NUR 130 REVIEW TIPS QUESTIONS AND
ANSWERS SET A+
✔✔Clinical judgement measurement model - ✔✔-Layer 0 through 2 is the basis of how
the clinical judgment is made
-Layer 3 and 4 is what one expects from a nurse during study or in the room
✔✔Clinical judgement environmental factors - ✔✔-Environment around them
-Client oberservation
-Consequences and risks
-Time pressure
-Task complexity
-Cultural consideration
-Medical records
-Resources
✔✔Clinical judgment individual factors - ✔✔-Knowledge
-Skill
-Specialty
-Prior experience
-Level of experience
-Candidate characteristics
✔✔Recognize cues - ✔✔-Organizing and linking the recognized cues to the client's
clinical presentation
-Find what is most concerning
✔✔ABC - ✔✔-Airway
-Breathing
-Circulation
✔✔Recognize cues example - ✔✔-Warmth of calf, swelling, and weak pedal pulse most
concerning with circulation
, ✔✔Analyze cues - ✔✔-Organizing and linking the recognized cues to the client's clinical
presentation
- Assess the findings and indicate consistencies
✔✔Prioritize hypotheses - ✔✔Evaluating and ranking hypotheses according to priority
✔✔Generate solutions - ✔✔Identifying expected outcomes and using hypotheses to
define a set of interventions for the expected outcomes
✔✔Take action - ✔✔Implementing the solutions that take the highest priority
✔✔Evaluate outcomes - ✔✔Comparing observed outcomes against expected outcomes
✔✔Environmental factors that impact clinical judgement - ✔✔-Setting, situation and
environment2 (safety considerations, equipment, surroundings)
-Client observation( age, symptoms of health alteration
-Resources (staffing, supplies, beds, care partners
-Health record (history, labs, diagnostic tests, medications, treatments, intake and
output)
-Time pressure (pager, STAT medication, change in clients condition)
-Cultural consideration (Language, literacy, religion, diet)
-Task complexity (level of difficulty, complicated versus simple action, number of
people involved)
Risk assessment (Identifying and finding ways to remove or minimize harm to promote
safety and health)
✔✔Individual factors that impact clinical judgment - ✔✔-Nurse factors (Knowledge,
skills, specialty)
-Nurse characteristics (attitude, prior experiences, level of experience)
-Cognitive load (demands on the nurse, stress, problem solving, and memory)
✔✔Developing clinical judgment - ✔✔-Theory vs practice
-Knowledge vs deep understanding
-Recognizing patterns
-Applying concepts to nursing practice
-Skillful responding
-Reflective practice
✔✔Theory vs practice - ✔✔The best theory is done by practice
✔✔Knowledge vs deep understanding - ✔✔When one can start taking ques and piecing
them together
ANSWERS SET A+
✔✔Clinical judgement measurement model - ✔✔-Layer 0 through 2 is the basis of how
the clinical judgment is made
-Layer 3 and 4 is what one expects from a nurse during study or in the room
✔✔Clinical judgement environmental factors - ✔✔-Environment around them
-Client oberservation
-Consequences and risks
-Time pressure
-Task complexity
-Cultural consideration
-Medical records
-Resources
✔✔Clinical judgment individual factors - ✔✔-Knowledge
-Skill
-Specialty
-Prior experience
-Level of experience
-Candidate characteristics
✔✔Recognize cues - ✔✔-Organizing and linking the recognized cues to the client's
clinical presentation
-Find what is most concerning
✔✔ABC - ✔✔-Airway
-Breathing
-Circulation
✔✔Recognize cues example - ✔✔-Warmth of calf, swelling, and weak pedal pulse most
concerning with circulation
, ✔✔Analyze cues - ✔✔-Organizing and linking the recognized cues to the client's clinical
presentation
- Assess the findings and indicate consistencies
✔✔Prioritize hypotheses - ✔✔Evaluating and ranking hypotheses according to priority
✔✔Generate solutions - ✔✔Identifying expected outcomes and using hypotheses to
define a set of interventions for the expected outcomes
✔✔Take action - ✔✔Implementing the solutions that take the highest priority
✔✔Evaluate outcomes - ✔✔Comparing observed outcomes against expected outcomes
✔✔Environmental factors that impact clinical judgement - ✔✔-Setting, situation and
environment2 (safety considerations, equipment, surroundings)
-Client observation( age, symptoms of health alteration
-Resources (staffing, supplies, beds, care partners
-Health record (history, labs, diagnostic tests, medications, treatments, intake and
output)
-Time pressure (pager, STAT medication, change in clients condition)
-Cultural consideration (Language, literacy, religion, diet)
-Task complexity (level of difficulty, complicated versus simple action, number of
people involved)
Risk assessment (Identifying and finding ways to remove or minimize harm to promote
safety and health)
✔✔Individual factors that impact clinical judgment - ✔✔-Nurse factors (Knowledge,
skills, specialty)
-Nurse characteristics (attitude, prior experiences, level of experience)
-Cognitive load (demands on the nurse, stress, problem solving, and memory)
✔✔Developing clinical judgment - ✔✔-Theory vs practice
-Knowledge vs deep understanding
-Recognizing patterns
-Applying concepts to nursing practice
-Skillful responding
-Reflective practice
✔✔Theory vs practice - ✔✔The best theory is done by practice
✔✔Knowledge vs deep understanding - ✔✔When one can start taking ques and piecing
them together
