NR526 week 3 Clinical Questioning Assignment

Week 3 Clinical Questioning Assignment

Guidelines & Scoring Rubric

Purpose

The purpose of this assignment is to provide educator students with a
tool for working with nursing students and staff members when they are caring
for complex healthcare cases.

Course Outcomes

Through this assignment,
the student will demonstrate the ability to:

CO 3 Integrate
pathophysiologic mechanisms with advanced assessment and pharmacologic concepts
to maximize patient outcomes in complex disease states. (PO 1, 4)

CO 5 Analyze risk factors
associated with complex disease states in individuals, aggregates, and
populations to devise effective disease management and/or health promotion
strategies that reflect pertinent psychosocial, cultural, legal, ethical, and
safety considerations. (PO 4, 6)

CO 7 Examine mechanisms and
processes of homeostatic, adaptive, and compensatory physiological functions in
complex disease states with an emphasis on appropriate assessment strategies
and pharmacologic interventions. (PO 1, 4)

CO 8 Determine clinical
data essential to identifying specified pathophysiologic or psychologic
problems and the best plan of care. (PO 1, 4)

CO 10 Correlate changes and
disruptions in major physiological systems and pathophysiological mechanisms
with clinical data resulting from physical examination, laboratory data, and
diagnostic test data with anticipated pharmacologic treatment. (PO 1, 4, 11)

Due Date:Sunday 11:59 p.m. MT at the
end of Week 3

Total Points
Possible:250

In this assignment you are
the nursing professional development specialist (NPD specialist, formerly
called the “staff educator”) assisting your assigned new graduate nurse in
applying the nursing process. In the role of NPD specialist, you will not only
take care of your patient at an advanced level, incorporating advanced physical
assessment findings, associated pathophysiologic mechanisms that underlie the
presenting disease, and the appropriate pharmacologic treatment approach, you
will also consider the educational needs of your orientee.

1. Review Charles Gibson’s electronic health record, which provides
information that is necessary to care for him in Second Life (SL) in the
Emergency Department.

2. Meet and greet Charles Gibson and his wife, obtaining
pertinent health history information as prompted.

3. Take special note of the objective and subjective data
obtained, including the National Institute of Health (NIH) Scale for Stroke
score and the prescriber’s orders.

4.
As you
develop this assignment, remember that you need at least two peer-reviewed references.

5.
Be sure that your assignment has a cover page
and a reference list with proper APA formatting.

While your patient, Charles
Gibson, is in CT scan, you are to take some time to reflect with your orientee.
This assignment requires you to develop five reflective questions that pertain
to your mutual case, Charles Gibson. Use
the NR526_W3_Clinical_Questioning_Templatefound in
“Course Resources” to complete this assignment.

1.
Develop a question that pertains to the first
five minutes that you spent with the patient. Stop and consider what would be
obvious to you as an expert clinician, but would not be obvious to the
developing graduate nurse. Your question can be a two-part question or a
one-part question. Provide the appropriate answer to the question that you
posed. Be sure your answer includes references, proper citations, and adequate
detail to support a comprehensive answer.(The answer should be
approximately 100 words.)

2.
Develop a question that addresses the
prescriber’s orders. Is there an order that exemplifies a treatment approach
for “brain attack”? How would you promote critical thought for a new graduate
in order to support his or her analysis and evaluation of new orders? Provide
the appropriate answer to the question that you posed. Be sure your answer
includes references, proper citations, and adequate detail to support a
comprehensive answer. (The answer should be approximately 100 words.)

3.
Develop a question that stimulates the
graduate nurse to think about the pathophysiologic basis for the patient’s
presenting disease. Provide the appropriate answer to the question that you
posed. Be sure your answer includes references, proper citations, and adequate
detail to support a comprehensive answer. (The answer should be approximately
100 words.)

