Next Gen / Alternate Items

Clinical judgment content may be represented as a case study or as an individual stand-alone item. A case study contains six questions associated with the same client presentation, shares unfolding client information, and addresses the following steps in clinical Judgment.

1. Recognize cues – identify relevant and essential information from different sources (e.g., medical history, vital signs).

2. Analyze cues – organize and connect the recognized cues to the client’s clinical presentation.

3. Prioritize hypotheses – evaluate and prioritize hypotheses (urgency, likelihood, risk, difficulty, time constraints, etc.).

4. Generate solutions – identify expected outcomes and use hypotheses to define a set of interventions for the expected outcomes.

5. Take action – implement the solution(s) that address the highest priority.

6. Evaluate outcomes – compare observed outcomes to expected outcomes.