Intro to Clinical Judgement Model

Question 1

__% of nurses are involved in some type of error (NCSBN)

Answer 1

50%

Question 2

__% of nurses make errors due to poor clinical judgment

Answer 2

65%

Question 3

Recognizing cues aka

Answer 3

Assessment

Question 4

Analysis equivalent to

Answer 4

Analyze cues and prioritize hypotheses

Question 5

Planning if equivalent to…

Answer 5

Generate solutions

Question 6

Take action is equivalent to…

Answer 6

Implementation

Question 7

Evaluate outcomes is equivalent to…

Answer 7

Evaluation

Question 8

The NCSBN created the __ to provide framework to support evaluation clinical judgement as part of the NCLEX

Answer 8

CJMM: Clinical Judgement Measurement Model

Question 9

The observed outcome of critical thinking and decision making

Answer 9

Clinical judgement

Question 10

CJMM clinical judgement process #1

Answer 10

Cue recognition

Question 11

CJMM clinical judgement process #2

Answer 11

Hypothesis generation

Question 12

CJMM clinical judgement process #3

Answer 12

Hypothesis evaluation

Question 13

CJMM clinical judgement process #4

Answer 13

Taking actions

Question 14

CJMM clinical judgement process #5

Answer 14

Evaluating outcomes

Question 15

Education, experience, knowledge, communication, consequences/risks, emotions/perceptions are…

Answer 15

internal contextual factors

Question 16

Distractions, interruptions, time pressures, task complexity, profession autonomy are…

Answer 16

external contextual factors

Question 17

Nurses may repeat components of CHMM to continually improve outcomes

Answer 17

nonlinear process

Question 18

Layer 0 of CJMM

Answer 18

Client needs (starts CJMM)
Clinical decision (ends CJMM)

Question 19

Layer 1 CJMM

Answer 19

clinical judgement

Question 20

Layer 2 of CJMM

Answer 20

form, refine, evaluate, hypothesize

Question 21

Layer 3 of CJMM (6)

Answer 21

Recognize cues, analyze cures, prioritize hypothesis, generate solutions, take action, evaluate outcomes

Question 22

Layer 4 CJMM

Answer 22

Outlines contextual factors that can influence CJMM

Question 23

Plan of care for patients in community based settings includes… (#1)

Answer 23

Educating patient and/or family on care techniques and precautions

Question 24

Plan of care for patients in community based settings includes… (#2)

Answer 24

Teaching patient and/or family how to integrate care within family activities

Question 25

Plan of care for patients in community based settings includes... (#3)

Answer 25

Guiding patient and/or family on how to assume a greater percentage of self care over time

Question 26

Plan of care for patients in community based settings includes... (#4)

Answer 26

Including nurse and the patient's evaluation of expected outcomes

Question 27

What is needed or desired to improve overall health

Answer 27

Patient needs

Question 28

What initiates the process of clinical judgement?

Answer 28

Identification of patient needs

Question 29

What concludes the clinical judgement process?

Answer 29

Clinical decisions

Question 30

Clinical decisions are influenced by...

Answer 30

the entire clinical judgement process

Question 31

Clinical judgement is essential because it allows the nurse to... (3)

Answer 31

1) Observe changes in patient status 2) Recognize potential problems 3) Take immediate action when needed

Question 32

Depending on the patient's response to layer 2, the nurse may...

Answer 32

Work through cognitive processes in layers 3 and 4 to achieve optimal outcomes

Question 33

Hypotheses identify issues that the nurse should address to... (#1)

Answer 33

Meet that patient's needs

Question 34

Hypotheses identify issues that the nurse should address to... (#2)

Answer 34

Make the patient feel better

Question 35

Hypotheses identify issues that the nurse should address to... (#3)

Answer 35

Alleviate problems

Question 36

The hypothesis can be actual problems the patient's is facing or...

Answer 36

Problems the patient is at risk for developing

Question 37

Commonly understood sets of terms

Answer 37

nomenclatures

Question 38

Developed a unified nursing language that can be used to document nursing practice

Answer 38

International Classification for Nursing Practice (ICNP)

Question 39

A label assigned by a RN who makes decisions about a patient after assessing

Answer 39

Nursing diagnosis

Question 40

Once hypotheses are made, nurses __ them to meet the individual's needs

Answer 40

refine

Question 41

How to refine a hypothesis

Answer 41

Prioritize hypotheses and generate solutions

Question 42

Questions to evaluate outcomes

Answer 42

``` What signs indicate decline or improvement? Has patient status changed? Were interventions effective? What may be more effective? Should the plan of care be revised? ```

Question 43

Questions to consider when collecting data

Answer 43

What info is relevant? What is more significant? What information requires immediate attention?

Question 44

Hypotheses are evaluated and ranked based on priority (3)

Answer 44

Likelihood of occurrence Urgency Risk for complications

Question 45

Examples of nurse actions

Answer 45

Teaching, requesting, performing, administering, documenting, communicating

Question 46

Effective clinical judgement is dependent on __

Answer 46

context

Question 47

Layer 4 influences the __ functions of the other layers of the CJMM

Answer 47

cognitive