MN561 Full Course Latest 2018 June (Except week 3 & 5 Assignment) Question # 00598301 Subject: Education Due on: 02/18/2019 Posted On: 02/18/2019 12:02 PM Tutorials: 1 Rating: 4.5/5

MN561 Advance
Practice Nurse Clinical

Unit 1 Discussion

DQ1 Check-In

Please confirm that you have accessed and read the syllabus
and unit overview, and received the course expectation document emailed to you
prior to start of this course. All practicum hours and field encounters should
be entered in Rx Preceptor. Practicum hours must be confirmed by the preceptor
to receive credit. Inform the instructor if you are aware of required and
recommended textbook and clinical pocket companions as noted in the syllabus.
The preceptor contact form should be submitted to Unit 1 drop box. You will
complete 185 practicum hours during this term. Please inform the instructor if
you have any questions regarding course expectations.

Please feel free to share a little about your professional
background and what you expect to learn during this practicum rotation.

DQ2 Oral Presentation

The goal of any oral presentation is to pass along the
“right amount” of patient information to your preceptor in an efficient
fashion. When done well, this enables you and your preceptor to quickly
understand the patient’s issues and generate an appropriate plan of action.

As a general rule, oral presentations are shorter than
written presentations as they should focus on the most active issues of the day
(Chief Complaint).

Subjective- how patient feels and reports to you.

Objective- vital signs and pertinent physical exam findings;
what you hear, feel, smell, and see.

Assessment- should include working diagnosis from presenting
problem and prior diagnoses that are being actively addressed during the
present appointment.

Plan – this is the area that should be very specific as if
you are entering the orders.

Some of the most common stumbling blocks for students (other
than nerves) include going into too much detail in the subjective and objective
sections!

Discussion: Share with your peers your approach to oral
presentations in the clinic setting and ways in which you have perfected your
approach to communicating information about your patient to your preceptor.
Share your PEARLS of Wisdom!

MN561 Advance
Practice Nurse Clinical

Unit 2 Discussion

Topic: Be Prepared

Being prepared as a Nurse Practitioner when entering the
clinic setting is a win-win for the student, the preceptor and most of all the
patient. Safe, effective delivery of patient care requires that the nurse
practitioner student understand the complexity of healthcare systems, the
limits of human factors, safety design principles, characteristics of high
reliability organizations, and patient safety resources. These components are
critical to the preparation of safe clinicians and essential for 21stCentury
healthcare delivery.

Discuss how you met the Unit Two Objectives as well as
barriers to safe practice that can occur if you come to the clinic setting
unprepared. Support your discussion with evidence based practice and
recommendations for improvement of safe patient care in the primary care setting.

MN561 Advance
Practice Nurse Clinical

Unit 3 Discussion

Topic: Medical Record Documentation

Medical record documentation is required to record pertinent
facts, findings, and observations about an individual’s health history,
including past and present illnesses, tests, treatments, and outcomes. The
medical record chronologically documents the care of the patient and is an
important element contributing to high-quality safe care.

Discuss your State Board of Nursing nurse practitioner
documentation guidelines and how this can impact your level of reimbursement in
the clinical setting.

MN561 Advance
Practice Nurse Clinical

Unit 4 Discussion

DQ1 Topic 1: Social Services

Share what social services are available in your community
and give examples of when it is important to involve social services in the
management of your patients in the primary care setting? Please give examples
of what you have done in your clinic setting involving social services. Support
your discussion with evidence based practice and recommendations.

DQ2 Topic 2: Interprofessional Team

A multiprofessional team practice is necessary as you cannot
be expected to know everything there is to know and have all the skills to
address the complete range of episodic and chronic health problems commonly
seen in the primary care setting.

Discuss what you believe is the ideal provider mix for an
interprofessional team in primary care. Design an interprofessional team to
meet the primary care needs in your community and share with your peers in the
discussion forum.

Support your discussion with evidence based practice and
recommendations.

MN561 Advance
Practice Nurse Clinical

Unit 5 Discussion

Topic:UTI

UTIs are responsible for > 7 million physician visits
annually and approximately 15% of all community-prescribed antibiotics in the
US are dispensed for UTI’s. In the US,
UTIs account for > 100,000 hospital admissions annually, most often for
pyelonephritis (European Association of Urology, 2015). Describe the current
clinical practice guidelines for diagnosis, management, and prevention of
UTI’s.

MN561 Advance
Practice Nurse Clinical

Unit 6 Discussion

Topic: Preventative vs Diagnostic

Discuss the difference between preventative and diagnostic
laboratory tests and why this is important to distinguish between in the
primary care site. Include in the discussion the ten most commonly ordered
laboratory and diagnostic tests ordered in your practicum site and the criteria
for ordering.

