Level: Advanced
Difficulty: Hard
Subtopic: Preceptorship feedback
NCLEX: The student nurse during simulation debriefing is being evaluated for transition-to-practice skills and preceptor…
Professional nursing practice (clinical transition) Clinical Judgment Management of Care
Case Study
The student nurse during simulation debriefing is being evaluated for transition-to-practice skills and preceptorship feedback. Assessment data include the student receives feedback about incomplete SBAR during handoff. Using the clinical judgment model, what is the nurse's first step?
Question
A. Implement the first intervention on the existing care plan without reviewing new data.
B. Evaluate discharge readiness before addressing acute findings.
C. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.
D. Document the assessment at the end of the shift and continue the prior plan.
B. Evaluate discharge readiness before addressing acute findings.
C. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.
D. Document the assessment at the end of the shift and continue the prior plan.
Rationale
Correct answer: C. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.
Rationale: NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: NCSBN clinical judgment begins with recognizing and analyzing cues before taking action or evaluating outcomes.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.