SATA like a BOSS

What's going on everybody. [inaudible] alright. I know that John only does the session on Tuesdays, so I would really yell at today. Sorry guys. We'll be extra yellow. Um, but for today, uh, want to do this session, my name is chance and one of the nurse educators here, but a lot of you know me. So we're going to get into some set of questions. Um, we're gonna talk about some ins and outs, but before we get started, I want you guys to tell me where you're from, where you're at in your nursing journey. Uh, that way we can all kinda relate and get to know each other a little bit better. Okay. So over here in the chat and it say something, say hi. Just let me know where you're from. Um, and let me know. First off, if you can hear me, make sure everything's working. Video and audio are good. And then the, well, just keep going. So go ahead and say hi over here in the chat and we'll get going, Sarah. Perfect. Excellent.
Alright, April is from Louisiana, getting ready to go. Perfect. So we're gonna to attack the set of questions today. Um, with sadness, sadness. Arlene says hi from California weathers. Oh, Gail Gail is in, in Hawaii, currently in Seattle. Heather's from studying for the in clerks. Excellent. I'm needs from Sacramento. Perfect. Cool. All right guys, let's get rolling. So, set of questions. Other questions are very, very challenging. Um, they apply not only to the NCLEX but they also apply to lots of different tests that you'll see. Um, a lot of the nursing school, um, questions are going to be very, are going to be modeled a lot around, uh, in click style questions. So what that means for you is that, um, they're going to derive a lot of stuff. So you're going to have different types of questions, your multiple sorts, and then you have these set of questions which are select all that apply.
Um, so worked a lot. Apply can be very, very intimidating. Um, and it's just because, uh, you, the nature of the beast is that whenever you get these types of tests or these types of questions that you're going to feel very, um, uh, inundated by information that you feel like I have to know, not only, um, I have to understand the question, I have to understand what they're asking. But then I have, uh, you know, all these multiple different combinations of tests, experiences that can be right and you want to feel like you have, you want to be confident with that. So the way we do that is, um, we're gonna, I'm gonna give you some testing tips here as far as Sanuk goes. Um, and we're gonna figure out the best way to approach these set of questions. And then I'm going to answer some, a couple of different myths about, I'm sad, especially for in, I know that this, this is not specifically in the clicks guiding a tutoring session, but I think it's really important that we can do we dispel some myths going forward? Um, that way you're kind of preparing you how many back pockets? So let's get started. Let me share my screen with you guys. I want to first off, first thing I want to and find this thing there with me doing some tech things. Tech is cool. Tech is great most of the time. So we're going to do something real quick.
[inaudible]
one sec. All right, cool. So let's do some screen sharing. All right, cool. I'm going to solo screen.
Okay,
one sec. Cool. Can everybody see my screen?
Perfect. So the first thing you're going to do, anytime you get a set of question is remember it's going to be, hey, you're going to get the stem, which is kind of the bulk. You're seeing Mr. Johnson and he's uh, uh, he's presented for an acute m I m you draw some labs. Um, what are the priority actions for the nurses? Select all that apply. The first thing you're gonna do is we have this thing called the, um, the uh, uh, the set setup pyramid, uh, success determine. And what it is is it's a pyramid and the idea is that we're going to do this one thing before we move up in the pyramid. We're going to do the thing as in a sequential order. So the first thing we're gonna do is we're going to cover up all the answers. I don't look at all the answers.
You, you recognize that it's, um, that it is a sad question. But the first thing that you want to do is you will not remove that inclination to, I don't, I don't want to, I don't want to see the answers. I want to, don't even think about cheating, um, because you're going to get yourself kind of in this Rut. So the first thing we're gonna do is we're going to cover up all those answers. We're going to say, I'm not going to look at any of the answers. So this is actually off our blog. Then our city blog. And what it is, is it's a big infographic and it kind of walks you through this, this, uh, success pyramid. What cursor go. Okay, cool. So we, we covered up all of the answers. It's a person who we're to do this. Second thing that we're going to know is we're going to read the question and we're going to make sure we're understanding what the question is asking.
