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Developing Clinical Judgment for Professional Nursing and the Next-Generation NCLEX-RN® Examination Donna D. Ignatavicius, MS, RN, CNE, ANEF Speaker and Curriculum Consultant for Academic Nursing Programs; Founder, Boot Camp for Nurse Educators; President

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Developing Clinical Judgment for Professional Nursing and the Next-Generation NCLEX-RN® Examination Donna D. Ignatavicius, MS, RN, CNE, ANEF Speaker and Curriculum Consultant for Academic Nursing Programs; Founder, Boot Camp for Nurse Educators; President, DI Associates, Inc. , Lileton, Colorado| 12th edition Table of Contents Instructions for online access Cover image Title page Copyright Contributors Reviewers Preface Dedication About the author Acknowledgments Exemplars PART 1. Introduction: Developing Clinical Judgment 1. Transitioning from the nursing process to clinical judgment Review of the nursing process and critical thinking Expanding from the nursing process to clinical judgment New nursing graduates and clinical judgment The National Council of State Boards of Nursing Clinical Judgment Measurement Model Thinking and discussion questions References 2. Applying the NCSBN clinical judgment measurement model to ensure client safety Overview of the NCSBN CJMM Applying the cognitive skills of the NCSBN CJMM Applying the NCSBN CJMM for thinking exercises in this workbook Enhanced hot spot thinking exercises Cloze thinking exercises Extended drag and drop thinking exercises Extended multiple response thinking exercises Matrix thinking exercises Thinking and discussion questions Bibliography PART 2. Clinical Judgment for Clients Across the Life Span Experiencing Commonly Occurring Health Problems 3. Perfusion: Common Health Problems Exemplar 3A. Heart failure (Medical-surgical nursing: Older adult) Exemplar 3B. Sickle cell disease (Pediatric nursing: Adolescent) 4. Clotting: Deep Vein Thrombosis Exemplar 4. Deep vein thrombosis (Medical-surgical nursing: Middle-age adult) 5. Gas exchange: Common Health Problems Exemplar 5A. Asthma (Pediatric nursing: School-age child) Exemplar 5B. Chronic obstructive pulmonary disease (Medical- surgical nursing: Middle-age adult) 6. Elimination: Benign Prostatic Hyperplasia Exemplar 6. Benign prostatic hyperplasia (Medical-surgical nursing: Older adult) 7. Nutrition: Common Health Problems Exemplar 7A. Cholecystitis/cholecystectomy (Medical-surgical nursing: Middle-age adult) Exemplar 7B. Peptic ulcer disease (Medical-surgical nursing: Middle-age adult) 8. Mobility: Common Health Problems Exemplar 8A. Fractured hip/open reduction internal fixation (Medical-surgical nursing: Older adult) Exemplar 8B. Fractured radius and medial epicondyle (Pediatric nursing: Preschool child) Exemplar 8C. Osteoarthritis/total knee arthroplasty (Medical- surgical nursing: Middle-age adult) Exemplar 8D. Parkinson disease (Medical-surgical nursing/mental health nursing: Older adult) 9. Metabolism: Common Health Problems Exemplar 9A. Diabetes mellitus (Medical-surgical nursing: Middle-age adult) Exemplar 9B. Hyperthyroidism/thyroidectomy (Medical-surgical nursing: Middle-age adult) 10. Cellular regulation: Breast Cancer Exemplar 10. Breast cancer (Medical-surgical nursing: Middle- age adult) 11. Inflammation: Common Health Problems Exemplar 11A. Crohn’s disease (Medical-surgical nursing: Young adult; middle-age adult) Exemplar 11B. Appendicitis/appendectomy (Pediatric nursing: Late school-age child) 12. Infection: Common Health Problems Exemplar 12A. Cellulitis (Medical-surgical nursing: Middle-age adult) Exemplar 12B. Respiratory syncytial virus (RSV) (Pediatric nursing: Infant) 13. Sensory perception: Cataracts Exemplar 13. Cataracts (Medical-surgical nursing: Older adult) 14. Cognition: Common Health Problems Exemplar 14A. Delirium (Mental health nursing: Older adult) Exemplar 14B. Alzheimer’s disease (Mental health nursing: Middle-age adult) 15. Mood and affect: Depression Exemplar 15. Depression (Mental health nursing: Adolescent) 16. Stress and coping: Generalized Anxiety Disorder Exemplar 16. Generalized anxiety disorder (Mental health nursing: Young adult) 17. Reproduction: Uterine Leiomyoma/Hysterectomy Exemplar 17. Uterine leiomyoma/hysterectomy (Medical- surgical nursing: Middle-age adult) PART 3. Clinical Judgment for Childbearing Families 18. Reproduction: Childbearing Family Exemplar 18A. Uncomplicated prenatal woman Exemplar 18B. Complicated prenatal woman Exemplar 18C. Uncomplicated intrapartum care Exemplar 18D. Complicated intrapartum care Exemplar 18E. Uncomplicated postpartum care