MN561 Advance
Practice Nurse Clinical

Unit 7 Discussion

DQ1 Topic: Contraceptive counseling

Contraceptive counseling provides education, dispels
misinformation, facilitates selection of a method that will be successful for
the individual, and encourages patient involvement in healthcare decisions and
life goals. Discussing contraception brings the nurse practitioner and patient
together to create a tailored plan that meets the individual’s reproductive
needs over a lifetime.

Discuss any clinical encounters that you may have had
relating to contraception. How did you counsel patients on their choices and
possible risks? Describe how you would explain the differences to your patients
in the long acting reversal contraceptive devices.

DQ2 Topic 2: Sexuality

Sexuality affects individuals and society across a broad
spectrum of activities through health, but also through factors at multiple
levels, such as gender relations, reproduction, and economics. Physiologic,
behavioral, and affective measurement of sexuality and sexual behavior is
complicated by cultural values and norms but is essential to individual health
(including happiness) as well as public health. Cultural or structural norms
that stigmatize aspects of sexuality, such as sexual orientation, have adverse
effects on individuals across their lifespan, with homophobia being a prominent
example of such.

Discuss how one’s age, race, lifestyle, and demographics
have an impact on your choice to complete a sexual history when working in the
primary care setting with women across a lifespan.

MN561 Advance
Practice Nurse Clinical

Unit 8 Discussion

Topic: Depression

Depression is one of the leading causes of disability in
adults. It affects men and women of all ages, races, and social and economic
groups. Depression has a major impact on a person’s quality of life and can
increase the risk of suicide. It can make it more difficult for people to care
for other health conditions they may have. Depression also can affect family
members, especially children.

Discuss what The U.S. Preventive Services Task Force (Task
Force) has recommended concerning screening for depression in the primary care
setting. What are the recommended screening tools age specific.

Share what you have used in your practicum site to screen
for depression and how it was addressed.

MN561 Advance
Practice Nurse Clinical

Unit 9 Discussion

Click [Start a New Thread] to post to the Discussion, then
click [Post] once complete. Be sure to
post a response to all Discussion topics. Please review the Discussion Board
Participation grading rubric under Course Resources. This is important
information that will ensure that you earn maximum points. Your postings should
be qualitative and provide substantive depth that advances the discussion.
Please see the Writing Center for assistance with writing, APA, and online
communication.

After completing the Reading, reflect on the concepts
covered in this unit.

Describe evidenced-based treatment plans for specific
sexually transmitted diseases.

Reflect on how you have met each of the course objectives
over these past 9 weeks.

Explain how you will integrate the outcomes of the course
into your role as a nurse practitioner working in primary care caring for adult
patients presenting with acute, episodic, and chronic illness and conditions.

Provide one example of how you have met each of the six
course outcomes these past 9 weeks.

MN561 Advance
Practice Nurse Clinical

Unit 10 Discussion

Click [Start a New Thread] to post to the Discussion, then
click [Post] once complete. Be sure to
post a response to all Discussion topics. Please review the Discussion Board
Participation grading rubric under Course Resources. This is important
information that will ensure that you earn maximum points. Your postings should
be qualitative and provide substantive depth that advances the discussion.
Please see the Writing Center for assistance with writing, APA, and online
communication.

Topic: Testicular pain

It is crucial for providers to investigate and differentiate
complaints of testicular pain. Testicular torsion is an emergency which
requires immediate diagnosis and management. Describe and depict the history
and physical exam findings in testicular torsion. What would be the treatment
or management for patients with testicular torsion?

MN561 Advance
Practice Nurse Clinical

Unit 3 Assignment

Location: XYZ Family Practice

You are an NP student in this practice. Your next patient is
the following:

“I had to come in today because I have been coughing for a
long time”

Amanda Smith (69 year old, black female) is a retired postal
worker. During the visit, she is coughing continually. She states the cough
started 5 days ago intermittently but 2 days ago it became constant. Her chart
indicates that she has been a patient of the practice for 5 years, gets care
regularly and her HTN has been controlled for 4 years.

Social History

Married – 2 adult children A & W

Non-Smoker now. Smoke 1 pack a day for 15 years. Quit x5
years ago

No alcohol or drug use

Baptist, attends church regularly and is a member of the
choir

Family History

Mother – Deceased at age 27 from traumatic accident

Father – Deceased age 78 related to renal failure secondary
to diabetes type II

Siblings – one brother age 61 A & W

Medical/Surgical/Health Maintenance Hx

Measles, mumps and chicken pox as a child.