Is this, um, are they using absolute words? Are they saying, Hey, what is the priority? Um, are we talking about the nursing process? Are they trapping us or are they trying to put us in a position where we have to where we may make a mistake? So we want to read the question. We want to make sure what the question is asking. I mean, we want to make sure that we understand that. So now, so we've got that. We've [inaudible] the question. Now we're ready to go. The next thing we're gonna do is we're going to uncover that first answer. We're gonna look at it. We're going to say, hey, this is the only, we're gonna act like this. Um, with these questions, we're going to start to begin to end. I'd say individually evaluate each question or each answer, we're going to say, this is my first answer. Is this one true or false? Which leads me to my next point, which is number four. We're going to reread that question and the subsequent answer. So we're gonna say if you're John's specifically and I, what are the priority interventions? That's a question. Select all that apply. So then we say it. The first one is, um, let's say ambulating patient. What we need to do is say, is this a true or false question or is this a true or false answer? And so
[inaudible],
you know, answer this as a true or Fisher Jones prison for an MRI. What are the priority nursing intervention? Select all that apply in. The first one is ambulate the patient. Is that going to be our priority nursing intervention?
Just tell me yes or no in the chat. If you think it's no, I might give this up on a whim. So we're just gonna roll with it today. Uh, so that's kind of how you want to approach them. We want to say, hey look, we're going to evaluate each answer as a true false question. That's all. I want to treat this. And so if we go back to our infographic, here, we go down. Now we're going to go back and we're going to go, we're going to cover the first one. And we said, hey, ambulating a patient is not the priority nursing urgent or we're going to do is we want to go ahead and we want to move. We've answered it as false. We're going to leave it blank. We're not gonna touch it, we're not gonna come back to it and we're going to go to number five or number the second answer. Um, ease presumed for am I partying, nursing intervention. Uh, second one is, uh, get, we'll work for cardiac labs. Is that a true or false?
You guys tell me. I'm asking you, do you have a patient that presents for an MRI in the Ed? We want to. Is it true or false that we want to get cardiac lines on him? Proponents. Most will be more specific proponents. Okay, cool. Yeah, so that's perfect. We're going to, okay. So we've, we're confident in that answer. We're going to run the next one. Next answer is, uh, so Mr. Johnson presents to Johnson Jones. I don't know which one I'm going with Mr. Johnson business to the EDF chief complaint, chest pain, suspect to come on a priority nursing interventions. And next answer is obtaining EKG true or false?
Cool. Um, so that's kind of how it works and you're going to go through all those. I'm not going to pick anymore, but that's Kinda how it works cause we're gonna run through a couple of minutes. We're gonna go through in the, in the interest that you website, we're going to go through it and it's going to be a little bit quirky because of how I have it set up. But we'll get through all that. Um, but that's how you're going to do it. And then once you got the answer, you're going to go, hey, I have answered all of the ones I need answered and I've approached everyone the same way and I'm going to go and I'm going to do this and I'm going to click submit and move to the next one. And you're not going to think about it again because you've gone and you've broken out side of question Demo and you've done it in a way that's been, um, systematic.
It's been methodical. You've actually done yourself good. You have not done yourself a disservice because you haven't gotten confused by, okay, well it has to be a minimum number. It has to be, um, or it has to be a, a, you know, it has to be all of them or it has to be none of them. Or maybe it's a trick question or maybe I didn't know. I read the question, I'm figuring out what that answer is and then I'm approaching it from this, from this stuff. So let's run through a couple. I'm going to have you guys answer these and then like I said, it's going to be just a little bit quirky, but after that we'll come, we'll come back to it. So, all right, so this is actually the inside the academy. I went to m I and we're going to go to questions. All right,
hold on.
Let me refresh. If at all, go away. Any of those answers go away, dude. Dude, dude. Okay, cool. Oh No, hold on. Don't you love technology?
Okay,
let's see. We can make this work again. Bear with me guys. Right? So actually, what is your coronary artery disease? Pull to this one. Me. Make sure there's some static questions in here first. Oh, here we go. Cool. All right, so we recognize that it's a sad question. We're going to cover up all those answers, right? So all the answers are covered, right guys? Um, so the nurse's discharging a client being treated for hyperlipidemia and hypertension, clients smoke occasionally can decrease stress from work and just been diagnosed with coronary artery disease, which should the following client education topics should the nurse include. So what is the question asking Alison? I covered, I covered the answers because that's what we're supposed to do, right? We recognize it as a set of questions. So we want to cover all those client education for coronary artery disease. So what in this, in this instance, um, whether it's in ATI or whatever you guys are using, um, for your, these are questions that your, your professor made. Um, whatever nursing tests you're in, let's say in Cardiac Med surge, right? Um, they want to, they want to make sure that you understand the connection between education, what the, what the, what the patient should know about coronary artery disease and what your responsibility for teaching coronary artery diseases. Okay. So let's like we're going to do the first thing.
