Performance on the Clinical Judgment Exam (CJE)

Analyze their performance on the Clinical Judgment Exam (CJE) Readiness and reflect on areas of opportunity and strategies to promote NCLEX-RN® success and transition into practice. The student will apply the priority concept (topic) to evidence-based professional practice upon which nurses have the ability to resolve or have a positive impact. There is a focus on the healthcare disparities of the individual, as well as ethical and legal implications to professional practice. The student will discuss how an interdisciplinary approach promotes quality improvement for the patient and evidence-based professional practice, driving positive outcomes.

Priority CONCEPT topic to use: Communication

In this paper, the student will provide a detailed description of the relationship between the category from the NCLEX-RN® examination blueprint, the priority concept (topic) selected based on assessment performance, and professional practice.
1) Write a 4–6-page paper (not including the title page or reference page) using APA format.
2) Include the following sections:
a. Introduction – 12 points/10%.
• Offer a detailed description of the purpose statement for the paper.
• Identify the priority concept (topic) from the Clinical Judgment Readiness Exam and align to one of the four (4) main categories of the NCLEX-RN® examination blueprint:
a. Assurance of a safe and effective care environment
b. Health promotion and maintenance of health
c. Preservation of the patient population’s psychosocial integrity
d. Preservation of the patient population’s physiological integrity
• Provide a detailed description of the relationship between the category from the NCLEX-RN® examination blueprint and the priority concept (topic).
• This section should not exceed two (2) paragraphs. A paragraph is 3-5 sentences.
b. Importance – 12 points/10%
• Describe the primary importance of the priority concept (topic) to professional practice.
• Describe the importance of the priority concept (topic) to the health status of a patient population.
• Include 2 potential negative effect(s) to professional practice if the priority concept (topic) is unresolved.
• Include 2 potential negative effect(s) to the patient population if the priority concept (topic) is unresolved.
• Provide appropriate, adequate, and relevant scholarly support for this section.
c. Healthcare Disparities, Inequalities, and Interventions – 30 points/ 25%
• Identify a primary patient population that may be negatively influenced by the priority concept (topic) if unresolved.
• Identify a healthcare resource to support evidence-based professional practice related to the priority concept (topic).
• Summarize potential priority concept (topic) healthcare disparities and inequalities related to diverse populations.
• Propose an evidence-based solution for the priority concept (topic) related to healthcare disparities.
• Identify an evidence-based practice intervention.
• Discuss patient education considerations related to the priority concept (topic).
• Provide appropriate, adequate, and relevant scholarly support for this section.
d. Legal & Ethical Considerations and Intervention Challenges – 18 points/ 15%
• Identify one (1) ethical and one (1) legal implication for addressing the priority concept (topic) in professional practice.
• Discuss one (1) strategy in prevention of an ethical dilemma related to the priority concept (topic) in professional practice.
• Discuss one (1) strategy in prevention of legal consequences related to the priority concept (topic) in professional practice.
• Identify one (1) anticipated challenge to the success of preventing the priority concept (topic) in professional practice.

Sample Answer

Introduction

The purpose of this paper is to analyze performance on the Clinical Judgment Exam (CJE) Readiness assessment, focusing specifically on the priority concept of Communication, and to reflect on actionable strategies for promoting NCLEX-RN® success and effective transition into professional practice. This analysis will establish a direct correlation between proficiency in therapeutic and professional communication and superior patient outcomes, evidence-based practice, and adherence to legal and ethical standards in healthcare.

The priority concept of Communication is fundamentally aligned with the NCLEX-RN® examination blueprint category, Assurance of a Safe and Effective Care Environment. The relationship between this blueprint category and communication is direct and essential, as effective verbal and nonverbal exchange between caregivers, patients, and interdisciplinary team members is the single most critical factor in preventing medication errors, ensuring accurate care coordination, and maintaining a culture of safety. In professional practice, the nurse’s ability to communicate clearly—whether during a handoff report or when clarifying a provider's order—is the primary mechanism by which a safe environment is upheld, thus making it an indispensable element of clinical judgment and NCLEX readiness (Joint Commission, 2022).

II. Importance

The primary importance of effective communication to professional practice is its function as the foundation for all clinical activities, serving as the connective tissue that binds diagnostic findings to treatment plans and ensures continuity of care across settings (Agency for Healthcare Research and Quality [AHRQ], 2023). For the patient population, communication is paramount to health status because it directly impacts patient engagement, adherence to treatment regimens, and the patient's perceived quality of care, ultimately influencing recovery rates and long-term health management (O’Daniel & P. R. P. , 2005).

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