ATI Clinical Judgment Process
Question 1.
A nurse is reviewing methods created to assist nurses in using evidence-based practice. Which of the follow-ing 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.
B. Critical thinking is incorrect. Critical thinking is the skill of learning to analyze and interpret data and is an element of the NCSBN's Clinical Judgment
Model for nurses.
C. Clinical reasoning is incorrect. Clinical reasoning is a constant and repeated action that nurses use in practice. Clinical reasoning influences the
NCSBN's Clinical Judgment Model for nurses.
D. SMART goal is incorrect. The acronym SMART represents a goal-setting framework (specific, measurable, attainable, relevant, time-based). While it is
helpful in goal setting, it is not specific to using evidence-based practice to make clinical judgments used in the NCSBN's Clinical Judgment Model for
nurses.
Question 2.
In what order should an RN perform the steps of the nursing process? (Move the steps into the box on the right, placing them in the
order of performance. Use all the steps). Analysis Assessment Planning Evaluation Implementation
ANSWER
Assessment Analysis Planning Implementation Evaluation The nursing process for RNs consists of five steps that are performed in the following order:
Assessment, Analysis, Planning, Implementation, and Evaluation.
Question 3.
A nurse is reviewing the concept of critical thinking with a newly licensed nurse. Which of the follow-ing statements should the nurse
make? A."Critical thinking is the foundation for clinical decision making." B. "Critical thinking takes into consideration nursing,
scientific, and technological knowledge in client situations." C. "Critical thinking is the visible or observed outcome while using
evidence-based practice." D. "Critical thinking is necessary for the nurse to collect objective client data."
ANSWER
A."Critical thinking is the foundation for clinical decision making." Critical thinking is considered a higher order of thinking that is the foundation for clinical
decision making. It is a critical component of nursing care and is used in each step of the nursing process to enhance client care.
B. "Critical thinking takes into consideration nursing, scientific, and technological knowledge in client situations." is incorrect. Clinical reasoning, rather than
critical thinking, takes into consideration nursing, scientific, and technological knowledge in client situations.
C. "Critical thinking is the visible or observed outcome while using evidence-based practice." is incorrect. Clinical judgment is defined by the NCSBN® as
the visible or observed outcome of the elements of critical thinking and decision making that considers nursing knowledge, client situations, prioritization
of client problems and concerns, while using evidence-based practice.
D. "Critical thinking is necessary for the nurse to collect objective client data." is incorrect. Objective client data is data that can be observed by the nurses
through the senses (sight, hearing, smelling, touching). It does not involve the element of critical thinking to collect this type of data.
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Question 1.
A nurse is reviewing methods created to assist nurses in using evidence-based practice. Which of the follow-ing 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.
B. Critical thinking is incorrect. Critical thinking is the skill of learning to analyze and interpret data and is an element of the NCSBN's Clinical Judgment
Model for nurses.
C. Clinical reasoning is incorrect. Clinical reasoning is a constant and repeated action that nurses use in practice. Clinical reasoning influences the
NCSBN's Clinical Judgment Model for nurses.
D. SMART goal is incorrect. The acronym SMART represents a goal-setting framework (specific, measurable, attainable, relevant, time-based). While it is
helpful in goal setting, it is not specific to using evidence-based practice to make clinical judgments used in the NCSBN's Clinical Judgment Model for
nurses.
Question 2.
In what order should an RN perform the steps of the nursing process? (Move the steps into the box on the right, placing them in the
order of performance. Use all the steps). Analysis Assessment Planning Evaluation Implementation
ANSWER
Assessment Analysis Planning Implementation Evaluation The nursing process for RNs consists of five steps that are performed in the following order:
Assessment, Analysis, Planning, Implementation, and Evaluation.
Question 3.
A nurse is reviewing the concept of critical thinking with a newly licensed nurse. Which of the follow-ing statements should the nurse
make? A."Critical thinking is the foundation for clinical decision making." B. "Critical thinking takes into consideration nursing,
scientific, and technological knowledge in client situations." C. "Critical thinking is the visible or observed outcome while using
evidence-based practice." D. "Critical thinking is necessary for the nurse to collect objective client data."
ANSWER
A."Critical thinking is the foundation for clinical decision making." Critical thinking is considered a higher order of thinking that is the foundation for clinical
decision making. It is a critical component of nursing care and is used in each step of the nursing process to enhance client care.
B. "Critical thinking takes into consideration nursing, scientific, and technological knowledge in client situations." is incorrect. Clinical reasoning, rather than
critical thinking, takes into consideration nursing, scientific, and technological knowledge in client situations.
C. "Critical thinking is the visible or observed outcome while using evidence-based practice." is incorrect. Clinical judgment is defined by the NCSBN® as
the visible or observed outcome of the elements of critical thinking and decision making that considers nursing knowledge, client situations, prioritization
of client problems and concerns, while using evidence-based practice.
D. "Critical thinking is necessary for the nurse to collect objective client data." is incorrect. Objective client data is data that can be observed by the nurses
through the senses (sight, hearing, smelling, touching). It does not involve the element of critical thinking to collect this type of data.
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