably not pass the ENX.
1:25:52This is the reality. You have to face
1:25:54that reality. But
1:25:57I'm here for you.
1:25:59I am here to help you and guide you and
1:26:03show you this part that doesn't exist
1:26:07right now, at least not on YouTube.
1:26:11So, I'm willing to
1:26:14show you that. I'm willing to practice
1:26:17with you together and that is why I
1:26:20created this training.
1:26:22I hope it's very beneficial to each one
1:26:25of you.
1:26:28So, another
1:26:31thing that I've see I I've seen in
1:26:34nursing students is that they have a lot
1:26:37of information and they don't really
1:26:40know what to do. They have so much
1:26:43information that they don't know where
1:26:45to begin. Like I said, sometimes all of
1:26:48you guys have a lot of mentors out there
1:26:52and you get confused in between
1:26:53everybody's thought process.
1:26:56I will tell you what I have used and
1:27:00what I teach my students to use
1:27:04with their ENLEX preparation.
1:27:07A very awesome book that I hope each one
1:27:12of you
1:27:14having in as one of your tools is the
1:27:18Sounders book. Okay. Sounders the eighth
1:27:21edition
1:27:23enclelex aden if you're going for the
1:27:25enlex aden board or the lpn if you're
1:27:29sitting for the lpn.
1:27:31So use the sounders to study. Now there
1:27:35is no need to memorize the sounders
1:27:37book. Use it as a resource to validate
1:27:41certain information.
1:27:46two Q banks that I think they are the
1:27:49best. There's there are many Q banks out
1:27:52there, but I think UWorld and Kaplan are
1:27:58the best Q banks that exist nowadays.
1:28:02I know that many of you you're going to
1:28:05be asking, well, what about this? What
1:28:06about that? What about this? What about
1:28:08that? I don't know all all the resources
1:28:10out there especially when it comes to
1:28:12Qbanks because nowadays every everybody
1:28:14has a Q bank. So I'm going with the most
1:28:19uh experienced ones. I personally use
1:28:23Kaplan when I was preparing for the
1:28:25ENLEX
1:28:26and it was very beneficial to develop
1:28:30that critical thinking because the
1:28:32questions there they're higher thinking
1:28:34style questions.
1:28:36So use these resources in your enlex
1:28:40preparation and as the training goes we
1:28:43will continue to provide further
1:28:45information about this. Okay.
1:28:48So what is next?
1:28:50So what do you need to do to continue
1:28:54the training? This is only day one.
1:28:59And be honest in the in the comment
1:29:02section. Have you learned? Do you think
1:29:05it has been beneficial this hour and a
1:29:08half of your day to listen to this guy
1:29:14on YouTube?
1:29:15Have you learned something today that
1:29:17maybe you didn't know before? Do you
1:29:20think this training will help you really
1:29:22help you with your ENLEX preparation?
1:29:25If you think the answer is yes and you
1:29:28want to continue
1:29:30the rest of the days [snorts] from day
1:29:32one to day seven of our YouTube uh
1:29:36training, all you have to do is
1:29:39subscribe to our YouTube channel. Okay?
1:29:43That way you receive
1:29:46constant information
1:29:49about new videos and all the other
1:29:52training days for this week.
1:29:56So, make sure if you haven't done so, do
1:29:59it now. Subscribe to our Enclelex
1:30:02Crusade International. That's our
1:30:05English version channel because we have
1:30:08two channels. The other channel,
1:30:10everything's in Spanish. Here is our
1:30:13English version of Enkllex Crusade. So,
1:30:16Enkllex Crusade International. If you
1:30:19haven't done so, go ahead and subscribe
1:30:22and activate the bell so every time
1:30:25we're live or we post something, you
1:30:27receive a notification. If you don't
1:30:30click on that bell, it's not going to
1:30:32tell tell you when we're live. So, it's
1:30:35very important. two
1:30:38on the comment section of this video I
1:30:41posted a link to our telegram channel
1:30:48is important that each one of you you
1:30:51are in this telegram channel so click on
1:30:54the link and join the channel that way
1:30:56is another way you can receive
1:30:58information join the group I think right
1:31:01now we have about
1:31:031,200 students I think so far.
1:31:08Okay. And are you ready for day two of
1:31:14our past the anlex stepbystep 7day
1:31:18training? If you're ready, comment on
1:31:21the section. I am ready, it will be
1:31:24tomorrow,
1:31:26same YouTube channel, same time, 5:00 p.
1:31:30p.m. Eastern Standard Time.
1:31:35If you join the telegram group, the
1:31:38telegram channel, I will post tomorrow
1:31:41morning the agenda, the topics that we
1:31:44will discuss
1:31:46in our tomorrow training. If you're not
1:31:50on that channel, then you're not going
1:31:51to know until it is time for the
1:31:54training. I think so. That is it guys.
1:31:58Thank you for joining us. Thank you for
1:32:02being here.
1:32:04Thank you for staying mo I think
1:32:06everybody stayed from beginning to end
1:32:08and that really shows that you are
1:32:11interested in your enlex preparation and
1:32:14it really shows that you liked what
1:32:16you've seen so far and like I said it's
1:32:20only the beginning
1:32:22it's only the beginning I will teach you
1:32:24a lot of information in seven days
1:32:27you're going to see that it's never one
1:32:28hour spec exactly
1:32:31so you will learn a lot We we should
1:32:34have about 10 12 hours of training
1:32:37throughout the the 7-day training. Okay.
1:32:42Well, that is it for me. Thank you for
1:32:45your support. Thanks to everyone that
1:32:48used that super chat, super sticker and
1:32:51supported our YouTube channel. Like I
1:32:54said, this is free. H I don't charge for
1:32:58for this enclelex preparation on this
1:33:00channel and I I appreciate any support
1:33:03that you give the channel today and I
1:33:07hope the best for each one of you. I
1:33:10hope that you can pass your enklex on
1:33:12the next attempt. Thank you very much.
1:33:15God bless you. Bye-bye.

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