NRNP 6568 – Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Course Assignments & Discussions Study Guide
NRNP 6568 – Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Course Description
3 credits
Students in this synthesis course focus on clinical competence in family settings by building on knowledge and skills gained in previous courses. Students build confidence as they continue to transition from the role of registered nurse to that of advanced practice nurse. Classroom activities and case studies enable students to explore the salient nurse practitioner practice issues involved in the delivery of safe, competent, high-quality, and cost-effective care of patients in a dynamic healthcare system. The application of knowledge in the management of clients and collaboration among the advanced practice nurse and the client, family, and interprofessional healthcare team are emphasized. This course is designed for nurse practitioner (NP) students to synthesize their knowledge and clinical skills to provide care to patients with complex health conditions.
Prerequisites
- NRNP 6541
- NRNP 6552 or NRNP 6553
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NRNP 6568 – Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Course Syllabus & Assignments Summary
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Course Sequence for Practicum Courses
Practicum Hour Requirements
Students must complete all designated and required practicum hours for each course by the end of Week 10. Practicum hours must be completed over a duration of no less than 8 weeks to increase the likelihood that students will be exposed to a wide range of clients, unless there are extenuating circumstances and prior approval has been given. Students cannot exceed a daily maximum of 12 practicum hours. Each clinical course has a required number of patients that must be seen to complete the course. Please check this number with the faculty member in each clinical course at the beginning of the term or see Patient Encounter Requirements.
- Students with catalog years before Spring 2018 must complete a minimum of 576 hours of direct patient care during the four courses. Each practicum course requires 144 practicum hours.
- Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of direct patient care during the four courses. Each practicum course requires 160 practicum hours.
- Students who enter a Post Master’s certificate program with a certain approved ARPN licensure and certification and receive prior nursing credit for a practicum course must complete three practicum courses, with a minimum of 500 hours of supervised clinical experience (167 hours in each course) in the new specialization focus area.
Note: Students who changed specializations through enrollment and/or had to reenroll after a break in enrollment are readmitted under a newer catalog than the original catalog of admission. To confirm which catalog you are enrolled under, please contact Student Success Advising.
Patient Encounter Requirements
Students must also meet the requirements for the minimum number of patient encounters (interactions) per course along with the required practicum hours as follows:
- Students with catalog years before Spring 2018 must complete a minimum of 144 hours of direct patient care for each practicum course along with the following patient encounters:
- PRAC/PRCM 6531: 100 patients
- PRAC/PRCM 6541: 144 patients
- PRAC/PRCM 6540: 100 patients
- PRAC/PRCM 6550, 6560, and 6566: 75 patients
- PRAC/PRCM 6552: 100 patients
- PRAC/PRCM 6565, 6568: 144 patients
- PRAC/PRCM 6635/6640, 6645/6650, 6665/6660, 6675/6670: 80 patients/clients*
- Students with catalog years beginning Spring 2018 must complete a minimum of 160 hours of direct patient care for each practicum course along with the following patient encounters:
- PRAC/PRCM 6531: 120 patients
- PRAC/PRCM 6541: 160 patients
- PRAC/PRCM 6540: 120 patients
- PRAC/PRCM 6566, 6550, and 6560: 80 patients
- PRAC/PRCM 6552: 100 patients
- PRAC/PRCM 6553: 120 patients with majority OB patients
- PRAC/PRCM 6565, 6568: 160 patients
- PRAC/PRCM 6635, 6645, 6665, 6675: 80 patients/clients*
*Students in NP practicum courses will need to complete the required hours of practicum in each of the four practicum courses. A variety of factors will influence the number of patients/clients seen each day. To ensure students are obtaining a quality practicum learning experience, the clinical experience must be scheduled to last for a duration of no less than 8 weeks to increase the likelihood that students will be exposed to a wide range of clients. Students must document every patient seen as an interaction for accountability and legal tracking of these interactions; students will most likely log more than the required patients/clients. Students do not necessarily have to see unique patients since follow-up visits with the same patient count as a separate encounter.