Exemplar 18F. Complicated postpartum care Exemplar 18G. Uncomplicated newborn care PART 4. Clinical Judgment for Clients Across the Life Span Experiencing Complex Multisystem Health Problems 19. Perfusion: Complex Health Problems Exemplar 19A. Myocardial infarction (Medical-surgical nursing: Middle-age adult) Exemplar 19B. Atrial fibrillation/stroke (Medical-surgical nursing: Older adult) Older adult) 20. Mobility: Spinal Cord Injury Exemplar 20. Spinal cord injury (Pediatric nursing: Adolescent) 21. Cognition: Traumatic Brain Injury Exemplar 21. Traumatic brain injury (Medical-surgical nursing: Older adult and young adult) 22. Infection: Sepsis Exemplar 22. Sepsis (Medical-surgical nursing: Older adult) 23. Gas exchange: Chest Trauma Exemplar 23. Chest trauma (Medical-surgical nursing: Middle- age adult) 24. Elimination: Complex Health Problems Exemplar 24A. Chronic kidney disease (Medical-surgical nursing: Middle-age adult) Exemplar 24B. Intestinal obstruction (Medical-surgical nursing: Young adult; older adult) 25. Metabolism: Complex Health Problems Exemplar 25A. Diabetic ketoacidosis (Pediatric nursing: Adolescent) Exemplar 25C. Acute pancreatitis (Medical-surgical nursing: Middle-age adult) 26. Tissue integrity: Burns Exemplar 26. Burns (Medical-surgical nursing: Young adult) 27. Stress and coping: Substance Use Disorder Exemplar 27. Substance use disorder (Pediatric nursing/mental health nursing: Adolescent) 28. Management of care: Complex Health Problems Exemplar 28. Complex health problems (Medical-surgical nursing: Middle-age and older adult) PART 5. Pharmacology for Nursing 29. Pharmacology in management of common health problems Exemplar 29A. Drugs that affect nutrition and elimination (Medical-surgical nursing: Older adult; pediatric nursing) Exemplar 29B. Drugs that affect clotting (Medical-surgical nursing: Middle-age and older adult) Exemplar 29C. Drugs that affect perfusion (Medical-surgical nursing: Middle-age and older adult) Exemplar 29D. Drugs that promote comfort and metabolism (Medical-surgical nursing: Middle-age and older adult) nursing [young and middle-age adult]; pediatric nursing) 30. Pharmacology in management of complex health problems Exemplar 30A. Drugs that affect perfusion and gas exchange (Medical-surgical nursing: older adult; pediatric nursing: Adolescent) Exemplar 30B. Drugs that affect immunity (Medical-surgical nursing: Young adult; middle-age adult) Exemplar 30C. Drugs that manage psychoses (Mental health nursing: Young adult) Exemplar 30D. Drugs that manage emergencies (Medical- surgical nursing: Young adult; older adult) Answer key Chapter 3 Perfusion: Common health problems Chapter 4 Clotting: Deep vein thrombosis Chapter 5 Gas exchange: Common health problems Chapter 6 Elimination: Benign prostatic hyperplasia Chapter 7 Nutrition: Common health problems Chapter 8 Mobility: Common health problems Chapter 9 Metabolism: Common health problems Chapter 10 Cellular regulation: Breast cancer Chapter 11 Inflammation: Common health problems Chapter 12 Infection: Common health problems Chapter 13 Sensory perception: Cataracts Chapter 14 Cognition: Common health problems Chapter 15 Mood and affect: Depression Chapter 16 Stress and coping: Generalized anxiety disorder Chapter 17 Reproduction: Uterine leiomyoma/hysterectomy Chapter 18 Reproduction: Childbearing family Chapter 19 Perfusion: Complex health problems Chapter 20 Mobility: Spinal cord injury Chapter 21 Cognition: Traumatic brain injury Chapter 22 Infection: Sepsis Chapter 23 Gas exchange: Chest trauma Chapter 24 Elimination: Complex health problems Chapter 25 Metabolism: Complex health problems Chapter 26 Tissue integrity: Burns Chapter 27 Stress and coping: Substance use disorder Chapter 28 Management of care: Complex health problems Chapter 29 Pharmacology in management of common health problems Chapter 30 Pharmacology in management of complex health problems References Copyright Elsevier 3251 Riverport Lane St. Louis, Missouri 63043 DEVELOPING CLINICAL JUDGMENT FOR PROFESSIONAL NURSING AND THE NEXT-GENERATION NCLEX-RN® EXAMINATION ISBN: 978-0-323-71858-5 Copyright © 2021 by Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).

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Developing Clinical Judgment for Professional Nursing
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and the Next-Generation NCLEX-
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RN® Examination Donna D. Ignatavicius, MS, RN, CN
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emic Nursing Programs; Founder, Boot Camp for Nurs
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