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NRNP 6635 – Psychopathology and Diagnostic Reasoning Course Assignments & Discussions Study Guide

NRNP 6635 - Psychopathology and Diagnostic Reasoning Course Assignments & Discussions Study GuideNRNP 6635 – Psychopathology and Diagnostic Reasoning Course Description

3 credits

Psychiatric-mental health nurse practitioners (PMHNPs) need to have the knowledge and skills to provide comprehensive mental health evaluations in a safe and competent manner. In this course, students can learn how to use knowledge of psychopathology and diagnostic reasoning for health promotion and psychiatric assessment, and to develop differential diagnosis for patients with psychiatric and substance use disorders across the life span.

Prerequisites

  • NURS 6501
  • NURS 6512
  • NURS 6521
  • NURS 6052
  • NURS 6630

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NRNP 6635 – Psychopathology and Diagnostic Reasoning Course Syllabus & Assignments Summary

NRNP 6635 Week 1: Competencies of Advanced Nursing Practice

NRNP 6635 Week 2: Practicum Experience Plan

NRNP 6635 Week 3: Mood Disorders

NRNP 6635 Week 4: Anxiety Disorders, PTSD, and OCD

NRNP 6635 Week 5: Comprehensive Psychiatric Evaluation and Patient Case Presentation; Midterm Clinical Evaluation

NRNP 6635 Week 6: Neurocognitive, Neurodevelopmental, Eating, and Somatic Symptom-Related Disorders

NRNP 6635 Week 7: Comprehensive Psychiatric Evaluation and Patient Case Presentation

NRNP 6635 Week 8: Substance-Related and Addictive Disorders

NRNP 6635 Week 9:  Comprehensive Psychiatric Evaluation

You can also read another study guide on nursing assignments for students from another post on NRNP 6645 – Psychotherapy With Multiple Modalities Course Assignments & Discussions.

NRNP 6635 Week 1: Competencies of Advanced Nursing Practice

Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

 

What do I have to do? When do I have to do it?
Review your Learning Resources. Days 1–7
Assignment 1: Practicum Site Information Submit Assignment 1 by Day 7.
Assignment 2: Clinical Skills and Procedures Self-Assessment Submit Assignment 2 by Day 7.
Assignment 3: Clinical Hour and Patient Logs Track your clinical hours and patient encounters in Meditrek throughout this Practicum course.


You can also read other assignment examples for the NRNP 6635 – Psychopathology and Diagnostic Reasoning Course below:

NRNP 6635 Week 1: Competencies of Advanced Nursing Practice Paper Example

NRNP 6635 Week 1 Assignment 2: Clinical Skills Self-Assessment Paper Example

NRNP 6635 Week 2: Practicum Experience Plan (PEP) Paper Example

NRNP 6635 week 3 Assignment: Assessing and Diagnosing Patients With Mood Disorders Paper Example

NRNP 6635 Week 4: Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD Paper Example

NRNP 6635 Week 5: Comprehensive Psychiatric Evaluation and Patient Case Presentation Example

NRNP 6635 Week 6: Neurocognitive, Neurodevelopmental, Eating, and Somatic Symptom-Related Disorders Example

NRNP 6635 Week 8: Assessing and Diagnosing Patients With Substance-Related and Addictive Disorders Example

Tell me and I forget, teach me and I may remember, involve me and I learn.

—Xun Kuang, Chinese Confucian philosopher

 

Welcome to your Psychopathology and Diagnostic Reasoning Practicum! The practicum experience is an experiential learning opportunity, which allows you to gain and refine your clinical nursing skills under the mentorship of a Preceptor. As you engage with patients in the practicum setting, your involvement will extend your learning about a variety of psychiatric and mental healthcare needs for patients across the lifespan.

Throughout the next 11 weeks, you will evaluate your skill development, reflect on patient encounters, and generate goals related to your growth as an advanced practice nurse. This week, you start by assessing your strengths and opportunities related to Psychiatric-Mental Health Nurse Practitioner (PMHNP) clinical skills.

Learning Objectives

Students will:

  • Complete Practicum site form
  • Assess clinical skills and procedures related to advanced nursing practice
  • Develop measurable goals and objectives for the practicum experience
  • Describe clinical hours and patient encounters

Learning Resources

Required Readings (click to expand/reduce)

Assignment

Practicum Manual Acknowledgment

The Practicum Manual describes the structure and timing of the classroom-based and practicum experiences and the policies students must follow to be successful in the nurse practitioner (NP) specialties.

Click here and follow the instructions to confirm you have downloaded and read the entire MSN Nurse Practitioner Practicum Manual and will abide by the requirements described in order to successfully complete this program.

Optional Discussion Forum: PMHNP Study Support Lounge

The PMHNP Study Support Lounge is offered throughout the course as a place of academic refuge, where you can ask questions, offer insights, and interact with your peers. Your Instructor may also weigh in to provide global feedback to the group based on trends, common problems, and common strengths in student posts.

As a peer, you are encouraged to provide constructive, helpful feedback to your peers. Advanced practice nurses always benefit from the feedback of others. Your Study Support Lounge posts may be procedural (“How do I attach a Kaltura video to a Discussion post?”), conceptual (“How does this relate to the other therapy approaches we have studied?”), or analytical (“What do these diagnostic results actually mean in the context of this specific patient case?”). Although not mandatory, this is an opportunity to interact and study together as you navigate the assignments, so you are highly encouraged to take part in this activity. Full participation in activities like these is a statistically significant predictor of success.

To Participate in this Optional Discussion:

PMHNP Study Support Lounge

Assignment 1: Practicum Site Information

Photo Credit: EscoLux / E+ / Getty Images

Prior to starting the course, you should have applied for a practicum site following the guidelines for Psychiatric-Mental Health Nurse Practitioner (PMHNP) practice. Now it is time to make it official. For this Assignment, you provide your Clinical Faculty with information about your practicum site, your Preceptor, and your clinical calendar.

To prepare:

  • Verify that your practicum application has been approved by logging in to Meditrek.
  • Access the Practicum Site Information Form from the Learning Resources.

Assignment

Complete the designated areas of the Practicum Site Information Form. Include your practicum site and contact information; your Preceptor and contact information; and a schedule of when you plan to engage in onsite practicum activities.

Students must provide their schedule in the form of a monthly calendar with the time written out on the appropriate date. For example, writing 8 hours on the 5th day of the monthly calendar slot is not acceptable.  You must enter 8am-4pm or 10pm-6pm in the day slot of the monthly calendar.  Students need to complete the calendar for the whole quarter to demonstrate to the faculty the total number of hours to be completed this quarter.

NOTE: Students have a responsibility to notify faculty of any schedule changes throughout the quarter. 

By Day 7

Submit your completed Practicum Site Information Form.

Submission and Grading Information

Submit Your Assignment by Day 7

To participate in this Assignment:

Week 1 Assignment 1

Assignment 2: Clinical Skills Self-Assessment

Photo Credit: AndreyPopov / iStock / Getty Images Plus / Getty Images

Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself, “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills, such as those for advanced practice nursing.

The PRAC 6635 Clinical Skills List and PRAC 6635 Clinical Skills Self-Assessment Form, provided in the Learning Resources, can be used to celebrate your progress throughout your practicum and identify skills gaps. The list covers all necessary skills you should demonstrate during your practicum experience.

For this Assignment, you assess where you are now in your clinical skill development and make plans for this practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills. In this practicum experience, when developing your goals and objectives, be sure to keep assessment and diagnostic reasoning in mind.

To prepare:

  • Review the clinical skills in the PRAC 6635 Clinical Skills List document. It is recommended that you print out this document to serve as a guide throughout your practicum.
  • Review the “Developing SMART Goals” resource on how to develop goals and objectives that follow the SMART framework.
  • Download the PRAC 6635 Clinical Skills Self-Assessment Form to complete this Assignment.

Assignment

Use the PRAC 6635 Clinical Skills Self-Assessment Form to complete the following:

  • Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills Self-Assessment Form.
  • Based on your ratings, summarize your strengths and opportunities for improvement.
  • Based on your self-assessment and theory of nursing practice, develop three to four (3–4) measurable goals and objectives for this practicum experience. Include them on the designated area of the form.

By Day 7

Submit your completed Clinical Skills Self-Assessment Form.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK1Assgn2+last name+first initial.(extension)” as the name.
  • Click the Week 1 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 1 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn2+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 1 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 1 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7 of Week 1

To participate in this Assignment:

Week 1 Assignment 2

Assignment 3: Clinical Hour and Patient Logs

Photo Credit: auremar / Adobe Stock

Clinical Hour Log

For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion to be counted. You may only log hours with Preceptors that are approved in Meditrek. Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours.

You may not complete your hours sooner than 8 weeks.  By the end of Week 1, make sure you confirm your Preceptor and clinical faculty are set up in Meditrek.

Each log entry must be linked with an individual practicum learning objective or a graduate program objective. You should track your hours in Meditrek as they are completed.

Your clinical hour log must include the following:

  • Dates
  • Course
  • Clinical Faculty
  • Preceptor
  • Total Time (for the day)
  • Notes/Comments–including the objective to which the log entry is aligned

Patient Log

Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 80 patients by the end of this practicum.

The patient log must include the following:

  • Date
  • Course
  • Clinical Faculty
  • Preceptor
  • Patient Number
  • Client Information
  • Visit Information
  • Practice Management
  • Diagnosis
  • Student Notes- Students must include a brief summary/synopsis of the patient visit—this does not need to be a SOAP note; however, the note needs to be sufficient to remember your patient encounter

Record your clinical hours and patient encounters in Meditrek.

What’s Coming Up in Week 2?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will coordinate an email with your Clinical Faculty and Preceptor for orientation and onboarding, as well as to discuss goals and any related questions. You will continue recording your clinical hours and patient encounters in Meditrek. You will also engage in reading to bolster your confidence in psychiatric interviewing.

Looking Ahead: Practicum Experience Plan (PEP)

Now that you have completed your self-assessment in Week 1, you will begin developing your Practicum Experience Plan (PEP) in Week 2. Your self-assessment will inform your plan. Please take the time to review your PEP Assignment in Week 2 and plan your time accordingly.

Practicum – Upcoming Deadline

In the Nurse Practitioner programs of study (FNP, AGACNP, AGPCNP, and PMHNP) you are required to take several practicum courses. If you plan on taking a practicum course within the next two terms, you will need to submit your application via Meditrek .

For information on the practicum application process and deadlines, please visit the Field Experience: College of Nursing: Application Process – Graduate web page.

Please take the time to review the Appropriate Preceptors and Field Sites for your courses.

Please take the time to review the practicum manuals, FAQs, Webinars and any required forms on the Field Experience: College of Nursing: Student Resources and Manuals web page.

To go to the next week:

Week 2

Week 2: Practicum Experience Plan

 

What do I have to do? When do I have to do it?
Review your Learning Resources. Days 1–7
Reminder: Orientation Communication Complete your orientation email by Day 7.
Assignment 1: Clinical Hour and Patient Logs Record your clinical hours and patient encounters in Meditrek.
Assignment 2: Practicum Experience Plan (PEP) Submit Assignment 2 by Day 7.

 

When setting sharp, clearly defined goals and objectives, you focus on what you wish to accomplish and how and when you will get there. Based on your assessment of your strengths and opportunities related to psychiatric-mental health nurse practitioner (PMHNP) clinical skills, you can develop goals and objectives for your clinical practicum that can guide your activities. What are some steps you can take on the way to a larger goal? How might you gain confidence in a clinical skill or seek out more opportunities to practice? What external activities might boost your professionalism or enhance your skill set? As you settle in at your practicum site, keep these questions in mind.

This week, you continue engaging with patients at your practicum site, recording your time and experiences in your Clinical Hour and Patient Logs. You will also develop a Practicum Experience Plan (PEP) made up of goals and objectives designed to formally identify specific categories of clinical skills and procedures you wish to achieve during your practicum experience. Finally, through this week’s reading selections, you can deepen your understanding of the psychiatric interview.

Learning Objectives

Students will:

  • Describe clinical hours and patient encounters
  • Develop a Practicum Experience Plan
  • Create a timeline of practicum activities based on your practicum requirements

Learning Resources

Required Readings (click to expand/reduce)

Reminder: Orientation Communication

Photo Credit: Ellagrin / iStock / Getty Images Plus / Getty Images

This week, you must coordinate an introductory email with your Clinical Faculty and Preceptor. The purpose of this communication is for orientation and onboarding, goals discussion, and questions.

By Day 7

Complete your orientation email and send to your faculty and preceptor. Attach your clinical schedule calendar developed in Week 1 in your email. Include a summary of your goals and objectives for this practicum experience.

Assignment 1: Clinical Hour and Patient Logs

Photo Credit: auremar / Adobe Stock

Clinical Hour Log

For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion to be counted. You may only log hours with Preceptors that are approved in Meditrek. Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours. You may not complete your hours sooner than 8 weeks.

Each log entry must be linked with an individual practicum learning objective or a graduate program objective. You should track your hours in Meditrek as they are completed.

Your clinical hour log must include the following:

  • Dates
  • Course
  • Clinical Faculty
  • Preceptor
  • Total Time (for the day)
  • Notes/Comments–including the objective to which the log entry is aligned

Patient Log

Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 80 patients by the end of this practicum.

The patient log must include the following:

  • Date
  • Course
  • Clinical Faculty
  • Preceptor
  • Patient Number
  • Client Information
  • Visit Information
  • Practice Management
  • Diagnosis
  • Student Notes- Students must include a brief summary/synopsis of the patient visit—this does not need to be a SOAP note; however, the note needs to be sufficient to remember your patient encounter

Record your clinical hours and patient encounters in Meditrek.

Assignment 2: Practicum Experience Plan (PEP)

Photo Credit: Getty Images

As you establish your goals and objectives for this course, you are committing to an organized plan that will frame your practicum experience in a clinical setting, including planned activities, assessment, and achievement of defined outcomes. In particular, they must address the categories of clinical reasoning, quality in your clinical specialty, and interpersonal collaborative practice.

For this Assignment, you will consider the areas you aim to focus on to gain practical experience as an advanced practice nurse. Then, you will develop a Practicum Experience Plan (PEP) containing the objectives you will fulfill in order to achieve your aims. In this practicum experience, when developing your goals and objectives, be sure to keep psychiatric assessment and diagnostic reasoning in mind.

To Prepare

  • Review your Clinical Skills Self-Assessment Form you submitted last week and think about areas for which you would like to gain application-level experience and/or continued growth as an advanced practice nurse. How can your experiences in the Practicum help you achieve these aims?
  • Review the information related to developing objectives provided in this week’s Learning Resources.  Your practicum learning objectives that you want to achieve during your Practicum experience must be:
    • Specific
    • Measurable
    • Attainable
    • Results-focused
    • Time-bound
    • Reflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above)

Note: Please make sure your objectives are outlined in your Practicum Experience Plan (PEP).

  • Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.

Assignment

Record the required information in each area of the Practicum Experience Plan template, including three to four (3–4) practicum learning objectives you will use to facilitate your learning during the practicum experience.

By Day 7

Submit the Practicum Experience Plan for assessment and Faculty approval. When your Instructor has approved your plan, forward the signed PEP to your Preceptor, and retain a copy for your records.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK2Assgn2+last name+first initial.(extension)” as the name.
  • Click the Week 2 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 2 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK2Assgn2+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 2 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 2 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7

To participate in this Assignment:

Week 2 Assignment

What’s Coming Up in Week 3?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will engage in reading to bolster your confidence in diagnosing mood disorders. Additionally, you will track your clinical hours and patient encounters in Meditrek.

To go to the next week:

Week 3

Week 3: Mood Disorders

 

What do I have to do? When do I have to do it?
Review your Learning Resources. Days 1–7

 

Assignment: Clinical Hour and Patient Logs Record your clinical hours and patient encounters in Meditrek.

 

 

Mood disorders such as depression are some of the most common disorders that you may encounter in clinical practice. They often appear as comorbidities with other issues, such as chronic illness, anxiety disorders, PTSD, or drug or alcohol dependence. As you develop fluency in assessing for and diagnosing mood disorders at your practicum site, remember to frequently consult the DSM-5-TR and your preceptor for guidance in formulating differential diagnoses.

This week, you engage with resources that support your growing knowledge of mood disorders. You also continue to track clinical hours and patient encounters in Meditrek.

Learning Objectives

Students will:

  • Describe clinical hours and patient encounters

Learning Resources

Required Readings (click to expand/reduce)

Assignment: Clinical Hour and Patient Logs

Photo Credit: auremar / Adobe Stock

Clinical Hour Log

For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion to be counted. You may only log hours with Preceptors that are approved in Meditrek. Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours. You may not complete your hours sooner than 8 weeks.

Each log entry must be linked with an individual practicum learning objective or a graduate program objective. You should track your hours in Meditrek as they are completed.

Your clinical hour log must include the following:

  • Dates
  • Course
  • Clinical Faculty
  • Preceptor
  • Total Time (for the day)
  • Notes/Comments–including the objective to which the log entry is aligned

Patient Log

Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 80 patients by the end of this practicum.

The patient log must include the following:

  • Date
  • Course
  • Clinical Faculty
  • Preceptor
  • Patient Number
  • Client Information
  • Visit Information
  • Practice Management
  • Diagnosis
  • Student Notes- Students must include a brief summary/synopsis of the patient visit—this does not need to be a SOAP note; however, the note needs to be sufficient to remember your patient encounter

Record your clinical hours and patient encounters in Meditrek.

What’s Coming Up in Week 4?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will continue your clinical hour and patient logs in Meditrek. The week’s resource selections will also support your knowledge of assessing and diagnosing anxiety disorders, PTSD, and OCD.

Next Week

To go to the next week:

Week 4

 Week 4: Anxiety Disorders, PTSD, and OCD

 

What do I have to do? When do I have to do it?
Review your Learning Resources. Days 1–7
Assignment: Clinical Hour and Patient Logs Record your clinical hours and patient encounters in Meditrek.

 

Your weekly practicum Learning Resources mirror those content areas in the pre- or co-requisite companion course, NRNP 6635. Thus, this week, the Learning Resources support your knowledge of the assessment and diagnosis of anxiety disorders, PTSD, and OCD. It is recognized that at your site, you likely are seeing patients with a variety of disorders. Consult your course texts, as needed, to support the experiences you are encountering at your site. If you encountered a patient at your practicum site with an anxiety disorder, consider what patient factors and behaviors you think might impact the disorder. Also, consider steps you might take to mitigate the risk of misdiagnosing an anxiety disorder. As you progress in your clinical practicum, you continue to use Meditrek to record your time and patient encounters, thoughtfully considering the skills you are gaining.

Learning Objectives

Students will:

  • Describe clinical hours and patient encounters

Learning Resources

Required Readings (click to expand/reduce)

Assignment : Clinical Hour and Patient Logs

Photo Credit: auremar / Adobe Stock

Clinical Hour Log

For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion to be counted. You may only log hours with Preceptors that are approved in Meditrek. Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours. You may not complete your hours sooner than 8 weeks.

Each log entry must be linked with an individual practicum learning objective or a graduate program objective. You should track your hours in Meditrek as they are completed.

Your clinical hour log must include the following:

  • Dates
  • Course
  • Clinical Faculty
  • Preceptor
  • Total Time (for the day)
  • Notes/Comments–including the objective to which the log entry is aligned

Patient Log

Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 80 patients by the end of this practicum.

The patient log must include the following:

  • Date
  • Course
  • Clinical Faculty
  • Preceptor
  • Patient Number
  • Client Information
  • Visit Information
  • Practice Management
  • Diagnosis
  • Student Notes- Students must include a brief summary/synopsis of the patient visit—this does not need to be a SOAP note; however, the note needs to be sufficient to remember your patient encounter

Record your clinical hours and patient encounters in Meditrek.

What’s Coming Up in Week 5?

Comprehensive Psychiatric Evaluation and Patient Case Presentation

Next week, you will select a clinical patient from your practicum setting and complete a Comprehensive Psychiatric Evaluation to document information about the patient and formulate differential diagnoses. Based on this evaluation, you will then develop a case presentation on this patient.

Midterm Clinical Evaluation in Meditrek

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

By Day 7 of Week 5, your Preceptor will be required to complete your Midterm Evaluation in the Meditrek system.

Ensure that both you and your Preceptor have submitted the required online evaluation in the Meditrek system. You must complete all fields in the log and have your Preceptor verify your completed hours in Meditrek. There is nothing to submit in the classroom for this assignment; it is submitted through Meditrek.

Next Week

To go to the next week:

Week 5

Week 5: Comprehensive Psychiatric Evaluation and Patient Case Presentation; Midterm Clinical Evaluation

 

What do I have to do? When do I have to do it?
Review your Learning Resources. Days 1–7
Assignment 1: Clinical Hour and Patient Logs Record your clinical hours and patient encounters in Meditrek.
Assignment 2: Comprehensive Psychiatric Evaluation and Case Presentation Submit by Day 7.
Assignment 3: Midterm Evaluation Your Preceptor will evaluate your clinical skills by Day 7.

 

Consider the experiences you have had thus far, either in the healthcare workplace or at your practicum site. As you likely know, a nurse’s job does not begin and end with one-to-one patient contact. It includes meetings, documentation, trainings, and collaboration. In particular, the nurse is a member of an interdisciplinary team and must use oral and written communication to inform others of a patient’s status. A central skill of advanced practice nursing, then, is the ability to present a patient’s history, symptoms, diagnosis, and treatment plan to relevant parties involved in treatment.

This week, in addition to your Meditrek tracking, you will develop a comprehensive psychiatric evaluation and video case presentation on one of the patients you have interacted with in your clinical practicum. Also, as you approach the halfway point of your practicum, your Preceptor will assess your clinical skills this week in a Midterm Clinical Evaluation.

Learning Objectives

Students will:

  • Describe clinical hours and patient encounters
  • Assess patients across the lifespan in mental health settings
  • Formulate differential diagnoses for patients in mental health settings across the lifespan
  • Develop a case study presentation based on a clinical patient
  • Compare preceptor evaluation with self-evaluation to assimilate level of clinical performance

Learning Resources

Required Readings (click to expand/reduce)

Assignment 1 : Clinical Hour and Patient Logs

Photo Credit: auremar / Adobe Stock

Clinical Hour Log

For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion to be counted. You may only log hours with Preceptors that are approved in Meditrek. Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours. You may not complete your hours sooner than 8 weeks.

Each log entry must be linked with an individual practicum learning objective or a graduate program objective. You should track your hours in Meditrek as they are completed.

Your clinical hour log must include the following:

  • Dates
  • Course
  • Clinical Faculty
  • Preceptor
  • Total Time (for the day)
  • Notes/Comments–including the objective to which the log entry is aligned

Patient Log

Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 80 patients by the end of this practicum.

The patient log must include the following:

  • Date
  • Course
  • Clinical Faculty
  • Preceptor
  • Patient Number
  • Client Information
  • Visit Information
  • Practice Management
  • Diagnosis
  • Student Notes- Students must include a brief summary/synopsis of the patient visit—this does not need to be a SOAP note; however, the note needs to be sufficient to remember your patient encounter

Record your clinical hours and patient encounters in Meditrek.

Assignment 2: Comprehensive Psychiatric Evaluation and Patient Case Presentation

Photo Credit: Pexels

Comprehensive psychiatric evaluations are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Comprehensive notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.

For this Assignment, you will document information about a patient that you examined during the last 5 weeks, using the Comprehensive Psychiatric Evaluation Template provided. You will then use this note to develop and record a case presentation for this patient.

To Prepare

  • Select a patient that you examined during the last 5 weeks. Review prior resources on the disorder this patient has.
    • It is recommended that you use the Kaltura Personal Capture tool to record and upload your assignment.
    • Review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura Personal Capture video. The Personal Capture Quickstart Guide will walk you through creating your video, uploading it to Blackboard and placing it into the assignment area.
  • Conduct a Comprehensive Psychiatric Evaluation on this patient using the template provided in the Learning Resources. There is also a completed exemplar document in the Learning Resources so that you can see an example of the types of information a completed evaluation document should contain. All psychiatric evaluations must be signed, and each page must be initialed by your Preceptor. When you submit your document, you should include the complete Comprehensive Psychiatric Evaluation as a Word document, as well as a PDF/images of each page that is initialed and signed by your Preceptor. You must submit your document using SafeAssign. Please Note: Electronic signatures are not accepted. If both files are not received by the due date, Faculty will deduct points per the Walden Late Policies.
  • Develop a video case presentation, based on your progress note of this patient, that includes chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis, including differentials that were ruled out.
  • Include at least five (5) scholarly resources to support your assessment and diagnostic reasoning.
  • Ensure that you have the appropriate lighting and equipment to record the presentation.

Assignment

Record yourself presenting the complex case for your clinical patient.

Do not sit and read your written evaluation! The video portion of the assignment is a simulation to demonstrate your ability to succinctly and effectively present a complex case to a colleague for a case consultation. The written portion of this assignment is a simulation for you to demonstrate to the faculty your ability to document the complex case as you would in an electronic medical record. The written portion of the assignment will be used as a guide for faculty to review your video to determine if you are omitting pertinent information or including non-essential information during your case staffing consultation video.

In your presentation:

  • Dress professionally and present yourself in a professional manner.
  • Display your photo ID at the start of the video when you introduce yourself.
  • Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).
  • Present the full case. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis, including differentials that were ruled out.
  • Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.

Be succinct in your presentation, and do not exceed 8 minutes. Address the following:

  • Subjective: What details did the patient provide regarding their personal and medical history? What are their symptoms of concern? How long have they been experiencing them, and what is the severity? How are their symptoms impacting their functioning?
  • Objective: What observations did you make during the interview and review of systems?
  • Assessment: What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis, and why?
  • Reflection notes: What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health.  As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.

By Day 7

Submit your Video and Comprehensive Psychiatric Evaluation. You must submit two (2) files for the evaluation, including a Word document and scanned PDF/images of each page that is initialed and signed by your Preceptor.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK5Assign2+last name+first initial.(extension)” as the name.
  •  Click the Week 5 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 5 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK5Assgn2+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 5 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 5 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7 of Week 5

To participate in this Assignment:

Week 5 Assignment 2

Assignment 3: Midterm Clinical Evaluation in Meditrek

Photo Credit: Pixabay

Now that you have been working at your practicum site for more than a month, it is time to test your skills. Your Preceptor will now assess your clinical skills in a midterm clinical evaluation. In preparation for your evaluation, you may wish to review your PMHNP Clinical Skills List and Resource Review document, as well as revisit the goals and objectives you established in Weeks 1 and 2.

To Prepare

Check with your Preceptor to verify that they have received Meditrek credentials.

