A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Easy
Question Type: Multiple Choice (MCQ)
Question:
A nurse is preparing to administer a newly prescribed
medication. Before giving the medication, the nurse reviews the
patient's allergies, current vital signs, and laboratory values.
Which step of the Clinical Judgment Measurement Model
(CJMM) is the nurse demonstrating?
A. Analyze Cues
B. Recognize Cues
C. Generate Solutions
D. Evaluate Outcomes
Correct Answer: B
Rationale: Recognize Cues involves collecting relevant patient
information through assessment, including history, allergies,
vital signs, and laboratory results before making clinical
decisions.
Question 2
Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
,Question:
A patient receiving an antihypertensive medication reports
dizziness upon standing. The nurse determines that the
dizziness is likely related to orthostatic hypotension caused by
the medication. Which CJMM step is illustrated?
A. Recognize Cues
B. Analyze Cues
C. Take Action
D. Evaluate Outcomes
Correct Answer: B
Rationale: Analyze Cues requires interpreting assessment
findings and identifying relationships between patient data and
possible causes, such as medication-induced orthostatic
hypotension.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
The nurse is administering medications during a morning
medication pass. Which actions represent the Recognize Cues
(Assessment) phase?
, Select all that apply.
A. Review current laboratory values.
B. Determine that a medication should be withheld because of
bradycardia.
C. Measure the patient's blood pressure.
D. Ask about previous allergic reactions to medications.
E. Evaluate whether the medication relieved pain.
Correct Answers: A, C, D
Rationale: Recognize Cues involves gathering assessment data
before clinical decisions. Withholding medication is an
intervention based on analysis, while evaluating pain relief
occurs after administration.
Question 4
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A patient is prescribed insulin before breakfast. Assessment
reveals:
• Blood glucose: 58 mg/dL
• Patient reports shakiness and sweating