Tetanus/Diptheria/Pertussis – Last dose 2 years ago

Influenza – Last dose 9 months ago

Pneumococcal vaccine at age 65

Zostivax at age 60

Chronic diagnoses – HTN x 5 years

Takes HCTZ 25 mg daily

ROS

General

Usual weight has been maintained

Fever for 5 days up to 101

Skin

Dry skin, uses emollient frequently

HEENT

Wears reading glasses

Dentition fair. Partial upper denture

Neck

No swelling or stiffness

Chest

Substernal pain on cough

Respiratory

Began coughing 4 days ago. Started mild, intermittent and
non-productive. Two days ago became constant and productive of frothy sputum.
Keeps her awake at night. No relief with OTC cough syrup. She states she is
short of breath today.

CV

No CP at rest or when not coughing

PV

Some swelling of feet and ankles at end of day, relieved by
elevating feet

GI

Decreased appetite for one week

No change in bowel habits

GU

No frequency, hesitancy, nocturia or change in bladder
habits

Genitalia

No changes

MS

Stiffness in hands and legs on awakening. Relieved with
activity

Psych

No depression, anxiety, or memory change

Neurologic

No numbness, weakness, headache, change in mentation, or
paralysis

Hematologic

No past anemia

Endocrine

No change in weight, thirst, heat/cold intolerance.

Your physical exam reveals:

Temp 101.4, Resp 30 labored, no retractions, BP 135/92, HR
110, Pulse Ox 90 Wt 130 lbs

General appearance – Alert in all spheres, in mild
respiratory distress, able to answer questions with short sentences, tripod
breathing

HEENT –

Eyes ,ear, nose, head wnl

Mouth -mucosa dry

Pharynx – tonsils present not enlarged, normal pink color

Lymph – no enlargement

Skin – Dry and scaly legs and arms. Tenting of skin noted

Heart- regular rhythm at 110 bpm, no murmurs or extra sounds

Lungs – normal breath sound without crackles, bronchophony
or egophony

Abdomen – no mass, tenderness, rigidity

Extremities – Hands – no swelling, Feet/legs – +1 edema feet
to ankle level

Pedal pulses – wnl

Differential diagnoses:

CAP

Acute bronchitis

Congestive heart failure

Influenza

Plan – transfer to acute care setting for further work-up

Assignment Details:

The “Elevator Consult”

In this activity, you will practice giving a synopsis of
your patient to your preceptor. In practice, you may often give this type of
report if you are sending a patient for a consultation and your phone the
specialist to discuss the patient. This report should be concise and clear. The
receiver should, within one minute (slightly less for simple cases, slightly
more for complex cases) have a picture of the patient in his/her head. You will
report on ONLY items pertaining to the acute problem in this case. Do not
include extraneous material or material not directly impacting the
decision-making regarding this problem. Remember, this is a FOCUSED visit and
assessment to evaluate a focused concern. The history and physical exam applies
techniques relevant to the specific complaint for the patient at that visit.
Your report should be similarly focused, providing only information that
relates specifically to the presenting problem.

Please review the grading rubric under Course Resources in
the Grading Rubric section.

How to Submit:

Submit your Assignment to the unit Dropbox before midnight
on the last day of the unit.

When you are ready to submit your Assignment, select the
unit Dropbox then attach your file. Make sure to save a copy of the Assignment
you submit.

MN561 Advance
Practice Nurse Clinical

Unit 5 Assignment

Midterm Clinical Evaluation

For the Midterm Clinical Evaluation in Week 5 you will be
required to schedule a preceptor call with your instructor and preceptor
utilizing the faculty directions in the course Announcements. Failure to
schedule or complete this preceptor call could result in failure of the course.

Grading will follow the rubric and will be a collaboration
between your faculty and preceptor. Any area of clinical concern will require
faculty and student conference as well as implementation of an individual
learning plan.

You can find the rubric located in Course Resources.

MN561 Advance
Practice Nurse Clinical

Unit 7 Assignment

For this Assignment, you will select one of the following
case studies below. Then, using the case information and best evidence,
complete the chart below. Make sure to address all columns in the chart.

Select a case study of interest to you from the listed
scenarios below.

