NURS6531 Week 1 Assignment Practicum Experience Journal Entry
As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your Practicum Experience. By applying the concepts that you study in the classroom to clinical settings, you enhance your professional competency. Each week, you will reflect on your Practicum Experiences and relate them to the material presented in the classroom. This week, you begin your Practicum Experiences and will write your first Practicum Journal.
To prepare for this course’s Practicum Experience, address the following in your first Practicum Journal:
- Select and describe a nursing theory to guide your practice.
- Develop goals and objectives for your Practicum Experience in this course. When developing your goals and objectives, be sure to keep the seven domains of practice in mind.
- Create a timeline of practicum activities based on your practicum requirements.
- In a one-page journal entry (250-300 words), you should do the following:
- Describe your practicum goals and objectives using the seven domains of practice Discuss a nursing theory that would be used to guide your practice.
- Include APA-style citations and references
Week 3 Assignment Practicum Experience – Episodic SOAP Note #1
In addition to Journal Entries, SOAP Note submissions are a way to reflect on your
Practicum Experiences and connect these experiences to your classroom experience. SOAP Notes, such as the ones required in this course, are often used in clinical settings to document patient care. Please refer to the Seidel, et. al. book excerpt and the Gagan article located in this week’s Learning Resources for guidance on writing SOAP Notes.
All SOAP notes must be signed and each page must be initiated by your preceptor.
When you submit your SOAP Notes, you should include the complete SOAP Note as a Word document and pdf/images of each page that is initiated and signed by your preceptor. You must submit your SOAP Notes using SAFE ASSIGN.
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.
- Review the Episodic SOAP Note Exemplar provided in this week’s Resources in preparation for this Assignment.
- Use the Episodic SOAP Note Template to complete this Assignment.
- After completing this week’s Practicum Experience, select a patient that you examined during the last 3 weeks. With this patient in mind, address the following in a SOAP Note:
Subjective: What details did the patient provide regarding his or her personal and medical history?
Objective: What observations did you make during the physical assessment?
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management including alternative therapies?
Reflection notes: What would you do differently in a similar patient evaluation?
Please Note: Your Episodic SOAP Note Assignment must be signed by Day 7 of Week 3.
By Day 7 of Week 3
This Assignment is due. You will submit two files for the Week 3 Episodic SOAP Note, including a Word document and pdf/images of each page that is initiated and signed by your preceptor by Day 7 of Week 3.
NRNP 6531 Week 3 Knowledge Check: Module 1: Advanced Nursing Practice
Competencies, Integumentary, And HEENT Conditions
The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes which of the following?
- Fever history
- Tender, swollen anterior cervical lymph nodes
- Positive rapid antigen detection test
- A and B only
- A, B, and C
Marvin has sudden eye redness that occurred after a strenuous coughing episode. You diagnose a subconjunctival hemorrhage. Your next step is to
- Refer him to an ophthalmologist
- Order antibiotics
- Do nothing other than provide reassurance
- Consult with your collaborating physician
Which of the following is a predisposing condition for furunculosis?
- Diabetes mellitus
- Peripheral vascular disease
- Chronic fatigue syndrome
If a patient presents with a deep aching, red eye and there is no discharge, you should suspect:
- Allergic conjunctivitis
- Viral conjunctivitis
- Bacterial conjunctivitis
Which of the following statements about malignant melanomas is true?
- They usually occur in older adult males
- The patient has no family history of melanoma
- They are common in blacks
- The prognosis is directly related to the thickness of the lesion
A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. What additional history is needed?
- Any recent trauma
- Difficulty swallowing
- Stiffness in the right shoulder
- Change in sleeping habits
Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly since last night. Carl reports that his vision is “like looking through a veil.” He also sees floaters and flashing lights but is not having any pain. What do you suspect?
- Retinal detachment
Sarah has allergic rhinitis and is currently being bothered by nasal congestion. Which of the following meds ordered for allergic rhinitis would be most appropriate?
- An antihistamine intranasal spray
- A decongestant nasal spray
Medicare is a federal program administered by the Centers for Medicare and Medicaid Services (CMS). The CMS has developed guidelines for Evaluation and Management coding, which all providers are expected to follow when coding patient visits for reimbursement. Which of the following is an important consideration regarding billing practices?
- It is important to “undercode” so that one does not get charged with Medicare fraud
- The practice of “overcoding” is essential in this age of decreasing reimbursements
- Failing to bill for billable services will lead to unnecessarily low revenues
- Time spent with the patient is a very important determinant of billing
A 19 year old basketball player complains of itching in the curral folds, buttocks, and upper thighs. The lesions are well demarcated and are half-moon shaped. The area is red, irritated, and there are small breaks in the skin from scratching. What is this patient’s diagnosis and how should it be treated?
- Tinea cruris; treat with a topical antifungal cream
- Eczema; treat with a topical steroid
- Scabies; treat with permethrin cream
- Syphilis; treat with penicillin
A 45 year old with diabetes has had itching and burning lesions between her toes for 2 months. Scrapings of the lesions confirm the diagnosis of tinea pedis. What is the best initial treatment option for this patient?
- Prescribe an antifungal powder for application between her toes and in her shoes and a topical prescription strength antifungal cream for other affected areas. Monitor for a secondary bacterial infection.
- Prescribe an oral antifungal for 4 to 12 weeks. Monitor BUN and creatinine at 1 week, 2 weeks, and every month thereafter.
- Prescribe an oral antifungal for 4 to 12 weeks. Monitor liver enzymes, BUN, and creatinine at 1 week, 2 weeks, and every month thereafter.
- Prescribe a prescription strength antifungal/steroid combination cream. Monitor for a secondary bacterial infection.
A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him:
- “It is the most common cause of death in patients with skin cancer.”
- “It can be cured with surgical excision or radiation therapy.”
- “It is a slow growing skin cancer that rarely undergoes malignant changes.”
- “It can be cured using 5-fluorouracil cream twice daily for 2 to 4 weeks.”
Your 31-year-old patient, whose varicella rash just erupted yesterday, asks you when she can go back to work. What do you tell her?
- Once all the vesicles are crusted over
- When the rash is entirely gone
- Once you have been on medication for at least 48 hours
- Now, as long as you stay away from children and pregnant women
Harvey has had Meniere’s disease for several years. He has some hearing loss but now has persistent vertigo. What treatment might be instituted to relieve the vertigo?
- Pharmacological therapy
- A labyrinthectomy
- A vestibular neurectomy
- Wearing an earplug in the ear with the most hearing loss
Larry, age 66, is a smoker with hyperlipidemia and hypertension. He is 6 months post-MI. To prevent reinfarction, the most important behavior change that he can make is to:
- Quit smoking
- Maintain aggressive hypertension therapy
- Stick to a low-fat, low-sodium diet
- Continue with his exercise program