Yeah.
Manage stress in life. I'm going to go with the consensus on, I haven't seen this question, so I want you guys to tell me, so we're going to, so the nurses discharging client client smokes occasionally to decrease stress from work and has just been diagnosed with coronary artery disease. Which of the following client education topics should the nurse include managed stress in life? True or false? True. True. True, true, true, true. Okay. Everybody says true. Sorry. Check that one. All right, go on to the next one. Okay. Quit smoking. We want to include this true or not
kind of as a default. Educating, uh, a client to quit smoking should always probably be an answer. I'm not going to say it shouldn't never not be an answer unless it's just not clickable. But if you have a patients, it's smoking or you have like a link or near disease, a heart attack, stroke, hypertension, any one of those. And one of the answers is to educate a patient or a client on quitting smoking is probably going to be an answer. All right, so we'll go to the next one. Okay, so we stopped taking blood pressure medications. So which of the following education topics should the initial, should we teach our clients who stop taking their blood pressure medications? All Falls, falls, falls, falls, falls. Okay, cool. Excellent. Decrease physical activity.
I got a false false false sauce. Cool. I'll go with that one. Oh, I handed do this wrong. Hold on. Sorry guys. I did this backwards. I want, it's their fault. I'm just, I'm just right. Scotty. I just picked up on what I was doing. I would have failed this one. Yeah. So I want to go on, so let's go back. So I manage, that is true. I want to do that one. I want to do that one. I don't want to do this one. I don't want to do this one. The last one is to continue taking sentence. Um, April answered your question. Just one second. Continue taking sentence. True, true and true. Erase the true. Okay. Yeah, I was just checking them Scotty. I was just like, dude dude, dude. And check them all. All right, now we're not doing that. Okay, cool. Um, so let me go back to what, April?
Yeah, April. I checked it cause I was not paying attention. I was being a terrible student. All right, here we go. Let me go. I'm going to go down these, we'll come back to these and come back to them. Don't, don't get, uh, don't get hung up on it because the quiz makes me answer all the questions in this. Make me answer all of them before I can come back. So we'll see if we have any more. Select all that. Apply A, I'm just checking on. I don't even know if that's right. Okay, cool. Here's another, select all that apply. Don't pay attention to this thing up here. Um, cause I did not check it. So don't pay attention. Hey, nurses and nurse assigned new client diagnosed with coronary artery disease, knows two ends of them. Which of the following orders that will help to treat the disease. So we've co we've covered all of the answers. So what is the question asking?
Oh, okay.
Okay. So Mason says implementation, which would be part of the nursing process. It would be a fair, Huh? Which order is treat coronary artery disease. This goes more into management. This goes less away from the nursing process or let's, let's look at this one. Okay. We're talking about treating disease. We're talking about management of care more specifically. So does the electric cardiogram treat disease? No. No, no. We diagnose theoretically and so this is false. So really that one alone. Okay. Next one. Angioplasty and stent treatment. True. True, true. Yes. True. Cool. And can give me that one, Scott. True, true, true, true, true, true, true. Calcium channel blockers. True. True, true, true, true, true. True.
Echocardiogram
false. No. False. No. False.
Good.
Oh wait, sorry. We're gonna leave that one blank. I'm terrible at this. Just clicking on, clicking everywhere. Okay. You guys agree with all those Sarah Ans asks, uh, can I ask you a quick question? Go for it. I'm waiting for Sarah to tape it really quick. Would angio be something that a nurse would implement? So what they're asking is the, um,
well let me, let me rephrase the question. Would implementation of the following orders help treat a disease? Yeah, so don't over think it. So basically does the, does the treatment or the intervention treat the disease? And so that's where there don't over think it like don't think about like you're thinking about, uh, like, um, you're thinking about a scope of practice, which is not necessarily the case. Um, because when they say, well, when, anytime you get a scope of practice question, it's going to be like, um, a nurse performs an initial assessment on, um, on a patient. Um, the LVN goes in and finds, uh, has a new finding and does some sort of intervention, right? Um, that is something that's out of the scope of practice for an LVN. And that requires an orange to do it. Like if there's a major change, like if I give a pain medication, I theoretically can have, uh, my [inaudible] do a reassessment sometimes.