Case #1: Jane

Jane is a 42-year-old G4P2103. Jane is divorced and works
long, hard hours as a real estate agent. Jane was having irregular and heavy
menses for 6 months, and then they abruptly stopped 3 months ago. Jane has been
having nausea and vomiting for 6 weeks but attributed it to having the flu
recently. She also admits to gaining about 10 pounds in the last few months and
experiencing breast tenderness. Jane comes to the clinic today to discuss
menopause symptoms and treatment. During the visit, a urine pregnancy test came
back positive. During the exam, you palpate a 16-week-size uterus and get fetal
heart tones of 165. Jane is in disbelief.

Case #2: Natalie

Natalie is a 27-year-old G4P0120. Natalie is married; she
and her husband both work two part-time jobs to cover the bills. Natalie
presents to your office at about 20 weeks gestation for her initial OB visit.
Natalie states she has not been evaluated prior to today for the pregnancy
because of lack of funds and ability to get off of work. Natalie also complains
of multiple yeast infections during this pregnancy. During your interview with
Natalie, you find she has no known medical diagnoses, she is not taking
medications, she is a smoker, and she has a negative surgical history.
Natalie’s OB history includes two spontaneous losses at 8 and 12 weeks
gestation and a loss of a 32 weeks infant following premature rupture of
membranes. The 32 week infant was 7 pounds; lived 24 hours; and experienced
hypoglycemia, respiratory distress, and sepsis infections. Natalie tells you
she waited to seek prenatal care until this point because she did not have
enough money to pay for the visit. She and her husband are still paying off medical
expenses from the death of their 32 week infant. She tells you that she
probably would have waited longer, but she keeps getting these terrible yeast
infections. On exam you note a fundal height of 26 weeks and urine dip reveals
1+ leukocytes, 1+ protein, trace blood and 3+ glucose.

Case #3: Katie

Katie is a 17-year-old G1P0. She presents to your office
with four missed periods in a row. Katie is a high school student; she is in
the 10th grade. She lives with her mother and four siblings. You ask Katie
about the father of the baby and she tells you he states “that baby is not
mine.” They are not speaking to each other right now. Katie tells you she has
been “vomiting a lot and her stomach hurts when she pees.” A urine pregnancy
test comes back positive. Katie is so confused because she has been using
douching after intercourse as her method of birth control. You ask Katie about
the father of the baby, and she tells you he states “that baby is not mine.”
They are not speaking to each other right now.

Katie’s past medical history is positive for chlamydia twice
in the last year. She was treated at the Health Department but never went back
for a follow up. Katie has had no surgeries and is on no medication. When
asked, Katie states her last known weight was about 120. Katie’s V/S are BP
110/70, temp 102.5, weight 107. You note enlarged cervical lymph nodes, FHTs
are 160, fundal height is 18. Katie’s urine reveals 2+ ketones, 2+ nitrates,
and 3+ leukocytes.

Case #4: Sara

Sara is a 32-year-old G1P1001. She presents to your office
for a 6-week postpartum check following a normal vaginal delivery of a healthy
baby girl. Sara had an 18-hour labor with Pitocin augmentation and delivered a
7 pound 2 oz. girl with a second degree laceration repaired with sutures. Sara
spent 2 days in the hospital and was discharged home with her infant and
husband. Over the last few weeks, Sara has called the office multiple times
with questions about breastfeeding and her sutures healing. Upon walking into
the exam room to see Sara, you see her baby in the stroller crying and Sara
sitting on the exam table crying into her hands.

Complete the following chart:

Pregnancy Case Review Chart-

Description of the case chosen:

Subjective data, identify both given and needed data	Objective findings, identify both given and needed data	Diagnostic or laboratory testing needed with rationales	List of three differential diagnoses with rationales	Medications and or treatments needed with rationales	Patient education needed	Referrals for collaborative care needed with rationales

Make sure to address all sections. Do not leave any section
blank.

Include relevant subjective and physical objective findings.

Identify appropriate diagnostic and laboratory testing
needed.

List at least three differential diagnoses with rationales
for choosing.

Identify usual medications, treatments, or patient education
needed.

Determine referrals for collaborative care.

Summarize the case study and include any further research,
diagnostics, procedures, or follow-up needed.

Provide evidence-based references.

Assignment Requirements

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as
displayed above);

consult the Grading Rubric (under the Course Resources) to
make sure you have included everything necessary; and

utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

follow the conventions of Standard English (correct grammar,
punctuation, etc.);

be well ordered, logical, and unified, as well as original
and insightful;

display superior content, organization, style, and
mechanics; and

use APA 6th Edition format.

How to Submit:

Submit your Assignment to the unit Dropbox before midnight
on the last day of the unit.

When you are ready to submit your Assignment, click the
Dropbox tab and select this unit’s basket from the dropdown menu, then attach
your file. Make sure to save a copy of your work and be sure to confirm that
your file uploaded correctly.