Following your midterm evaluation, your Clinical Faculty and Preceptor will meet privately to discuss your results and feedback. Once you receive your feedback, compare your Preceptor’s evaluation with your self-evaluation to better understand your clinical performance.

Clinical Evaluation Grades

Your clinical instructor will complete an evaluation with feedback from your preceptor and evaluation of your work.    Meditrek calculates an average score which will be used to determine the score that will be entered into Blackboard for your evaluation grade.

By Day 7

Your evaluation should be completed by your Preceptor.

Grading Criteria

Week 5 Midterm Evaluation Rubric

What’s Coming Up in Week 6?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will continue to track your clinical hours and patient encounters in Meditrek. You will also engage in reading to bolster your confidence in assessing and diagnosing neurocognitive, neurodevelopmental, eating, and somatic symptom disorders.

Next Week

To go to the next week:

Week 6

Week 6: Neurocognitive, Neurodevelopmental, Eating, and Somatic Symptom-Related Disorders

 

What do I have to do? When do I have to do it?
Review your Learning Resources. Days 1–7
Assignment: Clinical Hour and Patient Logs Record your clinical hours and patient encounters in Meditrek.

 

This week, you will continue to engage with Meditrek, recording your clinical hours and patient encounters. You will also reinforce your knowledge about assessment and diagnosis of neurocognitive, neurodevelopmental, eating, and somatic symptom-related disorders through the resource selections. As you think about the patients in your clinical setting who may have one of these types of disorders, consider the strategies you would use to facilitate the treatment and management process while providing patient education and support.

Learning Objectives

Students will:

  • Describe clinical hours and patient encounters

Learning Resources

Required Readings (click to expand/reduce)

Assignment: Clinical Hour and Patient Logs

Photo Credit: auremar / Adobe Stock

Clinical Hour Log

For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion to be counted. You may only log hours with Preceptors that are approved in Meditrek. Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours. You may not complete your hours sooner than 8 weeks.

Each log entry must be linked with an individual practicum learning objective or a graduate program objective. You should track your hours in Meditrek as they are completed.

Your clinical hour log must include the following:

  • Dates
  • Course
  • Clinical Faculty
  • Preceptor
  • Total Time (for the day)
  • Notes/Comments–including the objective to which the log entry is aligned

Patient Log

Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 80 patients by the end of this practicum.

The patient log must include the following:

  • Date
  • Course
  • Clinical Faculty
  • Preceptor
  • Patient Number
  • Client Information
  • Visit Information
  • Practice Management
  • Diagnosis
  • Student Notes- Students must include a brief summary/synopsis of the patient visit—this does not need to be a SOAP note; however, the note needs to be sufficient to remember your patient encounter

Record your clinical hours and patient encounters in Meditrek.

What’s Coming Up in Week 7?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will complete another comprehensive psychiatric evaluation and case presentation on a clinical patient that you examined during the last 2 weeks. This should be a patient who presented with any disorder other than the one you selected for your Week 5 presentation. Additionally, you will continue your clinical hour and patient logs in Meditrek. You will also review resource selections that support your assessment and diagnosis of schizophrenia, other psychotic disorders, and medication-induced movement disorders.

Next Week

To go to the next week:

Week 7: Comprehensive Psychiatric Evaluation and Patient Case Presentation

 

What do I have to do? When do I have to do it?
Review your Learning Resources. Days 1–7
Assignment 1: Clinical Hour and Patient Logs Record your clinical hours and patient encounters in Meditrek.
Assignment 2: Comprehensive Psychiatric Evaluation and Patient Case Presentation Submit by Day 7.

 

At your practicum site, you have been strengthening your communication, diagnostic, procedural, and treatment planning skills. This week, you highlight these skills as you present a complete case in a video, just as you did in Week 5. You also continue to track your clinical time and patients in Meditrek.

Your readings this week reinforce your knowledge about assessment and diagnosis of psychotic and medication-induced movement disorders. As you think about the patients in your clinical setting who may have a psychotic or medication-induced movement disorder, consider the strategies you would use to facilitate the treatment and management process while providing patient education and support.

Learning Objectives

Students will:

  • Describe clinical hours and patient encounters
  • Assess patients across the lifespan in mental health settings
  • Formulate differential diagnoses for patients in mental health settings across the lifespan
  • Develop a case study presentation based on a clinical patient

Learning Resources

Required Readings (click to expand/reduce)

Assignment 1: Clinical Hour and Patient Logs

Photo Credit: auremar / Adobe Stock

Clinical Hour Log

For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion to be counted. You may only log hours with Preceptors that are approved in Meditrek. Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours. You may not complete your hours sooner than 8 weeks.

Each log entry must be linked with an individual practicum learning objective or a graduate program objective. You should track your hours in Meditrek as they are completed.

Your clinical hour log must include the following:

  • Dates
  • Course
  • Clinical Faculty
  • Preceptor
  • Total Time (for the day)
  • Notes/Comments–including the objective to which the log entry is aligned

Patient Log

Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 80 patients by the end of this practicum.

The patient log must include the following:

  • Date
  • Course
  • Clinical Faculty
  • Preceptor
  • Patient Number
  • Client Information
  • Visit Information
  • Practice Management
  • Diagnosis
  • Student Notes- Students must include a brief summary/synopsis of the patient visit—this does not need to be a SOAP note; however, the note needs to be sufficient to remember your patient encounter

Record your clinical hours and patient encounters in Meditrek.

Assignment 2: Comprehensive Psychiatric Evaluation and Patient Case Presentation

Photo Credit: Pexels

Comprehensive psychiatric evaluations are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Comprehensive notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.

For this Assignment, you will document information about a patient that you examined during the last 2 weeks, using the Comprehensive Psychiatric Evaluation Template provided. You will then use this note to develop and record a case presentation for this patient.

To Prepare

  • Review this week’s Learning Resources and consider the insights they provide about assessment and diagnosis. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.
  • Select a patient that you examined during the last 2 weeks who presented with a disorder other than the one present in your selected case for Week 5.
  • Conduct a Comprehensive Psychiatric Evaluation on this patient using the template provided in the Learning Resources. There is also a completed exemplar document in the Learning Resources so that you can see an example of the types of information a completed evaluation document should contain. All psychiatric evaluations must be signed, and each page must be initialed by your Preceptor. When you submit your document, you should include the complete Comprehensive Psychiatric Evaluation as a Word document, as well as a PDF/images of each page that is initialed and signed by your Preceptor. You must submit your document using SafeAssign.
    Please Note: Electronic signatures are not accepted. If both files are not received by the due date, Faculty will deduct points per the Walden Late Policies.
  • Develop a video case presentation, based on your evaluation of this patient, that includes chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis, including differentials that were ruled out.
  • Include at least five (5) scholarly resources to support your assessment and diagnostic reasoning.
  • Ensure that you have the appropriate lighting and equipment to record the presentation.

Assignment

Record yourself presenting the complex case for your clinical patient.

Do not sit and read your written evaluation! The video portion of the assignment is a simulation to demonstrate your ability to succinctly and effectively present a complex case to a colleague for a case consultation. The written portion of this assignment is a simulation for you to demonstrate to the faculty your ability to document the complex case as you would in an electronic medical record. The written portion of the assignment will be used as a guide for faculty to review your video to determine if you are omitting pertinent information or including non-essential information during your case staffing consultation video.

In your presentation:

  • Dress professionally and present yourself in a professional manner.
  • Display your photo ID at the start of the video when you introduce yourself.
  • Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).
  • Present the full case. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis including differentials that were ruled out.
  • Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.

Be succinct in your presentation, and do not exceed 8 minutes. Address the following:

  • Subjective: What details did the patient provide regarding their personal and medical history? What are their symptoms of concern? How long have they been experiencing them, and what is the severity? How are their symptoms impacting their functioning?
  • Objective: What observations did you make during the interview and review of systems? 
  • Assessment: What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis and why? 
  • Reflection notes: What would you do differently in a similar patient evaluation? Reflect on one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health.  As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.

By Day 7

Submit your Video and Comprehensive Psychiatric Evaluation. You must submit two (2) files for the evaluation, including a Word document and scanned PDF/images of each page that is initialed and signed by your Preceptor.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “Wk7Assgn2+last name+first initial.(extension)” as the name.
  • Click the Week 7 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 7 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “Wk7Assgn2+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 7 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 7 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7

To participate in this Assignment:

Week 7 Assignment 2

What’s Coming Up in Week 8?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will continue your clinical hour and patient logs in Meditrek. You will also engage in reading selections to support your confidence in assessing and diagnosing substance-related disorders.

Next Week

To go to the next week:

Week 8

Week 8: Substance-Related and Addictive Disorders

 

What do I have to do? When do I have to do it?
Review your Learning Resources. Days 1–7
Assignment: Clinical Hour and Patient Logs Record your clinical hours and patient encounters in Meditrek.

 

Carlat (2017) suggested that an initial diagnostic interview for substance-related disorders should be limited in scope, seeking to establish whether the patient’s behavior meets DSM-5-TR criteria, and to generally assess severity and relationships with comorbidities. A full history of individual, genetic, social, and environmental factors may not be possible during the initial interview. Note that the DSM-5-TR does not use the term addiction, in order to avoid the negative connotation of the word and to reflect the range of use from mild to severe. The advanced practice nurse, too, should seek to avoid stigma and use a non-judgmental approach with patients.

This week, you will reinforce your knowledge of assessment and diagnosis of substance-related disorders through your reading selections. You will also continue to engage with Meditrek, recording your clinical hours and patient encounters.

Reference: Carlat, D. J. (2017). The psychiatric interview (4th ed.). Wolters Kluwer.

Learning Objective

Students will:

  • Describe clinical hours and patient encounters

Learning Resources

Required Readings (click to expand/reduce)

Assignment: Clinical Hour and Patient Logs

Photo Credit: auremar / Adobe Stock

Clinical Hour Log

For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion to be counted. You may only log hours with Preceptors that are approved in Meditrek. Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours. You may not complete your hours sooner than 8 weeks.

Each log entry must be linked with an individual practicum learning objective or a graduate program objective. You should track your hours in Meditrek as they are completed.

Your clinical hour log must include the following:

  • Dates
  • Course
  • Clinical Faculty
  • Preceptor
  • Total Time (for the day)
  • Notes/Comments–including the objective to which the log entry is aligned

Patient Log

Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 80 patients by the end of this practicum.

The patient log must include the following:

  • Date
  • Course
  • Clinical Faculty
  • Preceptor
  • Patient Number
  • Client Information
  • Visit Information
  • Practice Management
  • Diagnosis
  • Student Notes- Students must include a brief summary/synopsis of the patient visit—this does not need to be a SOAP note; however, the note needs to be sufficient to remember your patient encounter

Record your clinical hours and patient encounters in Meditrek.

What’s Coming Up in Week 9?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will select a clinical patient that you examined during the last 2 weeks who has a disorder other than the ones covered in your Week 5 and Week 7 Assignments. With this patient in mind, you will complete a comprehensive psychiatric evaluation and case presentation. Additionally, you will track your clinical hours and patient encounters in Meditrek. You will also engage in reading to bolster your confidence in assessing and diagnosing personality, paraphilic, and sexual disorders.

Looking Ahead: Final Evaluation

Photo Credit: Ellagrin / iStock / Getty Images Plus / Getty Images

This week, check that your Preceptor has received an email from Meditrek with instructions for your Final Evaluation. The Final Evaluation is completed in Week 10.

Next Week

To go to the next week:

Week 9

Week 9: Comprehensive Psychiatric Evaluation

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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 Assignments & Discussions StudyNRNP 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

NRNP 6550 i Human Darrell Bridges .pdf

Week 1 discussion main post

PRAC6568Comprehensive SOAPnote

Case Study Week Three

Wk10 Soap Note Womens health

WK3Assgn 1Ale J – COURSEWORK

I-Human Patients Case Player Student Manual

Wk 1-Walker L- Class Cafe verification form 5-30-2023

MD2 Assgn 4.Hawkinberry.T

MD2 Assgn 1.Hawkinberry.T

WK3Assgn 2+minnehan+a.

week 3 case studies

WK3Assgn 2Studoc – Focused SOAP Note – HEENT

Week 2 i Human Assignment Reflection Worksheet

Week 6 soap chest pain

Calender study plan – week 3 Assignment 1

My study plan

Salehi et al 2019 factors behind ethical dilemmas regarding physical restraint for critical care nurses

WK2Assgn Payette A – Assignment for week 2

Week 9 Assignment SOAP Note: Preventative Health and Assessing, Diagnosing, and Treating Special Populations

You can also read another study guide on nursing assignments for students from another post on NRNP 6635 – Psychopathology and Diagnostic Reasoning Course Assignments & Discussions.

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

  1. Health insurers can use genetic information to make enrollment or coverage decisions

True

False

1 points   

QUESTION 2

  1. DNP stands for Doctor of Nursing Profession

True

False

1 points   

QUESTION 3

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

  1. 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

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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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NRNP 6560 – Advanced Care of Adults in Acute Settings III Course Assignments & Discussions Study Guide

NRNP 6560 - Advanced Care of Adults in Acute Settings III Course Assignments & Discussions Study GuideNRNP 6560 – Advanced Care of Adults in Acute Settings III Course Description

3 credits

Students in this course will advance their clinical competence in the care of patients in acute care settings. Students will build confidence as they begin the transition from student to advanced practice nurse. Classroom activities and case studies will enable students to explore resources and support systems available to acutely ill adolescents, adults, and older adults. The  application of knowledge in the management of patients and the collaboration between the advanced practice nurse and the patient, family, and multi-disciplinary healthcare team are emphasized.

Prerequisites

  • NRNP 6550

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NRNP 6560 – Advanced Care of Adults in Acute Settings III Course Syllabus & Assignments Summary

Wk 2 6560 – it a I-Human

WK2 Assignment 6540 SOAP NOTE

I-Human – Exercises – Herniated disk

I-Human Gloria Jenkins- Rank Differential Diagnosis

NRNP 6560 Nancy Penn Week9 I-Human

Midterm 6560 Winter 23 Concepts

I-Human – Diagnosis – Advanced Practice Care of Adults in Acute Care Settings II (NRNP 6550)

I-Human Walter Sobchak- History Questions Case Feedback

NRNP 6560 Alignment Chart

You can also read another study guide on nursing assignments for students from another post on NRNP 6568 – Synthesis in Advanced Nursing Practice of Patients in Family Care Settings Course Assignments & Discussions.

Course Specific Requirements

  • PRAC 6560: Advanced Care of Adults in Acute Settings III Practicum
  • Types of Patients: Ages 13 and older with acute, critical, or significant exacerbation of preexisting disease states
  • Types of Services: Assessment and management of acute or critical disease states which may require airway management, pulmonary support, cardiovascular intervention, intravenous medication management, infection disease intervention, renal intervention, neurologic/neurosurgical management, or abdominal pathology management
  • Possible Preceptor Choices: ACNP, AGACNP, ANP, AGPCNP, MD, DO, PA, intensivist, or hospitalist
  • Unacceptable Preceptor Choices: CNS
  • Possible Site Choices: Acute care hospital setting, critical care units, EDs 
  • Note: The following in-hospital specialty rotations will be considered based on the services provided: Cardiology, endocrinology, gastroenterology, hematology/oncology, infectious disease, nephrology (excluding dialysis units), neurology/neurosurgery, pulmonology, surgery, transplant, and trauma
  • Nonacceptable Sites: Dialysis units, palliative care units, Cancer Centers of America, urgent care, outpatient clinics, and family practice clinics/offices or retail health clinics
  • Requirements: 160 hours; minimum 80 patients

Important Note for Preceptor and Site Requirements

To learn the role of the nurse practitioner, it is required that at least two preceptors be NPs in an area of practice clearly relevant to meeting the objectives of the NP program/specialty. The two NP preceptors must cover two separate practicum courses. Having two NP preceptors for one course does not meet this requirement. Following are additional preceptor requirements:

  • Students may only use the same preceptor for two of their four practicum courses.
  • Students cannot use the same preceptor at the same practicum site when they are doubling up practicum courses during the same quarter.
  • Physicians (MDs, DOs) and physician assistants (PAs) may serve as preceptors but must be credentialed and licensed to practice in the population-focused and/or specialty area of practice in the state where the practicum will occur. In addition, this area of practice should be clearly relevant to meeting the course objectives of the student’s NP program and meet the course specific guidelines. Students are not allowed to use MDs or PAs for all four courses as at least two preceptors must be NPs.
  • Special notes about Physician Assistants (PAs) as preceptors:
    • PAs do not count as meeting the requirement of having two NPs as preceptors.
    • PAs may not serve as preceptors in the PMHNP program.
    • PAs may not serve as preceptors in some states due to specific state board of nursing regulations. Students should verify with their state Board of Nursing for requirements. Examples of some states that do not allow PAs as preceptors:  Alaska, Arizona, Florida, and Alabama.
    • Preceptors who are an APRN or MD/DO are the best options. However, if you are considering using a PA or other professional as a preceptor, it is helpful to contact your Board of Nursing and the Office of Field Experience to determine whether the preceptor is acceptable.

Note: Approval of the preceptor must occur prior to the student starting the practicum course and logging hours. Students cannot begin logging practicum hours until their practicum application is fully approved, and they have been registered for the course.

NRNP 6560 – I-Human – Exercises – Herniated disk

Spinal Conditions: Herniated Disc, Compression Fracture, and Spondylolisthesis, Assignments of Nursing

A detailed analysis of three common spinal conditions: herniated disc, vertebral compression fracture, and spondylolisthesis. It includes visual aids, multiple-choice questions, and feedback to help students understand the differences between these conditions, their symptoms, and how they are diagnosed. This resource is ideal for medical students studying anatomy and pathology, particularly those focusing on the musculoskeletal system.

Download Spinal Conditions: Herniated Disc, Compression Fracture, and Spondylolisthesis and more Assignments Nursing in PDF only on Docsity! i-Human – Exercises 1 of 2 7/14/2023, 1:06 PM Gloria Jenkins: Ana Criselda Ballesta, Attending Learning Mode Histor y Physic al Exam Assessme nt Test Result s Diagnosi s Pla n Summary 1 of 1 Index of Exercises Correct Missed Incorrect Feedback Discussion This image depicts a herniated disc between the L2 and L3 vertebral bodies. The nucleus pulposus is extruded and is impinging on the nerve route and, to some degree, impinging on the cauda equina/spinal cord. • A single vertebral compression fracture would manifest as diminished height of one of the vertebral bodies. • Metastatic disease would be associated with discrete bony lesion(s) or a mass. • Spondylolisthesis would be demonstrated an anterior shifting of one vertebral body relative to its inferior counterpart. Proceed Choice Yours Graded Vertebral compression fracture Herniated nucleus pulposus (herniated disc) Spinal metastatic disease Spondylolisthesis

NRNP 6560 – Midterm 6560 Winter 23 Concepts

Midterm 6560 Winter 23 Concepts

Week 1

  1. Know protein requirements for the critically ill.
  2. Be familiar with enteral and parenteral nutrition.
  3. Discuss recommended preoperative testing based on patient age and co-morbid conditions.
  4. Describe the management of common medications in the preoperative period. (anti-hypertensives, anti-coagulants, and diabetic management agents)
  5. Describe the components of risk stratification be able to determine a patient’s risk based on testing and co-morbid decisions.
  6. Describe components of focused, comprehensive, and consultation notes.
  7. Describe recommendations for preoperative infection prevention based on SCIP.
  8. Describe methods to prevent post operative complications.
  9. Be familiar with Mallampati scores.
  10. Know reversal agents for neuromuscular blockades, benzos and narcotics.
  11. Know the different types of monitoring.
  12. Know doses of lidocaine.
  13. Be familiar with malignant hyperthermia and the treatment.
  14. Be familiar with types of wound healing.
  15. Know about regional anesthesia. Contraindications to spinals and epidurals

Week 2

  1. Describe common symptoms, diagnostics, and treatment (meds) for osteoarthritis.
  2. Describe common symptoms, diagnostics, and treatment (meds) for rheumatoid arthritis.
  3. Be able to differentiate between rheumatoid, osteoarthritis, septic arthritis.
  4. Describe common symptoms, diagnostics, and treatment (meds) for compartment syndrome.
  5. Recognize the six Ps associated with compartment syndrome.
  6. Be familiar with symptoms, diagnostics and treatment for rhabdomyolysis.
  7. Know symptoms, diagnostics and treatment for osteomyelitis.
  8. Describe common symptoms, diagnostics, and treatment (meds) for back pan, joint pain.a. Know the different types of back and red flags.

Week 3

  1. Differentiate between HIV and AIDS. Specifically what labs would assist in making this distinction?
  2. Describe common symptoms by stage of HIV / AIDS
  3. Describe strategies to prevent HIV.
  4. Discuss the initiation and management of antiretroviral therapy in HIV.
  5. Describe common symptoms and treatment of opportunistic infections related to HIV/AIDS
  6. Describe common symptoms, diagnostics, and treatment (meds) for SLE (lupus)
  7. Describe the absolute and relative contraindications to receive organs.
  8. Describe common symptoms, diagnostics, and treatment (meds) of immunosuppression and organ rejection.
  9. Describe common medical complications for solid organ transplant (Lung, heart, liver, kidney, intestine, pancreas.

Week 4

  1. Describe common symptoms, diagnostics, and treatment (meds) for hepatitis.
  2. Differentiate between Hepatitis A B C and D
  3. Interpret the type of hepatitis based on the serologic testing results (IgG, IgM, etc).
  4. Describe common symptoms, diagnostics, and treatment (meds) for alcoholic liver disease.a. Describe common symptoms, diagnostics, and treatment (meds) for acute liver failure.b. Describe common symptoms, diagnostics, and treatment (meds) for chronic liver disease.c. Be familiar with treatment for hepatic encephalopathy, ascites, variceal bleeding.
  5. Describe common symptoms, diagnostics, and treatment (meds) for cholecystitis/cholangitis.
  6. Describe common symptoms, diagnostics, and treatment (meds) for acute pancreatitis.a. Be familiar with the Ransom score system and its interpretation.
  7. Describe common symptoms, diagnostics, and treatment (meds) for small bowel obstruction.
  8. Describe common symptoms, diagnostics, and treatment (meds) for large bowel obstruction.
  9. Describe common symptoms, diagnostics, and treatment (meds) for mesenteric ischemia/bowel infarction.
  10. Know how to manage a bowel obstruction.

Week 5

  1. Describe common symptoms, diagnostics, and treatment (meds) for diverticulitis.
  2. Describe common symptoms, diagnostics, and treatment (meds) for inflammatory bowel diseasea. UC/Crohns-be familiar with medications for remission and steroid use. Know the different symptoms associated with UC and Crohns. What makes them different from each other.
  3. Describe common symptoms, diagnostics, and treatment (meds) for peritonitis.
  4. Describe common symptoms, diagnostics, and treatment (meds) for appendicitis.
  5. Apply common abdominal assessment signs (McMurphy, Rovsing, etc) appropriate associated disease.
  6. Describe common symptoms, diagnostics, and treatment (meds) for PUD.
  7. Describe common symptoms, diagnostics, and treatment (meds) for GERD.
  8. Know the mainstay of treatment for appendicitis.
  9. Describe common symptoms, diagnostics, and treatment (meds) for upper GI bleeding.
  10. Describe common symptoms, diagnostics, and treatment (meds) for lower GI bleeding.

NRNP 6560 – WK2 Assignment 6540 SOAP NOTE

1SOAP NOTE WK 2 Assignment Sample

Walden University

Student Name

RN BSN

Advanced Practice Care of Older Adults

NRNP 6540 Dr. Ann Krriebel

Date

Focused SOAP Note Template

Patient Information: MW 67-year-old African American female S (subjective) Chief Complaint (CC):  forgetfulness, short-term memory lossHPI (history of present illness): M. W. is a 67-year-old black female brought into the clinic by herdaughter. She reports that over the last three months, her mother has been repeating herself, often laughing off her symptoms or becoming agitated when others try to correct her. Her mother’s confusion is worsening, and she is becoming unsafe. She recently got lost in their localWalmart. The client has a history of Osteoporosis, Hyperlipidemia, and Hypertension, which sheis medicated for. Her clean and neat appearance, her speech is clear, and her eye contact is appropriate. Oriented to herself, she recognizes her daughter but cannot recall the date, time, and place and is unaware of her situation. She is cooperative with today’s physical exam and clinical interview. However, she cannot recall making an appointment for today and became upset when her daughter reminded her, they had made the date together. Ms. W.’s conversation is correct, but it can sometimes become erratic. She has no unusual body movements, tics, headaches, dizziness, or vision changes. She denies any hallucinations or suicidal ideations. Ms. W. is physically active without any mobility changes. She reports walking her dog twice daily. She denies an increase in pain, scoring 1/10 on the pain scale with activity and no pain at rest. Her daughter says that her mother has been sleeping more and eating less. The patient denies chills, fever, nausea, diarrhea, or any changes in urination. When asked about her daily routine, she laughed and said she works part-time at a school. The client’s daughter says her mother retired over seven years ago. Current Medications:Amlodipine 10 mg daily for hypertensionHydrochlorothiazide 12.5 mg daily for hypertension Atorvastatin 40 mg daily for hyperlipidemiaMultivitamins daily supplementAlendronate 70 mg by mouth once weekly for osteoporosisAllergies: Lisinopril – cough, penicillin – rash PMH:   The daughter reports that her mother has had her influenza vaccine this season. She received her. She received her second COVID-19 booster in July and received her Tdap and pneumonia two years ago. She has no history of significant illnesses.Surgical Hx: Tonsillectomy in childhood, one c-sectionSoc and Substance Hx: The daughter reports that until recently, her mother enjoyed attending the local senior center. She also went out with family and friends and attended online religious activities. Both deny smoking or drinking; there are no signs and symptoms of drug use. She lives with her daughter in a two-story home with a dog. Her daughter is a police officer and keeps her service weapon in a secure safe. They both wear seatbelts, and the house has working smoke detectors.

