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CJMM Final Exam Worksheet: Clinical Judgment Skills Assessment

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CJMM Final Exam Worksheet: Clinical Judgment Skills Assessment

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The Clinical Judgment Measurement Model Page 1 of 3

The Clinical Judgment Measurement Model Page 2 of 3



THE CLINICAL JUDGMENT MEASUREMENT MODEL
The Clinical Judgment Measurement Model (CJMM) identifies six cognitive skills needed to make appropriate clinical
judgments. Complete the following section using the CJMM and reflecting on all the data/cues (Assessment,
Labs/Diagnostics, Prescriptions/Orders and Patient Information) from your assigned patient.
ASSESSMENT ANALYSIS PLANNING IMPLEMENTATION EVALUATION




RECOGNIZE ANALYZE PRIORITIZE GENERATE TAKE EVALUATE
CUES CUES HYPOTHESIS SOLUTIONS ACTION OUTCOMES



Recognize Cues – Identify relevant and important information from different sources (e.g., medical history, vital signs).
Significant Significant Significant Significant Significant
List the data/cues Data/Cue 1 Data/Cue 2 Data/Cue 3 Data/Cue 4 Data/Cue 5
that are relevant Patient previously Patient is 4 days s/p Patient was initially Patient resents to Patient requires
and are diagnosed with left total hip seen for hip pain hospital for post assistance with
interpreted as osteoarthritis, arthroplasty. three months ago. operative pain. getting out of bed and
clinically
hypertension, and ambulation.
significant.
hyperlipidemia.


Analyze Cues – Organizing and linking the recognized cues to the client’s clinical
presentation.
Potential Problem 1 Potential Problem 2 Potential Problem 3
Interpret the Risk for localized infection at surgical Risk for exacerbation of stage 1 Risk for dislocation of left total hip
relevant clinical site due to recent total hip pressure ulcer on left heel due to arthroplasty due to limited range of
data/cues. Identify
arthroplasty. mobility limitations. motion in the hip.
the top three most
Additional Data Additional Data Additional Data
likely problems. Is
additional data Regularly assess the wound or surgical Perform regular assessments of the Consistently reinforce adherence to
needed to confirm site for discoloration, increased pain, affected area to monitor the condition anterior hip precautions for up to six
the clinical or abnormal drainage. Also, watch for of the left heel. Use techniques such weeks to prevent dislocation of the
significance of the systemic signs of infection, such as as floating the ankles and feet to left total hip arthroplasty. Avoid
cues at this point?
fever, chills, or fatigue, to ensure early relieve pressure on the reddened area activities such as hyperextension,
Be specific; what
additional data is detection and prevention of and prevent the stage one pressure external rotation, or crossing the legs
needed to confirm? complications following the left total ulcer from worsening. during mobility and daily activities.
hip arthroplasty.

Prioritize Hypothesis – Evaluating and ranking hypotheses according to priority (urgency, likelihood, risk, difficulty, time,
etc.).
The most likely problem present would be the progression of the stage 1 pressure ulcer on the left heel. Pressure
Of the potential
problems you ulcers commonly develop in immobile patients or those with limited mobility, especially at pressure points like the
identified, which heels. Early-stage ulcers can worsen quickly if preventive measures are not consistently implemented. The most
problem(s) is most concerning problem is the risk of infection, particularly following the left total hip arthroplasty (THA). Post-surgical
likely present? Which infections can lead to severe complications, including prosthetic joint infection (PJI), which may require additional
problem is the most
surgeries, extended hospital stays, and long-term antibiotic use. Infection can also compromise overall recovery and
concerning and why?
function of the hip joint, significantly impacting the patient's quality of life.
Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661




Generate Solutions – Identifying expected outcomes and using hypotheses to define a set of interventions for the expected

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