“3 Critical Concepts - Remediation Document”

Upon completion of the required Practice Assessment, conduct a focused review by downloading the “ATI Individual Performance Profile” Report.
Complete the “3 Critical Concepts – Remediation Document” by using each NCLEX Client Need Category, listed under the “Topics to Review
Section” in the report to identify 3 Critical Concepts learned and or understand better about the concept. Use reliable evidence-based resources
to remediate each topic (ATI Focused Review, ATI eBook, Course textbook per Syllabus). Cite your sources (APA formatting not required).

8 NCLEX Client Need Categories

1) Management of Care, 2) Safety and Infection Control, 3) Basic Care and comfort, 4) Health Promotion and Maintenance, 5) Psychosocial Integrity, 6)
Pharmacological and Parenteral Therapies, 7) Reduction of Risk Potential, and 8) Physiological Adaptation

Reflection Section – include one of the 6 Cognitive Functions

 Reflect on how the 3 critical concepts you learned, helped you gain a better understanding of the 6 Cognitive Functions of the National Council for State
Boards of Nursing (NCSBN) - Clinical Judgement Measurement Model (NCJMM) - which follows the Nursing Process:
o Recognize Cues (Assessment) - Filter information from different sources (i.e., signs, symptoms, health history, environment).
o Analyze Cues (Analysis) - Link recognized cues to a client’s clinical presentation and establishing probable client needs, concerns, or problems.
o Prioritize Hypotheses (Analysis) - Establish priorities of care based on the client’s health problems (i.e. environmental factors, risk assessment,
urgency, signs/ symptoms, diagnostic test, lab values, etc.)
o Generate Solutions (Planning) - Identify expected outcomes and related nursing interventions to ensure clients’ needs are met.
o Take Actions (Implementation) - Implement appropriate interventions based on nursing knowledge, priorities of care, and planned outcomes to
promote, maintain, or restore a client’s health.
o Evaluate Outcomes (Evaluation) - Evaluate a client’s response to nursing interventions and reach a nursing judgment regarding the extent to which
outcomes have been met.

Topics To Review - o u r j o
Clinical judgement (4 items)
 Recognize cues (1 item)
o Manifestation of alcohol toxicity requiring follow-up
 Take Action (1 item)
o Priority actions to take for a client who is experiencing alcohol withdrawal syndrome.
 Evaluate outcomes (2 items)
o Evaluation of treatment interventions
o Findings indicating a deterioration in condition for a client who has anorexia nervosa.
Date October 7,2024
Student Name Dayanna Rayo
Instructor Name Dr.E
Assessment Name Practice/remediation B
# of Topics to Review 4
Clinical judgement

Topic Concept 3 Critical Concepts (I learned, and/or, Reflection – Address 1 of the 6 Cognitive
understand better about this topic) Functions

Evaluate outcomes
o Dose-dependent toxicity and organ
impact: Alcohol toxicity is dose-
the ability to critically assess and judge the
dependent, meaning the severity of its
significance, importance, or value of
Recognize cues Manifestation of alcohol effects on the body increases with the
information. When reflecting on alcohol
amount consumed
toxicity requiring follow-up toxicity, the skill of evaluation is crucial for
o Acute Vs.Cronic toxicity: Acute alcohol
synthesizing data about the patient's history,
toxicity (alcohol poisoning) involves
level of exposure, and the signs and symptoms
rapid central nervous system
they present.
depression, leading to symptoms such
as confusion, vomiting, seizures, and
even death.
o Withdrawal and psychological impact:
Ensuring that patients receive both
medical detoxification and
psychological support, such as
counseling or rehab programs, is
critical for long-term recovery.
 Clinical judgement

Topic Concept 3 Critical Concepts (I learned, and/or, Reflection – Address 1 of the 6 Cognitive
understand better about this topic) Functions

Generate solutions
o Early recognition and monitoring:
priority in managing alcohol the ability to organize steps and create
withdrawal is early recognition of strategies to address a situation. Planning is
Take action Priority actions to take for a symptoms, which can range from mild essential in the care of a client experiencing
client who is experiencing (tremors, anxiety, sweating) to severe AWS because it involves anticipating potential
alcohol withdrawal (seizures, delirium tremens). complications and implementing interventions
syndrome. Continuous monitoring of vital signs, to prevent severe outcomes like seizures or
mental status, and withdrawal delirium tremens.
symptoms using tools like the Clinical
Institute Withdrawal Assessment for
Alcohol (CIWA-Ar) scale is crucial.
o Medication management:
Pharmacological intervention is often
necessary to manage alcohol
withdrawal, with benzodiazepines
being the first-line treatment to
prevent seizures and reduce agitation.
o Fluid and electrolyte balance: Alcohol
withdrawal can lead to dehydration
and imbalances in electrolytes (e.g.,
low potassium, magnesium, or
phosphate levels), which are life-
threatening if untreated.

Clinical judgement
Topic Concept 3 Critical Concepts (I learned, Reflection – Address 1 of the 6 Cognitive
and/or, understand better about Functions
this topic)
Evaluate outcomes Evaluation of treatment Analyze cues:
interventions o Effectiveness of symptoms control:
Evaluating the symptom progression
the ability to break down information into
helps guide treatment decisions, such
parts and understand the relationships
as adjusting medication doses or
between them. In the context of evaluating
extending care duration, ensuring the
treatment interventions for alcohol toxicity or
client’s safety and comfort throughout
withdrawal, analysis is critical for interpreting
the withdrawal process.
the effectiveness and safety of the various
o Prevention of complications: Regular
treatments being used.
monitoring and follow-up lab tests
also help evaluate the prevention of
complications related to electrolyte
imbalances and nutritional
deficiencies.
o Long-term outcomes and recovery:
Long-term evaluation focuses on
whether the client is able to maintain
abstinence, improve their quality of
life, and avoid relapse, which
ultimately indicates the sustainability
of the interventions.
o
Evaluate outcomes Findings indicating a Recognize cues
deterioration in condition for o Severe weight loss and malnutrition:
a client who has anorexia This can result in muscle wasting,
nervosa the ability to notice and accurately recognize
extreme weakness, and a dangerously
subtle and overt signs of change. In this
low body mass index (BMI)
context, observation is vital for detecting early
o Cardiovascular complications: These
warning signs, such as weight loss, physical
signs reflect a deterioration in the
decline, or abnormal vital signs, which may not
body’s ability to maintain essential
be immediately obvious but are critical
functions. Sudden drops in heart rate
indicators of the client's worsening condition.
or blood pressure may indicate a life-
threatening situation requiring
immediate medical intervention, as
the heart is at risk of failure in severe
 malnutrition cases.
o Electrolyte imbalances and organ
dysfunction: Electrolyte imbalances,
such as hypokalemia (low potassium)
and hyponatremia (low sodium), can
signal deterioration, as they affect
heart and muscle function and can
lead to dangerous complications like
arrhythmias or seizures.

References:
American Psychiatric Association (APA). (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Washington, DC: American Psychiatric
Association.

World Health Organization (WHO). (2004). Global Status Report on Alcohol and Health.

Sullivan, J.T., Sykora, K., Schneiderman, J., Naranjo, C.A., & Sellers, E.M. (1989). Assessment of alcohol withdrawal: The revised Clinical Institute Withdrawal
Assessment for Alcohol scale (CIWA-Ar). British Journal of Addiction, 84(11), 1353-1357.