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: Sunbathing is a modifiable risk factor for developing a disease. Sunbathing exposes the skin to ultraviolet (UV) radiation, which can damage the DNA and cause skin cancer. Sunbathing can also cause premature aging, sunburn, and eye damage. The nurse should advise the client to limit sun exposure, use sunscreen, wear protective clothing, and avoid tanning beds.
Choice B reason: Family history is not a modifiable risk factor for developing a disease. Family history refers to the inherited traits and diseases that occur in the family. Family history can increase the risk of developing certain diseases, such as diabetes, heart disease, and cancer. The nurse should assess the client's family history and provide genetic counseling if needed.
Choice C reason: Genetics is not a modifiable risk factor for developing a disease. Genetics refers to the genes that determine the characteristics and functions of the body. Genetics can influence the susceptibility and resistance to certain diseases, such as cystic fibrosis, sickle cell anemia, and hemophilia. The nurse should educate the client about the role of genetics in health and disease, and refer the client to a genetic specialist if needed.
Choice D reason: Age is not a modifiable risk factor for developing a disease. Age refers to the number of years that a person has lived. Age can affect the body's ability to fight infections, heal wounds, and prevent chronic diseases. The nurse should monitor the client's age-related changes and provide age-appropriate care and interventions.

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.