NUR645E Full Course (April 2019)

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NUR645E Advanced Health Assessments for Nurse Educators

Week 1 Discussion

DQ1 You are an instructor in an undergraduate nursing program. One of your students is confused about the differences between disease prevention and health promotion. How would you describe either to him or her? Defend your rationale with references (APA format).

DQ2 One of the leading health indicators from the Healthy People website is obesity. How could you as a health educator include the topic of obesity to a group of nurses on a pediatric unit? Defend your rationale with references (APA format).

NUR645E Advanced Health Assessments for Nurse Educators

Week 2 Discussion

DQ1 You are attaining a health history on a patient who does not look you in the eye and gives short choppy responses. What can you do to achieve a complete, comprehensive history on this patient? Defend your rationale with references (APA format).

DQ2 You are working with a nursing student who is introducing herself to a Native American patient. The nurse student is trying to make eye contact and puts her hand on the shoulder of the patient to get his attention. How would you handle this situation? Defend your rationale with references (APA format).

NUR645E Advanced Health Assessments for Nurse Educators

Week 3 Discussion

DQ1 You are completing a complete health assessment on a patient and you notice that there are indications that the patient may have been cutting herself. You inquire about the marks and she states that she fell and scratched her wrist when she tried to break her fall. How do you handle this information? Defend your rationale with references (APA format).

DQ2 You are working with a nursing student from an undergraduate nursing program. She does not perform an exam of the cranial nerves correctly. You discuss this with her outside the exam room and she denies that she did the examination incorrectly and that she got checked off on physical assessment. What do you say to her? Defend your rationale with references (APA format).

NUR645E Advanced Health Assessments for Nurse Educators

Week 4 Discussion

DQ1 You are elected to be on the electronic medical records committee at your hospital. The hospital currently has charts using a preprinted form. What method of charting would you recommend the hospital implement and why? Defend your rationale with references (APA format).

DQ2 You are working with a nursing student and she states that the nurse she is working with today told her that she does not have to chart everything because no one will ever read it anyway. What do you say to her? Defend your rationale with references (APA format).

NUR645E Advanced Health Assessments for Nurse Educators

Week 5 Discussion

DQ1 Discuss how a nurse approaches a focused assessment versus a complete assessment. Are there differences regarding charting? Defend your rationale with references (APA format).

DQ2 What are the differences in the assessment portion of a focused versus a complete assessment? Defend your rationale with references (APA format).

NUR645E Advanced Health Assessments for Nurse Educators

Week 6 Discussion

DQ1 You are obtaining a health assessment on a patient and you ask them about their spiritual needs. The patient states that he does not want to answer any questions like that because they are private. How would you respond? Defend your rationale with references (APA format).

DQ2 You are teaching a course on health assessment and one of the nursing students states, after you mention performing a spiritual assessment, that he or she does not believe in God and will not ask anyone about "any of that stuff." How do you respond? Defend your rationale with references (APA format).

NUR645E Advanced Health Assessments for Nurse Educators

Week 7 Discussion

DQ1 One of your coworkers does not understand what the interdisciplinary team means. How do you explain it to him or her? Defend your rationale with references (APA format).

DQ2 You are the educator on a medical/surgical unit and you notice that one of the patients would benefit from a consult by an occupational physical therapist. The provider doesn't think she needs anything like that. He states that she can get everything she needs from his office. What do you say? Defend your answer with references (APA format).

NUR645E Advanced Health Assessments for Nurse Educators

Week 8 Discussion

DQ1 Your neighbor has taken an online health risk assessment tool for breast cancer and tells you that the results show she is at risk for breast cancer. She knows you are a nurse and wants a referral for a mastectomy. What do you say to her? Defend your rationale with references (APA format).

DQ2 Your brother-in-law was told by his provider that he is at risk for cardiovascular disease. He does not believe it. He said the doctor was a fool and will not change any of his eating or exercising habits. What would you say to him? Defend your rationale with references (APA format).

NUR645E Advanced Health Assessments for Nurse Educators

Week 2 Assignment

Comprehensive Health History Taking

Select one patient (neighbor, family, or friend) and write-up their comprehensive health history. Include the following variables:

Identifying data.

Past medical history.

Health status, perceived barriers, and support.

Chief complaint (CC).

History of present illness (HPI).

Family and/or social history (PFSH).