Fam Hx:Father deceased at 70 CVA, mother deceased at 55 M. I., brother deceased at 60 sarcoidosis. One daughter, 40 YO, has asthma and hypertension, both controlled with medication.Mental Hx:Cognitive impairment – The patient’s CT scan shows cerebral atrophy, short-term memory loss, and forgetfulness. GDS score is 8/ 30, with no reports of self-harm or symptoms of neglect. MMSE IS 18/ 30 scorings moderate level dementia with a decline in orientation, recall, attention calculation, and registration. Violence Hx: No historical daughter is advised to obtain caretaking services as the mother should not be left alone. Reproductive Hx: Post-menopausal and not currently sexually activeROS (review of symptoms): General:    The daughter reports that the patient has been eating less and sleeping long periods. Denies night sweats or chills. Head   :  appears intact EENT   : Eyes intact no changes in hearing, nose dry, throat intact, mucus membranes moist and pink SKIN: PT has a faded bruise left leg and denies fallingCARDIOVASCULAR/CV: denies chest pain, no edema palpation or fluttering, no recent echo or EKG. RESPIRATORY: Lungs are clear and diminished; denies shortness of breath, cough, or sputum. CXR is negative. GASTROINTESTINAL: No abdominal pain, nausea, constipation, bloody stools, or diarrhea. Her abdomen appears soft and non-distended. The daughter reports pt is eating lessGENITOURINARY: No changes in urine frequency or outputNEUROLOGICAL: No dizziness, headaches, syncope, paralysis, ataxia, tingling, or numbness in the extremities.  There are no reports of change in bowel or bladder control. MUSCULOSKELETAL: No stiffness or joint pain, no changes in mobility, denies back pain HEMATOLOGIC: faded bruise to left leg unable to recall etiology, no excessive bleeding or unusual fatigueLYMPHATICS: Lymph nodes intact, no swelling to extremities PSYCHIATRIC: No symptoms of anxiety or depression. No suicidal thoughts or hallucinationsENDOCRINOLOGIC: No increased sweating or changes in cold or heat intolerance. ALLERGIES: denies rash, hives, or itchy eyes, runny nose O (objective)Physical exam:   Vital Signs/VS:  p 120/55 HR 65 Temp 99 oral Resp 16 Wt. 135 HT 5’ 6 BMI 21.8GENERAL: Appearance is neat, clean, well-groomed in no physical distressHEENT:  *Eyes pupils equal reactive to light sclera white pale, conjunctiva pink lids uniform  * Head atraumatic normocephalic        * Ears tympanic membrane intact grey         * Nose symmetrical, no swelling or redness        * Throat supple intact, no swelling pink         * Mucus membranes moist pink        * Neck/thyroid no lymph swelling ROM intact         * Skin intact moist, no abnormal rashes         *  CARDIOVASCULAR/CV:   HR 70 rate regular S1 and S2 heart sounds heard no murmur no          edema RESPIRATORY:  Lung sounds clear and diminishedGASTROINTESTINAL:  abdomen is soft Non distended bowel sounds all four quads activeNEUROLOGICAL: Upper and lower extremity motor strength intact, cranial nerves II – XIIintact

5MUSCULOSKELETAL:  full ROM upper and lower extremities, good muscle strength and tone, able to sit and stand with no difficulty, gait intact PSYCHIATRIC: Mood/affect fluctuates; smiling at times, alert, and oriented to self.  I performed MMSE 18/ 30. Cognition is impaired, and forgetfulness increases (Grossman & Irwin, 2016). Ms. W. is cooperative with exams. GDS is 8 /30 and answers questions readily with no s/s of depression (Sultana et al., 2022). ENDOCRINOLOGIC: No malaise, fever, or chills; thyroid is midline; lymph nodes are non-painful, soft, and intact during palpation. Diagnostic results: 1. CXR – no abnormal findings2. CT of head– Cerebral Atrophy3. MMSE – 18/30 – moderate cognitive impairment 4. GDS score 8 / 30. Negative for depression symptoms5. CMP – protein 6.4 g/ dl creatinine 0.68 mg/ dl sodium of 136 mmol/L glucose 74 K+ 3.9CO2 25 albumin 5.0 g /dl 6. Urine culture and sensitivity – negative for nitrites PH 5.8 negative for leukocytes, no bacteria growth in 48 hours. 7. CBC- Show no abnormality in WBC at 6.4 / ml. HGB 11.4 g/dl platelets 22/UL. Vit d 38.7 ng/ml B12 8158. COVID 19 – NEGATIVE A (Assessment)1. Primary diagnosis – Alzheimer’s Dementia – characterized by a decline in self-performance of ADLs, independence, and complex thinking, Alzheimer’s is observed as a degeneration of brain cells (Breijyeh & Karaman, 2020). AD affects 5.8 million people in the United States. The burden and impact of the disease are projected to triple in thenext 25 years. The client, Ms. W., is exhibiting signs and symptoms of AD; her short-term memory loss, increased agitation, and forgetfulness are symptoms of the disease (Arvanitakis et al., 2019)—an MMSE score of 18/30 shows mild to moderate cognitive

6decline, which cannot be diagnosed alone. Brain atrophy is seen in 15 % of cases of AD. This was evident on MS. W.’s CT scans. 2. Urinary tract infection-induced delirium- UTIs are common in the elderly who are at riskdue to multiple co-morbidities, including malnutrition, urinary incontinence, vaginal atrophy, constipation, increased temp, and changes in mental states. Women are more at risk due to anatomy. More than 12 % of women develop UTIs versus less than 8 % of men. Often accompanied by acute changes in mood and increased confusion, early symptoms include elevated temp, pain when urinating, burning urination, decreased urine output, and or increased urine frequency (Dutta et al., 2022). Delirium is exhibited in the elderly as fluctuations in attention and changes in awareness and cognition. Many elderly may show all or one of these symptoms, but culture and sensitivity should be completed for a diagnosis. 3. Malnutrition induced cognitive decline – A decreased food intake and nutrient-poor diet are other risks for AD. Research revealed a link between malnutrition and acute and chronic disease. Long-term changes in dietary patterns cause changes in nutrient values like Vitamin D and B12. Many elderly show signs of confusion, forgetfulness, anda decline in performing ADLs. Although tools exist for screening nutrient intake, they often lead to overdiagnosis, and more reliable tests involve examining nutrient values (Sun et al., 2021). Diagnosing malnutrition is completed by reviewing weight and nutrient values. The imbalance is caused by low food intake and choices. Ms. W.’s weight falls in the normal range, with no weight loss above 10 lbs. in a month. Her Vit B12 is 815 pg./ml, and her Vit D is 38.7 ng/ml. These values reveal that she is not currently deficient and needs further examination for diagnosis. P (plan) Final diagnosis:  Alzheimer’s Dementia Labs and procedures: MRI of the brain to examine for progression of any neural changes observed in AD.CBC and BMP in six months to assess liver function and nutrient levels.Aricept 10 mg daily for dementia

7Multivitamins with minerals a tab dailyEnsure to drink 240 ml 3 times a day with meals.Non-Pharmacologic interventions – Referrals – Social services – to assist in making long-term care plans such as insurance, finances, end-of-lifedecisions.Adult services – including a daycare center or other caregivers’ services.Cognitive behavioral therapy – to maintain functioning memory. and tasks management. Occupational therapy to adapt the environment for Ms. W. to be safe and engage in activities.daily care, reducing risks and slowing decline. Physical therapy – for a safe, adapted exercise regimen.  Education: Caregiver burden – daughter is becoming a full-time caregiver and should be educated on the  need to seek support to avoid burnout. Safety- home should be altered, stove disabled, sharp objects removed, door locks changed the patient should not be alone,  Nutrition- mealtimes should be consistent, and the caregiver should offer nutritious snacks and supplements often to avoid changes in weight and deficits in nutrition (Sun et al., 2021). Medication Management – The caregiver must ensure the patient takes medication daily and monitor for side effects.    Reflection: Culture and race play essential roles in caregiver selection. Studies support the idea that in black communities, a spouse or child is most likely to care for a person living with dementia. Along with the challenge of taking care of a parent, a significant imbalance in healthcare access and support persists amongst older African Americans. Providers need to be aware of all

8barriers in care. SDOH, or Social Determinants of Health, is the imbalances in the structures of access to care, cultural beliefs, and socioeconomic deficits that directly impact a patient’s health outcome and should be reviewed and considered in every case (Rhee et al., 2021). As our nation ages and more older individuals will have caregivers, providers will need to be educated on the needs of caregivers and older patients with dementia. ReferencesArvanitakis, Z., Shah, R. C., & Bennett, D. A. (2019). Diagnosis and management of dementia: Review. JAMA, 322(16), 1589–1599. HYPERLINK “https://doi.org/10.1001/jama.2019.4782″https://doi.org/10.1001/jama.2019.4782Breijyeh, Z., & Karaman, R. (2020). Comprehensive review on alzheimer’s disease: Causes and treatment. Molecules (Basel, Switzerland), 25(24). HYPERLINK “https://doi.org/10.3390/molecules25245789″https://doi.org/10.3390/molecules25245789Dutta, C., Pasha, K., Paul, S., Abbas, M. S., Nassar, S. T., Tasha, T., Desai, A., Bajgain, A., Ali, A., & Mohammed, L. (2022). Urinary tract infection induced delirium in elderly patients:A systematic review. Cureus, 14(12), e32321. HYPERLINK “https://doi.org/10.7759/cureus.32321″https://doi.org/10.7759/cureus.32321Grossman, M., & Irwin, D. J. (2016). The mental status examination in patients with suspected dementia. Continuum (Minneapolis, Minn.), 22(2 Dementia), 385–403. HYPERLINK “https://doi.org/10.1212/CON.0000000000000298″https://doi.org/10.1212/CON.0000000000000298Rhee, T., Lee, K., & Schensul, J. J. (2021). Black-white disparities in social and behavioral determinants of health index and their associations with self-rated health and functional limitations in older adults. The journals of gerontology. Series A, Biological sciences andmedical sciences, 76(4), 735–740. HYPERLINK “https://doi.org/10.1093/gerona/glaa264″https://doi.org/10.1093/gerona/glaa264

Sultana, N., Nguyen, T. P., Hossain, A., Asaduzzaman, M., Nguyen, M. H., Jahan, I., Nguyen, K. T., & Duong, T. (2022). Psychometric properties of the short-form geriatric depressionscale (gds-sf) and its associated factors among the elderly in bangladesh. International journal of environmental research and public health, 19(13). HYPERLINK “https://doi.org/10.3390/ijerph19137935″https://doi.org/10.3390/ijerph19137935Sun, B., Zhao, Y., Lu, W., & Chen, Y. (2021). The relationship of malnutrition with cognitive function in the older chinese population: Evidence from the chinese longitudinal healthy longevity survey study. Frontiers in aging neuroscience, 13, 766159. HYPERLINK “https://doi.org/10.3389/fnagi.2021.766159″https://doi.org/10.3389/fnagi.2021.766159

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NRNP 6565 – Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings Course Assignments & Discussions Study Guide

NRNP 6565 - Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings Course Assignments & Discussions Study GuideNRNP 6565 – Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings Course Description

3 credits

Students in this synthesis course focus on clinical competence in the care of adults in primary care 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 6540
  • NRNP 6552

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NRNP 6565 – Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings Course Syllabus & Assignments Summary

NRNP 6565 – Week 1: Nurse Practitioner Professional Issues

NRNP 6565 – Week 1Knowledge Check: Professional Issues

NRNP 6565 – Discussion: Certification and Licensure

NRNP 6565 – Week 2: Nurse Practitioner Professional Practices

NRNP 6565 – Week 2 Knowledge Check

NRNP 6565 – Looking Ahead to the Week 10 Assignment: Nurse Practitioner Career Planner

NRNP 6565 – Comprehensive Practice Questions

NRNP 6565 – Week 3: HEENT Conditions

NRNP 6565 – Assignment 1: Study Plan

NRNP 6565 – Assignment 2: Assessing, Diagnosing, and Treating Patients With HEENT Conditions

NRNP 6565 – Knowledge Check: HEENT Conditions

NRNP 6565 – Week 4: Cardiac and Pulmonary Conditions

NRNP 6565 – Knowledge Check: Cardiac and Pulmonary Conditions

NRNP 6565 – Comprehensive Practice Questions

You can also read another study guide on nursing assignments for students from another post on NRNP 6560 – Advanced Care of Adults in Acute Settings III Course Assignments & Discussions.

Week 1: Nurse Practitioner Professional Issues

In the 1940s and 1950s, Loretta Ford, known as the pioneer for nurse practitioners (NPs), was a public health nurse in rural Colorado. During that time period, there was a shortage of physicians to care for children and families. To address this gap, Loretta Ford and Dr. Henry K. Silver started the first pediatric nurse practitioner program at the University of Colorado Medical Center in 1965. Since this time, nurse practitioners have been in great demand to meet the evolving healthcare needs of individuals, families, and communities. Nurse practitioners are prepared to prevent diseases, promote health, provide treatment, and support health maintenance. They are well equipped to provide safe, high-quality, cost-effective, and accessible care NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings.

After your program ends—you’re almost there—the next step toward becoming an NP is knowing what the requirements for certification and licensure in your state are and preparing to meet them. Each state has different laws regarding the role of the nurse practitioner that may significantly impact NP practice. You will also explore other nurse practitioner professional issues and complete a Knowledge Check to gauge your understanding of them.

Learning Objectives

Students will:

  • Summarize nurse practitioner certification and licensure processes
  • Explain state-specific scope of practice for primary care nurse practitioners
  • Explain state-specific restrictions or limitations for practice
  • Explain nurse practitioner prescriptive authority and DEA registration processes
  • Explain legislative and advocacy activities related to nurse practitioner practice
  • Identify key concepts of professional issues related to nurse practitioner practice NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings

Learning Resources

Required Readings (click to expand/reduce)

Required Media (click to expand/reduce)

Discussion: Certification and Licensure

Now that you are in your final course in your program, it is time to turn in earnest to preparing for certification and licensure. You will need to take and pass a national AGPCNP certification exam.  Once certified, you will then be eligible to apply for licensure as an advanced practice registered nurse (APRN) in the state desired. It will be up to you to ensure you are knowledgeable about the practice agreements, scope of practice, and prescriptive authority in your state.

Photo Credit: Getty Images/iStockphoto

Although there is a movement called the APRN Consensus Model to standardize NP regulations nationally, it is still the case that requirements vary state to state. In some states, NPs may establish independent practice without the supervision of an MD. Additionally, states are currently categorized as either allowing full practice, reduced practice, or restricted practice. Full practice states allow NPs to evaluate, order diagnostics, diagnose, and treat patients. They are licensed under the exclusive authority of the state board of nursing for the appropriate state. Many states may require prescriptive authority protocols in addition to collaborative agreement.

Another important area to consider and plan for is prescriptive authority. Prescriptive authority is granted under state law by the appropriate board. The board granting prescriptive authority may be the medical board, state board of pharmacy, or nursing board for the appropriate state licensure being pursued. The authority to write for a controlled substance is granted at a federal level and is verified through the Drug Enforcement Administration (DEA) by the appropriate state board. Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process.

Finally, the legal landscape for NPs is constantly changing as the status of NPs as providers improves on a national level. Legislative changes may occur annually, bi-annually, or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes will significantly impact your scope of practice as a nurse practitioner.

For this Discussion, you examine professional issues for your state, including certification and licensure, scope of practice, independent practice, prescriptive authority, and legislative activities.

To prepare:

  • Review practice agreements in your state.
  • Identify whether your state requires physician collaboration or supervision for nurse practitioners and, if so, what those requirements are.
  • Research the following:
    • How do you get certified and licensed in your state?
    • What is the application process for certification in your state?
    • What is the primary nurse licensure office resource website in your state?
    • How does your state define the scope of practice of a nurse practitioner?
    • What is included in your state’s practice agreement?
    • How do you get a Drug Enforcement Agency (DEA) license?
    • How does your state describe a nurse practitioner’s controlled-substance prescriptive authority and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?
    • In what legislative and advocacy activities are your state nurse practitioner organization(s) involved?

By Day 3

Post a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research.

Read
 a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on 2 different days in one or more of the ways listed below.

  • Share an insight from having viewed your colleagues’ posts.
  • Suggest additional actions or perspectives.
  • Share insights after comparing state processes, roles, and limitations.
  • Suggest a way to advocate for the profession.
  • Share resources with those who are in your state.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6

To Participate in this Discussion:

Knowledge Check: Professional Issues

This Knowledge Check consists of 10 short-answer and true/false questions that focus on the following content areas:

  • Scope of Practice
  • Professional Role
  • Certification and Licensure
  • Ethics

Photo Credit: Getty Images

To Prepare:

  • Review this week’s Learning Resources.

By Day 7

Complete the Knowledge Check.

Submission Information

Submit Your Knowledge Check by Day 7

To submit your Knowledge Check:

Week 1 Knowledge Check

What’s Coming Up in Week 2?

In Week 2, you will continue your exploration of professional issues related to advanced nursing practice and complete a Knowledge Check on these topics. You will also take a practice exam in your certification review textbook. Because this is a pre-assessment used to gauge your current knowledge, there is no need to worry about preparing for this test.

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Practicum – Upcoming Deadline

In the Nurse Practitioner programs of study (FNP, AGACNP, AGPCNP, and PMHNP) you are required to take several practicum courses. If you plan on taking a practicum course within the next two terms, you will need to submit your application via Meditrek .

For information on the practicum application process and deadlines, please visit the Field Experience: College of Nursing: Application Process – Graduate web page.

Please take the time to review the Appropriate Preceptors and Field Sites for your courses.

Please take the time to review the practicum manuals, FAQs, Webinars and any required forms on the Field Experience: College of Nursing: Student Resources and Manuals web page.

To go to the next week:

Week 2

Week 2: Nurse Practitioner Professional Practices

As healthcare providers, we strive to deliver optimal, safe care. Ongoing healthcare research, evidenced-based care, and effective guidelines for practice offer a stabilizing force. Our duty, as healthcare providers, is to “do no harm.” As providers, primary care nurse practitioners provide preventive and primary care, which entails complex management. Understanding legal terminology is essential to the role. Terms such as “standard of care,” “malpractice,” and “negligence” are inevitable and essential components for understanding the legal challenges advanced practice nurses will experience during their careers NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings.

Another essential professional element in clinical practice is reimbursement. All NPs must give due diligence and ensure all services provided are accurately coded and billed appropriately. Avoiding fraudulent billing is a key element to your success as an NP. As providers, we are ultimately responsible for billing that occurs with our assigned Medicare, Medicaid, and other third-party reimbursement entities’ assigned numbers.

This week, you will explore nurse practitioner professional practices and complete a Knowledge Check on those topics. You will also take a practice exam, which will help you assess your current knowledge level in the content areas that will be assessed on the certification exam.

Learning Objectives

Students will:

  • Evaluate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination
  • Identify key concepts of professional issues related to coding/billing, malpractice, and negligence NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings
  • Learning Resources

Required Readings (click to expand/reduce)

Assignment: Practice Exam Questions

Chapter 31 of your Nurse Practitioner Certification Intensive Review text contains practice exam questions that will help you prepare to take the national certification.

To Prepare:

  • You do not need to study or prepare for this test. It is being used as a diagnostic pre-assessment to gauge your current knowledge.
  • Set aside time to complete 100 of these questions.

By Day 7

  • Complete the practice questions and afterward, score your results using the answer key in the text.
  • Save your score for next week, when you will create a certification exam study plan based on your results.
    Note: Your grade for the Week 3 Assignment will not be derived from your test results but from your self-reflection and study plan NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings.
  • Knowledge Check: Professional Practices

This knowledge check consists of 10 short-answer and true/false questions that focus on the following content areas:

  • Coding/Billing
  • Malpractice/Negligence

Photo Credit: Getty Images

To Prepare:

  • Review this week’s Learning Resources.

By Day 7

Complete the Knowledge Check.

Submission Information

Submit Your Knowledge Check by Day 7

To submit your Knowledge Check:

Week 2 Knowledge Check

Looking Ahead to the Week 10 Assignment: Nurse Practitioner Career Planner

For this Assignment, you will create a professional Career Planner that includes a cover letter, resume, philosophy statement, and letters of recommendation that you may use as you pursue your next professional role.

It is recommended that you review the Career Planner guide in this week’s resources and work on your planner throughout the term. See the Week 10 Assignment area for complete instructions NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings.

What’s Coming Up in Module 2?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

In Module 2, you will begin a systematic review of disease processes in the body systems. Through complex case analysis and comprehensive review, you will have the opportunity to synthesize and deepen your knowledge.

Comprehensive Practice Questions

Beginning in Module 2, you will practice taking multiple-choice questions designed to help you prepare for your certification exam. Each set of Comprehensive Practice Questionsconsists of 30 questions. Unlike the Knowledge Checks, which focus only on the topics of the week, these comprehensive questions may be pulled from any area of knowledge that might appear on the certification exam.

To go to the next module:

Module 2

Week 3: HEENT Conditions

Which simple pleasures do you most enjoy? Perhaps there is a certain comfort food that always hits the spot. It may be that you enjoy listening to your favorite music—or even singing along. Or perhaps you simply enjoy stopping to smell the flowers. The beauty of a simple pleasure is that while it may not change the course of your day, it can briefly put a smile on your face. But what if your ability to enjoy these simple pleasures was suddenly impaired? Suddenly, minor pleasures would make a significant impact on your life.

Conditions of the head, eyes, ears, nose, and throat (HEENT) can impair many of the activities that put smiles on faces. Hearing, balance, taste, swallowing, speech, and breathing are just some of the functions that can suffer as a result. HEENT issues represent some of the most common reasons that patients visit primary care offices. And while the conditions can be relatively minor issues, such as allergies or sinusitis, HEENT issues can also result from injury, infection, or serious disease.

This week, you practice assessing, diagnosing, and treating patients with HEENT conditions and complete a Knowledge Check on these disorders. You will also reflect on your practice exam results from last week and use them to create a study plan that you will use throughout this course to prepare for the national certification exam NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings.

Learning Objectives

Students will:

  • Create a study plan for the nurse practitioner national certification examination
  • Evaluate patients with HEENT conditions
  • Develop differential diagnoses for patients with HEENT conditions
  • Develop treatment plans for patients with HEENT conditions
  • Identify key concepts related to HEENT conditions

Learning Resources

Required Readings (click to expand/reduce)

Recommended Reading (click to expand/reduce)

Assignment 1: Study Plan

Based on your practice exam question results, identify strengths and areas of opportunity and create a tailored study plan to use throughout this course to help you prepare for the national certification exam. This will serve as an action plan to help you track your goals, tasks, and progress.

Photo Credit: AJ_Watt / E+ / Getty Images

To Prepare:

  • Reflect on your practice exam question results. Identify content-area strengths and opportunities for improvement.
  • Also reflect on your overall test-taking. Was the length of time allotted comfortable or did you run out of time? Did a particular question format prove difficult?

The Assignment:

  • Summarize your practice exam results, including your strengths and opportunities for improvement.
    Note: Your grade for this Assignment will not be derived from your test results but from your self-reflection and study plan.
  • Create a study plan, including 3–4 specific goals and the tasks you need to complete to accomplish each goal. Include a timetable for accomplishing them and a description of how you will measure your progress.
  • Describe resources you would use to accomplish your goals and tasks, such as ways to participate in a study group or review course, mnemonics and other mental strategies, and print or online resources you could use to study. 

By Day 7

Submit your study plan.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK3Assgn1+last name+first initial.(extension)” as the name.
  • Click the Week 3 Assignment 1 Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 3 Assignment 1 link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn1+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:

Week 3 Assignment 1 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 3 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To participate in this Assignment:

Week 3 Assignment 1

Assignment 2: Assessing, Diagnosing, and Treating Patients With HEENT Conditions

Most everyone has at some point experienced minor HEENT conditions, such as a head cold or seasonal allergies, and symptoms, such as a runny nose, watery eyes, or a sore throat. While they are relatively minor and short-lived, they nevertheless impair many of the simple pleasures so many enjoy.

HEENT symptoms can represent a wide variety of issues, some of which suggest problems that extend well beyond their temporary impact on life’s simple pleasures. HEENT conditions can result in dangerous respiratory impairment or be symptoms of life-threatening conditions or disease.

For this Assignment, your instructor will assign a case study, which will give you the opportunity to practice assessing, diagnosing, and treating patients with HEENT conditions.

Photo Credit: Getty Images/iStockphoto

To Prepare:

  • Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with conditions of the head, eyes, ears, nose, and throat.
  • Review the case study provided by your Instructor. Based on the provided patient information, think about the health history you would need to collect from the patient.
  • Consider what physical exams and diagnostic tests would be appropriate in order to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
  • Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
  • Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
  • Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with HEENT conditions.

The Assignment

Use the Focused SOAP Note Template to address the following:

  • Subjective: What details are provided regarding the patient’s personal and medical history?
  • Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any morbidities or psychosocial issues.
  • Assessment: Explain your differential diagnoses, providing a minimum of three. List them from highest priority to lowest priority and include their CPT and ICD-10 codes for the diagnosis. What would your primary diagnosis be and why?
  • Plan: Explain your plan for diagnostics and primary diagnosis. What would your plan be for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.
  • Reflection notes: Describe your “aha!” moments from analyzing this case.

By Day 7

Submit your focused SOAP note.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

  • Please save your Assignment using the naming convention “WK3Assgn2+last name+first initial.(extension)” as the name.
  • Click the Week 3 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
  • Click the Week 3 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.
  • Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn2+last name+first initial.(extension)” and click Open.
  • If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
  • Click on the Submit button to complete your submission NRNP 6565: Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings.

Grading Criteria

To access your rubric:

Week 3 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 3 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To participate in this Assignment:

Week 3 Assignment 2

Knowledge Check: HEENT Conditions

This Knowledge Check consists of 10 short-answer and true/false questions that focus on conditions of the head, eyes, ears, nose, and throat (HEENT).

Photo Credit: Getty Images

To Prepare:

  • Review this week’s Learning Resources.

By Day 7

Complete the Knowledge Check.

Submission Information

Submit Your Knowledge Check by Day 7

To submit your Knowledge Check:

Week 3 Knowledge Check

What’s Coming Up in Week 4?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

In Week 4, you will continue your review of disease processes related to various body systems, with a focus on cardiac and pulmonary conditions. You will also complete your first set of Comprehensive Practice Questions, which are designed to help you prepare for your certification exam.

To go to the next week:

Week 4

Week 4: Cardiac and Pulmonary Conditions

Cardiac and pulmonary conditions account for an overwhelming number of the annual deaths in the United States. Additionally, more than 1.5 million people suffer heart attacks and strokes each year, while hundreds of thousands suffer from a variety of other cardiovascular diseases. Infectious diseases such as COVID-19 present special dangers to high-risk, vulnerable patients. The good news is that medical science continues to make remarkable breakthroughs that offer hope in terms of prevention and treatment. Nurses and the teams with which they collaborate diagnose complex health conditions related to cardiovascular and pulmonary issues, and they work tirelessly to develop and administer treatment plans.

Despite the hope offered by new medications and treatments, patients typically experience stress and anxiety that compound their cardiac and pulmonary conditions. Nurses may use their compassion and expertise to help patients address the realities of their conditions and the requirements of their treatments.