Um, it gets tricky, but I mean that's where, that's where scope of practice is gonna fall. Whenever you have somebody do something or a UAP hey, um, which of the following tasks are, can the UAP performed on, on x patient? And that's without would scope of practice. So don't overthink an EKG. Yeah. You can do an EKG, um, first question over, right? Yeah. So don't, so take your time, read them clearly. You can, you can do these things. Just take your time. Hey, I'm going to approach this one. Um, so yeah, so technically I would never do an echocardiogram on a patient because I'm not an ultrasound. I'm not an ultrasound tech. But does that mean the patient wouldn't receive one for treatment or if the patient needed an echo, whatever, where you get what I'm saying? It's that just because I may not be able to perform them doesn't mean that the patient should not get them. All right, cool. Let's go see if any anymore.
Hello? I'm just picking. Is there another center? Okay, cool. All right, so we did a couple of, let's see what happened. Let's see. How could we do all right guys, check them out. First one, a nurse discharging, a client being treated for the beginning about blah, blah, blah. We said we want them to continue taking their status. We want them to stop smoking. We wanted to manage their stress in life, but we also want them to increase their physical activity and we want them to continue taking their blood pressure medication. So one type of coronary artery disease. We talk about maintaining a blood pressure, which is why they're going to be on things like Beta blockers and channel, uh, calcium channel blockers and rs and ace inhibitors. And we need them to manage that because if not, your patient runs just for MRI stroke. All right, cool. We got one more in there.
Did they do give you go look at that? You guys are 100% today. Could y'all, there's the sign to a client. Yep. So remember statens we want to control, we want to control their cl, their, uh, the cholesterol. We want to basically do NGOs and stents for patients that have narrowing or inclusions. And we're going to keep them on those calcium channel blockers to make sure their blood pressure stays where it needs to go. So could job, I mean you guys did excellent today. So there are a couple of things that I want to, um, a couple of myths that I wanted to dispel about. Um, we go back, let me stop sharing my screen.
All right, cool. So there have been a couple of myths in kind of in the realm of, um, they include about a set of questions, right? So let me ask you this. Um, when you're talking about set of questions and you're talking to your professors or you're talking to classmates, um, when you take, when you see a sad question, do, how many of you think that set of questions or the equivalent of a more difficult question? Okay. So let me ask you, let me ask it a different way. How many of you think that sad questions are an indicator of a higher difficulty level on the inclax?
Okay. I'm going to dispel the myth. Now. Saddle questions do not mean, just because it is a set of question does not mean that it is a higher level of difficulty on the enclose period. Some people have started, I think I started with this kind of question. So Megan, Megan makes a good point. Are they more difficult? Not necessarily, but are there more chances for error? Yes. Um, so if I, for instance, um, I remember taking this in one of the same classes that I took was um, let's say, um, like these questions we just took. These are probably a level one. There's a level one set of questions. A client, a nurse client diagnosed with coronary artery disease knows the implement, which of the following stands angioplasty and stent placement. That's like basic knowledge as lower level on, um, it's a lower level of Bloom's taxonomy. So that means that is a lower level of difficulty. So set of questions or are ready in three ways, right? One, two and three. Um, one is just like, um, memory. I gotta pull.
Okay.
Is it under understanding the green category? Uh, so land, let me, so let me make sure that I understand your question. So o William's taxonomy. So yeah, Bloomz is basically see if I can pull the blimps. Oh my goodness. I want to make sure that I speak accurately. So bear with me because I remember reading it today. So bear with me. I want to make sure that we get this
[inaudible]
where's The pyramid? There it is. Cool. So remembering, right. So, uh, so the way it works is at the bottom is remembering, remembering, understanding, applying and then analyzing, right? So set of questions can be under. So for instance, um, here's one patient is presenting for chest pain to the emergency department. Which of the following lab values would you submit to the lab to determine if he's having a heart attack? Um, GFR,
um, select all that apply GFR, Vu in CK MB and your analysis. So if we look at the five, right? GFRs a kidney value, B u and as a kidney and a dehydration value proponent is specific to the heart. So I would do that one. CK-MB is specific to, well it's, you typically run it in a cardiac lab and then are your analysis, you're not gonna typically run that on a heart patient. So those are two answers. So that falls on the remembering just because, a sad question, what here's what happens is that people get caught up in this idea of every time I see a sad question, it's getting more difficult than I have a high, it's like there's a, there's a condensation relation, causative relationship. Let me say it that way because the relationship between the type of question I get and the, um, and the likelihood that I'm going to pass and people get hung up on that.
