,Chapter 1: Pharmacology and the Nursing Process in LPN
Practice
Chapter 1, Section: THE LPN/VN’S ROLE, Subsection: USING
THE CLINICAL JUDGMENT MODEL
A nurse is preparing to administer a new scheduled medication
to a patient. Which action by the nurse best demonstrates the
"recognizing cues" step of the Clinical Judgment Measurement
Model (CJMM)?
A. Verifying the patient's allergies listed in the chart.
B. Documenting the medication administration after it is given.
C. Notifying the provider of a critical lab value related to the
drug.
D. Evaluating the patient for therapeutic effects 30 minutes
after administration.
Correct Answer: A
Rationale: A is correct because recognizing cues involves
gathering and assessing initial data, such as reviewing a
patient's allergies, which is a critical safety check before any
drug administration. B is incorrect as it represents the "taking
action" step of documentation. C is incorrect as notifying a
provider is an example of the "taking action" step. D is incorrect
as it represents the "evaluating outcomes" step of the nursing
process.
Teaching Point: Recognizing cues involves the initial collection
and analysis of critical patient data before intervention.
,2.
Chapter 1, Section: THE LPN/VN’S ROLE, Subsection: USING
THE CLINICAL JUDGMENT MODEL
An LPN is reviewing a patient's medication list during shift
assessment and notes that a newly prescribed diuretic is
missing from the automated dispensing cabinet. Which
subsequent action by the LPN best exemplifies "analyzing cues"
within the CJMM?
A. Immediately paging the healthcare provider to report the
missing medication.
B. Checking the most recent physician's orders to verify if the
medication was truly ordered.
C. Informing the charge RN that a medication is unavailable for
administration.
D. Assessing the patient for signs of fluid overload that the
diuretic was meant to treat.
Correct Answer: B
Rationale: B is correct because analyzing cues involves
synthesizing the cue (missing medication) with other data
sources (the original order) to determine its significance and
validity. A and C are incorrect as they are actions
taken after analysis. D is incorrect; while assessment is ongoing,
the immediate cue to analyze is the discrepancy between the
order and the supply, not the patient's condition.
Teaching Point: Analyzing cues requires linking new data with
existing information to form a clinical picture before acting.
, 3.
Chapter 1, Section: THE LPN/VN’S ROLE, Subsection: USING
THE CLINICAL JUDGMENT MODEL
After administering an antihypertensive medication, the LPN
assesses the patient and finds the blood pressure is significantly
lower than the pre-administration reading. The LPN prioritizes
monitoring the patient's dizziness and adjusts the bed position
for safety. This decision-making primarily demonstrates which
step of the CJMM?
A. Generating solutions
B. Taking action
C. Evaluating outcomes
D. Recognizing cues
Correct Answer: B
Rationale: B is correct because "taking action" involves
implementing appropriate interventions, such as safety
measures, based on the nurse's clinical judgment. A is incorrect
as generating solutions would have occurred when the nurse
considered what to do about the low BP. C is incorrect as
evaluation happens after the action is taken. D is incorrect as
the cues (low BP, dizziness) have already been recognized.
Teaching Point: Taking action is the implementation of planned,
evidence-based nursing interventions to address patient needs.
4.
Chapter 1, Section: THE LPN/VN’S ROLE, Subsection: USING
THE CLINICAL JUDGMENT MODEL
Practice
Chapter 1, Section: THE LPN/VN’S ROLE, Subsection: USING
THE CLINICAL JUDGMENT MODEL
A nurse is preparing to administer a new scheduled medication
to a patient. Which action by the nurse best demonstrates the
"recognizing cues" step of the Clinical Judgment Measurement
Model (CJMM)?
A. Verifying the patient's allergies listed in the chart.
B. Documenting the medication administration after it is given.
C. Notifying the provider of a critical lab value related to the
drug.
D. Evaluating the patient for therapeutic effects 30 minutes
after administration.
Correct Answer: A
Rationale: A is correct because recognizing cues involves
gathering and assessing initial data, such as reviewing a
patient's allergies, which is a critical safety check before any
drug administration. B is incorrect as it represents the "taking
action" step of documentation. C is incorrect as notifying a
provider is an example of the "taking action" step. D is incorrect
as it represents the "evaluating outcomes" step of the nursing
process.
Teaching Point: Recognizing cues involves the initial collection
and analysis of critical patient data before intervention.
,2.
Chapter 1, Section: THE LPN/VN’S ROLE, Subsection: USING
THE CLINICAL JUDGMENT MODEL
An LPN is reviewing a patient's medication list during shift
assessment and notes that a newly prescribed diuretic is
missing from the automated dispensing cabinet. Which
subsequent action by the LPN best exemplifies "analyzing cues"
within the CJMM?
A. Immediately paging the healthcare provider to report the
missing medication.
B. Checking the most recent physician's orders to verify if the
medication was truly ordered.
C. Informing the charge RN that a medication is unavailable for
administration.
D. Assessing the patient for signs of fluid overload that the
diuretic was meant to treat.
Correct Answer: B
Rationale: B is correct because analyzing cues involves
synthesizing the cue (missing medication) with other data
sources (the original order) to determine its significance and
validity. A and C are incorrect as they are actions
taken after analysis. D is incorrect; while assessment is ongoing,
the immediate cue to analyze is the discrepancy between the
order and the supply, not the patient's condition.
Teaching Point: Analyzing cues requires linking new data with
existing information to form a clinical picture before acting.
, 3.
Chapter 1, Section: THE LPN/VN’S ROLE, Subsection: USING
THE CLINICAL JUDGMENT MODEL
After administering an antihypertensive medication, the LPN
assesses the patient and finds the blood pressure is significantly
lower than the pre-administration reading. The LPN prioritizes
monitoring the patient's dizziness and adjusts the bed position
for safety. This decision-making primarily demonstrates which
step of the CJMM?
A. Generating solutions
B. Taking action
C. Evaluating outcomes
D. Recognizing cues
Correct Answer: B
Rationale: B is correct because "taking action" involves
implementing appropriate interventions, such as safety
measures, based on the nurse's clinical judgment. A is incorrect
as generating solutions would have occurred when the nurse
considered what to do about the low BP. C is incorrect as
evaluation happens after the action is taken. D is incorrect as
the cues (low BP, dizziness) have already been recognized.
Teaching Point: Taking action is the implementation of planned,
evidence-based nursing interventions to address patient needs.
4.
Chapter 1, Section: THE LPN/VN’S ROLE, Subsection: USING
THE CLINICAL JUDGMENT MODEL
