OpenStax Clinical Nursing Skills Nursing Test Bank
Chapter 28: Clinical Judgment and Critical Thinking
OpenStax Clinical Nursing Skills Nursing
Test Bank
Chapter 28: Clinical Judgment and Critical Thinking
Review Questions
Multiple Choice
1. What was the primary purpose for developing the CJMM?
A. develop a means to promote linear thinking in nursing
B. develop a means to transition from being task-oriented to care-oriented
C. develop a means to measure nursing clinical reasoning skills*
D. develop a means to promote nursing assessment
LO: 28.1.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
2. Before development of the CJMM, how was the nursing process approached?
A. with task-orientation
B. with clinical judgment
C. with NCSBN standards
D. with ADPIE*
LO: 28.1.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
3. What are SMART goals?
A. separate, meticulous, accurate, reasonable, targeted
B. specialized, measured, accurate, reasonable, timely
C. specific, moderate, achievable, realistic, targeted
D. specific, measurable, attainable, realistic, timely*
LO: 28.1.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
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, OpenStax Clinical Nursing Skills Nursing Test Bank
Chapter 28: Clinical Judgment and Critical Thinking
4. As you work with your patient, you examine the possible explanations for the patient’s
situation and determine the interventions needed to address the patient’s health issues.
Which layer of the CJMM includes these steps?
A. layer 1
B. layer 2
C. layer 3*
D. layer 4
LO: 28.1.2
Difficulty: Moderate
Blooms: Remember, Understand, Apply
AACN: 1.1b
5. While working with your patient, you learn that she has a family history of heart disease, is
currently taking a beta blocker, and lives alone. Which layer of the CJMM is concerned with
this information?
A. layer 1
B. layer 2
C. layer 3
D. layer 4*
LO: 28.1.2
Difficulty: Difficult
Blooms: Remember, Understand, Apply
AACN: 1.1b
6. As you gather information about your patient, you do a thorough analysis to determine the
potential explanations for your patient’s health issues. Which layer of the CJMM involves
this process?
A. layer 1
B. layer 2*
C. layer 3
D. layer 4
LO: 28.1.2
Difficulty: Moderate
Blooms: Remember, Understand, Apply
AACN: 1.1b
7. Your patient, Rafael, is eating lunch and begins choking. You rush to Rafael’s room, bend
him over at the waist, and use the heel of your hand to strike five times between his
shoulder blades. This dislodges the food in Rafael’s throat. You help Rafael sit up, provide
him with water, and talk calmly to him while making sure that he is okay. What type of
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
2 9/27/2025
Chapter 28: Clinical Judgment and Critical Thinking
OpenStax Clinical Nursing Skills Nursing
Test Bank
Chapter 28: Clinical Judgment and Critical Thinking
Review Questions
Multiple Choice
1. What was the primary purpose for developing the CJMM?
A. develop a means to promote linear thinking in nursing
B. develop a means to transition from being task-oriented to care-oriented
C. develop a means to measure nursing clinical reasoning skills*
D. develop a means to promote nursing assessment
LO: 28.1.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
2. Before development of the CJMM, how was the nursing process approached?
A. with task-orientation
B. with clinical judgment
C. with NCSBN standards
D. with ADPIE*
LO: 28.1.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
3. What are SMART goals?
A. separate, meticulous, accurate, reasonable, targeted
B. specialized, measured, accurate, reasonable, timely
C. specific, moderate, achievable, realistic, targeted
D. specific, measurable, attainable, realistic, timely*
LO: 28.1.1
Difficulty: Easy
Blooms: Remember
AACN: 1.1a
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
1 9/27/2025
, OpenStax Clinical Nursing Skills Nursing Test Bank
Chapter 28: Clinical Judgment and Critical Thinking
4. As you work with your patient, you examine the possible explanations for the patient’s
situation and determine the interventions needed to address the patient’s health issues.
Which layer of the CJMM includes these steps?
A. layer 1
B. layer 2
C. layer 3*
D. layer 4
LO: 28.1.2
Difficulty: Moderate
Blooms: Remember, Understand, Apply
AACN: 1.1b
5. While working with your patient, you learn that she has a family history of heart disease, is
currently taking a beta blocker, and lives alone. Which layer of the CJMM is concerned with
this information?
A. layer 1
B. layer 2
C. layer 3
D. layer 4*
LO: 28.1.2
Difficulty: Difficult
Blooms: Remember, Understand, Apply
AACN: 1.1b
6. As you gather information about your patient, you do a thorough analysis to determine the
potential explanations for your patient’s health issues. Which layer of the CJMM involves
this process?
A. layer 1
B. layer 2*
C. layer 3
D. layer 4
LO: 28.1.2
Difficulty: Moderate
Blooms: Remember, Understand, Apply
AACN: 1.1b
7. Your patient, Rafael, is eating lunch and begins choking. You rush to Rafael’s room, bend
him over at the waist, and use the heel of your hand to strike five times between his
shoulder blades. This dislodges the food in Rafael’s throat. You help Rafael sit up, provide
him with water, and talk calmly to him while making sure that he is okay. What type of
For more free, peer-reviewed, openly licensed resources visit OpenStax.org.
2 9/27/2025
