ATI Engage Fundamentals: Clinical
Decision Making - Clinical Judgement
Process Questions and Answers.
A nurse is reviewing methods created to assist nurses in using evidence-based practice. Which
of the following is a NCSBN model that can assist the nurse with critical thinking and decision
making?
A. Clinical judgment
B. Critical thinking
C. Clinical reasoning
D. SMART goal - Answer A. Clinical judgment
The Clinical Judgment Model was developed to assist nurses in using evidence-based practice to
think critically and make decisions.
A nurse at an urgent care clinic is auscultating the lungs of a client who reports a cough and
shortness of breath. Which of the following steps of the nursing process is the nurse using?
A. Evaluation
B. Implementation
C. Analysis
D. Assessment - Answer D. Assessment
The nurse should identify auscultating a client's lungs as being part of the assessment step of
the nursing process because the nurse is collecting data from the client. Auscultating the client's
lung sounds is part of a physical assessment.
A nurse is caring for a client who is in an acute care facility. The nurse should recognize that the
client's care requires clinical reasoning when it is complicated by which of the following factors?
(Select all that apply.)
A. Complex clinical situations
B. Ongoing client and family concerns
C. Cost of health care
D. Decreased need for advanced health care practitioner intervention
E. Availability of computerized medical records - Answer A. Complex clinical situations
, B. Ongoing client and family concerns
Complex clinical situations is correct. Clinical reasoning is necessary when determining the
prioritization of important clinical issues over issues that can wait. For example, clients who
have broken bones as well as a compromised airway need their airway to be stabilized prior to
setting broken bones. Correct prioritization is a key part of clinical reasoning in complex care
settings.
Ongoing client and family concerns is correct. Client and family concerns complicate the clinical
situation of the client's care, making clinical reasoning a necessity. Clients and family members
can reveal important pieces of information as they express their concerns. The nurse needs to
carefully listen to everything that clients and their families say to collect information that might
be useful in providing optimal care to the client.
A nurse is developing a goal for a client to ambulate with assistance at least once by the end of
the shift. The nurse should identify that this is an example of which of the following steps of the
nursing process?
A. Evaluation
B. Implementation
C. Analysis
D. Planning - Answer D. Planning
In the planning step of the nursing process, the nurse develops interventions to treat or manage
the client's identified problems. The plan of care guides the treatment of the client and should
be modified as the client's condition changes. In this scenario, the nurse is making goals for the
client regarding ambulation.
A charge nurse is planning to discuss factors that can influence the clinical decision-making
process in client care with a newly licensed nurse. Which of the following factors should the
charge nurse include? (Select all that apply.)
A. Appropriate delegation
B. Cost of client care
C. Available resources
D. Awareness of client status
E. Support from other staff - Answer C. Available resources
D. Awareness of client status
E. Support from other staff
Decision Making - Clinical Judgement
Process Questions and Answers.
A nurse is reviewing methods created to assist nurses in using evidence-based practice. Which
of the following is a NCSBN model that can assist the nurse with critical thinking and decision
making?
A. Clinical judgment
B. Critical thinking
C. Clinical reasoning
D. SMART goal - Answer A. Clinical judgment
The Clinical Judgment Model was developed to assist nurses in using evidence-based practice to
think critically and make decisions.
A nurse at an urgent care clinic is auscultating the lungs of a client who reports a cough and
shortness of breath. Which of the following steps of the nursing process is the nurse using?
A. Evaluation
B. Implementation
C. Analysis
D. Assessment - Answer D. Assessment
The nurse should identify auscultating a client's lungs as being part of the assessment step of
the nursing process because the nurse is collecting data from the client. Auscultating the client's
lung sounds is part of a physical assessment.
A nurse is caring for a client who is in an acute care facility. The nurse should recognize that the
client's care requires clinical reasoning when it is complicated by which of the following factors?
(Select all that apply.)
A. Complex clinical situations
B. Ongoing client and family concerns
C. Cost of health care
D. Decreased need for advanced health care practitioner intervention
E. Availability of computerized medical records - Answer A. Complex clinical situations
, B. Ongoing client and family concerns
Complex clinical situations is correct. Clinical reasoning is necessary when determining the
prioritization of important clinical issues over issues that can wait. For example, clients who
have broken bones as well as a compromised airway need their airway to be stabilized prior to
setting broken bones. Correct prioritization is a key part of clinical reasoning in complex care
settings.
Ongoing client and family concerns is correct. Client and family concerns complicate the clinical
situation of the client's care, making clinical reasoning a necessity. Clients and family members
can reveal important pieces of information as they express their concerns. The nurse needs to
carefully listen to everything that clients and their families say to collect information that might
be useful in providing optimal care to the client.
A nurse is developing a goal for a client to ambulate with assistance at least once by the end of
the shift. The nurse should identify that this is an example of which of the following steps of the
nursing process?
A. Evaluation
B. Implementation
C. Analysis
D. Planning - Answer D. Planning
In the planning step of the nursing process, the nurse develops interventions to treat or manage
the client's identified problems. The plan of care guides the treatment of the client and should
be modified as the client's condition changes. In this scenario, the nurse is making goals for the
client regarding ambulation.
A charge nurse is planning to discuss factors that can influence the clinical decision-making
process in client care with a newly licensed nurse. Which of the following factors should the
charge nurse include? (Select all that apply.)
A. Appropriate delegation
B. Cost of client care
C. Available resources
D. Awareness of client status
E. Support from other staff - Answer C. Available resources
D. Awareness of client status
E. Support from other staff
