ch 5 introduction to the clinical judgment measurement model

Question 1

Which statement describes the impact of experience on clinical judgment?
- Administrators hold experienced nurses to a higher standard of applying clinical judgment.
- New nurses make the same high-level, quality clinical judgments as experienced nurses.
- New and experienced nurses are both expected to apply clinical judgment to prevent adverse patient events.
- Nurses must demonstrate effective observational and documentation skills regardless of experience level.

Answer 1

New and experienced nurses are both expected to apply clinical judgment to prevent adverse patient events.

Question 2

Which characteristics describe the Clinical Judgment Measurement Model (CJMM)?
- Follows a linear process
- Requires cue recognition
- Considers contextual factors
- Includes evaluation of outcomes
- Incorporates hypothesis generation

Answer 2

• Requires cue recognition
• Considers contextual factors
• Includes evaluation of outcomes
• Incorporates hypothesis generation

Question 3

Which concepts are examples of internal contextual factors that influence clinical judgment?
- Emotions
- Knowledge
- Distractions
- Communication
- Time pressures

Answer 3

• Emotions
• Knowledge
• Communication

Question 4

Which concept is addressed in layer 0 of the Clinical Judgment Measurement Model (CJMM)?
- Patient needs
- Nursing actions
- Cue recognition
- Clinical judgment

Answer 4

Patient needs

Question 5

Layer 1 of the Clinical Judgment Measurement Model (CJMM) focuses on which concept?
- Evaluation
- Patient needs
- Clinical judgment
- Hypothesis generation

Answer 5

Clinical judgment

Question 6

Which statement describes a characteristic of clinical judgment in nursing practice?
- It is simple and easy to apply.
- It is the foundation of safe, competent practice.
- It provides standardization of treatment options.
- It slows decision making to consider all influencing factors.

Answer 6

It is the foundation of safe, competent practice.

Question 7

Which aspects describe layer 2 of the Clinical Judgment Measurement Model (CJMM)?
- Involves a linear process
- Evaluates patient outcomes
- Connects cues to form hypotheses
- Comprises two cognitive operations
- Forms hypotheses to address problems

Answer 7

• Evaluates patient outcomes
• Connects cues to form hypotheses
• Forms hypotheses to address problems

Question 8

Place the three functions of layer 2 of the Clinical Judgment Measurement Model in the order in which they occur.
- refine hypotheses
- evaluate outcomes
- formulate hypotheses

Answer 8

• formulate hypotheses
• refine hypotheses
• evaluate outcomes

Question 9

Which questions can the nurse ask to complete the evaluation function of layer 2 of the Clinical Judgment Measurement Model (CJMM)?
- Should the plan of care be revised?
- Were the solutions/interventions effective?
- Which hypotheses are supported by patient cues?
- Which signs would suggest that patient status has not changed?
- What other solutions/interventions might have been more effective?

Answer 9

• Should the plan of care be revised?
• Were the solutions/interventions effective?
• Which signs would suggest that patient status has not changed?
• What other solutions/interventions might have been more effective?

Question 10

Which variables would the nurse consider when prioritizing hypotheses in layer 3 of the Clinical Judgment Measurement Model?
- Urgency
- Patient goals
- Identified solutions
- Risk for complications
- Likelihood of occurrence

Answer 10

• Urgency
• Risk for complications
• Likelihood of occurrence

Question 11

Match the type of nursing intervention with the appropriate example.
Independent:
- Inserting a Foley catheter
- Teaching patients about medication management
- Encouraging exercise plan developed by physical therapist

Answer 11

Teaching patients about medication management

Question 12

Match the type of nursing intervention with the appropriate example.
Collaborative:
- Inserting a Foley catheter
- Teaching patients about medication management
- Encouraging exercise plan developed by physical therapist

Answer 12

Encouraging exercise plan developed by physical therapist

Question 13

Match the type of nursing intervention with the appropriate example.
Independent:
- Inserting a Foley catheter
- Teaching patients about medication management
- Encouraging exercise plan developed by physical therapist

Answer 13

Inserting a Foley catheter

Question 14

Which competencies did the American Nurses Association (ANA) identify as essential for evaluating outcomes?
- Include the patient’s perspective.
- Document evaluation information.
- Incorporate ongoing assessment data.
- Collaborate to develop the plan of care.
- Establish a priority order for nursing actions.

Answer 14

• Include the patient’s perspective.
• Document evaluation information.
• Incorporate ongoing assessment data.
• Collaborate to develop the plan of care.

Question 15

Which concept is the focus of layer 4 of the Clinical Judgment Measurement Model (CJMM)?
- Evaluation
- Hypotheses
- Clinical judgment
- Contextual factors

Answer 15

Contextual factors

Question 16

Which concepts are examples of external contextual factors that influence clinical judgment?
- Education
- Perceptions
- Interruptions
- Task complexity
- Professional autonomy

Answer 16

• Interruptions
• Task complexity
• Professional autonomy

Question 17

Which statements describe the benefits of considering context when making nursing decisions during layer 4 of the Clinical Judgment Measurement Model (CJMM)?
- Nurses consider appropriate resources.
- Nurses make patient-centered decisions.
- Nurses evaluate expected patient outcomes.
- Nurses have a realistic understanding of the situation.
- Nurses communicate more effectively.

Answer 17

• Nurses consider appropriate resources.
• Nurses make patient-centered decisions.
• Nurses have a realistic understanding of the situation.
• Nurses communicate more effectively.