Ultimate-Next-
Generation-NCLEX-
Study-Guide.
, All you need to
know about
CJMM Steps
Case studies
NCLEX NGN Question Types
LAB Values and many
more!
CHANGES!
ReMarNurse.com
, Are you ready Top 5 Skills Required
for NCLEX
Changes? to Practice Nursing
1
WHY IS THE CLINICAL JUDGEMENT
NCLEX CHANGING?
2
NGN was developed to strengthen
the linkage between test items and PROBLEM SOLVING
clinical judgment using the Clinical
3
Judgment Model.
CRITICAL - THINKING
PUBLIC SAFETY 4
50% of novice nurses had errors.
ACTIVE LISTENING
65% of the errors were related to 5
some poor judgement of either
a task or an environment. PROFESSIONAL
COMMUNICATION
20% of employers believed they
received novice nurses who
ReMarNurse.com
were effectively prepared to
make clinical decisions.
, ReMarNurse.com
The Clinical Judgment Measurement Model (CJMM) is what the new NCLEX is built on.
Each layer represents the thought process needed to make a correct clinical judgment about a
client who needs nursing care.
Layer 0 represents the nurse determining the client's needs.
Layer 1 represents the entire process of clinical judgment.
According to the client response in layer 2, the nurse then moves through layers 3 and 4.
Layer 3 is the area where testing can take place to determine the education of entry-level
nurses and how they develop clinical judgment over a period of time. The six steps within layer 3
make up a repetitious process the student can improve over time with nursing experience and
clinical exposure. This is considered the “action layer.” Layer 4 creates a realistic client scenario.
The CJMM is appropriate for use in the lab setting, clinical setting, and on a standard written or
computer examination.
Client Clinical
Needs Decisions
Layer 0
Clinical Judgment
Layer 1 Satisfied
Not satisfied
Form Hypotheses Refine Hypotheses Evaluation
Layer 2
Recognize Analyze Generate Evaluate
Cues Cues Solutions Outcomes
Take
Hypotheses Actions
Layer 3
Environmental Factor Examples Individual Factor Examples
Client Medical
Environment Resources Knowledge
Observation Records Skills Specialty
Consequences Time Task Cultural Candidate Prior Level of
& Risks Pressure Complexity Consideration Characteristics Experience Experience
Layer 4
Nursing
Generation-NCLEX-
Study-Guide.
, All you need to
know about
CJMM Steps
Case studies
NCLEX NGN Question Types
LAB Values and many
more!
CHANGES!
ReMarNurse.com
, Are you ready Top 5 Skills Required
for NCLEX
Changes? to Practice Nursing
1
WHY IS THE CLINICAL JUDGEMENT
NCLEX CHANGING?
2
NGN was developed to strengthen
the linkage between test items and PROBLEM SOLVING
clinical judgment using the Clinical
3
Judgment Model.
CRITICAL - THINKING
PUBLIC SAFETY 4
50% of novice nurses had errors.
ACTIVE LISTENING
65% of the errors were related to 5
some poor judgement of either
a task or an environment. PROFESSIONAL
COMMUNICATION
20% of employers believed they
received novice nurses who
ReMarNurse.com
were effectively prepared to
make clinical decisions.
, ReMarNurse.com
The Clinical Judgment Measurement Model (CJMM) is what the new NCLEX is built on.
Each layer represents the thought process needed to make a correct clinical judgment about a
client who needs nursing care.
Layer 0 represents the nurse determining the client's needs.
Layer 1 represents the entire process of clinical judgment.
According to the client response in layer 2, the nurse then moves through layers 3 and 4.
Layer 3 is the area where testing can take place to determine the education of entry-level
nurses and how they develop clinical judgment over a period of time. The six steps within layer 3
make up a repetitious process the student can improve over time with nursing experience and
clinical exposure. This is considered the “action layer.” Layer 4 creates a realistic client scenario.
The CJMM is appropriate for use in the lab setting, clinical setting, and on a standard written or
computer examination.
Client Clinical
Needs Decisions
Layer 0
Clinical Judgment
Layer 1 Satisfied
Not satisfied
Form Hypotheses Refine Hypotheses Evaluation
Layer 2
Recognize Analyze Generate Evaluate
Cues Cues Solutions Outcomes
Take
Hypotheses Actions
Layer 3
Environmental Factor Examples Individual Factor Examples
Client Medical
Environment Resources Knowledge
Observation Records Skills Specialty
Consequences Time Task Cultural Candidate Prior Level of
& Risks Pressure Complexity Consideration Characteristics Experience Experience
Layer 4
Nursing