4.
Develop a second question that has the
graduate nurse think about the pathophysiologic basis for the patient’s
presenting disease. Provide the appropriate answer to the question that you
posed. Be sure your answer includes references, proper citations, and adequate
detail to support a comprehensive answer. (The answer should be approximately
100 words.)

5.
Develop a question of your choice about this
case. Consider where you were on the learning curve as a graduate nurse. Consider
how you would promote critical thought and developing knowledge for a graduate
nurse. Provide the appropriate answer to the question that you posed. Be sure
your answer includes references, proper citations, and adequate detail to
support a comprehensive answer. (The answer should be approximately 100 words.)

Instructor Feedback
Table

Category	Potential Points	Points Awarded	Feedback
Questions	75
Answers	75
Applies Advanced Pathophysiology, Physical assessment and Pharmacology	75
Grammar, spelling, syntax, and punctuation	15
APA title page, citations, and reference page	10
Total	Potential Points= 250	Ponts Awarded =

	Exceptional (100%) Outstanding or highest level of performance	Exceeds (88%) Very good or high level of performance	Meets (80%) Competent or satisfactory level of performance	Needs Improvement (38%) Poor or failing level of performance	Developing (0) Unsatisfactory level of performance
Content Possible Points = 250
Questions	75 Points	66 Points	60 Points	29 Points	0 Points
Five questions are presented that are reflective of the guidelines for this assignment. The questions promote critical thinking about the case.	Five questions are presented that are mostly reflective of the guidelines for this assignment.	Five questions are presented that are partially reflective of the guidelines for this assignment.	Five questions are presented that are not reflective of the guidelines for this assignment.	Questions are missing.
Answers	75 Points	66 Points	60 Points	29 Points	0 Points
Five answers to the proposed questions are presented that are approximately 100 words. The answers are accurate, specific to the question that was asked and presents sufficient detail. Answers are based on at least two peer-reviewed nursing articles.	Five answers to the proposed questions are presented that are approximately 100 words. The answers are mostly accurate, mostly specific to the question that was asked and presents some detail. Answers are based on only one peer-reviewed nursing articles.	Answers to the proposed questions are presented that are partially inaccurate, OR does not address the question specifically enough OR does not provide sufficient detail Articles are applied but they are not peer-reviewed.	Answers to the proposed questions are inaccurate, do not specifically address the question that was asked and/or presents insufficient detail or no nursing articles are provided.	Answers to the proposed questions are missing.
Applies Advanced Pathophysiology, Physical assessment and Pharmacology	75 Points	66 Points	60 Points	29 Points	0 Points
The three Ps that are relevant to this patient’s case are incorporated into the questions and related answers.	The three Ps that are relevant to this patient’s case are mostly incorporated into the questions and related answers.	The three Ps that are relevant to this patient’s case are partially incorporated into the questions and related answers.	The three Ps that are relevant to this patient’s case are minimally incorporated into the questions and related answers.	The three Ps that are relevant to this patient’s case are NOT incorporated into the questions and related answers.
Grammar, spelling, syntax, and punctuation	15 Points	13 Points	12 Points	6 Points	0 Points
Proper grammar, spelling syntax, and punctuation are used, with no more than1-2 errors.	Proper grammar, spelling syntax, and punctuation are used, with no more than3-4 errors.	Proper grammar, spelling syntax, and punctuation are used to some extent, with no more than 5-6 errors.	Proper grammar, spelling syntax, and punctuation are not used; assignment contains 7-9 errors.	Proper grammar, spelling syntax, and punctuation are not used; assignment contains 10 or more errors.
APA title page, citations, and reference page	10 Points	9 Points	8 Points	4 Points	0 Points
Proper APA format is used, with no more than1-2 errors.	Proper APA format is used, with no more than 3-4 errors.	Proper APA format is used to some extent, with no more than with 5-6 errors.	Proper APA format is not used, with no more than 7-9 errors.	Assignment contains 10 or more errors in APA format..
		Total Points:	_____of 250 points

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