 

Top 10 Causes of Death Annual number of deaths in the United States (2017 CDC data)
Heart disease 647,457
Cancer 599,108
Accidents (unintentional injuries) 169,936
Chronic lower respiratory diseases 160,201
Stroke (cerebrovascular diseases) 146,383
Alzheimer’s disease 121,404
Diabetes 83,564
Influenza and pneumonia 55,672
Kidney disease 50,633
Intentional self-harm (suicide) 47,173

 

This week, you examine cardiac and pulmonary conditions and complete a Knowledge Check on these topics. You also complete the first set of Comprehensive Practice Questions, which are designed to help you prepare for your licensure exam.

Reference:
National Center for Health Statistics. (2017). Leading causes of deathhttps://www.cdc.gov/nchs/fastats/leading-causes-of-death.htm

Learning Objectives

Students will:

  • Identify key concepts related to cardiac and pulmonary conditions
  • Demonstrate mastery of nurse practitioner knowledge in preparation for the nurse practitioner national certification examination

Learning Resources

Required Readings (click to expand/reduce)

Recommended Reading (click to expand/reduce)

Knowledge Check: Cardiac and Pulmonary Conditions

This Knowledge Check consists of 10 short-answer and true/false questions that focus on cardiac and pulmonary conditions.

Photo Credit: Getty Images

To Prepare:

  • Review this week’s Learning Resources.

By Day 7

Complete the Knowledge Check.

Submission Information

Submit Your Knowledge Check by Day 7

To submit your Knowledge Check:

Week 4 Knowledge Check.

Comprehensive Practice Questions

One goal for this course is to help you prepare for the national certification exam. This week—and again in Weeks 5, 7, and 8—you will practice taking multiple-choice questions designed to help you do just this. Each set of Comprehensive Practice Questions consists of 30 questions. Because the certification exam will assess you on the entire body of nurse practitioner knowledge in which you are obligated to be competent, these questions, too, may be pulled from any area of knowledge that might appear on the exam. This differs from the Knowledge Check questions, which focus solely on the topic for a given week and are designed to give you targeted practice.

Photo Credit: [Vergeles_Andrey]/[iStock / Getty Images Plus]/Getty Images

To Prepare:

  • Continue to review sections of Adult-Gerontology Nurse Practitioner Certification Intensive Review and your other resources, as needed.

By Day 7

Complete the Comprehensive Practice Questions.

Submission Information

Submit Your Comprehensive Practice Questions Check by Day 7

To submit your Comprehensive Practice Questions:

Week 4 Comprehensive Practice Questions

What’s Coming Up in Week 5?

Next week, you will continue to review disease processes in various body systems, focusing on the gastrointestinal and renal systems. You also complete the next set of Comprehensive Practice Questions.

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

To go to the next week:

Week 5

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NRNP 6541 – Primary Care of Adolescents and Children Course Assignments & Discussions Study Guide

NRNP 6541 - Primary Care of Adolescents and Children Course Assignments & Discussions Study GuideNRNP 6541 – Primary Care of Adolescents and Children Course Description

3 credits

How can a nurse practitioner master the art and science of clinical decision making among pediatric populations? This course provides students with the opportunity to answer this question as they examine content related to the primary healthcare of pediatric patients, from newborn through adolescence (up to age 21), while focusing on growth and development, health promotion, and common primary care health problems. Students learn how to identify, diagnose, and manage these problems. They also gain confidence in clinical experience in a primary healthcare setting that provides opportunities to assess, diagnose, plan, implement, and evaluate therapeutic regimens for acute and chronic illnesses commonly found in children and adolescents.

Prerequisites

  • NRNP 6531

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NRNP 6541 – Primary Care of Adolescents and Children Course Syllabus & Assignments Summary

NRNP 6541 – Week 1: Overview of Growth and Development and Genetic Conditions

NRNP 6541 – Discussion: Getting Started with Pediatrics

NRNP 6541 – Week 1 Discussion

NRNP 6541 – Assignment: i-Human Case Studies

NRNP 6541 – Assignment 2

NRNP 6541 – Practicum Manual Acknowledgment

NRNP 6541 – i-Human Case Study

NRNP 6541 – Week 2: Infants, Toddlers, and Preschoolers

NRNP 6541 – Assignment: i-Human Case Study: Evaluation and Management of Growth and Development Issues

NRNP 6541 – Week 3: School-Age Children and Adolescents

NRNP 6541 – Knowledge Check: Module 1: Evaluation and Management of Growth and Development Issues

NRNP 6541 – i-Human Case Study Assignment on Eye, Ear, Nose, and Throat conditions

NRNP 6541 – Module 2: EENT, Respiratory and Cardiovascular, and Dermatological Conditions

NRNP 6541 – Week 4: Evaluation and Management of EENT Conditions

NRNP 6541 – Assignment: i-Human Case Study: Evaluation and Management of EENT Conditions

NRNP 6541 – Week 5: Evaluation and Management of Respiratory and Cardiovascular Conditions

NRNP 6541 – Midterm Exam

NRNP 6541 – Week 6: Evaluation and Management of Dermatological Conditions

NRNP 6541 – Knowledge Check: Module 2: EENT, Respiratory and Cardiovascular, and Dermatology

NRNP 6541 – Midterm Exam

NRNP 6541 – i-Human Case Study addressing gastrointestinal conditions in pediatric patients

NRNP 6541 – Week 7: Evaluation and Management of Gastrointestinal Conditions

NRNP 6541 – Assignment: i-Human Case Study: Evaluation and Management of Gastrointestinal Conditions

NRNP 6541 – i-Human Case Study on renal and GU conditions in children and adolescents

NRNP 6541 – Week 8: Evaluation and Management of Renal and Genitourinary Conditions

NRNP 6541 – Assignment: i-Human Case Study: Evaluation and Management of Renal and Genitourinary Conditions

You can also read another study guide on nursing assignments for students from another post on NRNP 6565 – Synthesis in Advanced Nursing Practice Care of Patients in Primary Care Settings Course Assignments & Discussions.

Week 1

Week 1: Overview of Growth and Development and Genetic Conditions

How many times have you wished you had a crystal ball? How often have you thought, If only I had known…in relation to personal and professional decisions? We all wish we always had the best information and advice available for charting the best path forward.

Sometimes we have the information we need—and sometimes we are that crystal ball for others. Specifically, as a nurse practitioner engaged in pediatric care, you have a significant role in setting young people on a healthy path through life. Certainly, a crystal ball is not among your professional tools. (And how much easier would your work be if it were?) Rather, your knowledge of factors for optimal growth and development, and guidance for families in establishing habits that help children thrive, can support longer, happier, and more productive lives for your pediatric patients.

Understanding what impacts growth and development in positive or adverse ways enables you to both treat specific conditions and promote wellness. Here, too, knowledge is key. Not only in terms of information such as a family’s genetic history, but in working closely with families to learn their ideas of what matters for children’s growth and development. Appreciating and respecting cultural perspectives is vital in creating a foundation of trust for encouraging healthful choices and decisions for children and, as they age into adolescence, by them as well.

This week you will begin with an overview of human growth and development that continues with more depth in the weeks that follow. Through the Week 1 text readings and other Learning Resources, you will also examine fundamentals of pediatric care and analyze the challenges and opportunities this course provides in meeting your career goals. No crystal ball required—just thoughtful consideration of the path you aim to follow in advanced nursing as a Family Nurse Practitioner.

Learning Objectives

Students will:

  • Analyze strengths and challenges related to advanced nursing in pediatric care
  • Analyze career goals and objectives in pediatrics

Learning Resources

Required Readings (click to expand/reduce)

Required Media (click to expand/reduce)

Discussion: Getting Started with Pediatrics

Photo Credit: Seventyfour / Adobe Stock

Primary care of children from newborns to those on the cusp of adulthood requires considerable knowledge, as well as the finesse to manage parents and families of all types, and the changing needs, attitudes, and independence of young people as they grow and mature. Considering that this week—in fact, this entire first module—is focused on growth and development, it is fitting for you to reflect on your current and anticipated

growth and development in advanced nursing, and specifically, in pediatric care. When you made your decision to pursue training as a Family Nurse Practitioner, how did pediatrics factor in your thinking? Is the opportunity to work with children and adolescents a strong motivator, or does it rank for you as more of a concern?

As you get started with this course, take time to reflect on your present capacity as you prepare to immerse yourself in the requirements of pediatric care as a nurse practitioner. How can you benefit most from this course, and how can it further you along the professional path you have chosen or in achieving your career goals?

This Discussion can be a catalyst for self-assessment and offer valuable insights from your colleagues. It is also an opportunity to get to know them and to introduce yourself, in anticipation of further interaction as you engage in the course i-Human Assignments.

To prepare:

  • Review this week’s Learning Resources, and particularly Chapters 5, 6, 8, and 14 of the Burns’ Pediatric Primary Care text.
  • Consider the roles and responsibilities of a nurse practitioner providing pediatric primary care. Work to define the strengths you bring to the position of Family Nurse Practitioner and the challenges you face.
  • Reflect on this course and what you expect to learn and do, such as by reviewing the course description, outcomes, and course introduction. Consider how the next 11 weeks can help build your strengths and address your challenges.
  • Also consider your career goals and objectives and how this course can support and/or further them. Be detailed in your thinking.

By Day 3 of Week 1

Post a brief introduction of yourself that includes an explanation of your strengths and challenges as they apply to pediatrics and the role of a Family Nurse Practitioner. Also explain your career goals and objectives, and how your work in this course can help to accomplish those goals and objectives as a Family Nurse Practitioner. Use your research to support your explanations by providing credible and scholarly sources.

Read a selection of your colleagues’ responses.

By Day 6 of Week 1

Respond to at least two of your colleagues’ posts on two different days by offering suggestions or resources to help your colleagues in addressing their professional strengths, challenges, or career goals and objectives. Use your research to support your suggestions. Provide at least 3 credible and current scholarly sources.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6 of Week 1

To Participate in this Discussion:

Week 1 Discussion

Assignment: i-Human Case Studies

Photo Credit: Oksana Kuzmina / Adobe Stock

In the weeks ahead, you will be required to complete assignments addressing specific health conditions through a virtual patient encounter using the i-Human simulation software. You will have a total of six i-Human Case Study Assignments throughout the course, which you will complete in the i-Human Patients platform.

In preparation for your first assignment, ensure that you are able to login to the software. Refer to the Student Manual in the Learning Resources for this week for support in navigating i-Human.

In addition, you are highly encouraged to explore the practice case, available in the Week 1 Learning Resources. No grade will be assigned for this practice case, but it must be completed in Week 1 to receive feedback.

No Assignment submission required for this week. 

Assignment 2

Practicum Manual Acknowledgment

The Practicum Manual describes the structure and timing of the classroom-based and practicum experiences and the policies students must follow to be successful in the nurse practitioner (NP) specialties.

Click here and follow the instructions to confirm you have downloaded and read the entire MSN Nurse Practitioner Practicum Manual and will abide by the requirements described in order to successfully complete this program.

What’s Coming Up in Week 2?

Practicum – Upcoming Deadline

In the Nurse Practitioner programs of study (FNP, AGACNP, AGPCNP, and PMHNP) you are required to take several practicum courses. If you plan on taking a practicum course within the next two terms, you will need to submit your application via Meditrek .

For information on the practicum application process and deadlines, please visit the Field Experience: College of Nursing: Application Process – Graduate web page.

Please take the time to review the Appropriate Preceptors and Field Sites for your courses.

Please take the time to review the practicum manuals, FAQs, Webinars and any required forms on the Field Experience: College of Nursing: Student Resources and Manuals web page.

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will continue your focus on growth and development with a detailed exploration of the first years of life. In considering primary care of infants, toddlers, and preschoolers, you will explore issues that can affect young children’s growth and development.

i-Human Case Study

Photo Credit: Getty Images/iStockphoto

In Week 2, you will complete your first i-Human Case Study Assignment on evaluation and management of growth and development issues. Be sure you have your i-Human login and password, and contact your Instructor if you are missing this information.

To go to the next week:

Week 2

 

 

 

Week 2: Infants, Toddlers, and Preschoolers

When we think of human growth and development, perhaps no age comes to mind more vividly than the youngest children. Tracking the extraordinary changes that occur with often amazing speed from birth to the advent of formal schooling around age 5 is exciting, awe-inspiring, and frequently, anxiety producing for families. The spectrum of where children may fall in growth and development is particularly wide in these years. And recognizing when extra attention is needed or a condition is present to be addressed can be made more complicated by family interpretations or expectations, and the limited capacity of infants, toddlers, and preschoolers to convey what they are, or are not, experiencing.

Primary care of infants, toddlers, and preschoolers requires both detective and diplomatic skills on the part of nurse practitioners. Assessing very young children involves employing knowledge of child development and developmental milestones with what you can observe and interpreting red flags that may signal developmental issues. As to diplomacy, families can hold beliefs, notably resistance to vaccines and immunization protocols, which impact young children’s health and well-being. Working with families to understand and address their ideas, preferences, and possible misconceptions is vital for developing a solid care team of key adults and you.

This week you will prepare for your youngest patients with Learning Resources on topics related to care and development of infants, toddlers, and preschoolers, as well as recognizing and responding to developmental concerns. Through your first i-Human Case Study Assignment this week, you will assess, evaluate, diagnose, treat, and manage patients with potential growth and development issues. Keep in mind that considering the unique needs of the family is an essential element of this and every pediatric visit in the course, and your future practice.

Learning Objectives

Students will:

  • Assess growth and development in pediatric patients
  • Evaluate health conditions of pediatric patients
  • Formulate differential diagnoses for pediatric patients
  • Analyze socio-cultural needs of pediatric patients and families
  • Formulate evidence-based treatment and management plans
  • Recommend evidence-based care strategies and wellness education for pediatric patients and families

Learning Resources

Required Readings (click to expand/reduce)

Required Media (click to expand/reduce)

Assignment: i-Human Case Study: Evaluation and Management of Growth and Development Issues

Photo Credit: Getty Images/Blend Images

Imagine this is your first day or perhaps your 500th day as a Family Nurse Practitioner. You enter the examination room where a young child—infant, toddler, preschooler—and one or more family members, who may be a parent, grandparent, or other caregiver, are waiting for you. Imagine the child and family are new patients, and this is your first time meeting them.

That introduction sets the stage for this Assignment. You will use the i-Human technology to meet and treat your avatar pediatric patient. Pay particular attention to the socio-cultural details that are provided for the featured family. Consider what would be important for you to know and to ask in order not only to assess, evaluate, and diagnose a young child, but also to develop evidence-based treatment and management plans and recommend specific activities and routines to promote health and wellness.

To prepare:

  • Review the Learning Resources. Consider how to apply understanding of developmental milestones and socio-cultural family needs in assessing, diagnosing, and treating pediatric patients.
  • Access i-Human Patients from this week’s Learning Resources and review the i-Human Case Study. Based on the provided patient information, think about the health history you would need to collect from the patient.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
  • Identify 3–5 possible conditions that may be considered in a differential diagnosis for the patient.
  • Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
  • Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients and families.

Assignment:

As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Graduate Programs Help link within the i-Human platform.

By Day 7 of Week 2

Complete your Assignment in i-Human.

Grading Criteria

To access your rubric:

Week 2 Assignment Rubric

What’s Coming Up in Week 3?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will focus on growth and development of school-age children and adolescents up to age 21, when young people transition to adult care. Although you will not have an i-Human Case Study Assignment next week addressing this specific age group, looking ahead to other modules in the course, you will have i-Human Assignments that feature patients ages 5 and older. Careful attention to key aspects of growth and development for school-age children and adolescents will support your work in future weeks.

Knowledge Check

Next week, you will take the Module 1 Knowledge Check. This formative assessment will include questions pertaining to content from Weeks 1–3. Plan your time accordingly to allow adequate time to read and review all Module 1 Learning Resources to prepare for the Knowledge Check, which must be completed by Day 7.

To go to the next week:

Week 3

Week 3: School-Age Children and Adolescents

Consider the range of pediatric patients you may see in an average day as a Family Nurse Practitioner. Some may be the little ones you examined previously. Some may be young school-age children whose stages of growth and development are closer to preschoolers and not yet transitioning to middle childhood. Yet as your patients increase in chronological age, growth and development take more conspicuous turns. It is no coincidence that teachers of young children and teachers of young adolescents have many parallel experiences. Both early childhood and young adolescence are significant periods of physical, cognitive, social, and emotional development.

Although aspects of pediatric care for school-age and adolescent patients can be easier—most, at least theoretically, are able to answer questions—the need for both detective and diplomatic skills continues. Physical changes in children can trigger all kinds and degrees of emotional response. Concerns about body image are central in this time, and “early bloomers” and “late bloomers” can struggle as they compare themselves to some concept of “normal.” Blooming sexuality can raise issues of confidentiality, such as when teens and parents are in conflict over sexual activity or identification. Your role requires understanding rights on all sides and negotiating help, when you can.

This week, the Learning Resources are selected to help you prepare for both the mundane and dramatic aspects of monitoring growth and development, and resulting care needs, of school-age children and adolescents. There is no assignment pertaining to this age group, in order to allow sufficient time to review for your Module 1 Knowledge Check. However, keep in mind that as you move on to the next modules on specific conditions, your foundational knowledge of growth and development in children and teens will aid in assessing and evaluating your i-Human pediatric patients, and of course, your very human ones ahead.

Learning Objective

Students will:

  • Identify key terms, principles, and concepts related to growth and development of infants, toddlers, preschoolers, school-age children, and adolescents, and primary care of pediatric patients

Learning Resources

Required Readings (click to expand/reduce)

Required Media (click to expand/reduce)

Knowledge Check: Module 1: Evaluation and Management of Growth and Development Issues

Photo Credit: Getty Images/iStockphoto

Throughout the course you will have 4 Knowledge Check assessments, one in each module. These exercises are situated to provide you with formative practice, help you gauge your understanding of each module, and prepare for the Midterm in Week 6 and the Final Exam in Week 11. Looking ahead, each Knowledge Check also helps to ready you for the exam that will count most, for your Family Nurse Practitioner certification.

This week, be sure to allot plenty of time for reviewing key concepts and information from Weeks 1–3. A list of topics is included to help you focus your preparation. You will have 20 questions to answer.

To prepare:

  • Review Weeks 1–3 Learning Resources, using the topic list, below, as a guide.
  • Module 1 Knowledge Check topics will include the following:
    • Developmental milestones of infants, toddlers, preschoolers, school-age children, and adolescents
    • Developmental issues and red flags
    • Genetic conditions
    • Preventative care and wellness
    • Vaccines and immunizations
    • Age/stage-appropriate healthy nutrition/elimination, physical activity, sleep and rest
    • Age/stage-appropriate healthy sexual development and sexuality
    • Socio-cultural considerations in treating/working with patients and families
    • Evidence-based strategies for patient/family health promotion and education

Knowledge Check

You are required to answer 20 questions, randomly selected. You will have 1 attempt for each question. Each question is worth 1 point.

By Day 7 of Week 3

Complete and submit your Knowledge Check.

Submission Information

Submit Your Knowledge Check by Day 7

To submit your Knowledge Check:

Week 3 Knowledge Check

What’s Coming Up in Module 2?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week you will move on to Module 2 and the introduction of specific health conditions to address in children and adolescents.

i-Human Case Study

In Week 4, you will complete a i-Human Case Study Assignment on Eye, Ear, Nose, and Throat conditions. As needed, consult the i-Human Manual to answer questions or in other ways strengthen your preparation for the week ahead.

Photo Credit: Getty Images/iStockphoto

To go to the next module:

Module 2

Module 2: EENT, Respiratory and Cardiovascular, and Dermatological Conditions

Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Think of all the common sayings that use parts of the body to convey strong emotions, even though, taken literally, they make little sense. For example, “I’m all ears!”, meaning you’re very eager to hear what somebody has to say. But everyone has only two ears and when those two ears are working properly, in most situations, two is enough. Imagine how loud and chaotic the world would sound to be listening with 10 ears, or 20!

Or we talk, and often with great drama, about eyes being like windows that let us look inside another person and know that person deeply. But eyes are designed to see out, and not for others to see in.

Lungs and heart are also favorites. When we’re very enthusiastic or very mad, we “yell at the top of our lungs!” Not at the bottom of the lungs, always the top. If “you wear your heart on your sleeve,” you’re letting everyone know how you feel. And overall, we speak of the heart as where emotions are found, as though love and courage, anger, sadness and fear, are all crammed inside that pumping muscle.

Here’s one more example: when something “gets under our skin,” we’re truly upset! How that saying evolved is certainly a mystery. Because, well, there is something under our skin: muscle, bone, blood and a whole amazing set of organs and array of systems that make up the human body.

The point here is not how nonsensical language can be, but how connected we are emotionally to our bodies and, in particular, to certain parts. As a nurse practitioner you will have varying opportunities to explore eyes, ears, heart, lungs, skin—and conditions that can go wrong with each in children and adolescents. It’s good to remember how special those parts are, not just in function but in feeling too.

What’s Happening This Module?

Module 2: EENT, Respiratory and Cardiovascular, and Dermatological Conditions is a 3-week module. In each week of the module, you will focus on specific structures or systems of the body and consider conditions that children and adolescents may present. Specifically, in Week 4, your attention is eye, ear, nose, and throat (EENT) conditions and includes an i-Human Case Study Assignment to complete. In Week 5, you move on to the respiratory and cardiovascular systems, with the third i-Human Case Study Assignment. In Week 6, your focus is dermatological conditions, with Learning Resources on skin issues and ailments in childhood and adolescence. There is no i-Human Assignment in Week 6, to allow ample time to prepare for two key assessments: The Module 2 Knowledge Check and the Midterm Exam.

 

What do I have to do? When do I have to do it?
Review your Learning Resources Days 1–7, Weeks 4, 5, 6

 

Week 4 i-Human Case Study: Evaluation and Management of EENT Conditions

 

By Day 7 of Week 4

Complete and submit your i-Human Case Study Assignment

Week 5 i-Human Case Study: Evaluation and Management of Respiratory and Cardiovascular Conditions By Day 7 of Week 5

Complete and submit your i-Human Case Study Assignment

Week 6 Module 2 Knowledge Check

 

By Day 5 of Week 6

Complete and submit your Module 2 Knowledge Check

Week 6 Midterm Exam

 

By Day 7 of Week 6

Complete and submit your Midterm Exam

 

Go to Weekly Content

Week 4

Week 5

Week 6

 

Week 4: Evaluation and Management of EENT Conditions

It is the first thing you observe as you meet a young patient—the child’s face: eyes, ears, nose, mouth. So, as this course on primary care shifts from a focus on a child’s whole-body growth and development to specific body structures and systems, it is natural to start with those defining features.

Close observation is among your most important tools in caring for children and adolescents. Eyes, ears, nose, and throat (EENT) exams are all part of a well-child visit. Your knowledge of what is normal and what is not will support you in identifying conditions and disorders that can impact children’s sight and hearing, their normal breathing, and restful sleep.

Assessing and evaluating EENT conditions may require your detective skills of observing, listening, and careful questioning. Or, in cases of injury to eyes, an object in a child’s ear or nose, or an obvious throat issue, the problem and your needed response may be immediately clear. The Learning Resources this week provide knowledge and recommendations for preparing for pediatric patients with a range of possible EENT conditions and emergencies, and for making diagnoses and determining treatments.

Keep in mind the importance of your relationship with parents and guardians. The more you understand about a family and the greater the cooperative bond you form, the more effective the management strategies you can provide.

This week you will further your preparation in all of these aspects of pediatric care as you complete your i-Human Case Study in evaluating and managing EENT conditions.

Learning Objectives

Students will:

  • Assess pediatric patients for eye, ear, nose, and throat conditions
  • Evaluate health conditions of pediatric patients
  • Formulate differential diagnoses for eye, ear, nose, and throat conditions in pediatric patients
  • Analyze socio-cultural needs of pediatric patients and families
  • Formulate evidence-based treatment and management plans for eye, ear, nose, and throat conditions in pediatric patients
  • Recommend evidence-based strategies for educating patients and families on treatment and management of eye, ear, nose, and throat conditions

Learning Resources

Required Readings (click to expand/reduce)

Required Media (click to expand/reduce)

Assignment: i-Human Case Study: Evaluation and Management of EENT Conditions

Photo Credit: Getty Images

Welcome to another i-Human Case Study. Take a moment to imagine a child and family you might meet. Based on the Learning Resources for this week, consider eye, ear, nose, and throat (EENT) conditions you may identify frequently as a Family Nurse Practitioner and those that may be more unusual. Also consider what aspects of the exam process might be more challenging for you—assessing, evaluating, providing multiple diagnoses, treatments, or offering the patient and family management advice. Work to be mindful of how to take best advantage of the simulated i-Human exam to prepare for pediatric patients with EENT conditions.

To prepare: 

  • Review this week’s Learning Resources and consider how to apply knowledge of EENT conditions and understanding of socio-cultural family needs in assessing, diagnosing, and treating pediatric patients.
  • Access i-Human Patients from this week’s Learning Resources and review the i-Human Case Study. Based on the provided patient information, think about the health history you would need to collect from the patient.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
  • Identify 3–5 possible conditions that may be considered in a differential diagnosis for the patient.
  • Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
  • Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with EENT conditions and their families.

Assignment: 

As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Graduate Programs Help link within the i-Human platform.

By Day 7 of Week 4

Complete your Assignment in i-Human.

Grading Criteria

To access your rubric:

Week 4 Assignment Rubric

What’s Coming Up in Week 5?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will address respiratory and cardiovascular health of children and adolescents and conditions related to these critical human systems. As a Family Nurse Practitioner, you may be the first to diagnose a child’s respiratory or cardiovascular condition or be part of an ongoing effort to treat and manage one. Needless to say, the Week 5 content is among the most significant for the well-being of pediatric patients.

To go to the next week:

Week 5

Week 5: Evaluation and Management of Respiratory and Cardiovascular Conditions

Respiratory disorders are a natural next focus from EENT, given the nostrils and epiglottis are part of the upper respiratory tract. And a stuffy or runny nose, and a scratchy or sore throat are among the symptoms of familiar upper respiratory conditions like the common cold.

Lower respiratory tract disorders such as pediatric asthma may also be common, particularly if you practice in an inner-city urban center (Asthma and Allergy Foundation of America, 2019). Helping families manage a child’s asthma and other respiratory conditions with environmental triggers, such as secondhand smoke, can involve astute diplomacy in recommending ways to provide healthier air at home.

As you anticipate what to expect in assessing cardiovascular conditions in children, consider that “most…are due to congenital heart disease (CHD), which affects nearly 1% of all live births—or about 40,000 babies per year” (Burns, 2017, p. 756). Whether you will care for a child with CHD, or be the first to recognize a child’s condition, your work requires “a high index of suspicion regarding any signs or symptoms of cardiovascular disease in young children” (Burns, 2017, p. 756).

