Level: Clinical
Difficulty: Medium
Subtopic: Risk and probability
NCLEX: The RN evaluating a clinical practice guideline is being evaluated for evidence-based practice and risk and proba…
Statistics or evidence-based practice Clinical Judgment Management of Care
Case Study
The RN evaluating a clinical practice guideline is being evaluated for evidence-based practice and risk and probability. Assessment data include fall rates increased from 2.1 to 4.8 per 1,000 patient days after a process change. Using the clinical judgment model, what is the nurse's first step?
Question
A. Recognize and analyze relevant cues to determine whether the client is stable or deteriorating.
B. Implement the first intervention on the existing care plan without reviewing new data.
C. Evaluate discharge readiness before addressing acute findings.
D. Document the assessment at the end of the shift and continue the prior plan.
B. Implement the first intervention on the existing care plan without reviewing new data.
C. Evaluate discharge readiness before addressing acute findings.
D. Document the assessment at the end of the shift and continue the prior plan.
Rationale
Correct answer: A. 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.