For group encounters for PMHNP, each patient in the group counts as a patient encounter. Students will document each patient participating in the group individually in Meditrek® and include the group intervention / client response in the note section. This will simulate the student’s knowledge on how to document group interactions for patient medical records and coding/billing.
Note for PRAC/PRCM 6552/6553: Hands-on speculum and bimanual exams (pelvic exams) are required.
Double Practicum Policy
Students may be allowed to register for two practicum classes (PRAC/PRCM) in the same quarter if the following criteria are met and an approved appeal is on file in Meditrek with the Office of Field Experience:
- The two PRAC/PRCM classes are the only classes taken in that quarter. Note: An NRNP/DRNP class is not allowed to be taken concurrently with the two PRAC/PRCM classes.
- Student has taken and passed the NRNP/DRNP section of the corresponding PRAC/PRCM classes.
- Student must be in good academic standing. Academic Integrity or Code of Conduct violations, current or past, will be considered during review of the two PRAC/PRCM appeal.
- Student must have a minimum GPA of 3.0 in the NP core and specialty classes.
- Student must not have failed a PRAC or NRNP course in the past.
- Student is not working full time during the quarter when registered for the two PRAC/PRCM classes. A statement from the student’s immediate supervisor confirming their employment status along with work schedule and hours must be included with the appeal. Students who are not currently employed must submit a copy of their leave of absence papers, separation paperwork, or signed attestation they are not working during the quarter.
- There must be separate preceptors and practicum sites for each PRAC/PRCM class. One preceptor or site may not be utilized for both clinical sections. Practicum hours for each course must be completed on separate dates.
- Students cannot double PRAC with their first practicum course. Students must demonstrate successful completion of their first practicum course before requesting a double practicum course experience.
- There are some restrictions on PRAC/PRCM sections that can be combined. See below.
Students must request to submit an appeal to double up on practicum courses through the Office of Field Experience. Appeals must address all of the above criteria and are reviewed by program leadership for a decision.
Restrictions on PRAC/PRCM Sections That Can Be Combined With Other PRAC/PRCM Courses.
Note: See the course sequence guidelines for NRNP/DRNP and PRAC/PRCM guidelines.
Week 1 Knowledge Check – NRNP 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings
NRNP-6568-6-Syn Adv Nurs Pr Patient Family
Quiz – Week 1 Knowledge Check
QUESTION 1
- Health insurers can use genetic information to make enrollment or coverage decisions
True
False
1 points
QUESTION 2
- DNP stands for Doctor of Nursing Profession
True
False
1 points
QUESTION 3
- What are the main benefits to the NP of NP practice ownership?
| Decides on the length of patient visits and how the practice is the run | ||
| Chooses employees and controls qualities | ||
| May titrate workload to income | ||
| A and B only | ||
| All of the above |
1 points
QUESTION 4
- At what level of government is the role of the nurse practitioner defined?
| By the county in which the NP practices | ||
| By the state in which the NP practices | ||
| By the federal government Week 1 Knowledge Check – NRNP 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings |
1 points
QUESTION 5
- When using a device other than a landline telephone to participate in telemedicine, the device must comply with ________________ and ____________ requirements.
| HIPAA; HITECH | ||
| HIPAA; OSHA | ||
| HIPAA; DEA | ||
| HITECH; DEA |
1 points
QUESTION 6
- When speaking to a patient who is not a native English speaker, which of the following is the preferred interpreter to be used?
| Family members | ||
| Friends of the patient | ||
| Professional interpreters experienced in healthcare interpretation | ||
| All of the above |
1 points
QUESTION 7
- It is vital for an NP to obtain a family history because
| Teaches you to have biases about your care | ||
| Indicate need for Genetic testing | ||
| Guide the decision for Diagnostic testing | ||
| B and C correct | ||
| All of the above Week 1 Knowledge Check – NRNP 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings |
1 points
QUESTION 8
- There are several titles for NPs, and some are based on the state requirement. What does ARNP stand for?
| Adult Registered Nurse Practitioner | ||
| Advanced Registered Nurse Practitioner | ||
| Acute Registered Nurse Practitioner | ||
| Advanced Registered Nurse Provider |
1 points
QUESTION 9
- When giving patients written information, what is the suggested reading level for that health information?
