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CHAPTER 14: CLINICAL JUDGMENT
QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
LATEST UPDATE | 2024-2025
A group of student nurses has been encouraged by their instructors to be
intentional and deliberate about applying clinical decision-making models to
their practice. A student tells a colleague, "The model that makes the most
sense to me is the information-processing model, because it seems the most
straightforward." How should the colleague best respond to this student?
-"That model was dominant in nursing for decades but has recently been
replaced by more nuanced models."
-"Absolutely. Many of the other models are evidence-based but excessively
complex."
-"It is definitely a clear model, but it does not really capture all of the
complexities and the human element of nursing."
-"I agree. The model is elegant for its simplicity and has been clinically linked to
better client outcomes."
Ans
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✓ "It is definitely a clear model, but it does not really capture all of the complexities and the
human element of nursing."
✓
✓ Explanation:
✓ The information-processing model is attractive by virtue of its simplicity and linear nature.
However, there is no significant drive to apply this model to nursing practice, because
nursing is psychosocially complex and cannot be reduced to a simple equation of input and
output. For this reason, it has never been predominant in nursing, even in past decades. It
has not been proven to achieve better client outcomes in the literature.
A novice nurse is being mentored by a more experienced nurse who is able to
recognize small but significant client cues and process large amounts of data in
a short time. What conclusion(s) should the novice nurse draw about the
more experienced nurse's practice? Select all that apply.
-The nurse is able to rely on intuition more than critical thinking.
-The nurse has well-developed situational awareness.
-The nurse is able to rely on reflection-in-action rather than reflection-on-
action.
-The nurse has a high capacity for cognitive load.
-The nurse is able to apply the steps of the Clinical Judgment and Measurement
Model (CJMM) simultaneously.
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Ans
✓ The nurse has a high capacity for cognitive load.
✓ The nurse has well-developed situational awareness.
✓
✓ Explanation:
✓ Cognitive load refers to the amount of information a person can hold in their memory at
one time; this nurse is able to hold large amounts of data and process them quickly. The
ability to discern subtle cues is associated with situational awareness. The six steps of the
Clinical Judgment and Measurement Model are linear, and not normally applied at a single
point in time. Intuition is more developed in experienced nurses, but this is a component of
critical thinking rather than an alternative to it. Reflection-in-action and reflection-on-action
are both used by experienced nurses in Tanner's clinical judgment model.
A nurse is navigating a busy morning on a hospital unit and is struggling to finish
the necessary tasks in the time available. In response, the nurse has assigned
morning hygiene tasks for two clients to an unlicensed assistive personnel
(UAP). What QSEN competency is this nurse exemplifying?
-client-centered care
-safety
-teamwork and collaboration
-informatics
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-quality improvement
-evidence-based practice
Ans
✓ teamwork and collaboration
✓
✓ Explanation:
✓ Although this action is consistent with all the QSEN competencies, delegation is a practical
example of the competency of collaboration and teamwork in the clinical setting.
A hospital client who requires assistance with hygiene has expressed a
preference for receiving a bed bath after lunch rather than in the morning. The
nurse has consequently changed the nursing care plan. The nurse's action
reflects which QSEN competency?
-client-centered care
-empathic care
-accountability and adaptability
-quality improvement
Ans
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© 2024 TestTrackers Your Success is Our Mission!
Customer Support: [+254707240657]
CHAPTER 14: CLINICAL JUDGMENT
QUESTIONS AND CORRECT DETAILED
ANSWERS |ALREADY GRADED A+
LATEST UPDATE | 2024-2025
A group of student nurses has been encouraged by their instructors to be
intentional and deliberate about applying clinical decision-making models to
their practice. A student tells a colleague, "The model that makes the most
sense to me is the information-processing model, because it seems the most
straightforward." How should the colleague best respond to this student?
-"That model was dominant in nursing for decades but has recently been
replaced by more nuanced models."
-"Absolutely. Many of the other models are evidence-based but excessively
complex."
-"It is definitely a clear model, but it does not really capture all of the
complexities and the human element of nursing."
-"I agree. The model is elegant for its simplicity and has been clinically linked to
better client outcomes."
Ans
TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence
Today!
,Thank You for Choosing Us! Resources & Updates: [Testtrackers - Stuvia US]
© 2024 TestTrackers Your Success is Our Mission!
Customer Support: [+254707240657]
✓ "It is definitely a clear model, but it does not really capture all of the complexities and the
human element of nursing."
✓
✓ Explanation:
✓ The information-processing model is attractive by virtue of its simplicity and linear nature.
However, there is no significant drive to apply this model to nursing practice, because
nursing is psychosocially complex and cannot be reduced to a simple equation of input and
output. For this reason, it has never been predominant in nursing, even in past decades. It
has not been proven to achieve better client outcomes in the literature.
A novice nurse is being mentored by a more experienced nurse who is able to
recognize small but significant client cues and process large amounts of data in
a short time. What conclusion(s) should the novice nurse draw about the
more experienced nurse's practice? Select all that apply.
-The nurse is able to rely on intuition more than critical thinking.
-The nurse has well-developed situational awareness.
-The nurse is able to rely on reflection-in-action rather than reflection-on-
action.
-The nurse has a high capacity for cognitive load.
-The nurse is able to apply the steps of the Clinical Judgment and Measurement
Model (CJMM) simultaneously.
TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence
Today!
,Thank You for Choosing Us! Resources & Updates: [Testtrackers - Stuvia US]
© 2024 TestTrackers Your Success is Our Mission!
Customer Support: [+254707240657]
Ans
✓ The nurse has a high capacity for cognitive load.
✓ The nurse has well-developed situational awareness.
✓
✓ Explanation:
✓ Cognitive load refers to the amount of information a person can hold in their memory at
one time; this nurse is able to hold large amounts of data and process them quickly. The
ability to discern subtle cues is associated with situational awareness. The six steps of the
Clinical Judgment and Measurement Model are linear, and not normally applied at a single
point in time. Intuition is more developed in experienced nurses, but this is a component of
critical thinking rather than an alternative to it. Reflection-in-action and reflection-on-action
are both used by experienced nurses in Tanner's clinical judgment model.
A nurse is navigating a busy morning on a hospital unit and is struggling to finish
the necessary tasks in the time available. In response, the nurse has assigned
morning hygiene tasks for two clients to an unlicensed assistive personnel
(UAP). What QSEN competency is this nurse exemplifying?
-client-centered care
-safety
-teamwork and collaboration
-informatics
TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence
Today!
, Thank You for Choosing Us! Resources & Updates: [Testtrackers - Stuvia US]
© 2024 TestTrackers Your Success is Our Mission!
Customer Support: [+254707240657]
-quality improvement
-evidence-based practice
Ans
✓ teamwork and collaboration
✓
✓ Explanation:
✓ Although this action is consistent with all the QSEN competencies, delegation is a practical
example of the competency of collaboration and teamwork in the clinical setting.
A hospital client who requires assistance with hygiene has expressed a
preference for receiving a bed bath after lunch rather than in the morning. The
nurse has consequently changed the nursing care plan. The nurse's action
reflects which QSEN competency?
-client-centered care
-empathic care
-accountability and adaptability
-quality improvement
Ans
TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence
Today!
