What it means
In the clinical judgment model the NCLEX uses, "Take Action" comes after the nurse has recognized cues, analyzed them, prioritized hypotheses and generated solutions. It means doing the chosen interventions, such as giving a medication, positioning the client, teaching, calling the provider or documenting. Questions about this step ask which actions the nurse should carry out, or in what order. The last step after it is evaluating the outcomes.
For the nurse
On the exam, the best action is safe, within the nurse's scope, and matches the most important problem you found in the earlier steps.
At a glance
| Also written | take actions |
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Related terms
intervention
An action taken to help a client, such as a treatment, a test, a teaching session or a nursing action.
clinical judgment
The way a nurse notices, makes sense of and acts on information about a client to decide on the best care.
analyze cues
The second step of the NCSBN Clinical Judgment Measurement Model: linking the client's findings to what they could mean.
recognize cues
The first step of the NCSBN Clinical Judgment Measurement Model: picking out the client information that matters most.
generate solutions
The fourth step of the NCSBN Clinical Judgment Measurement Model: choosing goals and the actions that could reach them.