| 10th grade | ||
| 7th grade | ||
| 1st grade | ||
| 5th grade |
1 points
QUESTION 10
- Which of the following are obstacles to improved patient health and safety?
| Missed appointments | ||
| Failure to follow up with a referral or a diagnostic test | ||
| Failure to comply with dietary, medication, or exercise recommendations Week 1 Knowledge Check – NRNP 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings | ||
| All of the above | ||
| None of the above |
Bottom of Form Week 1 Knowledge Check –
NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz
NRNP-6568-6-Syn Adv Nurs Pr Patient Family-2021-Winter-QTR-Term-wks-1-thru-11-(11/29/2021-02/13/2022)-PT27
Begin: Quiz – Week 8 Comprehensive Practice
INSTRUCTIONS
This test has a time limit of 1 hour and 30 minutes.
You will be notified when time expires, and you may continue or submit.
This test can be saved and resumed later. The timer will continue to run if you leave the test.
Click Begin to start: Quiz – Week 8 Comprehensive Practice. Click Cancel to go back NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz.
Question 1
Lactation mastitis typically occurs in which time frame:
| At 3 months after birth | ||
| At 6 months after birth | ||
| Within the first 2 months after birth | ||
| None of the above |
Question 2
Danger signs of oral contraceptives include all the following except:
| Chest pain | ||
| Severe headache | ||
| Weakness on both sides of the body | ||
| Visual changes in one eye |
Question 3
Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz. His most likely diagnosis is:
| Pertussis | ||
| Atypical pneumonia | ||
| CAP | ||
| Common cold |
Question 4
Imaging, in relationship to UTIs, should be done in all the following except:
| Poor response to antibiotics | ||
| H/O of calculi | ||
| On initial visit | ||
| Recurrent pyelonephritis |
Question 5
Adam is a 10 y/o male who has Koplik’s spots inside the cheeks by the rear molars. The most likely diagnosis is:
| Measles | ||
| Hand, foot, and mouth disease | ||
| Scarlet fever | ||
| Varicella |
Question 6
Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz. Some lifestyle changes to treat Zina’s condition would include which of the following?
| Stop smoking | ||
| Avoid ASA | ||
| Avoid alcohol | ||
| Avoid caffeine | ||
| All of the above | ||
| A, C, and D only |
Question 7
Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz. The most likely diagnosis is:
| Halitosis | ||
| Peptic ulcer disease | ||
| Gastroesophageal reflux disease (GERD) | ||
| A or B only |
Question 8
Artie is a 21 y/o male who comes to the clinic with a chief complaint of paroxysmal coughing without an apparent cause. He states that this has been going on for about 15 days. He initially had a mild fever and a runny nose. First-line treatment for Artie would include macrolides.
True
False
Question 9
Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Treatment of Sam’s condition includes which of the following:
| Doxycycline | ||
| Azithromycin | ||
| Tessalon Perles | ||
| All of the above | ||
| A & B only |
Question 10
After skin cancer, breast cancer is the most common cancer in women NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz.
True
False
Question 11
Mark is a 2-month-old infant, and he should be able to do all the following tasks except:
| Follow objects past midline | ||
| Make gurgling sounds | ||
| Rolling over | ||
| Lift head up 45 degrees |
Question 12
Patients with bipolar disorder may have all the following except:
| Delusions | ||
| Hallucinations | ||
| Lower rates of substance abuse | ||
| A & B only |
Question 13
The positive signs of pregnancy include all the following except:
| Palpation of uterus by NP | ||
| Ultrasound and visualization of fetus | ||
| Goodell’s sign (cervical softening at 4 weeks) | ||
| Fetal heart tones |
Question 14
Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Her most likely diagnosis is:
| Lower urinary tract infection | ||
| Abdominal virus | ||
| Upper urinary tract infection | ||
| Sexually transmitted disease |
Question 15
Drew is a 13 y/o male who presents to the clinic with testicular pain, nausea, vomiting, scrotal edema, and redness NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz. You perform a urine analysis, which is negative. What is the most likely diagnosis?