And what I want you to do is I want you guys to kind of throw that thought, that thought process in the trash because it's not always true and people get hung up on it. And um, they go into the, they go in and um, but we go take our simclex and the first one is a set of question and then they go, well, I've never seen a set of questions as the first one. And then all of a sudden they walk into the influx and they sit down and they take and all of a sudden set of questions, they go, wait a second. Everything that I've been told and everything that I've been taught about the inclax and about Santa's questions and about the types of questions I get in a row in relation to, um, in relation to how successful I am to be in the, in collects.
It gets you kind of in this fog and you get, you get hung up on pace and all of these other nuances of taking the test. And that's just not, it's not beneficial to you. And what we want you to do is we want you to goes in there, go in there, sit down, sit for 75 questions, kick its ass and walk up. And the way you do that is you kind of have to, you have to change the way you think about questions, set of questions in there. I think there are, there are four. I'm golden going from brief memory, multiple choice, pick, decimal or decimal, like input. Um, and Satta questions are the typical ones in there. The engine's coming up with like, oh, hot, hot hotspot. Zeo and so like where, where's McBurney's point like that? That's a kind of question you're gonna see.
But what I don't want you to do is get hung up on these odds and this idea that a set a question equals a higher level of difficulty equals I had a bunch of set of questions and then all of a sudden you get taken to the tests and like that's a predictor because at the end you still have to wait your two days to find out unless you're bored, unless depending on where you're at. I want you guys to approach every side of question the same way. It's kind of my point is I don't want you to say it's going to be difficult. It's going to be more difficult than the last set of question or a set of questions I'm going to take. 20 minutes is going to be more difficult than the lunch checking. Now it's that I'm going to sit and approach every set of questions the same way.
And I want you to begin to dispel these myths and these rumors because Santa doesn't equal difficulty it, the difficulty of the questions are based on what you have to do with them. Because in the end, that influx wants to make sure that you're going to be a safe nurse, right? Just going to make sure that when you walk out and they turned you loose, that you're not gonna make a terrible decision. And if you're going to sit kind of in that and that level two, level three, which is kind of where they want you to be, that's, that's what they're going for. Does that make sense, Sarah? Good advice. Always pursue the same way. And then that I saved the rationale like you have to Kinda like pull it back in. Um, one thing that I would recommend to you guys is work on tests.
Examination would call an exam endurance, right? So it's different. You can come in here and take 20 MPQ. You can go take, um, you know, 50 MPQ. But until you sit down, kind of in that mind frame and say, I'm going to focus, I'm going to test, because that inklings goes as it goes and it gets more and more difficult. Um, you know, if you get it right, it's going to get more and more difficult and it's going to keep challenging your brain and you keep having to think at analysts cause you're getting these like level three questions where you're having to analyze and analyze, evaluate, and you're having to like really think that's going to put you in a position where you're using more brain power and having to do that for longer periods of time. You're going to just make you exhausted. Then you just start to make silly mistakes. So if you approach set of questions every way, then it would be, you know, it's gonna be, um, you're gonna alleviate a lot of that pressure. So if asks, would there be only one correct answer on the, in clicks on a set of question? Or it could be all the answers, or could all the interests be at court? Correct. On facts. So, according to the NCS site who writes them, it will be a minimum of two answers but will never be all of them.
I'll say it that way. So if you go through, I don't want, I don't want you to do a thing where you come and double back.
