A graduate nurse is reviewing information about the NCLEX exam on the National Council of State Boards of Nursing (NCSBN) website. Which of the following information should the nurse identify about the NCLEX exam?

Choice A reason: This is correct. Caring is one of the interlocking principles of shared governance. Caring refers to the nurse's commitment to the well-being of patients, families, colleagues, and the profession. Caring also involves the nurse's self-care and professional development. Caring is the foundation of nursing practice and the core value of shared governance.

Choice B reason: This is incorrect. Navigation is not one of the interlocking principles of shared governance, but a skill that nurses need to practice shared governance. Navigation refers to the nurse's ability to navigate the complex and dynamic health care environment, and to adapt to changes and challenges. Navigation also involves the nurse's use of evidence, technology, and innovation to improve outcomes and quality of care².

Choice C reason: This is incorrect. Finance is not one of the interlocking principles of shared governance, but a factor that influences shared governance. Finance refers to the financial resources and constraints that affect the health care system and the nursing profession. Finance also involves the nurse's understanding of the economic impact of their practice and decisions, and their participation in budgeting and resource allocation.

Choice D reason: This is correct. Leading is one of the interlocking principles of shared governance. Leading refers to the nurse's role as a leader and a follower in the health care team and the organization. Leading also involves the nurse's empowerment, autonomy, accountability, and collaboration. Leading is the key to achieving shared governance and transforming nursing practice.

Choice E reason: This is correct. Knowing is one of the interlocking principles of shared governance. Knowing refers to the nurse's knowledge and expertise in their specialty and practice area. Knowing also involves the nurse's lifelong learning, inquiry, and scholarship. Knowing is the basis of nursing excellence and the driver of shared governance.

Choice A reason: Planning time for disruptions is a time management strategy, as it allows the nurse to anticipate and cope with unexpected events that may interfere with their schedule. By allocating some buffer time for potential delays, emergencies, or interruptions, the nurse can avoid stress and maintain their productivity.

Choice B reason: Offering to complete another nurse’s task is not a time management strategy, but rather a sign of poor boundary setting. While helping others is commendable, the nurse should not take on more responsibilities than they can handle, as this may compromise their own work quality and wellbeing. The nurse should learn to say no politely and focus on their own priorities.

Choice C reason: Skipping a meal break to catch up on charting is not a time management strategy, but rather a counterproductive habit. Taking regular breaks is essential for the nurse to replenish their energy, reduce fatigue, and prevent burnout. Skipping breaks may impair the nurse’s concentration, memory, and decision-making, and increase the risk of errors.

Choice D reason: Completing the easiest tasks first is not a time management strategy, but rather a form of procrastination. The nurse should prioritize their tasks based on their importance and urgency, not their difficulty or preference. Completing the easiest tasks first may create a false sense of accomplishment, while leaving the most critical or challenging tasks for later, when the nurse may have less time or motivation.