Stop & Think

Clinical judgment, one decision at a time.

Interactive challenges for nursing students built on the Clinical Judgment Measurement Model. You get the scenario, you make the call, and then you learn the why behind every choice.

Ready?

This Week's Challenge

Interactive · 2 minutes

Cirrhosis → Hepatic Encephalopathy: What's the Priority?

Your patient has alcohol-related cirrhosis, and today he's not making sense. His wrists show a coarse flap when you ask him to hold his arms out. One lab value and one bedside sign tell you exactly what's happening, and what to do about it.

Covers: recognizing hepatic encephalopathy · asterixis · safe medication administration

Start the challenge → Browse the library
  • 🧞 Alcohol-related cirrhosis
  • 📉 Ammonia 110 mcg/dL
  • 🧠 New confusion, drowsy but arousable
  • 🩺 Coarse flap on wrist extension
  • Which action is the PRIORITY?
The framework

Six Steps of Clinical Judgment

🔍
Recognize cues
What's going on?
🧠
Analyze cues
What do they mean?
📋
Prioritize hypotheses
What matters most?
🏃
Generate solutions
What can we do?
Take action
Do the right thing.
📈
Evaluate outcomes
Did it help?
💡 CJMM Pearl

"Great nurses don't just follow the plan. They reassess, recognize change, and respond to what matters most."

Who's coaching?

About The CJMM Coach

🧠

Kelly

MSN, RN

I'm a nurse educator with more than three decades of critical care experience, most of it at the bedside in neurotrauma intensive care. I've taught hundreds of nursing students, and I've watched the same pattern over and over: students who know the facts but freeze on the decision.

The CJMM Coach exists to close that gap. Every challenge here is built on the Clinical Judgment Measurement Model, the same framework behind Next Generation NCLEX questions, so you practice the thinking, not just the facts.