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Fundamentals I > Intro to Clinical Judgement Model > Flashcards

Intro to Clinical Judgement Model Flashcards

1
Q

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

A

50%

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2
Q

__% of nurses make errors due to poor clinical judgment

A

65%

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3
Q

Recognizing cues aka

A

Assessment

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4
Q

Analysis equivalent to

A

Analyze cues and prioritize hypotheses

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5
Q

Planning if equivalent to…

A

Generate solutions

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6
Q

Take action is equivalent to…

A

Implementation

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7
Q

Evaluate outcomes is equivalent to…

A

Evaluation

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8
Q

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

A

CJMM: Clinical Judgement Measurement Model

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9
Q

The observed outcome of critical thinking and decision making

A

Clinical judgement

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10
Q

CJMM clinical judgement process #1

A

Cue recognition

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11
Q

CJMM clinical judgement process #2

A

Hypothesis generation

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12
Q

CJMM clinical judgement process #3

A

Hypothesis evaluation

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13
Q

CJMM clinical judgement process #4

A

Taking actions

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14
Q

CJMM clinical judgement process #5

A

Evaluating outcomes

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15
Q

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

A

internal contextual factors

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16
Q

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

A

external contextual factors

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17
Q

Nurses may repeat components of CHMM to continually improve outcomes

A

nonlinear process

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18
Q

Layer 0 of CJMM

A 
Client needs (starts CJMM)
Clinical decision (ends CJMM)
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19
Q

Layer 1 CJMM

A

clinical judgement

20
Q

Layer 2 of CJMM

A

form, refine, evaluate, hypothesize

21
Q

Layer 3 of CJMM (6)

A

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

22
Q

Layer 4 CJMM

A

Outlines contextual factors that can influence CJMM

23
Q

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

A

Educating patient and/or family on care techniques and precautions

24
Q

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

A

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

25
Q

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

A

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

26
Q

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

A

Including nurse and the patient’s evaluation of expected outcomes

27
Q

What is needed or desired to improve overall health

A

Patient needs

28
Q

What initiates the process of clinical judgement?

A

Identification of patient needs

29
Q

What concludes the clinical judgement process?

A

Clinical decisions

30
Q

Clinical decisions are influenced by…

A

the entire clinical judgement process

31
Q

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

A

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

32
Q

Depending on the patient’s response to layer 2, the nurse may…

A

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

33
Q

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

A

Meet that patient’s needs

34
Q

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

A

Make the patient feel better

35
Q

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

A

Alleviate problems

36
Q

The hypothesis can be actual problems the patient’s is facing or…

A

Problems the patient is at risk for developing

37
Q

Commonly understood sets of terms

A

nomenclatures

38
Q

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

A

International Classification for Nursing Practice (ICNP)

39
Q

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

A

Nursing diagnosis

40
Q

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

A

refine

41
Q

How to refine a hypothesis

A

Prioritize hypotheses and generate solutions

42
Q

Questions to evaluate outcomes

A 
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?
43
Q

Questions to consider when collecting data

A

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

44
Q

Hypotheses are evaluated and ranked based on priority (3)

A

Likelihood of occurrence
Urgency
Risk for complications

45
Q

Examples of nurse actions

A

Teaching, requesting, performing, administering, documenting, communicating

46
Q

Effective clinical judgement is dependent on __

A

context

47
Q

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

A

cognitive

Fundamentals I (10 decks)

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