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It also highlights cognitive load and demands placed on the nurse.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How does the guide describe recognizing cues during assessment?",{"text":114,"@type":110},"It instructs nurses to filter information from multiple sources such as signs, symptoms, health history, and environment. Nurses should identify relevant subjective and objective data, recognize subtle changes, and use knowledge, experience, and evidence.",{"name":116,"@type":107,"acceptedAnswer":117},"What actions are expected during implementation?",{"text":118,"@type":110},"Nurses should perform prioritized nursing actions promptly and accurately, implement the plan of care with the interprofessional team and care partners, and document client care data accurately. 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, knowledge, skills, specialty) |\n| --- | --- |\n| Client observation (i.e. , age, symptoms of health alteration) | Nurse Characteristics (i.e. attitudes, prior experiences, level of experience) |\n| Resources (i.e. staffing, supplies, beds, care partners, etc.) | Cognitive load (i.e. demands on the nurse, stress, problem solving, memory) |\n| Health Record (i.e. , history, labs, vs, diagnostic tests,\u003Cbr>I&O, medications, treatments) |  |\n\n| Task complexity (i.e. , level of difficulty, complicated\u003Cbr>versus simple action, number of people involved,\u003Cbr>sound delegation) |\n| --- |\n| Risk assessment (i.e. , identifying and finding ways\u003Cbr>to remove or minimize harm to promote safety and\u003Cbr>health) |\n\n| Clinical Judgment Functions (Nursing Process Steps) | Expected Responsesand Behaviors |\n| --- | --- |\n| Recognize Cues (Assessment)\u003Cbr>Filter information from different sources (i.e. , signs, symptoms, health history, environment) . | ● Identify relevant information related to the client’s condition.\u003Cbr>● Use knowledge, experience and evidence to assessclients.\u003Cbr>● Use verbal, nonverbal, written, and electronic modes of communication.\u003Cbr>● Recognize relevant subjective/objective client data.\u003Cbr>● Identify subtle and apparent changes in client condition and related factors |\n\n\n| Prioritize Hypotheses (Analysis) ● Organize client assessment information according to changes, |  |\n| --- | --- |\n| Establish priorities of care based | patterns and trends. |\n| on the client’s health problems (i.e. environmental factors, risk | ● Use standards of care and empirical frameworks for priority setting.\u003Cbr>● Establish and prioritize client problems/needs based on the analysis of information and factors. |\n| assessment, urgency, signs/ |  |\n| symptoms, diagnostic test, lab |  |\n| values, etc.) . |  |\n| Generate Solutions (Planning)\u003Cbr>Identify expected outcomes and related nursing interventions to ensure clients’ needs are met. | ● Collaborate with members of the interprofessional healthcare team to establish client outcomes and the plan of care.\u003Cbr>● Collaborate with client and care partners to establish client outcomesand the plan of care.\u003Cbr>● Identify optimal client outcomes based on information and factors.\u003Cbr>● Identify evidence-based nursing actions to effectively address the clinical situation of the client’s health problem.\u003Cbr>● Prioritize plan of care to achieve optimal client outcomes.\u003Cbr>● Prioritize nursing care when caring for multiple clients.\u003Cbr>● Re-prioritize nursing actions as the client’s condition changes.\u003Cbr>● Modify a plan of care to assure achievement of optimal client outcomes when indicated.\u003Cbr>● Determine the potential impact of selected interventions. |\n\n| Take Actions (Implementation)\u003Cbr>Implement appropriate interventions based on nursing knowledge, priorities of care, and planned outcomes to promote, maintain, or restore a client’s health. | ●\u003Cbr>●\u003Cbr>●\u003Cbr>●\u003Cbr>●\u003Cbr>●\u003Cbr>●\u003Cbr>● | Promptly and accurately perform nursing actions based on prioritized client problems.\u003Cbr>Implement a plan of care in collaboration with members of the interprofessional health care team.\u003Cbr>Implement a plan of care in collaboration with the client and care partners.\u003Cbr>Accurately document client care data and information\u003Cbr>Incorporate client preferences and needs when performing nursing actions.\u003Cbr>Provide education to the client and/or care partner(s) regarding their health condition and care management.\u003Cbr>Participate in coordination of care with the client and healthcare team.\u003Cbr>Monitor the client’s response to interventions. |\n| --- | --- | --- |","cbCaimjhfWQSHvXm","https://ap.wps.com/l/cbCaimjhfWQSHvXm","pdf",388165,9,"English","# Clinical judgment context\n## Setting, situation, and environment\n## Nurse factors and cognitive load\n# Clinical judgment functions\n## Recognize cues (assessment)\n## Prioritize hypotheses (analysis)\n## Generate solutions (planning)\n## Take actions (implementation)\n# Expected responses and behaviors","[{\"question\":\"What nurse factors and environment elements are considered in clinical judgment?\",\"answer\":\"The guide includes nurse knowledge, skills, specialty, attitudes, prior experiences, and level of experience, alongside setting, resources, and safety considerations. It also highlights cognitive load and demands placed on the nurse.\"},{\"question\":\"How does the guide describe recognizing cues during assessment?\",\"answer\":\"It instructs nurses to filter information from multiple sources such as signs, symptoms, health history, and environment. Nurses should identify relevant subjective and objective data, recognize subtle changes, and use knowledge, experience, and evidence.\"},{\"question\":\"What actions are expected during implementation?\",\"answer\":\"Nurses should perform prioritized nursing actions promptly and accurately, implement the plan of care with the interprofessional team and care partners, and document client care data accurately. The guide also requires incorporating client preferences, providing education, coordinating care, and monitoring client responses to interventions.\"}]","Clinical Judgment Guide - Revision Final - July 2020 | PDF"]