While CHD may cause most pediatric heart ailments, cardiovascular disease can be acquired when children and adolescents develop hypertension. For many young people under stress or getting too little physical exercise and carrying too much body weight, high blood pressure is a dangerous outcome. In turn, understanding family history and habits is vital for managing the condition and helping the child or adolescent, and perhaps the entire family, to adopt different approaches, priorities, and routines.

This week, will be a “quiet” week in which you will take the time to review the Learning Resources and prepare for your Midterm Exam in Week 6. No Assignment submissions will be required for this week however, it will be important for you to continue to work through the topics for this week. The Learning Resources will prepare for your pivotal role as a primary care provider in evaluating and managing pediatric respiratory and cardiovascular conditions.

Reference
Asthma and Allergy Foundation of America. (2019). Asthma capitals 2019https://www.aafa.org/asthma-capitals/

Learning Objectives

Students will:

  • Assess pediatric patients for respiratory and cardiovascular conditions (A)
  • Evaluate health conditions of pediatric patients (A)
  • Formulate differential diagnoses for pediatric respiratory conditions (A)
  • Formulate differential diagnoses for pediatric cardiovascular conditions (A)
  • Analyze socio-cultural needs of pediatric patients and families (A)
  • Formulate evidence-based treatment and management plans for pediatric patients with respiratory conditions (A)
  • Formulate evidence-based treatment and management plans for pediatric patients with cardiovascular conditions (A)
  • Recommend evidence-based strategies for educating patients and families on treatment and management of respiratory conditions (A)
  • Recommend evidence-based strategies for educating patients and families on treatment and management of cardiovascular conditions (A)

Learning Resources

Required Readings (click to expand/reduce)

Required Media (click to expand/reduce)

What’s Coming Up in Week 6?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week you will focus on skin conditions that afflict children and adolescents. Although you will not have an i-Human Case Study to complete, you will be tested on your dermatological knowledge in two assessments. The Module 2 Knowledge Check will cover the Week 6 Learning Resources as well as those from Weeks 4 and 5.

Midterm Exam

Photo Credit: [triloks]/[E+]/Getty Images

Week 6 marks the midpoint of the course and, accordingly, you will take the Midterm Exam. Plan carefully for next week, to ensure adequate time to study for both the Module 2 Knowledge Check, which you are encouraged to submit by Day 5, or at least 48 hours before completing the Midterm, which is due by Day 7.

To go to the next week:

Week 6

Week 6: Evaluation and Management of Dermatological Conditions

Whoever first coined the phrase, it’s only skin deep, meaning something of not great importance or consequence, either lived a charmed life of no dermatological disorders, or had a high tolerance for discomfort. From infancy to adolescence, skin rashes and eruptions can wreak havoc for children physically. Skin conditions can also affect appearance in ways that create embarrassment, particularly for older children and adolescents.

As the body’s largest organ, the skin is susceptible to many disorders with many causes, from bacterial to parasitic. Some dermatological conditions are temporary and some, such as eczema, can be chronic. With the natural variations in skin pigment, some dermatological disorders are specific to or present differently in children and adolescents with dark skin or of particular ethnic background.

Skin conditions, especially chronic ones, also require extra attention to child-family education and management. The plan “must be individualized using all the characteristics of the child and family that make them unique—age, education, health literacy, cultural background, family structure and function, economic status, stress, community support and resources, and others” (Burns, 2017, p. 430).

This week, the Learning Resources will support you in fulfilling that sizable requirement. Although there is no assignment, devote ample time to these resources on pediatric skin conditions. Your understanding will be tested in both the Module 2 Knowledge Check and the Midterm Exam this week.

Learning Objectives

Students will:

  • Identify key terms, principles, and concepts related to the primary care of pediatric patients with ear, eye, nose, and throat conditions, respiratory and cardiovascular conditions, and skin conditions
  • Synthesize key terms, concepts, and principles related to the primary care of pediatric patients

Learning Resources

Required Readings (click to expand/reduce)

Required Media (click to expand/reduce)

Knowledge Check: Module 2: EENT, Respiratory and Cardiovascular, and Dermatology

Photo Credit: Getty Images/iStockphoto

Module 2 comes to a close this week, and to gauge your understanding of the key topics in this module, you have your second Knowledge Check of 20 questions to answer. Recall your experience with the Module 1 Knowledge Check in Week 3 and, as needed, alter your approach to reviewing the Learning Resources or plan ahead to ensure you schedule the exercise for a time of day when you perform best. Keep in mind this formative practice is intended to help you prepare for the Midterm and Final exams in this course, and ultimately, your certification exam for Family Nurse Practitioner.

Note: With your Midterm Exam also this week, you are strongly encouraged to complete the Module 2 Knowledge Check at least 48 hours before you take the Midterm.

To prepare:

  • Review Weeks 4–6 Learning Resources, using the topic list, below, as a guide.
  • Module 2 Knowledge Check topics will include the following:
    • Types of ear, eye, nose, and throat (EENT) conditions
    • Diagnosis, treatment, and management of EENT conditions
    • Signs of respiratory conditions
    • Signs of cardiovascular conditions
    • Diagnosis, treatment, and management of respiratory conditions
    • Diagnosis, treatment, and management of cardiovascular conditions
    • Types of skin conditions
    • Diagnosis, treatment, and management of skin conditions
    • Socio-cultural considerations in treating/working with patients and families
    • Evidence-based strategies for patient/family health promotion and education

Knowledge Check

You are required to answer 20 questions, randomly selected. You will have 1 attempt for each question. Each question is worth 1 point.

By Day 5 of Week 6

Complete and submit your Knowledge Check.

Submission Information

Submit Your Knowledge Check by Day 5

To submit your Knowledge Check:

Week 6 Knowledge Check

Midterm Exam

Photo Credit: [triloks]/[E+]/Getty Images

This 100-question exam will include topics covered in Weeks 1–6. It is designed to test your knowledge in preparation for your Family Nurse Practitioner certification exam and also simulates the conditions you will experience in that testing environment. No outside resources, including books, notes, websites, or any other type of resource, are to be used to complete this exam. You are expected to comply with Walden University’s Code of Conduct.

In advance of the exam, review the Learning Resources from Weeks 1–6 and the study guide provided by your Instructor. Aim to create optimal conditions for you as a test-taker, such as being well rested, free of distractions, and in a comfortable environment.

This exam is timed with a limit of 150 minutes for completion.

By Day 7 of Week 6

Complete and submit your Midterm Exam.

Submission Information

Submit Your Midterm Exam by Day 7

To submit your Midterm Exam:

Week 6 Midterm Exam

What’s Coming Up in Module 3?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will begin Module 3. You will continue to focus on specific conditions that affect particular structures and systems of the body, with attention to those that affect children and adolescents. Week 7 addresses gastrointestinal conditions, which is likely to be a common complaint among your pediatric patients.

i-Human Case Study

You will have another i-Human Case Study next week, this time addressing gastrointestinal conditions in pediatric patients. By now you may be feeling very comfortable “seeing” patients in the i-Human platform. Focus on any differences that you expect to experience in working with actual human children, adolescents, and their families. Consider how you can maximize the i-Human experience to enhance your preparation. Also, if there are technical aspects of the i-Human platform that are still challenging, consult the i-Human Manual or colleagues for support.

Photo Credit: Getty Images/iStockphoto

To go to the next module:

Module 3

Week 7: Evaluation and Management of Gastrointestinal Conditions

Consider aspects of daily life that we focus on most, and certainly high on the list, if not at the very top of the chart, is food. Our first concern may be how to have adequate food or nourishing food or food that just tastes really good. Whatever the priority, food is pretty much understood by everyone to be a need worthy of our full attention at least three times a day.

Food, as well as water, are essential to life, and nutritious options in particular. But intake of food, water, and other liquids is not enough. The body also must have a well-functioning digestive system to extract the nutrients to feed the cells and produce the energy for all systems to operate. For children, this is especially critical to ensure optimum growth and development.

When it functions normally, the pediatric digestive system runs smoothly. However, for just about every child, there are days when it does not; for some children, disruptively often. Gastrointestinal (GI) disorders are common complaints in patients from babies to teens. Problems may range from an isolated illness, to chronic issues such as lactose or gluten intolerance, to injuries or malformations of the organs necessary for digestion.

Working with families to address GI conditions in children and adolescents can be particularly challenging when management interferes with family food and beverage preferences or involves extreme diligence in choice and preparation. Be mindful of the socio-cultural diversity of your pediatric families and the role that food, including amount, plays in a family’s understanding of “good care” of infants and toddlers, of physical and cognitive development as children grow. Also be aware of how deep stressors such as food insecurity can impact how well families can maintain GI treatment and management plans.

This week the Learning Resources and the i-Human Case Study Assignment will help you prepare for treating pediatric patients with gastrointestinal conditions and supporting their families with targeted advice or comprehensive education.

Learning Objectives

Students will:

  • Assess pediatric patients with signs of gastrointestinal conditions
  • Evaluate health conditions of pediatric patients
  • Formulate differential diagnoses for pediatric gastrointestinal conditions
  • Analyze socio-cultural needs of pediatric patients and families
  • Formulate evidence-based treatment and management plans for pediatric patients with gastrointestinal conditions
  • Recommend evidence-based strategies for educating patients and families on treatment and management of gastrointestinal conditions

Learning Resources

Required Readings (click to expand/reduce)

Required Media (click to expand/reduce)

Assignment: i-Human Case Study: Evaluation and Management of Gastrointestinal Conditions

Photo Credit: Getty Images

Think ahead to the pediatric patients and families you may meet in this i-Human Case Study Assignment and, based on the Learning Resources, the types of gastrointestinal conditions that may be waiting for you in your virtual office on the i-Human platform. Have in mind GI conditions that you would particularly like to address in the avatar setting. Also reflect on your previous i-Human case studies and consider a child of an age, race, or ethnicity that you have not yet examined and would expand your experience to do so this week.

To prepare:

  • Review this week’s Learning Resources. Consider how to apply knowledge of gastrointestinal conditions and understanding of socio-cultural family needs to assessing, diagnosing, and treating pediatric patients.
  • Access i-Human Patients from this week’s Learning Resources and review the i-Human Case Study. Based on the provided patient information, think about the health history you would need to collect from the patient.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
  • Identify 3–5 possible conditions that may be considered in a differential diagnosis for the patient.
  • Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
  • Develop a treatment plan for the patient that includes health promotion and patient education strategies for pediatric patients with gastrointestinal conditions and their families.

The Assignment:

As you interact with the i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Graduate Programs Help link within the i-Human platform.

By Day 7 of Week 7

Complete your Assignment in i-Human.

Grading Criteria

To access your rubric:

Week 7 Assignment Rubric

What’s Coming Up in Week 8?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will investigate common renal and genitourinary (GU) conditions in pediatric patients. Take time to reflect on what you learned and experienced in Week 7 and how your understanding of GI conditions related to dehydration and elimination can support your work in Week 8.

i-Human Case Study

Photo Credit: Getty Images/iStockphoto

Next week, you will complete an i-Human Case Study Assignment on renal and GU conditions in children and adolescents. Be sure to address any continuing technical issues in using the i-Human platform, to get the most content and practical value from this Assignment.

To go to the next week:

Week 8

Week 8: Evaluation and Management of Renal and Genitourinary Conditions

As a nurse or as an individual, you may have topics that are easier to discuss than others. From your perspective, there may be body systems easier to examine and explain with pediatric patients and families than others. Much may depend on a patient’s age and the dynamic between family members. For older children and adolescents, talk of difficulty with urination, for males and females, can be awkward and getting necessary details to aid evaluation and diagnosis may take particular sensitivity and finesse.

Renal and genitourinary (GU) conditions can vary from easily treatable infections to more serious concerns with kidney function and the capacity of the genitourinary system to do its work of supporting metabolism and expelling toxins. Renal or GU issues can also cause hypertension in children, signaling trouble and compounding it too. Primary care providers are often the first to assess and diagnose renal and GU disorders that necessitate further attention.

In addition to GU conditions, the text reading also covers gynecologic disorders that may present in girls and young women among your primary care patients. Early or late onset of menstruation, vaginal infections, and sexually transmitted diseases may require delicate discussions with younger and older adolescents, to offer instruction and guidance.

This week your Learning Resources and i-Human Case Study Assignment address renal and GU conditions. Consider how to frame questions to gather health histories and clear understanding of symptoms, and how to explain treatment and management plans with clarity while easing potential embarrassment. Use the avatar patient and family to focus on both identifying conditions and building rapport.

Learning Objectives

Students will:

  • Assess pediatric patients with signs of renal and genitourinary conditions
  • Evaluate health conditions of pediatric patients
  • Formulate differential diagnoses for pediatric renal and genitourinary conditions
  • Analyze socio-cultural needs of pediatric patients and families
  • Formulate evidence-based treatment and management plans for pediatric patients with renal and genitourinary conditions
  • Recommend evidence-based strategies for educating patients and families on treatment and management of renal and genitourinary conditions

Learning Resources

Required Readings (click to expand/reduce)

Required Media (click to expand/reduce)

Assignment: i-Human Case Study: Evaluation and Management of Renal and Genitourinary Conditions

Photo Credit: Photographee.eu / Adobe Stock

As you prepare for this i-Human Case Study, reflect on your prior case studies and feedback you have received. Focus on what to strengthen or improve in your examination process and procedures. As you consider possible renal and genitourinary conditions you may address, identify particular issues or patient ages of greatest interest or concern to you. In short, do the most to maximize this experience in any and all ways.

To prepare:

  • Review this week’s Learning Resources. Consider how to apply knowledge of renal and genitourinary conditions and understanding of socio-cultural family needs to assessing, diagnosing, and treating pediatric patients.
  • Access i-Human from this week’s Learning Resources and review the i-Human Case Study. Based on the provided patient information, think about the health history you would need to collect from the patient.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
  • Identify 3–5 possible conditions that may be considered in a differential diagnosis for the patient.
  • Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
  • Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with renal and genitourinary conditions and their families.

Assignment:

As you interact with the i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Patients Case Player Student Manual in the Learning Resources.

By Day 7 of Week 8

Complete your Assignment in i-Human.

Grading Criteria

To access your rubric:

Week 8 Assignment Rubric

What’s Coming Up in Week 9?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week you will complete Module 3 as you explore pediatric hematological, and metabolic and endocrine conditions. Plan your time to devote sufficient attention these topics while also preparing for the Knowledge Check in Week 9.

Knowledge Check

Next week, you will take the Module 3 Knowledge Check. This formative assessment will include questions pertaining to content from Weeks 7–9. From the previous Knowledge Checks you may have developed an approach to review that works well. Reflect on your comfort and challenges with the content in Weeks 7 and 8 and plan accordingly.

To go to the next week:

Week 9

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NRNP 6531 – Primary Care of Adults Across the Lifespan Course Assignments & Discussions Study Guide

NRNP 6531 - Primary Care of Adults Across the Lifespan Course Assignments & Discussions Study GuideNRNP 6531 – Primary Care of Adults Across the Lifespan Course Description

3 credits

In this course, students learn how nurse practitioners master the art and science of clinical decision-making among adult populations across the lifespan. Students focus on diagnosing and managing primary healthcare needs and problems of the adult across the lifespan. They engage in a variety of course assignments that focus on physical and behavioral disease processes central to diagnosing conditions as well as planning, implementing, and evaluating therapeutic treatment programs for acute illnesses commonly encountered in a primary healthcare setting.

Prerequisites

  • NURS 6501
  • NURS 6512
  • NURS 6521
  • NURS 6052

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NRNP 6531 – Primary Care of Adults Across the Lifespan Course Syllabus & Assignments Summary

NRNP 6531 – What do I have to do?

NRNP 6531 – Review your Learning Resources

NRNP 6531 – Week 1 Class Café: Introductions

NRNP 6531 – Week 1 Discussion: Career Goals: Strengths and Challenges Related to Nursing Practice Competencies

NRNP 6531 – Week 2: Evaluation and Management of Integumentary Conditions

NRNP 6531 – Week 2 Assignment: i-Human Case Study: Evaluating and Managing Integumentary Conditions

NRNP 6531 – Week 3 Assignment: i-Human Case Study: Evaluating and Managing HEENT Conditions

NRNP 6531 – Week 3: Knowledge Check: Module 1

You can also read another study guide on nursing assignments for students from another post on NRNP 6541 – Primary Care of Adolescents and Children Course Assignments & Discussions.

Module 1: Advanced Nursing Practice Competencies, Integumentary, and HEENT Conditions

What’s Happening in This Module?

This course is composed of four separate modules. Each module consists of an overarching topic and each week within the module consists of specific subtopics for learning. As you work through each module, you will have an opportunity to draw upon the knowledge you gain in various case study assignments and knowledge checks, which will be due throughout each of the modules.

Module 1: Advanced Nursing Practice Competencies, Integumentary, and HEENT Conditions is a three-week module consisting of Weeks 1–3 of the course. In Week 1, you will begin by examining competencies of advanced nursing practice. You will also reflect on your own strengths and challenges in relation to the competencies and when working with adult patients across the lifespan. Then, in Weeks 2 and 3, you will examine the evaluation and management of integumentary conditions as well as those conditions impacting HEENT in Weeks 2 and 3.

What do I have to do? When do I have to do it?
Review your Learning Resources Days 1–7 in Weeks 1, 2, and 3
Week 1 Class Café: Introductions Post by Day 2 of Week 1
Week 1 Discussion: Career Goals: Strengths and Challenges Related to Nursing Practice Competencies Post by Day 3 of Week 1 and respond to your colleagues by Day 6 of Week 1
Week 2 Assignment: i-Human Case Study: Evaluating and Managing Integumentary Conditions By Day 7 of Week 2:
Complete and submit your i-Human Case Study Assignment
Week 3 Assignment: i-Human Case Study: Evaluating and Managing HEENT Conditions By Day 7 of Week 3:
Complete and submit your i-Human Case Study Assignment
Week 3: Knowledge Check: Module 1 By Day 7 of Week 3:
Complete and submit your Module 1 Knowledge Check

Go to the Week’s Content

Week 1

Week 2

Week 3

Week 1: Competencies of Advanced Nursing Practice

Advanced nursing practice competencies focus on the unique practice knowledge, skills, and attitudes a nurse practitioner must demonstrate as they work with adults across the lifespan in clinical settings. They are developed by experts in the field and provide clarity about what is needed to be successful in your career. Competencies need to be practiced so they can be used to effectively address a wide range of situations. In addition to real-world settings, there are virtual opportunities that can facilitate the development of competencies. For example, throughout this course, you will complete case study simulation assignments with virtual i-Human patients presenting a variety of medical conditions. These types of virtual simulations provide you with the formative practice needed to help guide and prepare you for the real-world clinical experience.

For this week, you will examine advanced nursing practice competencies and reflect on your strengths and challenges related to the competencies. In light of your reflection, you will consider how this course may help you attain your career goals or objectives.

Learning Objectives

Students will:

  • Analyze strengths and challenges related to nursing practice competencies
  • Describe professional career goals or objectives

Learning Resources

Required Readings (click to expand/reduce)

Required Media (click to expand/reduce)

Class Café: Introductions

Photo Credit: nakophotography / Adobe Stock

This Class Café is a place for discussions that do not necessarily relate to the formal content of this course and will not be assessed. However, we encourage you to get to know your colleagues and familiarize yourselves with everyone’s background and personal history. Note: If your posting is of a personal nature or involves issues that are of concern only to you and require an individual response from the Instructor, please email the Instructor directly.

By Day 2

Post and introduce yourself to your colleagues and ask any questions you might have about the course or questions in general.

Respond to your colleagues and answer any questions or ask any questions that you might have.

Note: This Class Café is not required and will not be assessed; however, you are encouraged to get to know your colleagues.

Submission and Grading Information

Post by Day 2

To Participate in this Discussion:

Class Café: Introductions

Discussion: Career Goals: Strengths and Challenges Related to Nursing Practice Competencies

An advanced practice nurse collaborates and communicates with patients, families, doctors, nurses, and specialists to ensure patients receive the care they need. As they diagnose, treat, manage, and educate patients, they are responsible for ensuring patient safety and maintaining ethical behavior. Competencies have been developed to help the advanced practice nurse to understand the practice knowledge, skills, and attitudes they need to be successful.

Photo Credit: michaeljung / Adobe Stock

For this Discussion, you will examine advanced nursing practice competencies and reflect on your strengths and challenges related to the competencies. In light of your reflection, you will consider how this course may help you attain your career goals or objectives.

To prepare:

  • Review the Learning Resources for this week, specifically the advanced nursing practice competencies. As you review the competencies, reflect on your own strengths and challenges when working with adults across the lifespan.

By Day 3

Post a summary of your expectations of this course. Also, include a brief explanation of your strengths and challenges as they relate to nursing practice competencies when working with adults. Describe any career goals or objectives this course may help you accomplish in the Family Nurse Practitioner (FNP) or Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) role and explain why. Use your research to support your explanations by providing credible and scholarly sources.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days by offering a suggestion or resources to help your colleagues in addressing their personal strengths or challenges, or their career goals. Use your research to support your suggestions. Provide at least 3 credible and current scholarly sources.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6

To Participate in this Discussion:

Week 1 Discussion

Assignment

Practicum Manual Acknowledgment

The Practicum Manual describes the structure and timing of the classroom-based and practicum experiences and the policies students must follow to be successful in the nurse practitioner (NP) specialties.

Click here and follow the instructions to confirm you have downloaded and read the entire MSN Nurse Practitioner Practicum Manual and will abide by the requirements described in order to successfully complete this program.

What’s Coming Up in Week 2?

Practicum – Upcoming Deadline

In the Nurse Practitioner programs of study (FNP, AGACNP, AGPCNP, and PMHNP) you are required to take several practicum courses. If you plan on taking a practicum course within the next two terms, you will need to submit your application via Meditrek .

For information on the practicum application process and deadlines, please visit the Field Experience: College of Nursing: Application Process – Graduate web page.

Please take the time to review the Appropriate Preceptors and Field Sites for your courses.

Please take the time to review the practicum manuals, FAQs, Webinars and any required forms on the Field Experience: College of Nursing: Student Resources and Manuals web page.

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will analyze an i-Human simulation case study about an adult patient with an integumentary condition and formulate a differential diagnosis, based on the patient’s information. Using the findings of your analysis, you will evaluate treatment options and then create an appropriate treatment plan for the patient.

Looking Ahead:

In this course and beginning in Week 2, you will be required to complete case study assignments using the web-based software i-Human. You should have received an email with your i-Human Patients login and password information. If you have not received this information, please contact the Course Instructor.

Ensure that you are able to log in to the software and review the i-Human Patients Case Player Student Manual as needed to familiarize yourself about how to navigate i-Human.

Week 2: Evaluation and Management of Integumentary Conditions

A key skill for an advanced practice nurse is gathering patient information that can be used to inform diagnosis and treatment of conditions. Physical examination of a patient is often initiated by simple visual observations of external characteristics, including body language, demeanor, and cognitive ability, as well as the skin, hair, and nails (integumentary system). This information can contribute to the overall evaluation of a patient and guide assessment and diagnosis.

For this week, you will analyze a simulated case study about an adult i-Human patient with an integumentary condition and formulate a differential diagnosis, based on the patient’s information. Using the findings of your analysis, you will evaluate treatment options and then create an appropriate treatment plan for the patient.

Learning Objectives

Students will:

  • Formulate differential diagnoses for adult patients with integumentary conditions
  • Analyze pattern recognition in adult patient diagnoses
  • Analyze the role of patient information in differential diagnosis
  • Evaluate pharmacologic and non-pharmacologic treatment options for adult patients
  • Create an appropriate treatment plan that includes health education and follow-up care

Learning Resources

Required Readings (click to expand/reduce)

Required Media (click to expand/reduce)

Assignment: i-Human Case Study: Evaluating and Managing Integumentary Conditions

This course will require you to complete a series of case studies using the i-Human software application. The i-Human Patients (IHP) Case Player enables you to interact with virtual patients for the purpose of learning patient-assessment and diagnostic-reasoning skills. With IHP, you will be able to independently interview, examine, diagnose, and treat virtual patients and receive expert feedback on your performance.

Photo Credit: RFBSIP – stock.adobe.com

The integumentary system is susceptible to a variety of diseases, conditions, and injuries, ranging from the bothersome but relatively innocuous bacterial or fungal infections that are categorized as disorders to skin cancer and severe burns, which can be life-threatening.

For this Case Study Assignment, you will examine your first case study and work with a patient with an integumentary condition. You will formulate a differential diagnosis, evaluate treatment options, and then create an appropriate treatment plan for the patient.

To prepare:

  • Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with integumentary conditions.
  • Review the i-Human Patients Case Player Student Manual found in this week’s Learning Resources to familiarize yourself with how to use the i-Human software.
  • Access i-Human from this week’s Learning Resources and review this week’s i-Human case study Krista Hampton V5.1 PC PL. Based on the provided patient information, think about the health history you would need to collect from the patient.
  • Consider what physical exams and diagnostic tests would be most appropriate to gather more information about the patient’s condition.
  • Reflect on how the results would be used to make a diagnosis.
  • Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
  • Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
  • Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with integumentary conditions.

Assignment

As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Patients Case Player Student Manual in the Week 1 Learning Resources.

By Day 7

Complete your Assignment in i-Human.

Submission and Grading Information

To access your rubric:

Week 2 Assignment Rubric

What’s Coming Up in Week 3?

Week 3 Knowledge Check

Week 3 concludes Module 1, and you will complete a Knowledge Check assessment covering the Module 1 topics examined in Weeks 1–3. Plan your time to review accordingly.

Week 3: Evaluation and Management of HEENT Conditions

Last week, observing external characteristics of a patient was introduced as an important initial component of a physical examination. In addition to those observations, additional patient information can be learned by examining the head, eyes, ears, nose and throat, referred to as the HEENT system. Abnormal or disease manifestations may cause changes to one or more parts of the HEENT system, and understanding those manifestations is a critical skill for the advanced practice nurse.

For this week, you will not have a simulation case study however, it will be important for you to recognize that your continued observations and additional patient information are critical to your advanced nursing skills. This Week 3 concludes Module 1, and you will complete a Knowledge Check assessment covering the Module 1 topics examined in Weeks 1–3.

