ATI Clinical Judgement Process
Correct Answers.
Discuss steps of the nursing process as they relate to care of clients - Answer Process
requires critical thinking to care for client in systemic manner using both intuition and evidence-
based practice guidelines
Nursing process guides nurses in delivering holistic, client centered care that takes into
consideration the entire person
Consider physical, spiritual and mental wellbeing for every nursing decision
Discuss clinical decision making - Answer
Discuss use of the nursing process to make clinical judgments that result in achieving optimal
client outcomes - Answer
Five steps of the nursing process (RN) - Answer ADPIE 1. assessment 2. analysis (diagnose) 3.
planning 4. implementation 5. evaluation
Four steps of nursing process (PN) - Answer 1. data collection 2. planning 3. implementation
4. evaluation
Five step nursing process examples - Answer 1. assessment- check partial thromboplastin
time on lab report 2. analysis- compare clients partial thromboplastin time to provider
prescription, might need to adjust rate of heparin infusion 3. planning- plan to increase heparin
infusion and calculate new infusion rate 4. implementation- increase heparin infusion rate and
document change on EMR 5. evaluation- assess client for indications of bleeding and recheck
next partial thromboplastin time
Assessment - Answer obtain health history (interview), perform a physical assessment and
reviews clients medical record (lab results, diagnostic testing). obtain objective and subjective
data about client.
Assessment- Consider a client experiencing pain-- objective and subjective findings - Answer
Notice facial expression and body gestures. grimace, guarding area of body. refuse to change
positions. (all objective). Then ask are you having pain, rating, description, anything that makes
it better/worse
Correct Answers.
Discuss steps of the nursing process as they relate to care of clients - Answer Process
requires critical thinking to care for client in systemic manner using both intuition and evidence-
based practice guidelines
Nursing process guides nurses in delivering holistic, client centered care that takes into
consideration the entire person
Consider physical, spiritual and mental wellbeing for every nursing decision
Discuss clinical decision making - Answer
Discuss use of the nursing process to make clinical judgments that result in achieving optimal
client outcomes - Answer
Five steps of the nursing process (RN) - Answer ADPIE 1. assessment 2. analysis (diagnose) 3.
planning 4. implementation 5. evaluation
Four steps of nursing process (PN) - Answer 1. data collection 2. planning 3. implementation
4. evaluation
Five step nursing process examples - Answer 1. assessment- check partial thromboplastin
time on lab report 2. analysis- compare clients partial thromboplastin time to provider
prescription, might need to adjust rate of heparin infusion 3. planning- plan to increase heparin
infusion and calculate new infusion rate 4. implementation- increase heparin infusion rate and
document change on EMR 5. evaluation- assess client for indications of bleeding and recheck
next partial thromboplastin time
Assessment - Answer obtain health history (interview), perform a physical assessment and
reviews clients medical record (lab results, diagnostic testing). obtain objective and subjective
data about client.
Assessment- Consider a client experiencing pain-- objective and subjective findings - Answer
Notice facial expression and body gestures. grimace, guarding area of body. refuse to change
positions. (all objective). Then ask are you having pain, rating, description, anything that makes
it better/worse
