In the first three steps of the CJMM, what does the nurse do?

In the first three steps of the CJMM, what does the nurse do?

• A. Completes health history, clusters data, and prioritizes hypotheses
• B. Prescribes medications
• C. Orders all labs
• D. Documents discharge plan

Answer: (A)

In the CJMM, the early steps center on information gathering and processing to form and rank possible patient problems. The nurse begins with a thorough health history and current data collection to understand the patient’s baseline and context. Then the data are clustered or organized into meaningful patterns, grouping related findings together. Finally, the nurse prioritizes hypotheses about what is most urgent or most likely, guiding the subsequent care plan. This sequence builds a solid foundation for targeted interventions. Prescribing medications is a treatment action that follows after establishing prioritized nursing problems and orders; it isn’t part of the initial data-gathering and hypothesis-prioritizing steps. Ordering all labs is an active diagnostic task, not a cognitive step of gathering and organizing data and prioritizing hypotheses. Documenting discharge plan belongs to later planning phases after problems are identified and addressed.

In the CJMM, the early steps center on information gathering and processing to form and rank possible patient problems. The nurse begins with a thorough health history and current data collection to understand the patient’s baseline and context. Then the data are clustered or organized into meaningful patterns, grouping related findings together. Finally, the nurse prioritizes hypotheses about what is most urgent or most likely, guiding the subsequent care plan. This sequence builds a solid foundation for targeted interventions.

Prescribing medications is a treatment action that follows after establishing prioritized nursing problems and orders; it isn’t part of the initial data-gathering and hypothesis-prioritizing steps. Ordering all labs is an active diagnostic task, not a cognitive step of gathering and organizing data and prioritizing hypotheses. Documenting discharge plan belongs to later planning phases after problems are identified and addressed.