Learning Objectives

Students will:

  • Identify key terms, concepts, and principles related to the primary care of adults across the lifespan

Learning Resources

Required Readings (click to expand/reduce)

Required Media (click to expand/reduce)

Knowledge Check: Module 1: Advanced Nursing Practice Competencies, Integumentary, and HEENT Conditions

In this exercise, you will complete a 10- question Knowledge Check to gauge your understanding of this module’s content.  Please note that this is a formative practice to help you better prepare for your Midterm and Final Exam as well as your Nurse Practitioner (NP) certification exam. The questions in this Knowledge Check are related to the topics from Weeks 1, 2, and 3 Topics include:

  • Nursing competencies
  • Billing and coding
  • Integumentary conditions
  • HEENT conditions

It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

Photo Credit: [DirtyDog_Creative]/[Vetta]/Getty Images

By Day 7

Complete and submit your Knowledge Check.

Submission Information

Submit Your Knowledge Check by Day 7

To submit your Knowledge Check:

Week 3 Knowledge Check

What’s Coming Up in Module 2?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

In Module 2, you will examine the evaluation and management of cardiovascular conditions in Week 4 and respiratory conditions in Week 5. You will consider how to assess, diagnose, and treat two i-Human patients—one presenting a cardiovascular condition and one presenting a respiratory condition.

Week 5 Knowledge Check

In Week 5, you will experience your next Knowledge Check which covers the Module 2 topics from Weeks 4 and 5. Refer to the Week 5 Knowledge Check Assignment for further details related to the topics covered. Plan your time accordingly.

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NR-103: Transition to the Nursing Profession Course Assignments & Discussions Study Guide

NR-103: Transition to the Nursing Profession Course Assignments & Discussions Study GuideNR-103: Transition to the Nursing Profession Course Description

Contact Hours: Lecture – 32, Lab – 0, Clinical – 0

Semester Hours: Theory 2

A success seminar designed to introduce the student to the culture of Chamberlain, active adult learning principles, and professional presentation through development of effective verbal communication skills and relationship building through the concepts of emotional intelligence, personal inventory and self-management. Students also develop scholarship, written communication, punctuation, and grammar skills through a blended-learning format. Course also includes adult learning principles and concepts related to active learning.

Prerequisite: None

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NR-103: Transition to the Nursing Profession Course Syllabus & Assignments Summary

NR 103 Week 1 Discussion: Introductions

NR-103 Week 1 Assignment: Mindfulness Reflection

NR 103 Week 1 Discussion

NR 103 Week 1 In Class Assignment: 3 Minute Paper

NR 103 Week 1 Small Group Discussion

NR 103 Week 2 Assignment: Professional Identity

NR-103 Week 2 Assignment: 3-Minutes Thoughts

NR 103 Week 2 Discussion: Community Café

NR 103 Week 2 Assignment: Critical Thinking Assessment

NR 103 Week 2 In Class Assignment: 3 Minute Paper

NR 103 Week 2 Small Group Discussion

NR 103 Week 3 Chamberlain Early Assessment Program (CEAP)

NR-103 Week 3 Assignment: 3-Minutes Thoughts

NR 103 Week 3 Assignment: Care for Self

NR-103 Week 3 Assignment: Mindfulness Reflection

NR 103 Week 3 Discussion

NR 103 Week 3 CEAP Assessment

NR 103 Week 3 In Class Assignment: 3 Minute Paper

NR 103 Week 3 Professional Writing Assessment

NR 103 Week 3 Small Group Discussion

NR 103 Week 4 Assignment: The Language of Healthcare

NR-103 Week 4 Assignment: 3-Minute Thoughts

NR 103 Week 4 Discussion

NR 103 Week 4 CEAP Focused Activity # 1

NR 103 Week 4 CEAP Focused Activity # 2

NR 103 Week 4 In Class Assignment: 3 Minute Paper

NR 103 Week 4 RUA Paper Draft: Safety Culture in Nursing

NR 103 Week 4 Small Group Discussion

NR 103 Week 5 Assignment: Communication and Collaboration

NR-103 Week 5 Assignment: 3-Minute Thoughts

NR 103 Week 5 Discussion

NR 103 Week 5 CEAP Focused Activity # 3

NR 103 Week 5 CEAP Focused Activity # 4

NR 103 Week 5 In Class Assignment: 3 Minute Paper

NR 103 Week 5 RUA Assignment: Safety with Mental Health Patients – SAFETY

NR 103 Week 5 RUA Assignment: Prioritizing Time in Nursing – PRIORITIZATION

NR 103 Week 5 RUA Assignment: Task Distribution as a Nurse – DELEGATION

NR 103 Week 5 RUA Submission Draft: Safety Culture in Nursing

NR 103 Week 5 Small Group Discussion

NR 103 Week 6 Assignment: RUA: Transitions Paper – Nurses Risk of COVID-19

NR-103 Week 6 Assignment: RUA: Transitions Paper – Safety in Healthcare

NR 103 Week 6 Assignment: Civility and Emotional Intelligence

NR-103 Week 6 Assignment: 3-Minutes Thoughts

NR 103 Week 6 Assignment: Mindfulness Reflection

NR 103 Week 6 CEAP Focused Activity # 5

NR 103 Week 6 In Class Assignment: 3 Minute Paper

NR 103 Week 6 Small Group Discussion

NR 103 Week 7 Assignment: Technology and Mindfulness

NR-103 Week 7 Assignment: Mindfulness Reflection

NR 103 Week 7 Discussion

NR 103 Week 7 In Class Presentation: Final Project

NR 103 Week 7 Small Group Discussion

NR 103 Week 8 Assignment: Career Readiness Activity

NR-103 Week 8 Assignment: Final Project

NR 103 Week 8 Assignment: Final Project Presentation

NR 103 Week 8 Assignment: Mindfulness Reflection

NR 103 Week 8 In Class Activity Assignment: Sympathy and Empathy

You can also read another study guide on nursing assignments for students from another post on NRNP 6531 – Primary Care of Adults Across the Lifespan Course Assignments & Discussions.

Syllabus Overview

Course Number: NR103
Course Title: Transition to the Nursing Profession
Credit Hours: 2
Theory Hours:  2
Laboratory Hours:  0
Clinical Hours:  0
Place in Curriculum Year 1, Semester 1
Prerequisite: None
Corequisite: None

Course Description

A success seminar designed to introduce the student to the culture of Chamberlain College of Nursing, active adult learning principles, and professional presentation through development of effective verbal communication skills and relationship building through the concepts of emotional intelligence, personal inventory and self-management. Students also develop scholarship, written communication, and punctuation and grammar skills through a blended-learning format. Course includes adult learning principles and concepts related to active learning.

Textbooks and Resources

Required Textbooks

The following books are required for this course:

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

Optional Textbooks

The following books are required for this course:

Physical Books and Supplies

To obtain all your books and supplies, visit the online Chamberlain bookstore at https://bookstore.chamberlain.edu/.

eBook Details

First Time Using VitalSource?

Step 1: View the VitalSource Video

Step 2: Register with VitalSource Bookshelf Online

  1. Click the cover or title of your eBook. A new window will open.
  2. Enter email address and password. Bookshelf Online will open.

Step 3: Access the Desktop and Mobile Versions

You must complete Step 2 prior to using the desktop or mobile versions.

Already Registered?   3 Ways to Access Your eBooks

Online

Access your eBook by clicking on the book cover or title in the syllabus page. Bookshelf Online will open.

Desktop

Download your eBooks and use them whether you’re connected to the Internet or not.

Mobile

Download the app and get your eBooks on your iPhone, iPad, or Android device.

Program Outcomes

The outcomes for the Bachelor of Science in Nursing (BSN) degree program are as follows:

  1. Provides individualized comprehensive care based on theories and principles of nursing and related disciplines to individuals, families, aggregates and communities, from entry to the healthcare system through long-term planning.
  2. Demonstrates leadership and collaboration with consumers and other healthcare providers in providing care and/or delegating responsibilities for health promotion, illness prevention, health restoration, health maintenance and rehabilitative activities.
  3. Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates and communities.
  4. Integrates clinical judgment in professional decision making and implementation of the nursing process.
  5. Demonstrates responsibility for continued personal and professional development through enrollment in graduate education, continuing education degree programs, professional reading and participation in professional organizations and community service.
  6. Implements professional nursing standards by practicing within the legal definitions of nursing practice and acts in accordance with the nursing code of ethics and American Nurses Association (ANA) standards of practice.
  7. Practices in established professional roles consistent with entry-level BSN graduates to provide cost-effective, quality healthcare to consumers in structured and unstructured settings.
  8. Incorporates evidence-based practice in the provision of professional nursing care to individuals, families, aggregates and communities.

Course Outcomes

Chamberlain College of Nursing courses are built to align course content with specific Course Outcomes (COs). The COs define the learning objectives that the student will be required to comprehend and demonstrate by course completion. Unit outcomes provide further detail to support learner achievement of specific COs and are listed within each unit under the introduction. Whenever possible, a reference will be made from a particular assignment or discussion back to the CO that it emphasizes.

Upon completion of this course, the student will be able to do the following.

  1. Implement skills for successful scholarship including effective study skills, note taking, active listening, and learning preferences. (POs 5 and 7)
  2. Identify characteristics of professional behavior, including emotional intelligence, communication, and conflict resolution. (POs 3, 5, and 6)
  3. Demonstrate information literacy and the ability to utilize resources. (POs 3, 5, and 8)

Key Concepts

  1. Chamberlain College of Nursing Mission, Vision, and Philosophy
  2. Class Expectations and Learning Agreement
  3. Characteristics and Behaviors of a Successful Student
  4. Characteristics and Behaviors of a Successful Professional
  5. Characteristics and Behaviors of a Successful Person
  6. Self-Development and SMART Goals

Learning Plan

Download and review the NR103 Transition to the Nursing Profession Learning Plan. This learning plan provides a list of unit outcomes and detailed key topics covered in the course.

Required Uniform Assignments (RUAs)

Required Uniform Assignments (RUAs) are essential elements of assessment that are consistent across the curriculum at Chamberlain College of Nursing. These assessments help measure and track students’ progress in meeting the BSN Program Outcomes. Each RUA is course-specific and required in both online and campus courses. Download the Transition Paper guidelines and grading rubric to begin planning for the successful completion of this assignment.

If you have any questions about the assignment please speak to your instructor.

Course Schedule

Unit, COs, and Topics Readings Assignments
Unit 1
COs 1, 2, and 3
Are You Up For a Challenge?
No reading assignments 3-Minute Paper
Small Group Discussion
Unit 2
COs 1 and 2
Successful Student: Study Skills
Success Seminars

  • Note-Taking
  • Test-Taking

Test-taking PowerPoint presentation

3-Minute Paper
Small Group Discussion
Unit 3
COs 1, 2, and 3
Successful Student: Writing Skills
Success Seminar

  • APA Basics
3-Minute Paper
Small Group DiscussionCEAP Assessment
Unit 4
COs 1 and 2
Successful Professional Nurse: Communication
Success Seminar

  • Career Readiness
3-Minute Paper
Small Group DiscussionTransitions Paper (draft) 
Unit 5
COs 1 and 2
Successful Professional Nurse: Professional Behaviors
No reading assignments 3-Minute Paper
Small Group DiscussionTransitions Paper (Final) 
Unit 6
COs 1 and 2
Successful Person: Homeostasis and Balance
Success Seminars

  • Time Management
  • Stress Management
3-Minute Paper
Small Group DiscussionCEAP Focused Activities (5)
Unit 7
COs 1 and 2
Successful Person: Empathy and Caring
No reading assignments 3-Minute Paper
Small Group Discussion
Unit 8
All COs
You ARE Up for the Challenge!
 No reading assignments 3-Minute Paper

Final Project

Attendance Policy

Regular attendance and consistent participation within the classroom, lab, and clinical experiences facilitate the achievement of course outcomes set forth in the course syllabi. Students must arrive on time and stay for the duration of the class meeting, lab, and/or clinical experience. Late arrival may result in denied access to the class.  Absences and/or tardiness from lecture, pre-clinical, clinical (including pre- and post-conferences), and/or lab experiences (including pre- and debriefing) may prohibit students from completing all components of the nursing course, resulting in course failure.

Attendance is tracked for all eight weeks of the session on a course-by-course basis and is recorded daily based on academic events. An academic event for onsite courses is defined by attending scheduled class meetings. An academic event for online courses is defined by submitting a class assignment, participating in threaded discussions, or completing quizzes and exams. An academic event for blended courses is defined by attendance in the onsite component or by submitting a class assignment, participating in threaded discussions or completing quizzes and exams in the online component.

Due Dates for Assignments and Exams

Unless otherwise specified, the following applies.

  • Access to the course begins on Sunday at 12:01 a.m. (MT) during preview week.
  • All completed assignments are to be submitted to the Dropbox on or before Friday by 5:00 p.m. Mountain Time (MT) or as specified by your faculty.
  • All quizzes and exams, if applicable in your course, are offered at specific times.
    • Campus Courses: Campus faculty will share the date, time, and location with students at the beginning of each session.
    • Online Courses: Online faculty will share online exam schedule with students during preview week in a course announcement. Students should refer to the posted announcement for the specific dates and times for their exam schedule.

Note: In Unit 8 the assignments will be due by Wednesday at 11:59 p.m. MT.

If you are taking this course on campus, a course calendar includes detailed information related to activities and due dates may be available for downloading from Doc Sharing. Please check with your instructor for more information.

If you are taking this course online, Please be advised that you may be required to take your tests on the campus in a proctored environment. Your campus will post the date, time and location of exams. If testing will take place online, the online faculty will share the exam schedule with students during preview week in a course announcement. Students should refer to the posted announcement for the specific dates and times for their exam schedule.

Assignment Values and Letter Grades

Letter Grade Points Percentage
A   940–1,000 94% to 100%
A-  920–939 92% to 93%
B+ 890–919 89% to 91%
B   860–889 86% to 88%
B-  840–859 84% to 85%
C+ 810–839 81% to 83%
C   760–809 76% to 80%
F   759 and below 75% and below

All course assignments and examinations must be completed in order to pass the course.

The maximum score in this class is 1,000 points. The categories, which contribute to your final grade, are weighted as follows.

Graded Item Points Weighting
Small Group Discussion

  • Units 1-6 50 points each
  • Unit 7 20 points
320 32%
3-Minute Papers

  • 8 papers worth 25 points each
200 20%
CEAP Assessment 50 5%
CEAP Focused Activities

  • 5 activities, each worth 31 points
155 15.5%
Transitions Paper 150 15%
Final Project 125 12.5%
Total 1,000 100%

Teaching/Learning Methods

Examples include, but are not limited to

  • assignments;
  • case studies;
  • discussion;
  • experiential learning
  • group assignments;
  • lectures; and
  • Multimedia presentations.

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NR-110: Pathway to Professional Nursing for Military Course Assignments & Discussions Study Guide

NR-110: Pathway to Professional Nursing for Military Course Assignments & Discussions Study GuideNR-110: Pathway to Professional Nursing for Military Course Description

Contact Hours: Lecture – 32, Lab – 0, Clinical – 0

Semester Hours: Theory 2

This course, designed for the Military to BSN student, explores the philosophy and roles of the professional nurse in the context of contemporary nursing practice. A variety of learning experiences provide the student with an introduction to professional nursing practice and the skills needed for successful completion of the Military to BSN degree option.

Prerequisites: Admission to the Military to BSN degree option (BIOS-251N; BIOS-252N; BIOS-255N; BIOS-25N6; BIOS-242N; CHEM-120N; MATH-105N or MATH-114N, PSYC-110N)

Corequisite: ENGL-118N

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NR-110: Pathway to Professional Nursing for Military Course Syllabus & Assignments Summary

NR 110 Week 5 3-Minute Paper

NR 110 Week 5 Small Group Discussion Scope of Practice

NR 110 Pathway to Professional Nursing for Military, Chamberlain University, Chamberlain

NR 110 Week 5 3-Minute Paper

NR 110 Pathway to Professional Nursing for Military, assignment

You can also read another study guide on nursing assignments for students from another post on NR-103: Transition to the Nursing Profession Course Assignments & Discussions.

Syllabus Overview

Course Number: NR110
Course Title: Pathway to Professional Nursing for Military
Credit Hours: 2 Credits
Theory Hours:  2
Laboratory Hours:  0
Clinical Hours: 0
Place in Curriculum Year 1, Semester 1
Prerequisite: Admission to the Military to BSN degree option; BIOS 251; BIOS 252; BIOS 255; BIOS 256; BIOS 242; CHEM 120; ENGL 147; MATH 114; PSYC-110 
Corequisite: None

Course Description

This course, designed for the Military to BSN student, explores the philosophy and roles of the professional nurse in the context of contemporary nursing practice. A variety of learning experiences provide the student with an introduction to professional nursing practice and the skills needed for successful completion of the Military to BSN degree option.

Textbooks and Resources

Required Textbooks

The following books are required for this course:

American Nursing Association [ANA]. (2010). Nursing: Scope and standards of practice (2nd ed.). Silver Spring, MD: American Nurses Publishing.

 

American Nurses Association [ANA]. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: American Nurses Publishing.

 

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

Optional Textbooks

The following books are required for this course:

Physical Books and Supplies

To obtain all your books and supplies, visit the online Chamberlain bookstore at https://bookstore.chamberlain.edu/.

eBook Details

First Time Using VitalSource?

Step 1: View the VitalSource Video

Step 2: Register with VitalSource Bookshelf Online

  1. Click the cover or title of your eBook. A new window will open.
  2. Enter email address and password. Bookshelf Online will open.

Step 3: Access the Desktop and Mobile Versions

You must complete Step 2 prior to using the desktop or mobile versions.

Already Registered?   3 Ways to Access Your eBooks

Online

Access your eBook by clicking on the book cover or title in the syllabus page. Bookshelf Online will open.

Desktop

Download your eBooks and use them whether you’re connected to the Internet or not.

Mobile

Download the app and get your eBooks on your iPhone, iPad, or Android device.

Program Outcomes

The outcomes for the Bachelor of Science in Nursing (BSN) degree program are as follows:

  1. Provides individualized comprehensive care based on theories and principles of nursing and related disciplines to individuals, families, aggregates and communities, from entry to the healthcare system through long-term planning.
  2. Demonstrates leadership and collaboration with consumers and other healthcare providers in providing care and/or delegating responsibilities for health promotion, illness prevention, health restoration, health maintenance and rehabilitative activities.
  3. Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates and communities.
  4. Integrates clinical judgment in professional decision making and implementation of the nursing process.
  5. Demonstrates responsibility for continued personal and professional development through enrollment in graduate education, continuing education degree programs, professional reading and participation in professional organizations and community service.
  6. Implements professional nursing standards by practicing within the legal definitions of nursing practice and acts in accordance with the nursing code of ethics and American Nurses Association (ANA) standards of practice.
  7. Practices in established professional roles consistent with entry-level BSN graduates to provide cost-effective, quality healthcare to consumers in structured and unstructured settings.
  8. Incorporates evidence-based practice in the provision of professional nursing care to individuals, families, aggregates and communities.

Course Outcomes

Chamberlain College of Nursing courses are built to align course content with specific Course Outcomes (COs). The COs define the learning objectives that the student will be required to comprehend and demonstrate by course completion. Unit outcomes provide further detail to support learner achievement of specific COs and are listed within each unit under the introduction. Whenever possible, a reference will be made from a particular assignment or discussion back to the CO that it emphasizes.

Upon completion of this course, the student will be able to do the following.

  1. Implement skills for successful scholarship including effective study skills, note taking, active listening, and learning preferences. (POs 5 and 7)
  2. Identify characteristics of professional behavior including emotional intelligence, communication, and conflict resolution. (POs 3, 5, and 6)
  3. Demonstrate information literacy and the ability to utilize resources. (POs 3, 5, and 8)
  4. Identify various historical influences on current nursing practice. (PO 7)
  5. Examine theories and concepts related to nursing practice. (POs 1 and 2)
  6. Discuss attitudes and actions that influence personal, educational, and professional development. (PO 5)
  7. Discuss the influences of moral, ethical, and legal principles on professional nursing practice. (PO 6)

Key Concepts

  1. Introduction to Chamberlain
  2. Student Success
  3. Development of Nursing
  4. Professionalism
  5. Scope of Practice
  6. Roles of the Professional Nurse

Learning Plan

Download and review the NR110 Pathway to Professional Nursing for Military Learning Plan. This learning plan provides a list of unit outcomes and detailed key topics covered in the course.

Required Uniform Assignments (RUAs)

Required Uniform Assignments (RUAs) are essential elements of assessment that are consistent across the curriculum at Chamberlain College of Nursing. These assessments help measure and track students’ progress in meeting the BSN Program Outcomes. Each RUA is course-specific and required in both online and campus courses. Download the Transitions Paper guidelines and grading rubric to begin planning for the successful completion of this assignment.

If you have any questions about the assignment please speak to your instructor.

Course Schedule

Unit, COs, and Topics Unit Topics Assignments
Unit 1

COs 2 and 3

Introduction to Chamberlain

 

  • Getting acquainted with the course

 

Learning Agreement

3-minute paper

Small Group Discussion

Unit 2

COs 1, 2, and 6

Student Success

  • Time Management
  • Test-Taking
  • Strengths and Weaknesses
  • Writing Resources
  • APA Manual Review
3-Minute Paper

Small Group Discussion

Unit 3

COs 4 and 5

Development of Nursing

  • History of Nursing
  • Nursing Theories
  • Nursing Process
  • NANDA
  • CCN Framework
3-Minute Paper

CEAP Assessment

Small Group Discussion

Transitions Paper (Draft Due)

Unit 4

COs 2, 5, 6, and 7

Professionalism

  • ANA Code of Ethics
  • Ethical Principles
  • Personal and Professional Responsibility
  • Anticipating change of role
3-Minute Paper

Success Seminars

Small Group Discussion

Unit 5

COs 4, 5, and 7

Scope of Practice

  • Understanding the Nursing Scope of Practice
  • Legal Perspectives
  • Professional Organizations
3-Minute Paper

Transitions Paper (Final due)

Small Group Discussion

Unit 6

COs 5 and 7

Roles of the Professional Nurse (Part I)

  • Nurse Advocacy
  • Health Literacy
  • Political Research
  • NIH
3-Minute Paper

Small Group Discussion

CEAP Focused Activities (5)

Unit 7

COs 5 and 7

Roles of the Professional Nurse

(Part II)

  • Practice Settings
  • Fiscal Responsibility
  • Affordable Care Act
3-Minute Paper

Small Group Discussion

Unit 8

All COs

All Topics

  •  What’s next?
3-Minute Paper

Final Project

Attendance Policy

Regular attendance and consistent participation within the classroom, lab, and clinical experiences facilitate the achievement of course outcomes set forth in the course syllabi. Students must arrive on time and stay for the duration of the class meeting, lab, and/or clinical experience. Late arrival may result in denied access to the class.  Absences and/or tardiness from lecture, pre-clinical, clinical (including pre- and post-conferences), and/or lab experiences (including pre- and debriefing) may prohibit students from completing all components of the nursing course, resulting in course failure.

Attendance is tracked for all eight weeks of the session on a course-by-course basis and is recorded daily based on academic events. An academic event for onsite courses is defined by attending scheduled class meetings. An academic event for online courses is defined by submitting a class assignment, participating in threaded discussions, or completing quizzes and exams. An academic event for blended courses is defined by attendance in the onsite component or by submitting a class assignment, participating in threaded discussions or completing quizzes and exams in the online component.

Due Dates for Assignments and Exams

Unless otherwise specified, the following applies.

  • Access to the course begins on Sunday at 12:01 a.m. (MT) during preview week.
  • All completed assignments are to be submitted to the Dropbox on or before Friday by 5:00 p.m. Mountain Time (MT) or as specified by your faculty.
  • All quizzes and exams, if applicable in your course, are offered at specific times.
    • Campus Courses: Campus faculty will share the date, time, and location with students at the beginning of each session.
    • Online Courses: Online faculty will share online exam schedule with students during preview week in a course announcement. Students should refer to the posted announcement for the specific dates and times for their exam schedule.

Note: In Unit 8 the assignments will be due by Wednesday at 11:59 p.m. MT.

If you are taking this course on campus, a course calendar includes detailed information related to activities and due dates may be available for downloading from Doc Sharing. Please check with your instructor for more information.

If you are taking this course online, Please be advised that you may be required to take your tests on the campus in a proctored environment. Your campus will post the date, time and location of exams. If testing will take place online, the online faculty will share the exam schedule with students during preview week in a course announcement. Students should refer to the posted announcement for the specific dates and times for their exam schedule.

Assignment Values and Letter Grades

The maximum score in this class is 1,000 points. The categories, which contribute to your final grade, are weighted as follows.

Assignment Points Weighting
Small Group Discussions
(50 points each, Units 1–6; 20 points Unit 7)
320 32%
CEAP Assessment 50 5%
Focused Activities (Interactive PDFS/Success Seminars)

5 Activities, 31 Points Each

155 15.5%
3-Minute Papers
(25 points each, Units 1–8)
200 20%
Transitions Paper 150 15%
Final Project 125 12.5%
Total Points 1,000 100%
Letter Grade Points Percentage
A   940–1,000 94% to 100%
A-  920–939 92% to 93%
B+ 890–919 89% to 91%
B   860–889 86% to 88%
B-  840–859 84% to 85%
C+ 810–839 81% to 83%
C   760–809 76% to 80%
F   759 and below 75% and below

Teaching/Learning Methods

Examples include, but are not limited to

  • assignments;
  • case studies;
  • discussion;
  • experiential learning
  • group assignments;
  • lectures; and
  • Multimedia presentations.

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NR-222: Health and Wellness Course Assignments & Discussions Study Guide

NR-222: Health and Wellness Course Assignments & Discussions Study GuideNR-222: Health and Wellness Course Description

Contact Hours: Lecture – 48, Lab – 0, Clinical – 0

Semester Hours: Theory 3

This course introduces students to health promotion and preventive care activities throughout the life span. These activities are explored through biological, psychological, spiritual, environmental and sexual domains. A variety of theories emphasizing health and well-being are explored throughout the course. Healthy People objectives are examined. Health promotion assumptions basic to nursing practice are emphasized.

