On the CCRN and PCCN test plans, 80% of the questions are based on clinical knowledge, and 20% of the questions come from a category called Professional Caring and Ethical Practice. Why is clinical knowledge not enough to pass a certification examination? Clinical knowledge is one aspect of excellent nursing practice, but it is not the only thing necessary. A great nurse not only has expertise but also uses caring communication to translate clinical information into clinical meaning for patients and their families. For example, a family member with limited medical knowledge may see a blood pressure value on the monitor and think that because the number looks better, the patient is doing better. However, a nurse with good communication skills can compassionately explain that the blood pressure number has only normalized because the patient is now receiving multiple vasoactive agents and in reality the patient’s condition has...

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