UNE BSN 2022

Category: Self- Care

Preparation for Licensure and Transition to Practice

The main aspect of the Individual Performance Profiles for each ATI Assessment that helped me to improve my test taking strategy was the amount of time that I am spending on each question. I feel that in some ways it allowed me to take my time more to read each question and each answer thoroughly. This helped me to really utilize the test taking strategies that we have learned throughout nursing school. A lot of the content that appeared on ATIs was content that we did not dive deep into during classes, so using the process of elimination strategy was a big help for me when taking the ATI assessments. Although the Performance Profiles showed me to take more time on each question, it also helped me to realize that I should not second guess myself and always go with my first answer. Additionally, I began the semester taking these ATI assessments wherever it was convenient. I realized that when I went to an environment that was quiet and there were not a lot of distractions, that I did better on the ATI assessments and was really able to take the Assessments to the best of my ability.

Through taking the various ATI assessments, I became more appreciative what the ATI program has to offer. We are literally given the exact information to show us where we went wrong for each question. The remediation helped me take advantage of these resources and assess where my mode of thinking went wrong in answering the question. It also just simply helped me to learn new things that we had not learned in class. As the semester progressed, I switched my mindset behind the remediations to a learning opportunity, rather than just another assignment that I had to do. The aspect of the remediation where we have to write a reflection on how the information learned will help us be a better nurse allowed me to see the importance behind each individual remediation.

Throughout this tedious semester, I adapted better self-care strategies that I will definitely carry with me once I enter clinical practice. Exercise is a major outlet for me to work off any anger, stress, or simply just to reset. To make it even better, I enjoy exercising! Depending on how I am feeling, the exercise that I do each day can range from running on the treadmill, lifting weights, yoga, going for a walk, or teaching barre classes on campus. As long as I get in some type of exercise, I will not be as stress throughout the day. Work/life balance is something that I struggled with last semester, so I wanted to be sure that was something that I worked on this semester. I decided to make a schedule of certain times of the day that I would strictly focus on doing work and then other times where I could do what I want, whether that is exercising, watching TV, or hanging out with friends. I look forward to adapting even more self-care strategies to focus on my mental health as I enter clinical practice.


This semester has been a great help and eye opener in the fact that I am graduating and will soon obtain a registered nursing license. For one, I will use all of the study guides and strategies that I have practiced this semester when I begin to study for my NCLEX. Additionally, I have adapted a new way of test taking during ATI Assessments that has been very beneficial to me. I will be sure to practice and utilize this before and during the NCLEX exam. Finally, my main take away from this semester is my self- care strategies. In previous years, I would focus too much on school and stress myself out too much, losing site of what is most important. Using the self-care strategies that I have learned throughout this semester, I hope to be able to manage my mental help in both studying for the NCLEX and when I enter clinical practice.

Attaining and Protecting Your Professional Nursing License

Following nursing school, I plan on moving back home for a few years to pay off student loans and save some money. Home is in Massachusetts, and I plan on hopefully working in Boston. I will be taking the Massachusetts NCLEX examination. Massachusetts does not issue temporary licenses and does not take part in the Nurse Licensure Compact. To practice in Massachusetts, you must be licensed by Massachusetts Board of Registration in Nursing. An application for the Massachusetts RN by first time exam can be done either web-based or manual/paper-based. The application requires a certificate of graduation and official final transcript. This must be sent directly from the education program or school to the Profession Credential Services. Applicants for initial nurse licensure by Massachusetts Board of Nursing must comply with the “good moral character” requirement. This requires applicants to answer “yes” or “no” to questions related to criminal or disciplinary history to provide specific documentation for this evaluation directly to the Board.

An impaired nurse is defined as the inability to practice nursing with reasonable judgement, skill, and safety by reason of alcohol, or drug abuse, use of other substances, a physical or mental illness or condition, or any combination of the foregoing. Any nurse who holds a valid license and who directly observes another nurse engaged in abuse of a patient, substance abuse impairment, or diversion of controlled substances must report it to the Board. When evidence is shown of violation of conducts or law that could pose a risk to patients, the board may sanction a nurse’s licenses. Disciplinary measures depend on what the Board believes in necessary to ensure that this situation does not happen again. External resources that are available for impaired nurses in Massachusetts include Massachusetts Nurses Association Peer Assistance Program, weekly nursing support groups for substance abuse, Massachusetts Board of Nursing Substance Abuse Rehabilitative Program, self-help groups, SMART Recovery, faith based recovery programs, and detoxification and rehabilitation facilities. Practicing as an impaired nurse or observing someone practicing as an impaired nurse is a serious issue and must be reported.

With this in mind, I will always be sure to go by the book during clinical practice. Even though it may take more time, I must protect my license at all costs so that I can continue doing what I love. I do not intend on putting myself in any position that would impair my nursing practice or put it at risk. If I have any questions during clinical practice where I am unsure about something, I will be sure to check with a supervisor or charge nurse prior to making any action. When it comes to mandated reporting, I will live by the motto, “expect the unexpected.” When hearing from the individual who shared his story about diverting medication, he expressed that he was well known throughout his unit and even won awards for his exceptional practice. Nobody suspected that he was diverting narcotics. With that being said, it was not for a while until he was caught. Even the best nurses can suffer from substance abuse. As a nurse, it is my job to keep the patients safe as possible. If I suspect there is a colleague is jeopardizing the safety of any patients, it is my responsibility to report this issue and I will stick by that.

Prepare for Transition!

These past four years have gone by faster than I could ever imagine! I cannot believe that it is finally my senior year and I will be graduating in May. I look forward to celebrating this milestone with my family and friends. I feel proud of what I have been able to accomplish, and I cannot wait to share this special time with them. I am so excited to begin this new chapter. I am looking forward to putting everything that I have learned these past four years together to be the best nurse that I can be. The nursing shortage motivates me even more to want to get into the real world. I want to be able to help. With all this excitement, I am also feeling pretty anxious about graduating. I am nervous about being overwhelmed or being put on my own too quickly. I feel anxious about not knowing things that I should. I just keep reassuring myself that every nurse has been in this position before and I am not alone.

               Going into this semester, I am trying to keep strict goals for myself in order to finish strong. Each Sunday I plan to make a list of every assignment that I have to complete during that week and keep it visible on my laptop so I do not forget any. Additionally, I want to try to get all my work done during the week so I will time to relax and enjoy myself during the weekend. Self-care is also something that I want to work on during this semester. It is easy for me to get caught up in all of the stress of nursing school. I am learning to find new ways to decompress, including yoga, meditation, working out, and walks outside. This semester is going to be difficult, but I am eager to finish strong!

               The ATI Nurse Logic 2.0 Modules gave me a better idea on how to answer multiple choice questions efficiently during ATI assignments, exams, and for the NCLEX. I learned how to utilize my knowledge to make decisions using critical thinking skills. I was reminded of the nurse’s role in the clients care. Patient centered care is essential in nursing and the nurse must be an advocate for their patient. The module that helped me the most for answering questions was the Priority Setting Frameworks module. This module focused on what the main concern is on many different levels including safety, the Hierarchy of Needs, ABCs, and least invasive. The final module, Testing and Remediation, helped to give tips on how to answer specific types of questions and different test taking strategies. I am glad that I will have access to these modules during this semester because they will be a great help when answering questions.

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