Skip to ContentGo to accessibility pageKeyboard shortcuts menu
OpenStax Logo

28.1 Nursing Process

This section addresses the nursing process in PMH nursing and the critical thinking involved. Nursing judgment is applied throughout the nurse-client relationship. The nurse engages in personal reflection as the plan of care unfolds. The nurse utilizes data collection from available sources, and interprets the data for its meaning in client care. The nurse and client collaborate to set goals and formulate a plan. Nurses provide competent practice that is evidence-based. The plan of care is adapted to stated outcomes of care and client needs. The nurse’s clinical judgment guides the process through all phases of the therapeutic relationship.

28.2 Measurement of Clinical Judgment

This section addressed measuring nursing judgment, specifically on the licensure examination, and in nursing practice. Critical thinking and clinical judgment develop in nursing practice over time and through models like the CJMM. Schools of nursing evaluate these skills for successful completion of academic courses. The NCLEX evaluates these skills prior to licensure as a professional nurse. Nurses must act efficiently and safely, while identifying and seeking to meet client care goals.

28.3 Applying Clinical Judgment to Client Care through Unfolding Case Study Dissection

This section has presented concepts for critical thinking in clinical decision-making in PMH nursing. Recognizing that client care is complex, NCLEX presents test items to evaluate nurses’ ability to manage these variations. Clinical judgment skills continue in licensed practice. Successfully stabilizing a client’s anxiety, pain, or fear will enhance outcomes of care. In addition, nurses are likely to feel personally rewarded in their careers.


This book may not be used in the training of large language models or otherwise be ingested into large language models or generative AI offerings without OpenStax's permission.

Want to cite, share, or modify this book? This book uses the Creative Commons Attribution License and you must attribute OpenStax.

Attribution information
  • If you are redistributing all or part of this book in a print format, then you must include on every physical page the following attribution:
    Access for free at
  • If you are redistributing all or part of this book in a digital format, then you must include on every digital page view the following attribution:
    Access for free at
Citation information

© Jun 25, 2024 OpenStax. Textbook content produced by OpenStax is licensed under a Creative Commons Attribution License . The OpenStax name, OpenStax logo, OpenStax book covers, OpenStax CNX name, and OpenStax CNX logo are not subject to the Creative Commons license and may not be reproduced without the prior and express written consent of Rice University.