In programs focusing on multiple-choice testing, test anxiety can be a real problem. Nursing is one of these programs with “high stakes” testing. Nursing students also learn a variety of complex skills. These include injections, managing IV’s, and insertion of catheters. Many of the other aspects of nursing are tested through multiple-choice exams. Some courses may use other types of assessments (essays, presentations, etc.). For the most part, the licensure exam has a multiple-choice format. Nursing students will experience many of these types of tests. (In a multiple-choice test, each question has 4 answers the student must pick from.)
Demonstrating one’s knowledge can be seen as a welcomed challenge by some students. These students have a confident “bring it on” attitude. They are sure of their understanding of the content or ability to do the skill. However, others may see this as negatively stressful. They might question whether they know the information adequately or worry they will forget the information they need. Anxiety has a funny way of blocking memory. It can also decrease further confidence. The fear of failure can overwhelm some students. This type of response testing is test anxiety or performance anxiety.
For those with test anxiety, finding success on exams is quite a task. While most people have a little anxiety before a test, those with test anxiety have extreme emotional and physical responses. The response can impair studying. As mentioned above, it can block their memory of the needed information. Signs and symptoms of test anxiety include extreme anxiety or panic, fear, self-doubt, lack of concentration, the mind “going blank”, and difficulty with organization. Physical signs may include fidgeting, dry mouth, perspiring, lightheadedness, rapid heart rate, nausea, and digestive upset. These are signs and symptoms of the “fight or flight” response. It happens due to the release of adrenalin or epinephrine from a severe stressor.
What are some of the causes of test anxiety? Lack of preparation would cause one to be quite anxious about testing. Adequate preparation is key for anyone’s success on a test. In fact, some sources don’t even consider lack of preparation for an exam real test anxiety. Those with true test anxiety do spend a lot of time in preparation but still suffer severe anxiety, even to the point of panic. They may question their ability to succeed. Some fear they will not meet the expectations of others. Also, a feeling of lack of control may lead to anxiety and fear of failure. Test anxiety can affect performance and slow progress in the program.
Luckily, test anxiety may be overcome. The first step is recognizing that the condition exists. Using the results of research, strategies can be implemented. School counselors, faculty, psychologists, and medical doctors can assist in finding these strategies.
Lack of study time can cause most students anxiety. According to the Mayo Clinic, improving study skills is the first step Then, discuss the anxiety with instructors. Take advantage of study skills sessions offered through the school. Plan a schedule and ensure adequate study time each week. Avoid cramming or doing all your studying the day before the test. Anxiety can cause shallow breathing and lower oxygen to the brain. Taking a few deep breaths when anxious and during testing may help relax the body and increase oxygen to the brain. Focus on good nutrition, exercise, and adequate sleep. They help improve retention thereby limiting test anxiety.
For those with test anxiety despite effective study skills, explore further strategies. Try to build self-confidence. Give yourself positive self-affirmations (“I’m a strong student,” “I can do this!”). Put these affirmations on sticky notes and put them where you will see them. For a written test, ask the instructor if you can have an extra sheet of paper. Use the paper to jot notes on may if worrying about forgetting information. Turn it in with the test. Learning and using relaxation techniques before testing situations may also help. Avoiding too many distractions before the test. Limit time with peers who are very anxious or negative before a test.
Once these actions are implemented, evaluate the outcomes. If test anxiety continues, reach out to a professional counselor or a doctor. Further treatment may be needed. An underlying learning disability may exist. Diagnosis and treatment will assist in success.
Recognizing test anxiety is crucial to success in nursing school. Take action early to prevent it from lowering your success. Don’t wait until late in a semester to look for answers. Discussing the issue with the instructor and other professionals is important. Finding strategies to lessen the anxiety is important to meet your professional goals.
Reference:
Mayo Clinic. (2017, August 3). Test anxiety: Can it be treated? https://www.mayoclinic.org/diseases-conditions/generalized-anxiety-disorder/expert-answers/test-anxiety/faq-20058195