No, that's not as ESPN as and the reason I know it's not in CSPs cause I looked at the NTSB and like question writing website today. I literally looked at it and we have, um, three of our are here are all in CSB trained question writers. So everybody that writes questions for us, um, has gone through the training. So still a pro, like it's difficult because you can't be like, oh Whoa, teacher, you suck because you're wrong. It's like you can't do that again. But what you can do is just know that in the back of your mind, you can still approach it the same way. Because what happens is what you can do is, um, if that's the question and your professor's like, Oh, oh, one, all right. Well if I go through and say, um, if I go through and say I've approached this the same way with every side of the question and I'm determined each one is true or false, then you can see you have a, you have a higher likelihood and answering, um, all of them, right. Then getting the entire question wrong by meeting specific criteria as to what our, all because, so like all that apply it. They call it a multi, what do they call it? It's a multi,
yeah.
Multiform I mean on the NTSB website all day long. Hold on. I want to find it for you. I don't want to misspeak. Sorry. I'm making my computer shake too. Okay.
Yeah.
All right. Here we go. I'm actually going to drop this link in here for you guys because this is the NCS VM Psych FAQ section. If you go here. All right,
cool.
Know what? I'm just share my screen one more time. Hold on. So you guys can see it and we can all look at it together. Cool. So this is the NTSB website. Oh, here we go. This is what you're looking for right here. Alternate item format.
Okay. Okay.
A little bit more deceptive here because when they don't say, so multiple response items may require a candidate, but let's seize them for a minute. Standard multiple choice to set multiple response items require a candidate. So select single correct response, which is um, but remember like they can have different like format ones, so like the pic like hotspot, so like pick the spots where such and such like hotspot, like they may combine them. So that's where it gets a little bit tricky. But I know that with that, with a set of question, it's, it's um, at least two, but never, um, but never all
[inaudible].
So yeah, they're a little bit tricky on there cause I think they, I think for students, they don't want to give it away as much. But for the training I actually looked at, I looked at the training for the NC ESPN writing today and that's what they said was, it's at least two, but number, all. So that comes from directly from their question writers. So when they write them, that's how they do it. So one of the questions, I've got a couple of minutes I can answer for Ya. I know that you guys were wanting to hang out with John Today, but he got tied up doing, doing Jonathan's. So, and you guys have any other questions on center? Uh, for sure. Let's see. Any advice on how to budget time for replying to set of questions for the same teacher? We had 20 set of questions that 55 minutes [inaudible] okay. So I'll do math real quick. Do some math. Okay.
[inaudible]
all right. Well, okay, so I can't argue with it. So here's why. If you take all 265 questions and you take it in six hours, that means you're averaging about a minute and a half a test or a minute and half per question for the entire thing. Um, but for the same teacher, we have 27 questions, 55. So I think the more saddle questions you do, the more comfortable you'll get with it. It's, Hey, I recognize it, sat up, cover it, read the question. What are they asking? Then start going down, I think. I think it's one of those things that you have to practice just to become a little bit more proficient in it. What are they asking and asking for? Priority? Asking nursing process. They ask them for, um, they want me to analyze it. They want me to make a determination in terms of something else. Like the more of these you do, the better you'll get. But budgeting time, it's going to be one of those things where you practice a little bit more. Um, if you, like I said, if you take all 265 questions, you take in six hours, you're looking at him a minute and a half per question and that as we're rocking. So, um, and some of the faster you're like, oh no, that next I'm going to do this calculation next. Um, so like I said, some are easier than others, but I just
[inaudible]
it's hard to budget time. I mean, so, so think about it like this. I think. So you're looking at just under two minutes a question at 20. No, it's three minutes. It's like 300 questions. Yeah, yeah. It's like three minutes of question. You should be able to do that. Some will come easier than others. You know, you kind of catch up time here and there, but I don't know, April, that's a tough one. It's hard for me to, and it's also easier for me to say because I have no idea of what those questions and I know that some of the inklings questions I think have like six answers, six or seven I think. But, um, in terms of what your professors doing, I mean, you've got to roll with the punches cause it's not like you can really dictate what they do, but for the most part I would just work
okay.
So, yeah. So there's got a point you're going to be, it can be bad asking me, like I'll take on all set of questions. So. All right guys, I'm gonna wrap it up. Thanks for hanging from today. I know it's a little bit of an Orthodox and with the punches, but I hope I answered some questions. Um, you know, don't, don't get hung up on Saturday in the first, or you'd take like five questions off the bat at the end collects, and they're all sad. They're totally random. And the way they, the way they figure that out with your algorithm is pretty tricky. But all right guys, well, thanks for hanging on. I'm going to check out of here and we'll see you guys next time. [inaudible] nursing.