Question

a nurse is providing care to several clients. which situation(s) reflects the nurse using clinical judgment? select all that apply.

holding off on notifying a health care provider about the deterioration in a clients status until family members arrive
providing evidence to revise a current protocol for intravenous insertion
deciding on appropriate actions based on the facilitys approved algorithm
gathering additional assessment findings to support changes in a clients status
referring to any female client using the \she\ pronoun

Explanation:

Define clinical judgment in nursing

Using the Clinical Judgment Measurement Model knowledge point
Clinical judgment is the observed outcome of critical thinking and decision-making. It involves analyzing a situation, identifying a clinical problem, and deciding on appropriate actions based on evidence, patient needs, and clinical reasoning.

Analyze the first option

Delaying notification of a health care provider when a client's status is deteriorating is a failure of clinical safety and does not reflect sound clinical judgment.

Analyze the second option

Providing evidence to revise a clinical protocol involves critical thinking, research utilization, and evidence-based practice, but it is a systemic quality improvement process rather than direct clinical judgment applied to client care.

Analyze the third and fourth options

Using the Clinical Judgment Measurement Model knowledge point

• Deciding on appropriate actions based on a facility's approved algorithm represents clinical decision-making and judgment in applying standardized protocols to specific client scenarios.
• Gathering additional assessment findings to support changes in a client's status is a core component of the cognitive process of clinical judgment (specifically, recognizing and analyzing cues).

Analyze the fifth option

Referring to any female client using the "she" pronoun is a basic communication or cultural practice, not an application of clinical judgment.

Answer:

• holding off on notifying a health care provider about the deterioration in a client's status until family members arrive
• providing evidence to revise a current protocol for intravenous insertion
• deciding on appropriate actions based on the facility's approved algorithm (Correct answer)
• gathering additional assessment findings to support changes in a client's status (Correct answer)
• referring to any female client using the "she" pronoun