Focused review of systems (ROS).

Identify age, spiritual values, and cultural variables that were considered and how these variables influenced your interviews or health history.

In a 1,000-1,250-word essay, summarize effective interview techniques for collecting a patient's health history. Include the following:

Address how to elicit the patient's interpretation of their health status, their perceived barriers, and support.

Critique the effectiveness of several history taking techniques with rationale from the readings.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

NUR645E Advanced Health Assessments for Nurse Educators

Week 3 Assignment

Benchmark - Critique of Last Physical Assessment

Critique your last physical assessment on the basis of health promotion, health prevention, and comfort for you as the patient. Write a 750–1,000-word paper that addresses the following questions:

Did the provider evaluate lifestyle, nutrition, and exercise?

Did the provider explain the side effects of your medication?

Was there an agreement on the plan of care?

What was the environment like? Welcoming, comfortable, dirty, clean?

Did the provider answer your questions and perform a complete health history?

Was the physical assessment complete and correct? (Did the provider listen to your lung sounds through clothing?)

Did the provider see you in your street clothes or in a patient gown?

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

NUR645E Advanced Health Assessments for Nurse Educators

Week 4 Assignment

CLC - Critique a Health Assessment Brochure

This is a Collaborative Learning Community (CLC) assignment.

Find a health education brochure or other printed material from the Internet, a pharmacy, or a provider office. This material must have been written for the public and should include information about health conditions, causes, and methods of prevention and or treatment for the condition. Printed material can be found from well-known organizations such as the American Dietetic Association, American Heart Association, American Academy of Pediatrics, American College of Obstetricians and Gynecologists, American Academy of Family Practice Physicians, etc.

Critique the printed health education material and write a letter to the company who produced the brochure, pointing out issues of accuracy, reading level, presentation, and how it influences the public.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

NUR645E Advanced Health Assessments for Nurse Educators

Week 5 Assignment

Focused Assessment

Document a focused history, physical exam, nursing diagnoses, and nursing process of a case study from NUR-641E: Advanced Pathophysiology and Pharmacology for Nurse Educators and compare the differences with a complete assessment.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

Case Study

A 22-year-old woman reports being “sick with the flu” for the past 8 days. She is vomiting several times every day, having difficulty keeping liquids or food down, and has been using more than the recommended dose of antacids in an attempt to calm the nausea. She has become severely dehydrated. After fainting at home, she was taken to a local hospital. An arterial blood gas sample was drawn and then an IV was placed to help rehydrate her. The arterial blood gas revealed the following:

Test Result Normal levels

pH 7.5 7.35 – 7.45

PaCO2 40 mm Hg 35-45 mm Hg

PaO2 95 mm Hg 80-100 mm Hg

SaO2 97% 95-100%

HCO3- 32 meq/liter 22-26 meq/liter

How would you classify the patient’s acid-base disturbance and explain why?

Given the case study, what are the possible factors causing this acid-base disturbance? Explain the pathophysiology created by these factors.

How would the renal and respiratory systems try to compensate for this acid-base disturbance?

What pharmacologic intervention is commonly used to correct this acid-base disturbance? Describe the pharmacological actions.

Describe the educational needs for this patient and what your approach will be.

NUR645E Advanced Health Assessments for Nurse Educators

Week 6 Assignment

Spiritual Assessment

Investigate at least two different spiritual assessment tools and analyze the ease of use and comprehensiveness of the data collected. Report on the validity and reliability of the tool. Explain how the spiritual assessment would be used in a health assessment.

Write a 1,000–1,250-word paper on the items listed above. Include at least four professional references excluding your texts.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

NUR645E Advanced Health Assessments for Nurse Educators

Week 8 Assignment

CLC - Presentation of Health Risk Assessment

This is a Collaborative Learning Community (CLC) assignment.

Investigate a health risk assessment tool for one of the following: (dietary, mental health, home health, depression, cultural competency, pain, nutrition, environmental, newborn, child, elderly, women and heart disease, osteoporosis, skin cancer, breast cancer, stroke, MI, childhood asthma, and child's healthy lifestyle).

Have 10 individuals complete the health risk assessment tool. Analyze the reliability and validity, and reading level of the tool. Present findings in a PowerPoint presentation. Teams must create 10-15 slides with speaker's notes.

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

Solution - NUR645E Full Course (April 2019)
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