Prerequisites: BIOS-252, MATH-105N or MATH-114N, PSYC-110N

Corequisites: BIOS-255, NR-103

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NR-222: Health and Wellness Course Syllabus & Assignments Summary

NR 222 Unit 1

Discussion Question, Healthy People 2020

Study Questions, Chapter 10, 15, 17, 18, 19, 20, 21, 22, 22

NR222 Unit 2

Assignment, ATI Nurse’s Touch: Wellness & Self-Care: Wellness Health & Disease Prevention

Content Study Questions

Discussion Question, Scope & Standards of Nursing Practice

Discussion Question, Personal Values and Beliefs

NR-222 Unit 3

Exam 1, Fifty(50) Questions and Answers

Exam 1, Practice Questions Chapter 1, 6, 16, 22, 09, 10

Blueprint Exam 1, Chapters 1, 3, 6, 7, 10

Exam 1, Review of Knowledge

Content Study Questions

NR222 Unit 4

Content Study Questions

Reading, Chapter 10 Health Education, Pages 214-218

NR-222 Unit 5

Assignment, ATI Nurse’s Touch: Wellness & Self Care: Self Care & Physical Activity

Content Study Questions

Discussion Question, Person-centered Communication

Discussion Question, Barriers to Communication

RU Assignment, Health Promotion Project – Health Promotion for Homeless People

RU Assignment, Health Promotion Project – Leading Health Promotions & Healthy People

RU-Assignment, Health Promotion Project – Mental Health Depression and Suicides

RU Assignment, Health Promotion Project – Suicide Among the LGBTQ Community

NR222 Unit 6

Assignment, ATI Nurse’s Touch: Wellness & Self Care: Rest & Sleep Content Study Questions

Discussion Question, Life Span Nursing Considerations

Exam 2, 50 Questions & Answers

Test Bank, Chapter 4, 15, 21 – 24

Test Bank, Chapter 12 Conception Through Adolescence, pp. 141-158

NR-222 Unit 7

Assignment, ATI Wellness & Self Care Module – Stress: Cause, Effects and Management

Health Promotion Strategies: The Benefits of Robotic Surgeries in Gynecology

NR222 Unit 8

Discussion Question, Wrap-up

Final Exam: Key Concepts

Final Exam

You can also read another study guide on nursing assignments for students from another post on NR-110: Pathway to Professional Nursing for Military Course Assignments & Discussions.

Syllabus Overview

Course Number: NR222
Course Title: Health and Wellness
Credit Hours: 3 credits
Theory Hours:  3
Laboratory Hours:  0
Clinical Hours:  0
Place in Curriculum Year 1, Semester 3
Prerequisite: BIOS252, MATH114, PSYC110
Corequisite: BIOS255, NR101 or NR103

Course Description

This course introduces students to health promotion and preventive care activities throughout the life span. These activities are explored through biological, psychological, spiritual, environmental, and sexual domains. A variety of theories emphasizing health and well-being will be explored throughout the course. Healthy People 2020 objectives are examined. Health-promotion assumptions basic to nursing practice are emphasized.

Textbooks and Resources

Required Textbooks

The following books are required for this course:

Access E-Book

Edelman, C. L., Kudzma, E. C., & Mandle C. L. (2014). Health promotion throughout the life span. (8th ed.). St. Louis, MO: Mosby.

 

Access E-Book

Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2017). Fundamentals of nursing (9th ed.). St. Louis, MO: Elsevier.

 

Access E-Book

Potter, P., Perry, A., Stockert, P., & Hall, A. (2017). Study guide and skills performance checklists for Potter/Perry fundamentals of nursing (9th ed.). St. Louis, MO: Mosby Elsevier.

 

American Nurses Association. (2015). Code of ethics for nurses with interpretative statements. Washington, DC: Author.

 

American Nurses Association. (2015). Nursing: Scope and standards of practice. (3rd ed.). Silver Spring, MD: Author.

 

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

Optional Textbooks

The following books are required for this course:

Physical Books and Supplies

To obtain all your books and supplies, visit the online Chamberlain bookstore at https://bookstore.chamberlain.edu/.

eBook Details

First Time Using VitalSource?

Step 1: View the VitalSource Video

Step 2: Register with VitalSource Bookshelf Online

  1. Click the cover or title of your eBook. A new window will open.
  2. Enter email address and password. Bookshelf Online will open.

Step 3: Access the Desktop and Mobile Versions

You must complete Step 2 prior to using the desktop or mobile versions.

Already Registered?   3 Ways to Access Your eBooks

Online

Access your eBook by clicking on the book cover or title in the syllabus page. Bookshelf Online will open.

Desktop

Download your eBooks and use them whether you’re connected to the Internet or not.

Mobile

Download the app and get your eBooks on your iPhone, iPad, or Android device.

Program Outcomes

The outcomes for the Bachelor of Science in Nursing (BSN) degree program are as follows:

  1. Provides individualized comprehensive care based on theories and principles of nursing and related disciplines to individuals, families, aggregates and communities, from entry to the healthcare system through long-term planning.
  2. Demonstrates leadership and collaboration with consumers and other healthcare providers in providing care and/or delegating responsibilities for health promotion, illness prevention, health restoration, health maintenance and rehabilitative activities.
  3. Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates and communities.
  4. Integrates clinical judgment in professional decision making and implementation of the nursing process.
  5. Demonstrates responsibility for continued personal and professional development through enrollment in graduate education, continuing education degree programs, professional reading and participation in professional organizations and community service.
  6. Implements professional nursing standards by practicing within the legal definitions of nursing practice and acts in accordance with the nursing code of ethics and American Nurses Association (ANA) standards of practice.
  7. Practices in established professional roles consistent with entry-level BSN graduates to provide cost-effective, quality healthcare to consumers in structured and unstructured settings.
  8. Incorporates evidence-based practice in the provision of professional nursing care to individuals, families, aggregates and communities.

Course Outcomes

Chamberlain College of Nursing courses are built to align course content with specific Course Outcomes (COs). The COs define the learning objectives that the student will be required to comprehend and demonstrate by course completion. Unit outcomes provide further detail to support learner achievement of specific COs and are listed within each unit under the introduction. Whenever possible, a reference will be made from a particular assignment or discussion back to the CO that it emphasizes.

Upon completion of this course, the student will be able to do the following.

  1. Discuss the professional nurse’s role in health-promotion activities. (POs 1 and 2)
  2. Examine theories and concepts related to health-promotion behaviors. (POs 1 and 2)
  3. Discuss health promotion, illness prevention, health maintenance, health restoration, and rehabilitation in relation to the nurse’s role in working with various populations. (POs 1 and 2)
  4. Discuss the influences of moral, ethical, and legal principles on professional nursing practice. (PO 6)
  5. Identify effective communication with clients and other healthcare providers. (PO 3)
  6. Discuss attitudes and actions that influence personal, educational, and professional development. (PO 5)
  7. Identify health-promotion strategies throughout the life span. (POs 1 and 2)

Key Concepts

  1. Nursing and Health Promotion: History and Theories
    • Nurses Promoting Health: Influences From Our Past
    • Chamberlain Care and Health Promotion
    • Definitions and Models of Health
    • Levels of Prevention
    • Cost of Health and Illness
    • Healthy People 2020
  1. Nursing as a Healthcare Profession
    • The Ethics of Healthcare
    • The Nursing Process
    • The Practice of Nursing
    • Behaviors That Influence Health and Wellness
  1. Culturally Competent Care
    • Health Variables of Individuals and Groups
    • Influence of Family on Health Choices
    • Chamberlain Care and Cultural Competence
  1. Teaching and Learning
    • Health Education
    • The Nursing Process Versus the Learning Process
    • Barriers to Teaching in the Healthcare Setting
    • Barriers to Learning in the Healthcare Setting
  1. Therapeutic Communication: Linking Nurses to Those in Their Care
    • Types of Communication
    • Mechanisms of Communication Strategies
    • Therapeutic Communication
    • Communication, Attitudes, and Values
    • Interprofessional Collaboration
  1. Nursing and Wellness Across the Life Span
    • Theories of Development
    • Health Promotion Needs and Risks Across the Life Span
    • Nursing and Caring for all Ages
  1. Health Promotion Strategies and Interventions
    • Defining Community Health and Wellness
    • Threats to the Health of Individuals Within Communities
    • Nursing’s Role in Community, Family, and Individual Health Promotion

Learning Plan

Download and review the NR222 Health and Wellness Learning Plan. This learning plan provides a list of unit outcomes and detailed key topics covered in the course.

Required Uniform Assignments (RUAs)

Required Uniform Assignments (RUAs) are essential elements of assessment that are consistent across the curriculum at Chamberlain College of Nursing. These assessments help measure and track students’ progress in meeting the BSN Program Outcomes. Each RUA is course-specific and required in both online and campus courses. Download the Health Promotion Project guidelines and grading rubric to begin planning for the successful completion of this assignment.

If you have any questions about the assignment please speak to your instructor.

Course Schedule

Unit, COs, and Topics Readings Assignments
Unit 1
COs 1, 2, and 3

Nursing and Health Promotion: History and Theories
Edelman, C. L., Kudzma, E. C., & Mandle C. L. (2014). Health promotion throughout the life span. (8th ed.). St. Louis, MO: Mosby.

  • Chapter 1: Health Defined: Objectives for Promotion and Prevention
    • pp. 4–8 (Wellness-Illness Continuum through Healthy People 2020)
    • pp. 10–15 (Levels of Prevention)
  • Chapter 3: Health Policy and the Delivery System
    • pp. 65–67 (Costs)

Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2017). Fundamentals of nursing (9th ed.). St. Louis, MO: Elsevier.

  • Chapter 1: Nursing Today (All)
  • Chapter 6: Health and Wellness
    • pp. 65–73
  • Chapter 33: Complementary and Alternative Therapies
    • pp. 688-691 (Complementary, Alternative, and Integrative Approaches to Health)
Study questions

Graded discussion topics

Exam affirmation

Unit 2
COs 1, 2, 3, and 4
Nursing as a Healthcare Profession
American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed.). Silver Spring, MD: Author.

  • Chapter 1: Scope of Nursing Practice, pp. 1–15

American Nurses Association. (2015). Code of ethics for nurses with interpretative statements. Washington, DC: Author.

  • Foreword: pp. iii-xiii (Contents, Preface, and Introduction)
  • Provision 1: p. 1-4

Edelman, C. L., Kudzma, E. C., & Mandle C. L. (2014). Health promotion throughout the life span. (8th ed.). St. Louis, MO: Mosby.

  • Chapter 5: Ethical Issues Related to Health Promotion, pp. 109–125
  • Chapter 6: Health Promotion and the Individual, pp. 128–129 (Nursing Process)
  • Chapter 9: Screening, p. 209, Box 9-9 (Pender’s Health Promotion Model)
  • Chapter 10: Health Education, pp. 219–220 (Health Behavior Change)

Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2017). Fundamentals of nursing (9th ed.). St. Louis, MO: Elsevier.

  • Chapter 16: Nursing Assessment, pp. 209–2011 (The Nursing Process)
  • Chapter 22: Ethics and Values, pp. 292–293 (Basic terms, Nursing code, Values)
Alternate Style Exam Questions Tutorial

Study questions

Graded discussion topics

Content questions

Exam 1 (Units 1 and 2)
Unit 3
COs 1, 2, 3, 6, and 7
Cultural Competence
American Nurses Association. (2015). Nursing: Scope and standards of practice. (3rd ed.). Silver Spring, MD: Author.

  • Chapter 1: Scope of Nursing Practice, pp. 30–33 (beginning with the last paragraph on p. 30 through Societal, Cultural, & Ethical Dimensions) and p. 69-70 (Standard 8: Culturally Congruent Practice)

American Nurses Association. (2015). Code of ethics for nurses with interpretative statements. Washington, DC: Author.

  • Provision 8.3: Obligations: p. 32

Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2017). Fundamentals of nursing (9th ed.). St. Louis, MO: Elsevier.

  • Chapter 9: Culture and Ethnicity, pp. 101–105 (through Cultural Competency)
  • Chapter 10: Caring for Families, pp. 117–122 (through Attributes of Healthy Families)

Edelman, C. L., Kudzma, E. C., & Mandle, C. L. (2014). Health promotion throughout the life span (8th ed.). St. Louis, MO: Mosby.

  • Chapter 2: Emerging Populations and Health, pp. 22–34 (through “Selected Health-Related Aspects”)
  • Chapter 7: Health Promotion and the Family, pp. 149–153 (Through “The Family From A Risk-Factor Perspective”)
  • Chapter 10: Health Education, p. 221 (Diversity and Health Teaching)
Study questions

Graded discussion topics

Unit 4
COs 1, 2, 3, 4 6, and 7
Teaching and Learning
American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed.). Silver Spring, MD: Author.

  • Standard 5B: Health Teaching and Health Promotion, p. 65.

Edelman, C. L., Kudzma, E. C., & Mandle, C. L. (2014). Health promotion throughout the life span (8th ed.). St. Louis, MO: Mosby.

  • Chapter 10: Health Education, pp. 214–218 (Through “The Family From A Risk-Factor Perspective”)

Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2017). Fundamentals of nursing (9th ed.). St. Louis, MO: Elsevier.

  • Chapter 25: Patient Education, pp. 336-355

U.S. Department of Health and Human Services. (2016). Educational and community-based programs. Healthy People 2020 website. Retrieved from http://www.healthypeople.gov/2020/topics-objectives/topic/educational-and-community-based-programs

Study questions

Graded discussion topics

Exam 2 (Units 3 and 4)
Unit 5
CO 1, 2, 3, 5, 6, and 7
Therapeutic Communication
American Nurses Association. (2015). Nursing: Scope and standards of practice. (3rd ed.). Silver Spring, MD: Author.

  • Standard 5B: Health Teaching and Health Promotion, p. 65
  • Standard 5: Implementation, pp. 61–62
  • Standard 9: Communication, pp. 71–72

Edelman, C. L., Kudzma, E. C., & Mandle, C. L. (2014). Health promotion throughout the life span. (8th ed.). St. Louis, MO: Mosby.

  • Chapter 4: The Therapeutic Relationship, pp. 88–102 (from Types of Communication)

Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2017). Fundamentals of nursing (9th ed.). St. Louis, MO: Elsevier.

  • Chapter 24: Communication

Pope, B., Rodzen, L., Spross, G. (2008). Raising the SBAR: How better communication improves patient outcomesNursing, 38(3), 41–43. doi:10.1097/01.NURSE.0000312625.74434.e8

Health Promotion Project (RUA)

Study questions

Graded discussion topics

Unit 6
CO 2, 3, and 7
Nursing and Wellness Across the Life Span
Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2017). Fundamentals of nursing (9th ed.). St. Louis, MO: Elsevier.

  • Chapter 11: Developmental Theories, pp. 132-140
  • Chapter 12: Conception Through Adolescence, pp. 141–158
  • Chapter 13: Young and Middle Adults, pp. 159–172
  • Chapter 14: Older Adults, pp. 173–194

Edelman, C. L., Kudzma, E. C., & Mandle, C. L. (2014). Health promotion throughout the life span. (8th ed.). St. Louis, MO: Mosby.

  • Chapter 15: Overview of Growth and Development Framework (all)
  • Chapter 17: Infant, pp. 389-393 (through “Cognitive Development”), 409-418 (From “Environmental Processes” through “Cancer”)
  • Chapter 18: Toddler, pp. 442-444 (From “Environmental Processes” through “Poisoning”
  • Chapter 19: Preschool Child, pp. 467-469 (From “Environmental Processes” through “Mechanical Forces”
  • Chapter 20: School-Age Child, pp. 484-485 (“Nutritional-Metabolic Pattern”), 498-501 (From “Environmental Processes” through “Mechanical Forces” , 506-508 (From “Health Services/Delivery System” through “Nursing Application”)
  • Chapter 21: Adolescent, pp. 524-530 (From “Sexual-Reproductive Pattern” through “Cancer”)
  • Chapter 22: Young Adult, pp. 536-537 (Through “Biology and Genetics” including Box 22-1 & Box 22-2); pp. 558-559 (“Nursing Application”)
  • Chapter 23: Middle-Age Adult, pp. 562 (Introduction), 564-570 (“Life Expectancy” through “Alcohol Abuse), & 584-586 (“Nursing Application”)
  • Chapter 24: Older Adult, pp. 592-593 (Through “Healthy People 2020”) & 607-612 (“Environmental Processes” through “Tobacco Use”)
Study questions

Graded discussion topics

Exam 3 (Units 5 and 6)
Unit 7
COs 1, 3, and 7
Health Promotion Strategies and Interventions
U.S. Department of Health and Human Services. (2016). 2020 LHI topics. Healthy People 2020 website. Retrieved from https://www.healthypeople.gov/2020/leading-health-indicators/2020-LHI-Topics

  • 2020 LHI Topics
  • Who’s Leading the Leading Health Indicators
  • Healthy People 2020 Leading Health Indicators: Progress Update

Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2017). Fundamentals of nursing (9th ed.). St. Louis, MO: Elsevier.

  • Chapter 45: Nutrition, pp. 1058-1061 (“Nursing Knowledge Base”), 1070-1072 (“Health Promotion”)
  • Supplemental reading: Chapter 33: Complementary and Alternative Therapies

Edelman, C. L., Kudzma, E. C., & Mandle, C. L. (2014). Health promotion throughout the life span. (8th ed.). St. Louis, MO: Mosby.

  • Chapter 10: Health Education: pp. 219-220 (“Health Behavior Change” through “Transtheoretical Model”)
  • Chapter 11: Nutrition Counseling for Health Promotion: pp. 231-234 (“Healthy People 2020: Nutrition Objectives” through “Nutrition Objectives”), 238-239 (“Food Guidance System”), 242-247 (“Food Safety through “Food & Nutrition Programs for Older Adults”), & 254-256 (“Obesity”)
  • Chapter 13: Stress Management
  • Chapter 14: Complementary and Alternative Strategies
Study questions

Graded discussion topics

Unit 8
COs 1, 2, and 7
Moving From Health Promotion to Health Maintenance
 

Review all readings, as needed.

Final Exam

Graded discussion topics

Attendance Policy

Regular attendance and consistent participation within the classroom, lab, and clinical experiences facilitate the achievement of course outcomes set forth in the course syllabi. Students must arrive on time and stay for the duration of the class meeting, lab, and/or clinical experience. Late arrival may result in denied access to the class.  Absences and/or tardiness from lecture, pre-clinical, clinical (including pre- and post-conferences), and/or lab experiences (including pre- and debriefing) may prohibit students from completing all components of the nursing course, resulting in course failure.

Attendance is tracked for all eight weeks of the session on a course-by-course basis and is recorded daily based on academic events. An academic event for onsite courses is defined by attending scheduled class meetings. An academic event for online courses is defined by submitting a class assignment, participating in threaded discussions, or completing quizzes and exams. An academic event for blended courses is defined by attendance in the onsite component or by submitting a class assignment, participating in threaded discussions or completing quizzes and exams in the online component.

Due Dates for Assignments and Exams

Unless otherwise specified, the following applies.

  • Access to the course begins on Sunday at 12:01 a.m. (MT) during preview week.
  • All completed assignments are to be submitted to the Dropbox on or before Friday by 5:00 p.m. Mountain Time (MT) or as specified by your faculty.
  • All quizzes and exams, if applicable in your course, are offered at specific times.
    • Campus Courses: Campus faculty will share the date, time, and location with students at the beginning of each session.
    • Online Courses: Online faculty will share online exam schedule with students during preview week in a course announcement. Students should refer to the posted announcement for the specific dates and times for their exam schedule.

Note: In Unit 8 the assignments will be due by Wednesday at 11:59 p.m. MT.

If you are taking this course on campus, a course calendar includes detailed information related to activities and due dates may be available for downloading from Doc Sharing. Please check with your instructor for more information.

If you are taking this course online, Please be advised that you may be required to take your tests on the campus in a proctored environment. Your campus will post the date, time and location of exams. If testing will take place online, the online faculty will share the exam schedule with students during preview week in a course announcement. Students should refer to the posted announcement for the specific dates and times for their exam schedule.

Assignment Values and Letter Grades

All course assignments and examinations must be completed in order to pass the course.

The maximum score in this class is 1,000 points. The categories, which contribute to your final grade, are weighted as follows.

Assignment Points Weighting
Examinations*
Exam 1 125 12.5%
Exam 2 125 12.5%
Exam 3 125 12.5%
Final Exam 150 15%
*Must achieve an average of 76% or higher to pass the course.
Assignments
Health Promotion Project (RUA)  100 10%
Discussion

  • Units 1–7, two topics, 25 points each; Unit 8, 1 topic, 25 points
375 37.5%
Total Points 1,000 100%
Letter Grade Points Percentage
A   940–1,000 94% to 100%
A-  920–939 92% to 93%
B+ 890–919 89% to 91%
B   860–889 86% to 88%
B-  840–859 84% to 85%
C+ 810–839 81% to 83%
C   760–809 76% to 80%
F   759 and below 75% and below

Teaching/Learning Methods

Examples include, but are not limited to

  • assignments;
  • case studies;
  • discussion;
  • experiential learning
  • group assignments;
  • lectures; and
  • Multimedia presentations.

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NR-224: Fundamentals Skills Course Assignments & Discussions Study Guide

NR-224: Fundamentals Skills Course Assignments & Discussions Study GuideNR-224: Fundamentals Skills Course Description

Contact Hours: Lecture – 32, Lab – 32, Clinical – 0

Semester Hours: Theory 2, Lab 1

Students are introduced to the fundamental skills of professional nursing. An introductory unit of physics provides the basis for understanding concepts such as body mechanics, positioning and mobility. The laboratory component provides practice of selected fundamental nursing skills, as well as psychomotor skills necessary for care of individuals requiring assistance with mobility, hygiene and comfort. Included are basic principles of drug administration, teaching-learning and vital-sign assessment. Students have the opportunity to develop the beginning skills of a professional nurse through experiential learning.

Prerequisites: BIOS-242, BIOS-251, BIOS-252, BIOS-255, BIOS-256, CHEM-120, MATH-105N, or MATH-114N, NR-103, NR-222

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NR-224: Fundamentals Skills Course Syllabus & Assignments Summary

NR224 fundamentals exam 1 chamberlain

NR224 quiz 1

NR224 edapt week 1

NR224 final exam

NR224 chamberlain

NR224 exam 1 key concepts

NR224 quiz 3

NR224 quiz 4

NR224 Week 8 Final Exam (Cumulative Exam)

You can also read another study guide on nursing assignments for students from another post on NR-222: Health and Wellness Course Assignments & Discussions.

Syllabus Overview

Course Number: NR224
Course Title: Fundamentals: Skills
Credit Hours: 3 credits
Theory Hours:  2
Laboratory Hours:  1
Clinical Hours:  0
Place in Curriculum Year 2; Semester 1
Prerequisite: BIOS242, BIOS251, BIOS252, BIOS255, BIOS256, CHEM120, MATH114, NR101 or NR103, NR222
Corequisite: None

Course Description

Students are introduced to the fundamental skills of professional nursing. An introductory unit of physics provides the basis for understanding concepts such as body mechanics, positioning, and mobility. The laboratory component provides practice of selected fundamental nursing skills, as well as psychomotor skills necessary for care of individuals requiring assistance with mobility, hygiene, and comfort. Included are basic principles of drug administration, teaching-learning and vital-sign assessment. Students have the opportunity to develop the beginning skills of a professional nurse through experiential learning.

Textbooks and Resources

Required Textbooks

The following books are required for this course:

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

Optional Textbooks

The following books are required for this course:

Access E-Book

Stedman, J. K. (2011). Stedman’s medical dictionary for the health professions and nursing. (7th ed.). Baltimore, MD: Lippincott Williams & Wilkins.

 

Access E-Book

Carpenito-Moyet, L. (2016). Handbook of nursing diagnosis (15th ed.). Philadelphia, PA: Lippincott, Williams & Wilkins.

 

Access E-Book

Vallerand, A. H., & Sanoski, C. A. (2014). Davis’s drug guide for nurses. (14th ed.). Philadelphia, PA: F.A. Davis.

 

Access E-Book

Potter, P. A., Perry, A. G., Stockert, P. & Hall, A. (2017). Study guide for fundamentals of nursing (9th ed.). St. Louis, MO: Mosby Elsevier.

 

Access E-Book

Pagana, K. D., & Pagana, T. J. (2015). Mosby’s diagnostic and laboratory test reference. (12th ed.). St. Louis, MO: Mosby Elsevier.

 

Access E-Book

Potter, P. A., Perry, A. G., Stockert, P. & Hall, A. (2017). Fundamentals of nursing (9th ed.). St. Louis, MO: Elsevier.

 

iClicker

 

Physical Books and Supplies

To obtain all your books and supplies, visit the online Chamberlain bookstore at https://bookstore.chamberlain.edu/.

eBook Details

First Time Using VitalSource?

Step 1: View the VitalSource Video

Step 2: Register with VitalSource Bookshelf Online

  1. Click the cover or title of your eBook. A new window will open.
  2. Enter email address and password. Bookshelf Online will open.

Step 3: Access the Desktop and Mobile Versions

You must complete Step 2 prior to using the desktop or mobile versions.

Already Registered?   3 Ways to Access Your eBooks

Online

Access your eBook by clicking on the book cover or title in the syllabus page. Bookshelf Online will open.

Desktop

Download your eBooks and use them whether you’re connected to the Internet or not.

Mobile

Download the app and get your eBooks on your iPhone, iPad, or Android device.

Program Outcomes

The outcomes for the Bachelor of Science in Nursing (BSN) degree program are as follows:

  1. Provides individualized comprehensive care based on theories and principles of nursing and related disciplines to individuals, families, aggregates and communities, from entry to the healthcare system through long-term planning.
  2. Demonstrates leadership and collaboration with consumers and other healthcare providers in providing care and/or delegating responsibilities for health promotion, illness prevention, health restoration, health maintenance and rehabilitative activities.
  3. Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates and communities.
  4. Integrates clinical judgment in professional decision making and implementation of the nursing process.
  5. Demonstrates responsibility for continued personal and professional development through enrollment in graduate education, continuing education degree programs, professional reading and participation in professional organizations and community service.
  6. Implements professional nursing standards by practicing within the legal definitions of nursing practice and acts in accordance with the nursing code of ethics and American Nurses Association (ANA) standards of practice.
  7. Practices in established professional roles consistent with entry-level BSN graduates to provide cost-effective, quality healthcare to consumers in structured and unstructured settings.
  8. Incorporates evidence-based practice in the provision of professional nursing care to individuals, families, aggregates and communities.

Course Outcomes

Chamberlain College of Nursing courses are built to align course content with specific Course Outcomes (COs). The COs define the learning objectives that the student will be required to comprehend and demonstrate by course completion. Unit outcomes provide further detail to support learner achievement of specific COs and are listed within each unit under the introduction. Whenever possible, a reference will be made from a particular assignment or discussion back to the CO that it emphasizes.

Upon completion of this course, the student will be able to do the following.

