Pharmacology
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Unit I. Introduction to Pharmacology
Clinical Judgment Measurement Model (CJMM) and the
Nursing Process
SEO Title
Unit I: Introduction to Pharmacology – Clinical Judgment
Measurement Model (CJMM) and the Nursing Process |
NCLEX-RN 2025 Study Notes
Clinical Judgment Measurement Model (CJMM) and the
Nursing Process
The Clinical Judgment Measurement Model (CJMM) is the
framework developed by the National Council of State Boards
of Nursing (NCSBN) to assess a nurse's ability to make safe and
effective clinical decisions. The Next Generation NCLEX (NGN)
uses this model to evaluate how nursing students think through
patient problems rather than simply recalling facts.
Clinical judgment is the process of recognizing patient
problems, analyzing available information, prioritizing care,
implementing interventions, and evaluating patient outcomes.
The CJMM closely aligns with the traditional Nursing Process
(ADPIE).
, Nursing
CJMM Step Purpose
Process
Collect relevant patient
Recognize Cues Assessment
information.
Analyze Cues Analysis Interpret assessment findings.
Prioritize Identify the highest-priority
Analysis
Hypotheses patient problem.
Generate Develop appropriate nursing
Planning
Solutions interventions.
Carry out nursing
Take Action Implementation
interventions safely.
Evaluate Determine whether expected
Evaluation
Outcomes outcomes were achieved.
Explanation of Terms
1. Clinical Judgment (Nursing Process)
Definition
Clinical judgment is the nurse's ability to make informed
decisions based on patient assessment, scientific knowledge,
clinical experience, and evidence-based practice.
, It involves:
• Collecting patient information
• Interpreting assessment findings
• Identifying problems
• Choosing appropriate interventions
• Evaluating patient responses
Importance in Pharmacology
Medication administration requires sound clinical judgment
because nurses must determine:
• Whether a medication is appropriate
• If it is safe to administer
• How the patient may respond
• What adverse effects require immediate intervention
Example
A patient prescribed morphine has:
• Respiratory rate: 8 breaths/min
• Oxygen saturation: 88%
Clinical judgment tells the nurse to withhold the medication,
assess the patient further, notify the healthcare provider, and
A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Unit I. Introduction to Pharmacology
Clinical Judgment Measurement Model (CJMM) and the
Nursing Process
SEO Title
Unit I: Introduction to Pharmacology – Clinical Judgment
Measurement Model (CJMM) and the Nursing Process |
NCLEX-RN 2025 Study Notes
Clinical Judgment Measurement Model (CJMM) and the
Nursing Process
The Clinical Judgment Measurement Model (CJMM) is the
framework developed by the National Council of State Boards
of Nursing (NCSBN) to assess a nurse's ability to make safe and
effective clinical decisions. The Next Generation NCLEX (NGN)
uses this model to evaluate how nursing students think through
patient problems rather than simply recalling facts.
Clinical judgment is the process of recognizing patient
problems, analyzing available information, prioritizing care,
implementing interventions, and evaluating patient outcomes.
The CJMM closely aligns with the traditional Nursing Process
(ADPIE).
, Nursing
CJMM Step Purpose
Process
Collect relevant patient
Recognize Cues Assessment
information.
Analyze Cues Analysis Interpret assessment findings.
Prioritize Identify the highest-priority
Analysis
Hypotheses patient problem.
Generate Develop appropriate nursing
Planning
Solutions interventions.
Carry out nursing
Take Action Implementation
interventions safely.
Evaluate Determine whether expected
Evaluation
Outcomes outcomes were achieved.
Explanation of Terms
1. Clinical Judgment (Nursing Process)
Definition
Clinical judgment is the nurse's ability to make informed
decisions based on patient assessment, scientific knowledge,
clinical experience, and evidence-based practice.
, It involves:
• Collecting patient information
• Interpreting assessment findings
• Identifying problems
• Choosing appropriate interventions
• Evaluating patient responses
Importance in Pharmacology
Medication administration requires sound clinical judgment
because nurses must determine:
• Whether a medication is appropriate
• If it is safe to administer
• How the patient may respond
• What adverse effects require immediate intervention
Example
A patient prescribed morphine has:
• Respiratory rate: 8 breaths/min
• Oxygen saturation: 88%
Clinical judgment tells the nurse to withhold the medication,
assess the patient further, notify the healthcare provider, and
