Golden West College School of Nursing
FORM B: CLINICAL JUDGEMENT CONCEPT MAP
Student name:
Pt. initials:
Date of Care:
Patient Admit Date:
Primary Medical Diagnosis/Chief Complaint:
1.
Pathophysiology (in your own words) of the primary medical diagnosis
Significant Past Medical History (that relate to this hospitalization)
Scheduled and PRN Medications (include dosage, frequency & rationale)
Patient Priority Problem #1
Recognize cues: What information/data did you notice (see, hear, assess, read) that you identify as
important?
Analyze cues: What is the meaning/interpretation of the information and why did you identify it as
important?
Prioritize hypothesis: Based on the data above, what are your main concerns? Priorities?
Generate solutions: What are your goals and nursing interventions?
Take actions: Identify at least 3 next steps and/or complications. Include nursing interventions that may
prevent the complications from occurring.
Patient Priority Problem #2
Recognize cues: What information/data did you notice (see, hear, assess, read) that you identify as
important?
Analyze cues: What is the meaning/interpretation of the information and why did you identify it as
important?
Reference: National Council of State Boards of Nursing (2020). NCSBN Clinical Judgment Measurement Model. https://www.ncsbn.org/14798.htm
Golden West College School of Nursing
FORM B: CLINICAL JUDGEMENT CONCEPT MAP
Prioritize hypothesis: Based on the data above, what are your main concerns? Priorities?
Generate solutions: What are your goals and nursing interventions?
Take actions: Identify at least 3 next steps and/or complications. Include nursing interventions that may
prevent the complications from occurring.
Patient Priority Problem #3
Recognize cues: What information/data did you notice (see, hear, assess, read) that you identify as
important?
Analyze cues: What is the meaning/interpretation of the information and why did you identify it as
important?
Prioritize hypothesis: Based on the data above, what are your main concerns? Priorities?
Generate solutions: What are your goals and nursing interventions?
Take actions: Identify at least 3 next steps and/or complications. Include nursing interventions that may
prevent the complications from occurring.
Reflect on your interventions. Have they been effective? If not, why and how would you modify them?
Identify at least one unique need based on beliefs, values, cultural, or generational diversity & one way
that you would adapt your nursing care based on this need.
Reference: National Council of State Boards of Nursing (2020). NCSBN Clinical Judgment Measurement Model. https://www.ncsbn.org/14798.htm