NR 326 Week 6 Clinical Judgment Measurement Model Analysis
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12529062497015324495334584455295-370821The Clinical Judgment Measurement ModelPage 1 of 2 THE CLINICAL JUDGMENT MEASUREMENT MODEL 1127760517297EVALUATION IMPLEMENTATION PLANNING ANALYSIS ASSESSMENT EVALUATION IMPLEMENTATION PLANNING ANALYSIS ASSESSMENT 122044816983742226498169951230798411698374403588016984265067234169951259142391699512The Clinical Judgment Measurement Model (CJMM) identifies six cognitive skills needed to make appropriate clinical judgments. Complete the following section using the CJMM and reflecting on all the data/cues (Assessment, Labs/Diagnostics, Prescriptions/Orders and Patient Information) from your assigned patient. 47409-189753Recognize Cues β Identify relevant and important information from different sources (e.g., medical history, vital signs). List the data/cues that are relevant and are interpreted as clinically significant. Significant Data/Cue 1 Significant 2 Data/Cue Significant Data/Cue 3 Significant Data/Cue Significant Data/Cue 45 Nonadherence to prescribed medications Reports auditory hallucinations Exhibits paranoid delusions Admits to stress/job loss EPS-like symptoms 48045-190900Analyze Cues β Organizing and linking the recognized cues to the clientβs clinical presentation. Interpret the relevant clinical data/cues. Identify the top three most likely problems. Is additional data needed to confirm the clinical significance of the cues at this point? Be specific; what additional data is needed to confirm? Potential Problem 1 Potential Problem 2 Potential Problem 3 Acute exacerbation of schizophrenia due to medication nonadherence Extrapyramidal symptoms (EPS) related to antipsychotic use Ineffective coping related to stressors (job loss, hallucinations) Additional Data Additional Data Additional Data Collateral history from father; psychiatric consult findings; frequency/severity of hallucinations Scale assessment for movement disorders, medication hx and onset of symptoms psychosocial assessment, substance use frequency, coping skills 47409-189470Prioritize Hypothesis β Evaluating and ranking hypotheses according to priority (urgency, likelihood, risk, difficulty, time, etc.). Of the potential problems you identified, which problem(s) is most likely present? Which problem is the most concerning and why? Acute exacerbation of schizophrenia from medication nonadherence. most concerning is Psychotic symptoms (hallucinations and delusions; possible harm to self or others if untreated. requires urgent psychiatric intervention Chamberlain University | National Management Offices | 500 W. Monroe St., Suite 28 | Chicago, IL 60661 457200179070ns for the expected outcomes. Generate Solutions β Id 0ns for the expected outcomes. Generate Solutions β Id 1959254409282entifying expected outcomes and using hypotheses to define a set of interventioentifying expected outcomes and using hypotheses to define a set of interventio12-220192Β©2022 Chamberlain University LLC. All rights reserved.0822pflcpeADA Priority Action/Intervention 1 Priority Action/Intervention 2 Priority Action/Intervention 3 Administer prescribed request PRN non-opioid initiate psychiatric consult and Based on the most urgent problem, what antipsychotic medication as ordered; address EPS analgesic for headache coordinate with s
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