WEBVTT 1 00:00:05.630 --> 00:00:10.129 research shows 65% of Nursing errors result from poor clinical decision-making 2 00:00:10.129 --> 00:00:15.410 and 50% of novice nurses are involved in those errors of nursing care 3 00:00:15.410 --> 00:00:21.980 Our entry-level nurses making the right decisions at ncsbn we are 4 00:00:21.980 --> 00:00:26.000 dedicated to assessing and adapting to the rapidly evolving healthcare environment 5 00:00:26.000 --> 00:00:29.930 we know that the next generation of nurses will need to make 6 00:00:29.930 --> 00:00:35.300 more complex decisions about client care to meet today's client needs improved 7 00:00:35.300 --> 00:00:39.499 measurement of the nurses clinical judgment is critical that's why we're 8 00:00:39.500 --> 00:00:42.800 developing next-generation NCLEX 9 00:00:42.940 --> 00:00:46.000 clinical judgment is a combination of critical thinking and 10 00:00:46.020 --> 00:00:49.960 decision making to evaluate clinical judgment the next 11 00:00:49.960 --> 00:00:53.960 generation examination questions will focus on interactions 12 00:00:53.960 --> 00:00:59.179 between nurse and client. The client's needs and expected outcomes experts in 13 00:00:59.179 --> 00:01:03.109 the latest testing techniques and technology worked with expert nurses to 14 00:01:03.109 --> 00:01:08.150 provide cutting-edge solutions on how to best create a test around this model the 15 00:01:08.150 --> 00:01:12.170 clinical judgment measurement model is a framework designed for testing 16 00:01:12.170 --> 00:01:16.460 it complements the nursing process and other evidence-based nursing theories or 17 00:01:16.460 --> 00:01:21.380 practice to best explain the next generation NCLEX exam we simply have to 18 00:01:21.380 --> 00:01:25.759 look at examples of these new types of questions once you see them it's very 19 00:01:25.759 --> 00:01:30.380 clear how they reflect real-world nursing care each uses realistic 20 00:01:30.380 --> 00:01:33.859 scenarios or case studies like you would see in a typical nurse client 21 00:01:33.860 --> 00:01:38.840 interaction and focuses on the types of decisions nurses will have to make in a clinical setting 22 00:01:38.840 --> 00:01:44.179 extended multiple response. extended multiple response 23 00:01:44.179 --> 00:01:47.770 items allow you to select one or more answer options at a time 24 00:01:47.770 --> 00:01:52.499 this item type is similar to the current NCLEX multiple response items 25 00:01:52.500 --> 00:01:54.560 but with more options 26 00:01:54.640 --> 00:01:56.620 extended drag-and-drop. 27 00:01:56.700 --> 00:01:59.299 extended drag and drop items allow you 28 00:01:59.299 --> 00:02:04.399 to move or place response options in to answer spaces this item type is like the 29 00:02:04.399 --> 00:02:08.990 current NCLEX ordered response items but not all of the response options may be 30 00:02:08.990 --> 00:02:13.820 required to answer the item in some items there may be more response options 31 00:02:13.820 --> 00:02:16.560 than answer spaces 32 00:02:16.560 --> 00:02:18.480 cloze or drop down 33 00:02:18.480 --> 00:02:19.780 in cloze or drop down 34 00:02:19.780 --> 00:02:24.010 questions you can select one answer option from a drop-down list of words or 35 00:02:24.010 --> 00:02:28.560 phrases and can be found within tables or charts 36 00:02:28.560 --> 00:02:31.400 enhanced hotspot 37 00:02:31.400 --> 00:02:36.100 enhanced hotspot items allow you to select the answer by highlighting predefined words 38 00:02:36.100 --> 00:02:40.660 or phrases these types of items allow an individual to read a portion of a client 39 00:02:40.660 --> 00:02:45.640 medical record and then select the words or phrases that answer the item 40 00:02:45.640 --> 00:02:47.120 matrix grid 41 00:02:47.160 --> 00:02:51.580 matrix grid items allow you to select one or more answer options for 42 00:02:51.580 --> 00:02:55.780 each row and/or column this type of item can be useful in measuring multiple 43 00:02:55.780 --> 00:02:59.980 aspects of the clinical scenario with a single item 44 00:02:59.980 --> 00:03:03.220 these new item types provide the nursing student 45 00:03:03.220 --> 00:03:06.500 with a fidelity based exam reflecting the complexities 46 00:03:06.519 --> 00:03:11.110 of clients in a variety of healthcare settings as you can see the next 47 00:03:11.110 --> 00:03:15.280 generation NCLEX is an exciting enhancement to an already rigorous exam 48 00:03:15.280 --> 00:03:19.810 using the latest testing techniques to maintain the high level of reliability 49 00:03:19.810 --> 00:03:24.280 and accuracy of the NCLEX while meeting the changing needs of nursing regulation 50 00:03:24.280 --> 00:03:28.690 Public Safety and health care it's all about protecting the public and 51 00:03:28.690 --> 00:03:38.569 achieving the best outcomes for clients nurses and institutions