  1. Differentiate between the components and apply the principles of the nursing process in the learning laboratory setting using simulated patient care scenarios. (PO 1)
  2. Apply the concepts of health promotion and illness prevention in the laboratory setting. (PO 2)
  3. Demonstrate communication skills necessary for interaction with other health team members and for providing basic nursing care in a simulated environment. (PO 3)
  4. Employ critical thinking skills in the simulated laboratory setting. (PO 4)
  5. Assume responsibility and accountability for identifying own personal, educational, and professional goals. (PO 5)
  6. Explain and apply principles of legal, ethical, and professional standards in planning for and delivering patient care. (PO 6)
  7. Demonstrate beginning roles and responsibilities associated with professional nursing while planning for cost-effective basic nursing care to individuals and families. (PO 7)
  8. Explain the rationale for selected nursing interventions based upon current nursing literature. (PO 8)

Key Concepts

  1. Clinical Reasoning
    1. Introduction to the Nursing Process
    2. Concept Mapping
  1. Vital Signs
  2. Nutrition and Metabolism
    1. Infection Control
    2. Tissue Integrity
    3. Gastrointestinal
  1. Activity and Exercise
    1. Mobility
    2. Oxygenation
  1. Elimination
    1. Bowel
    2. Urinary
  1. Medication Administration
  2. Person’s rights

Learning Plan

Download and review the NR224 Fundamentals – Skills Learning Plan. This learning plan provides a list of unit outcomes and detailed key topics covered in the course.

Required Uniform Assignments (RUAs)

Required Uniform Assignments (RUAs) are essential elements of assessment that are consistent across the curriculum at Chamberlain College of Nursing. These assessments help measure and track students’ progress in meeting the BSN Program Outcomes. Each RUA is course-specific and required in both online and campus courses. Download the Safety Goals Assignment guidelines and grading rubric to begin planning for the successful completion of this assignment.

If you have any questions about the assignment please speak to your instructor.

Course Schedule

Unit, COs, and Topics Readings Assignments
Unit 1
COs 1, 2, 3, 4, 6, and 7
Clinical Reasoning and Infection Control
Potter, P. A., Perry, A. G., Stockert, P. & Hall, A. (2013). Fundamentals of nursing (8th ed.). St. Louis, MO: Elsevier.

  • Chapter 15: Critical Thinking in Nursing Practice
  • Chapter 16: Nursing Assessment
  • Chapter 29: Infection Prevention and Control
  • Suggested reading: Chapter 26: Documentation & Informatics
Discussions

SimCare Center (Lab) Activities

Evolve Online NCLEX-Style Review Questions

Nursing Physics Modules

Examination Affirmation

Unit 2
COs 1, 3, 4, 7, and 8
Vital Signs and Mobility
Potter, P. A., Perry, A. G., Stockert, P. & Hall, A. (2013). Fundamentals of nursing (8th ed.). St. Louis, MO: Elsevier.

  • Chapter 30: Vital Signs
  • Chapter 39: Activity and Exercise, pp. 760–765
  • Chapter 28: Immobility
  • Suggested reading: Chapter 27: Patient Safety and Quality
Discussions

SimCare Center (Lab) Activities

Evolve Online NCLEX-Style Review Questions

Nursing Physics Modules

HESI RN Case Study

Exam #1 (Units 1, 2, & 3)
Unit 3
COs 1, 3, 4, 6, 7, and 8
Tissue Integrity
Potter, P. A., Perry, A. G., Stockert, P. & Hall, A. (2013). Fundamentals of nursing (8th ed.). St. Louis, MO: Elsevier.

  • Chapter 48: Skin Integrity and Wound Care
Discussions

SimCare Center (Lab) Activities

Evolve Online NCLEX-Style Review Questions

Nursing Physics Modules

HESI RN Case Study

Unit 4
CO 1, 3, 4, 7, and 8
Oxygenation and Urinary Elimination
Potter, P. A., Perry, A. G., Stockert, P. & Hall, A. (2013). Fundamentals of nursing (8th ed.). St. Louis, MO: Elsevier.

  • Chapter 41: Oxygenation
  • Chapter 46: Urinary Elimination
Discussions

SimCare Center (Lab) Activities

Evolve Online NCLEX-Style Review Questions

Nursing Physics Modules

HESI RN Case Study

Conquering Calculations

Exam #2 (Units 4 & 5)
Unit 5
CO 1, 3, 4, 7, and 8
Gastrointestinal
Potter, P. A., Perry, A. G., Stockert, P. & Hall, A. (2013). Fundamentals ofnursing (8th ed.). St. Louis, MO: Elsevier.

  • Chapter 45: Nutrition
Discussions

SimCare Center (Lab) Activities

Evolve Online NCLEX-Style Review Questions

HESI RN Case Study

Conquering Calculations

Unit 6
COs 1, 3, 4, 6, 7, and 8
Medication Administration
Potter, P. A., Perry, A. G., Stockert, P. & Hall, A. (2013). Fundamentals of nursing (8th ed.). St. Louis, MO: Elsevier.

  • Chapter 32: Medication Administration
Discussions

Standardized Clinical Experience (SCE)

Safety Goals Assignment (RUA)

SimCare Center (Lab) Activities

Evolve Online NCLEX-Style Review Questions

HESI RN Case Study

Conquering Calculations

Exam #3 (Units 6 & 7)
Unit 7
COs 1, 3, 4, 7, and 8
Bowel Elimination
Potter, P. A., Perry, A. G., Stockert, P. & Hall, A. (2013). Fundamentals of nursing (8th ed.). St. Louis, MO: Elsevier.

Chapter 47: Bowel Elimination

Discussions

Standardized Clinical Experience (SCE)

SimCare Center (Lab) Activities

Evolve Online NCLEX-Style Review Questions

HESI RN Case Study

Conquering Calculations

Unit 8
All COs
All Topics
Review all previously assigned readings in preparation for the final exam. Discussions

Standardized Clinical Experience (SCE)

Conquering Calculations

Final Exam

Attendance Policy

Regular attendance and consistent participation within the classroom, lab, and clinical experiences facilitate the achievement of course outcomes set forth in the course syllabi. Students must arrive on time and stay for the duration of the class meeting, lab, and/or clinical experience. Late arrival may result in denied access to the class.  Absences and/or tardiness from lecture, pre-clinical, clinical (including pre- and post-conferences), and/or lab experiences (including pre- and debriefing) may prohibit students from completing all components of the nursing course, resulting in course failure.

Attendance is tracked for all eight weeks of the session on a course-by-course basis and is recorded daily based on academic events. An academic event for onsite courses is defined by attending scheduled class meetings. An academic event for online courses is defined by submitting a class assignment, participating in threaded discussions, or completing quizzes and exams. An academic event for blended courses is defined by attendance in the onsite component or by submitting a class assignment, participating in threaded discussions or completing quizzes and exams in the online component.

Laboratory Class and Clinical Experiences

Lab time is utilized to practice and master skills to meet criteria that demonstrate completion of course outcomes. Students must complete all required lab, clinical and pre-clinical experiences in order to satisfy the clinical hours for each course. Demonstration of nursing skills and/or required competencies must be performed satisfactorily to pass the lab component of the course (see Skills Checklist for criteria).

In cases of emergency or severe illness, equivalent learning opportunities for absences may be offered, at the discretion of the faculty member and contingent upon availability of resources. Make- up experiences are not guaranteed and supporting documentation may be required. Students must notify the instructor and clinical agency in a manner specified by the instructor within the requested time frame. Students who are not in the appropriate attire and/or are not prepared for clinical practice may be dismissed from the clinical setting.

Due Dates for Assignments and Exams

Unless otherwise specified, the following applies.

  • Access to the course begins on Sunday at 12:01 a.m. (MT) during preview week.
  • All completed assignments are to be submitted to the Dropbox on or before Friday by 5:00 p.m. Mountain Time (MT) or as specified by your faculty.
  • All quizzes and exams, if applicable in your course, are offered at specific times.
    • Campus Courses: Campus faculty will share the date, time, and location with students at the beginning of each session.
    • Online Courses: Online faculty will share online exam schedule with students during preview week in a course announcement. Students should refer to the posted announcement for the specific dates and times for their exam schedule.

Note: In Unit 8 the assignments will be due by Wednesday at 11:59 p.m. MT.

If you are taking this course on campus, a course calendar includes detailed information related to activities and due dates may be available for downloading from Doc Sharing. Please check with your instructor for more information.

If you are taking this course online, Please be advised that you may be required to take your tests on the campus in a proctored environment. Your campus will post the date, time and location of exams. If testing will take place online, the online faculty will share the exam schedule with students during preview week in a course announcement. Students should refer to the posted announcement for the specific dates and times for their exam schedule.

Assignment Values and Letter Grades

All course assignments and examinations must be completed in order to pass the course.

The maximum score in this class is 1,000 points. The categories, which contribute to your final grade, are weighted as follows.

Assignment Points Weighting
Examinations*
Exam 1 180 18%
Exam 2 200 20%
Exam 3 200 20%
Final Exam 200 20%
Physics Module Quizzes Satisfactory/Unsatisfactory 0%
*Must achieve an average of 76% to pass the course
Assignments
Discussions Units 1–8, 15 points each 120 12%
Safety Goals Assignment (RUA) 50 5%
Conquering Calculations 50 5%
SimCare Center (Lab) Activities Units 1–7 Satisfactory/Unsatisfactory 0%
Totals 1,000 100%
Letter Grade Points Percentage
A   940–1,000 94% to 100%
A-  920–939 92% to 93%
B+ 890–919 89% to 91%
B   860–889 86% to 88%
B-  840–859 84% to 85%
C+ 810–839 81% to 83%
C   760–809 76% to 80%
F   759 and below 75% and below

Teaching/Learning Methods

Examples include, but are not limited to

  • assignments;
  • case studies;
  • discussion;
  • experiential learning
  • group assignments;
  • lectures; and
  • Multimedia presentations.

NR 224 Fundamentals: Skills Entire Class Help

Question: A nurse is teaching a client how to perform personal ileostomy care prior to discharge.  The client says “I don’t think that I am going to be able to take care of this myself.”  Which is the most appropriate response from the nurse?

Question: The adult child of a client who has had a colon resection will be caring for their parent at home.  The client’s son tells the nurse “I don’t know how I am going to care for my mom now”.  Which is the best nursing response?

Question: A nurse in the medical-surgical unit is assigning client care to a nurse who is floating from PACU.  The float nurse is most qualified to care for which client?

Question: A client asks the nurse what causes constipation.  Choose the best response by the nurse.

Question: The nurse caring for a post-operative client performs an abdominal assessment.  The nurse does not hear any bowel sounds over the left lower quadrant of the abdomen.  What is the most likely reason for this?

Question: The nurse admits a client who is to undergo a colonoscopy.  The nurse understands that this will be required in preparation for the procedure.

Question: A nurse is teaching a client about colorectal cancer testing.  The nurse expects the provider to firs perform this test for colorectal screening.

Question: A nurse is caring for a client with a newly placed colostomy.  The nurse teaches the client they may have formed stool after the bowel has healed because the surgeon placed the stoma where?

Question: The nurse is administering a tap water enema to a client in preparation for bowel surgery.  The nurse correctly positions the enema bag containing the fluid where?

Question: The nurse correctly positions a client for a fleets enema by placing them in this position:

Question: The nurse is preparing a new ostomy flange for the client’s abdomen.  Choose the correct action by the nurse.

Question: The nurse would plan to perform more frequent perineal care to prevent skin breakdown for this client.

Question: A female nurse is upset because a male client has requested only a male nurse help them with personal care.  What is the best response from the charge nurse?

Question: Select the priority nursing intervention for performing a complete bed bath on a client.

Question: Choose the adjunct therapy that can help improve circulation and assist in debridement of wounds.

Question: A nurse is providing oral care for a client who is immobile.  Choose the correct nursing action for this client.

Question: The nurse caring for a client with C. Difficile must use which personal protective equipment?

Question: The nurse is providing enteric feeding to a client.  A priority action on the part of the nurse to prevent infection is this:

Question: Choose the correct statement regarding sterile gloves.

Question: A student nurse notices a family member walking into a room under contact isolation.  The student stops the visitor and instructs them how to don the appropriate protective equipment.  The student is practicing this:

Question: A nurse is caring for a client who has a Clostridium difficile infection.  Which cleansing agent should the nurse use for hand hygiene?

Question: The nurse is teaching a nursing assistant on correct use of personal protective equipment (PPE).  The nurse knows the teaching was understood when the NA demonstrates this:

Question: The nurse is teaching students the importance of hand hygiene.  Choose the most correct statement.

Question: The nurse is preparing to exit the room of a client who has been placed on contact precautions.  Identify the sequence to be followed when removing the personal protective equipment (PPE).

Question: The nurse uses medical asepsis when caring for clients when they do this.

Question: A nurse is teaching a group of new mothers on infant care.  The nurse includes which information on teaching about infection prevention.

Question: An older client tells the nurse that they never get a flu shot because at their age, they’ve had every kind of flu there is.  Choose the best response from the nurse.

Question: The nurse is caring for an older adult who complains they don’t eat as much as they used to.  Their overall physical and mental condition is good.  Choose the best response from the nurse.

Question: A nurse is assessing a young woman diagnosed with anorexia nervosa.  The nurse suspects the client is not eating all of the food on their prescribed diet when they observe this:

Question: The nurse caring for a new mother is teaching about proper nutrition for the infant.  Choose the best statement regarding infant nutrition.

Question: The nurse is performing a mini-nutritional assessment for a newly admitted client from a nursing home.  The best description of this type of assessment is what?

Question: The nurse is assessing a client’s peripheral circulation.  Choose where the nurse will palpate a popliteal pulse.

Question: The nursing assistant reports these vital signs to a nurse:   tympanic temperature 98.8ºF, pulse 92 bpm, respiratory rate 18 breaths/min, blood pressure 98/58.  What does the nurse do next?

Question: A nurse instructs a group of new mothers to make sure the infant is covered up whenever in an air-conditioned space.  Choose the best rationale for this action.

Question: The nurse is caring for a client with an irregular radial pulse.  What action should the nurse take next?

Question: A client is prescribed a medication that has adrenergic effects.  Choose the effect on the vital signs that this drug can have.

Question: A nurse is preparing to administer a medication prescribed to treat the client’s tachycardia.  The nurse should perform this action before giving the medication.

Question: A nurse assigns the nursing assistant the task of collecting vital signs on several clients.  Select the client for whom the nurse should assess vital signs.

Question: A group of student nurses is learning about adrenergic cardiovascular effects.  Choose the chemicals most likely to cause these effects.

Question: A nurse caring for an older client who has been a smoker for several years can expect to assess this abnormal vital sign.

Question: A young teen is injured playing football when he is shoved into a goalpost and suffers a head injury.  The nurse is concerned that this part of the brain may have suffered damage that can impact respirations.

Question: A nursing assistant has just taken a client’s blood pressure and suspects the reading is not accurate.  Choose a valid reason for blood pressure error.

Question: A nurse caring for a client who is short of breath places the client in this position to facilitate lung expansion.

Question: A nurse is caring for a client who is on fall precautions.  An appropriate alternate solution to the use of restraints would be what?

Question: A nurse is teaching other healthcare workers about the acronym for fire safety:  R.A.C.E.  The nurse explains that the letter “E” stand for what?

Question: A nurse witnesses a client having a seizure.  What is the nurse’s priority action?

Question: The nurse prepares to help a client with crutch-walking.  The nurse correctly places the crutches in this position:

Question: The nurse is caring for a client with a deep, infected wound.  The provider has prescribed wound irrigations be performed with each dressing change.  Choose the best nursing action.

Question: A nurse is preparing to discharge a client who has been hospitalized to treat a Stage IV decubitus ulcer.  Select the best statement from the nurse regarding the client’s wound.

Question: A nurse caring for a client with a Stage III pressure ulcer notes a foul odor coming from the room.  What does the nurse do next?

Question: The nurse is preparing to teach a client how to do their own wound care once discharged home.  Choose the best statement regarding wound packing.

Question: A nurse is discharging a client following surgical removal of the gall bladder.  The nurse defines this type of wound healing as what? 

Question: A nurse has admitted a client to the hospital from home.  During assessment the nurse notes a reddened, warm spot on the client’s coccyx.  Choose an appropriate nursing action to address this finding. 

Question: A clinic nurse is assessing a client who complains of a large blister on their left heel following participation in a 5K race.  Choose the best nursing action to treat this wound.

Question: A nurse is caring for a client with a Stage III pressure ulcer.  The nurse will measure and record what data in the client’s medical record?

Question: A client asks the nurse about bilevel positive airway pressure (BiPap) devices as the provider just prescribed one for them.  Choose the best explanation from the nurse.

Question: The nurse is preparing to perform tracheal suctioning on a client.  Select the best position in which to place this client.

Question: The nurse is suctioning a client when the oxygen saturation drops below 90%.  Select the action the nurse should perform next.

Question: The nurse assesses a client having an anxiety attack who complains of numbness around the lips and tingling in the fingers.  The nurse correctly recognizes these as signs of what?

Question: A nurse is teaching a group of post-operative clients how to correctly use the incentive spirometer.  What does the nurse include in the teaching? 

Question: The nurse is preparing to discharge a client home who will be using an oxygen concentrator.  The nurse teaches the client to do what to maintain safety while using oxygen?

Question: A nurse admits a client with bacterial pneumonia.  The nurse recognizes the client is most at risk for this:

Question: The nurse is caring for several clients in the urgent care clinic.  The nurse understands that this group is most likely to suffer oxygenation problems.

Question: The nursing student is developing a plan of care for a client whose diagnosis is ineffective airway clearance related to retained pulmonary secretions as evidenced by the production of thick, yellow sputum.  An appropriate nursing action for this client is what?

Question: The nurse teaching a group of students explains the purpose of postural drainage for a client with oxygenation problems.  The best explanation for the use of postural drainage is what?

Question: The nurse is caring for a client who is able to cough productively, but unable to expectorate or swallow the sputum.  Choose the appropriate nursing intervention and device.

Question: The nurse must select a prescribed oxygen delivery device that provides low flow oxygen at 60%.  Select the correct device.

Question: A nurse in a long-term care facility instructs nurses about using an assistive device during ambulation.  Choose the correct way to instruct ambulating with a cane.

Question: A nurse is preparing to move a client who is only partially able to assist up in bed.  Which method should the nurse plan to use?

Question: Plantar flexion contractures can best be prevented through the use of this device.

Question: A nurse who is applying a gait belt before ambulating a client will correctly place the belt in this position:

Question: A nurse is helping to ambulate a client who frequently loses balance while walking.  Choose the best device to aid in safety for this client. 

Question: A client frequently attempts to remove his intravenous catheter.  A family member asks the nurse to apply restraints.  Choose the most appropriate response from the nurse.

Question: A nurse is caring for a client who is postoperative and has an indwelling urinary catheter to gravity drainage.  The nurse notes no urine output in the past 2 hours.  Which action should the nurse take first?

Question: The nurse is preparing a client for a diagnostic testing of urinary function.  The nurse must make sure a consent form is on the client’s chart for this test:

Question: The nurse receives intake and output reports on several clients from the nursing assistant.  Select the output which the nurse should report to the provider.

Question: A client reports to the nurse that they feel the need to urinate but can’t.  Select the priority nursing intervention for this client.

Question: The nurse is assigning care to a nursing assistant (NA) for a client with an indwelling urinary catheter.  The nurse instructs the NA to do this in order to best prevent catheter associated urinary tract infection:

Question: A client with this type of urinary diversion requires the nurse to instruct them how to self-catheterize.

Question: The nurse can delegate this intervention to the nursing assistant.

Question: While caring for a post-procedure client who underwent a cystoscopy a few hours ago, the nurse notes pink-tinged urine in the client’s urinal.  Select the priority nursing action.

Question: A nurse caring for an older adult male client understands that this is an expected physiological change.

Question: The nurse is teaching a group of home care providers about caring for the older adult with urine incontinence.  The nurse includes this statement in the teaching:

Question: A nurse is doing preoperative teaching for a client about to undergo abdominal surgery.  The nurse will insert a foley catheter prior to taking the client to the preoperative area.  The best rationale for this intervention is what?

Question: The nurse is caring for a female client who requires the insertion of an indwelling urinary catheter.  The nurse will place the client in this position to best facilitate catheter insertion.

Question: The nurse is caring for a post-operative client and notes a moderate amount of serous drainage on the dressing 24 hours after surgery.  What is an appropriate nursing action?

Question: The nurse is assessing a wound that is 75% covered with eschar.  What treatment does the nurse expect to be ordered?

Question: The nurse is preparing to administer enteric feeding through a nasogastric tube.  What does the nurse do after checking the placement of the tube?

Question: The nurse is inserting a nasogastric tube when the client begins to gag.  What does the nurse do next after stopping the insertion?

Question: The nurse is preparing to insert a straight catheter into a male client.  Which action is appropriate?

Question: The nurse is teaching teen-age girls about nutrition.  Which nutrient do teen girls need more of that teen boys do not?

Question: The nurse is assessing an older client for dysphagia.  What sign indicates the client may have dysphagia?

Question: The nursing assistant is feeding a client with dysphagia.  What can the nurse teach the assistant to help prevent choking during feeding?

Question: A client tells the nurse they are still constipated despite increasing fiber in their diet.  What is an appropriate question to ask the client?

Question: The nurse is providing a bath for a client who is bedbound.  The nurse understands these care benefits from good hygiene:  {Select all that apply}

Question: The nurse is teaching a group of home care workers about pressure ulcer formation.  Choose the condition(s) that place a client at risk for pressure ulcer formation.  {Select all that apply}

Question: A nurse is caring for a group of clients.  Choose the client most likely to suffer from inadequate oxygenation {Select all that apply}

Question: A client suddenly starts to slide down to the floor while ambulating.  Choose the correct actions by the nurse to prevent injury to both themselves and the client. {Select all that apply}

Question: The nurse is preparing to collect a sterile urine specimen from a client’s foley catheter.  Choose the correct actions the nurse will perform. {Select all that apply}

Question: The nurse is helping a client select items for lunch from a clear liquid diet menu.  Which items are allowed on this diet?  {Select all that apply}

NR-224: Fundamentals Skills Course FAQs

Question: A nurse is teaching a client how to perform personal ileostomy care prior to discharge. The client says, “I don’t think that I am going to be able to take care of this myself.” Which is the most appropriate response from the nurse?

Answer: The most appropriate response from the nurse would be to provide reassurance and offer support to the client. The nurse can acknowledge the client’s concerns and validate their feelings, while also emphasizing that learning to care for an ileostomy takes time and practice. The nurse can say something like, “It’s completely normal to feel overwhelmed at first, but I’m here to help you learn and gain confidence in taking care of your ileostomy. We will go through the steps together, and I’ll provide you with all the necessary information and resources to support you in managing it successfully. It may seem challenging at first, but with time and practice, I’m confident that you’ll be able to take care of it yourself.”

Question: The adult child of a client who has had a colon resection will be caring for their parent at home. The client’s son tells the nurse, “I don’t know how I am going to care for my mom now.” Which is the best nursing response?

Answer: The best nursing response would be to provide support and offer resources to assist the client’s son in caring for his parent. The nurse can say something like, “Caring for a loved one after surgery can be challenging, but you don’t have to do it alone. We have resources and support available to help you navigate this new role as a caregiver. I can provide you with information, instructions, and demonstrations on how to care for your mom at home. Additionally, we have support groups and home health services that can offer further assistance. Together, we’ll ensure that you have the knowledge and support you need to provide the best care for your mom.”

Question: A nurse in the medical-surgical unit is assigning client care to a nurse who is floating from PACU. The float nurse is most qualified to care for which client?

Answer: The nurse who is floating from the PACU (Post-Anesthesia Care Unit) is most qualified to care for a client who has just undergone surgery and is in the immediate post-operative phase. The nurse from the PACU has experience in monitoring vital signs, assessing post-operative complications, managing pain, and providing care to clients recovering from anesthesia. Therefore, assigning this nurse to a post-operative client would be the most appropriate choice.

Question: A client asks the nurse what causes constipation. Choose the best response by the nurse.

Answer: The nurse should explain that constipation has many causes:

“Constipation has many causes. Lack of fiber, poor hydration intake, sedentary lifestyle, adverse effects of drugs, changes in habit or lifestyle, and medical problems including irritable bowel syndrome or hypothyroidism are major causes. To treat and prevent constipation, we must determine the cause.

Question: The nurse caring for a post-operative client performs an abdominal assessment. The nurse does not hear any bowel sounds over the left lower quadrant of the abdomen. What is the most likely reason for this?

Answer: Surgical manipulation or aesthetic effects are likely to prevent post-operative patients from hearing bowel noises in the left lower quadrant of the abdomen. Post-operative manipulation and anesthetic can reduce or eliminate bowel noises. The nurse must monitor the client’s bowel sounds and look for additional indicators of bowel dysfunction.

Question: The nurse admits a client who is to undergo a colonoscopy. The nurse understands that this will be required in preparation for the procedure.

Answer: The nurse knows colonoscopy patients need bowel preparation. Cleansing the colon before colonoscopy ensures good visibility. It usually entails a specific diet, clear drinks, and laxatives or bowel-cleansing products to empty the colon and remove feces. To ensure bowel preparation success, the nurse should give explicit instructions.

Question: A nurse is teaching a client about colorectal cancer testing. The nurse expects the provider to first perform this test for colorectal screening.

Answer: Colorectal cancer screening requires a colonoscopy, according to the nurse. Colonoscopy detects colorectal cancer and precancerous polyps best. A flexible tube with a camera is inserted into the colon to view the whole colon and rectum. Biopsies and polyp removal can be done during the colonoscopy. FOBT, FIT, sigmoidoscopy, and virtual colonoscopy (CT colonography) are other colorectal cancer screening modalities.

Question: A nurse is caring for a client with a newly placed colostomy. The nurse teaches the client they may have formed stool after the bowel has healed because the surgeon placed the stoma where?

Answer: The nurse informs the client that the surgeon placed the stoma in the descending or sigmoid colon, which may induce stool formation once the bowel heals. Water absorption solidifies stool in the descending and sigmoid colons. Stool can be collected in an ostomy pouch by placing the stoma here.

Question: The nurse is administering a tap water enema to a client in preparation for bowel surgery. The nurse correctly positions the enema bag containing the fluid where?

Answer: The nurse informs the client that the surgeon placed the stoma in the descending or sigmoid colon, which may induce stool formation once the bowel heals. Water absorption solidifies stool in the descending and sigmoid colons. Stool can be collected in an ostomy pouch by placing the stoma here.

Question: The nurse correctly positions a client for a fleets enema by placing them in this position:

Answer: The nurse informs the client that the surgeon placed the stoma in the descending or sigmoid colon, which may induce stool formation once the bowel heals. Water absorption solidifies stool in the descending and sigmoid colons. Stool can be collected in an ostomy pouch by placing the stoma here.

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