Clinical Judgment
Which of the following is the first step in clinical judgment according to the clinical judgment model?
Recognize cues
What is the definition of delegation in nursing practice?
Transferring responsibility while retaining accountability
Which of the following is part of the 11 rights of medication administration?
B. Right documentation, C. Right route, and D. Right response
Which of the following best represents a collaborative nursing intervention?
Referring a patient to a dietitian for nutritional counseling
Which of the following nursing outcomes is considered affective?
A patient verbalizes increased confidence in managing diabetes
How does clinical judgment impact patient safety?
By applying critical thinking to assess and intervene appropriately
Which of the following is not one of the five rights of delegation?
Right documentation
When should the nurse perform the first check in safe medication administration?
When retrieving the medication from storage
What ethical consideration should a nurse be mindful of when delegating a task to a UAP?
Whether the task is within the UAP's scope of practice
How can a nurse evaluate cognitive outcomes?
Asking the patient to repeat information or apply new knowledge
A patient presents with high blood sugar. The nurse recognizes cues like increased thirst, frequent urination, and fatigue. What should the nurse do next?
Analyze the cues
What responsibility does a nurse retain when delegating a task to a UAP?
Being accountable for the outcome of the task
A patient refuses to take their prescribed medication. What is the nurse’s best response?
Respect the patient’s right to refuse and document the refusal
How do ethical considerations impact clinical judgment?
They guide nurses in making morally sound decisions
After administering medication, the patient’s vital signs normalize. What type of evaluation is this?
Physiologic
In the nursing process, what comes after assessment?
Diagnosis
When delegating, what legal consideration should the nurse be aware of?
Delegation must be consistent with state Nurse Practice Acts
A nurse is about to administer a medication but realizes the dosage seems higher than recommended. What should the nurse do?
Clarify the order with the prescribing physician
A nurse delegates a task to an unlicensed assistive personnel (UAP). What legal consideration must the nurse take into account?
Delegation must be consistent with state Nurse Practice Acts
How should a nurse evaluate psychomotor outcomes?
Asking the patient to demonstrate a new skill
How should the nurse prioritize hypotheses when analyzing cues?
Based on evidence, patient safety, and urgency
Which task would be appropriate for a nurse to delegate to a UAP?
Assisting a patient with ambulation
What should a nurse ensure when taking action in patient care?
Interventions should align with patient preferences
A nurse is responsible for four patients. Which patient should the nurse prioritize?
Patient A (chest pain may indicate a serious condition like a heart attack)
A nurse evaluates a patient’s behavior after counseling and finds a positive change. Which type of evaluation is this?
Affective