A nurse is discussing the revision of care plans with a newly licensed nurse. During which of the following steps of the Clinical Judgment Action Model (CJAM) should revisions take place?
Analyzing cues
Recognizing cues
Evaluating outcomes
Generating solutions
The Correct Answer is C
A. This step involves interpreting the data collected from the client to identify patterns or potential problems. It helps form clinical judgments but does not involve revising the care plan.
B. This is the first step of the Clinical Judgment Action Model (CJAM) and involves noticing relevant data from assessments and reports. It is about identifying what information is important, not about making revisions.
C. Revisions to the care plan occur during this step. After interventions are implemented, the nurse evaluates the client’s response and determines whether the outcomes were achieved. If goals are unmet or only partially met, the nurse revises the care plan to improve effectiveness.
D. This step involves developing possible interventions or actions based on the analysis of cues. It focuses on planning care rather than modifying or revising existing care plans.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Planning is the phase of the nursing process where the nurse collaborates with the RN and client to set measurable goals and desired outcomes for care. In this step, interventions are designed to help the client achieve positive health results.
B. Evaluation occurs after interventions have been implemented and involves determining whether the client’s goals were met or need revision.
C. Implementation is the step where planned interventions are carried out to help the client reach established goals.
D. Data collection (assessment) is the first step of the nursing process and involves gathering subjective and objective information about the client’s health status, not goal formulation.
Correct Answer is A
Explanation
A. This demonstrates self-care by promoting good nutrition, maintaining energy levels, and supporting overall health during long shifts.
B. Adults generally require 7–9 hours of sleep each night for optimal health and cognitive performance.
C. Adequate hydration is essential for physical and mental well-being; restriction can lead to dehydration and fatigue.
D. Regular exercise should occur most days of the week (at least 150 minutes of moderate activity per week) for effective stress management and health maintenance.
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