| Testicular cancer | ||
| Testicular torsion | ||
| Hodgkin lymphoma | ||
| None of the above |
Question 16
Archie is a 19 y/o male who comes to the clinic with his significant other because of recent outbursts and then long periods of mood changes that cycle between mania and depression. His most likely diagnosis is:
| Major depression | ||
| Bipolar depression | ||
| Minor depression | ||
| None of the above |
Question 17
In a pregnant woman, most of the weight gain occurs in which trimester?
| First trimester | ||
| Second trimester | ||
| Third trimester | ||
| Fourth trimester |
Question 18
The CDC recommends HPV vaccine for males until what age? NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz
| 18 y/o | ||
| 20 y/o | ||
| 23 y/o | ||
| 26 y/o |
Question 19
All of the following are characteristics of Kleinfelter syndrome in a male except:
| Small testicles | ||
| Wide hips | ||
| Decreased body and facial hair | ||
| Small stature |
Question 20
The most common method of contraception is:
| IUDs | ||
| Sterilization | ||
| Condoms | ||
| Diaphragms |
Question 21
Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. Within 2 weeks, Susan returns to the clinic and a culture of her urine shows she has the same bacteria as when the NP first saw her NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz. This would be referred to as:
| Relapsing UTI | ||
| Recurring UTI | ||
| Persistent UTI | ||
| None of the above |
Question 22
Susan is a 29 y/o female who comes to the clinic with a 3-day history of fever, chills, nausea, vomiting, and flank pain. During the visit, the NP does a urine dipstick and discover that Susan is positive for nitrites, leukocytes, and >10 WBCs. The physical exam reveals a CVA tenderness. In treating Susan, the NP could use which of the following antibiotics?
| TMP-SMX | ||
| Nitrofurantoin | ||
| Cephalexin | ||
| A and C only | ||
| A & C only |
Question 23
Sam is a 19 y/o male who comes to the clinic with a chief complaint of several weeks of fatigue and non-productive paroxysmal coughing. He initially had a sore throat, some rhinitis, and low-grade fever. Potential organisms that might have caused Sam’s condition include which of the following:
| Mycoplasma pneumoniae | ||
| Chlamydia pneumoniae | ||
| Legionella pneumonia | ||
| All of the above | ||
| None of the above |
Question 24
Jeremy is suffering from chronic alcohol abuse. His symptoms include mental confusion, ataxia, stupor, and hypotension. The most likely diagnosis for these symptoms is:
| Korsakoff’s syndrome | ||
| Insomnia | ||
| Anorexia nervosa | ||
| Bipolar disorder |
Question 25
All of the following are in the LUQ of the abdomen except
| Stomach | ||
| Sigmoid colon | ||
| Pancreas | ||
| Kidney (left) |
Question 26
Zina is a 34 y/o female who comes to the clinic with a chief complaint of 3 years of chronic heartburn. She states that she gets it after eating tacos and bacon. She has tried to self-medicate with OTC antacids with no improvement. In the exam, the NP notices a sour odor on Zina’s breath, thinning tooth enamel, and a chronic red throat NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz. Medications to assist Zina would include all the following except:
| Zantac | ||
| Pepcid | ||
| NSAIDS | ||
| Prevacid |
Question 27
At 12 weeks in a pregnancy the fundal height of the uterus should be:
| Above the symphysis pubis | ||
| Halfway between symphysis pubis and umbilicus | ||
| At level of umbilicus | ||
| Below symphysis pubis |
Question 28
Breast cancer in women is characterized by all of the following except
| Mobile mass on palpation | ||
| Mass is painless | ||
| Mass is typically found in the upper outer quadrant | ||
| Skin around breast is dimpled |
Question 29
All of the following are presumptive signs of pregnancy except:
| Amenorrhea | ||
| Chadwick’s sign (blue coloration of the uterus and vagina) | ||
| Breast changes | ||
| Fatigue |
Question 30
Which of the following can reduce breast cancer risk? NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz
| Healthy diet | ||
| Limiting ETOH intake | ||
| Stop smoking | ||
| Maintain normal body weight | ||
| All of the above | ||
| A, B, & C only |
NRNP – 6568 Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Week 8 Quiz
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