How to Submit:

Submit your Assignment to the unit Dropbox before midnight
on the last day of the unit.

When you are ready to submit your Assignment, select the
unit Dropbox then attach your file. Make sure to save a copy of the Assignment
you submit.

MN561 Advance
Practice Nurse Clinical

Unit 10 Assignment

Final Clinical Evaluation — 300 points

This unit will contain the mandatory preceptor final
evaluation in Rx Preceptor. Your preceptors will receive an automatic email
from the Rx Preceptor system during week 8 and then weekly until week 9 to
complete evaluations. Grading will follow the scale below and will be a
collaboration between your faculty and preceptor. Any area of assessment with a
score of 2.4 or below will receive an entire evaluation score of 0 points as
failure in any area of assessment constitutes a failing evaluation. Any element
of the evaluation that states the student is not safe or is unsafe will result
in a “0” for the final evaluation and failure of the course.

Final evaluation will be worth 300 points and will follow
the grading rubric below:

Score of 4 to 5 all 300 points awarded

Score of 3 to 3.9 = 240/300 points awarded

Score of 2.5 to 2.9 = 210/300 points awarded

Score of 2.4 and below = 0

Students must also complete both the evaluation of their
preceptor and site for credit. The evaluations provide faculty an overview of
your clinical performance and experiences with your preceptor and clinical
location. The final clinical evaluation is required to pass the course.

Failure to complete all clinical hours or all associated Rx
Preceptor documentation (clinical time log, patient encounter log, preceptor
evaluation of student, and student evaluation of preceptor) will result in
failure of the course.

[Unit 10 Assignment Dropbox]

Upload a copy of your evaluation of the preceptor and
clinical site. The form can be found in Rx Preceptor.

MN561 Advance
Practice Nurse Clinical

Unit 1 Quiz

Question 1

Clinic hours must be confirmed by your preceptor every:

a)

Two weeks

b)

Every month

c)

At the end of term

d)

Every week

Question 2

True or False: You must arrange three phone call meetings
with the preceptor, faculty and self during the 10 week period you are in
clinic.

a) True

b) False

Question 3

True or False: You can wear scrubs to your clinical
practicum.

a) True

b)
False

Question 4

True or False: It is OK to complete your clinical hours in
the hospital setting.

a) True

b)
False

Question 5

True or False: The student must complete all 160 required
clinical hours no later than the Monday of Week Ten.

a) True

b) False

MN561 Advance
Practice Nurse Clinical

Unit 3 Quiz

Question 1

True or False: The focus of this Seminar was to discuss
medical documentation and coding: ICD-10, CPT codes only. Level of care was not
discussed.

a) True

b)
False

Question 2

Principles of Coding include all except:

a)

Only provide the level of care that is medically necessary
per clinical judgment.

b)

Always code a lower level of service then you think needed.

c)

Always provide and document services in accordance with the
established best practices.

d)

Always code and document exactly what care was provided.

Question 3

True or False: ICD-10 codes describe what it was done for
the patient.

a) True

b)
False

Question 4

True or False: CPT codes describe WHAT was done for the
patient.

a) True

b) False

Question 5

True or False: When coding for Preventive Care Services it
is mandatory to include the minimum of five components.

Incorrect Response

a) True

Correct Answer

b)
False

MN561 Advance
Practice Nurse Clinical

Unit 7 Quiz

Question 1

The process by which practitioner collects, processes, and
interprets patient information to develop an action plan includes all except:

a) gender and age

b) patient finances and religion

c) season of the year and location

d) ethnicity and time of year

Question 2

True or False: Intuition/gut feelings and biases and
assumptions are the same.

a) True

b)
False

Question 3

True or False: Example patient: The 21-year=old male with
itchy legs had eczema.

1) True

2)
False

Question 4

Use a reasoning strategy: Hypothetical- Deductive reasoning
(deductive vs. inductive) to process the information in the clinical context.
True or False: Hypothetical- Deductive Reasoning: works from specific to
general.

Incorrect Response

a) True

b)
False

Question 5

Select all that apply to history taking and data collection.

a) Have you taken an adequate history of the patient’s
health condition and provided the patient with the opportunity to express his
or her current health concerns?

b) If the patient is unable to provide a history (e.g.,
language barrier, capacity issue, etc.), have you consulted those who may be
able to assist in obtaining the history?

c) Have you adequately assessed any relevant risk factors,
including family history, which might help in diagnosis?

d) Are there any red flag symptoms?

e) Have you
determined what the patient has already done to manage his or her symptoms?