module 8: nursing process and clinical judgement

Question 1

Tanner’s clinical judgement model

Answer 1

noticing, interpreting, responding, and reflecting

Question 2

clinical judgement measurement model (CJMM)

Answer 2

focus of the next generation (NG) NCLEX; layers 0-2 and 3-4; coming in 2023

Question 3

CJMM layers 0-2

Answer 3

how clinical judgement forms clinical decisions; aspect of clinical judgement measurement model

Question 4

CJMM layers 3-4

Answer 4

expected behaviors of students in specific case scenarios (unfolding case studies); aspect of clinical judgement measurement model

Question 5

clinical judgement action model (CJAM)

Answer 5

aligns the six cognitive operations from layer 3 of the CJMM with specific situational factors from layer 4

Question 6

6 clinical judgement functions of layer 3 of CJMM

Answer 6

recognize cues
analyse cues
prioritize hypotheses
generate solutions
take actions
evaluate outcomes

Question 7

5 nursing processes of layer 4 of CJMM

Answer 7

assessment
analysis
planning
implementation
evaluation

Question 8

mental model

Answer 8

organized way of thinking that assists in understanding complex aspects of a situation and guides assessments and behaviors

Question 9

assessment

Answer 9

gather information, identify cues, make inferences, validate data, cluster related data, record data

Question 10

clinical reasoning

Answer 10

analysis, synthesize (break down), reflect, draw conclusion

Question 11

etiology

Answer 11

factors causing or maintaining a disease or unhealthy state

Question 12

health problem

Answer 12

a condition that needs intervention to prevent or resolve disease or illness or to promote coping and wellness

Question 13

nursing diagnosis

Answer 13

diagnosis of actual or potential health problems that can be prevented/resolved by independent nursing interventions; problem statements; provides basis for selection of appropriate nursing interventions

Question 14

problem statement

Answer 14

nursing diagnosis and explains the patient’s health problem

Question 15

medical diagnosis

Answer 15

identifies disease and describe problems for which the physician or advanced practice nurses directs the primary treatment; remains the same for as long as the disease is present

Question 16

if there is a possible problem,

Answer 16

collect more data to confirm or disprove a suspected problem

Question 17

if patient denies issue or treatment,

Answer 17

educate them as best as you can

Question 18

problem-focused nursing diagnosis

Answer 18

clinical judgement concerning an undesirable human response to a health condition for an individual patient, family, or group

Question 19

risk nursing diagnosis

Answer 19

clinical judgement concerning the vulnerability of an individual, family of group for developing an undesirable human response to health condition

Question 20

health promotion nursing diagnosis

Answer 20

clinical judgement concerning motivation and desire to increase well-being an to actualize human health potential; promoting a healthy lifestyle

Question 21

patient outcome

Answer 21

expected conclusion to a pt. health problem or in the event of a wellness diagnosis, an expected conclusion to a pt’s health expectation

Question 22

expected outcomes

Answer 22

measurable/observable criteria used to evaluate the extent to which a goal has been met

Question 23

standard care plans

Answer 23

already made plans related to nursing interventions common to a specific issue

Question 24

discharge planning begins…

Answer 24

at admission

Question 25

high priority

Answer 25

highest threat to pt. health and wellbeing

Question 26

medium priority

Answer 26

not life threatening

Question 27

low priority

Answer 27

not related to issue at hand

Question 28

maslow’s hierarchy

Answer 28

1. physiologic needs
2. safety needs
3. love and belonging
4. self-esteem
5. self-actualization

Question 29

long term goal

Answer 29

more than one week

Question 30

short term goals

Answer 30

hours, days, a week

Question 31

SMART goal setting

Answer 31

S- be specific
M- be measurable
A- make attainable
R- be realistic/relevant
T- time bound