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Exam (elaborations)

Ultimate-Next-Generation-NCLEX-Study-Guide Exam (elaborations)

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Ultimate-Next-Generation-NCLEX-Study-Guide Exam (elaborations)

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  • June 13, 2023
  • 47
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
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Ultimate-Next-
Generation-NCLEX-
Study-Guide.

, All you need to
know about
CJMM Steps
Case studies


NCLEX NGN Question Types
LAB Values and many
more!

CHANGES!




ReMarNurse.com

, Are you ready Top 5 Skills Required
for NCLEX
Changes? to Practice Nursing


1

WHY IS THE CLINICAL JUDGEMENT
NCLEX CHANGING?
2
NGN was developed to strengthen
the linkage between test items and PROBLEM SOLVING
clinical judgment using the Clinical
3
Judgment Model.
CRITICAL - THINKING

PUBLIC SAFETY 4

50% of novice nurses had errors.
ACTIVE LISTENING

65% of the errors were related to 5
some poor judgement of either
a task or an environment. PROFESSIONAL
COMMUNICATION

20% of employers believed they
received novice nurses who
ReMarNurse.com
were effectively prepared to
make clinical decisions.

, ReMarNurse.com

The Clinical Judgment Measurement Model (CJMM) is what the new NCLEX is built on.
Each layer represents the thought process needed to make a correct clinical judgment about a
client who needs nursing care.
Layer 0 represents the nurse determining the client's needs.
Layer 1 represents the entire process of clinical judgment.
According to the client response in layer 2, the nurse then moves through layers 3 and 4.
Layer 3 is the area where testing can take place to determine the education of entry-level
nurses and how they develop clinical judgment over a period of time. The six steps within layer 3
make up a repetitious process the student can improve over time with nursing experience and
clinical exposure. This is considered the “action layer.” Layer 4 creates a realistic client scenario.
The CJMM is appropriate for use in the lab setting, clinical setting, and on a standard written or
computer examination.

Client Clinical
Needs Decisions

Layer 0

Clinical Judgment
Layer 1 Satisfied



Not satisfied


Form Hypotheses Refine Hypotheses Evaluation


Layer 2



Recognize Analyze Generate Evaluate
Cues Cues Solutions Outcomes
Take
Hypotheses Actions

Layer 3
Environmental Factor Examples Individual Factor Examples
Client Medical
Environment Resources Knowledge
Observation Records Skills Specialty




Consequences Time Task Cultural Candidate Prior Level of


& Risks Pressure Complexity Consideration Characteristics Experience Experience




Layer 4

Nursing

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