Question 141 pts
The endometrial cycle has three phases, which are:
Group of answer choices
Proliferative, luteal, menstrual
Luteal, menstrual, post-menstrual
Proliferative, secretory, menstrual * (pg. 91)
Secretory, luteal, menstrual
NRNP 6552 Midterm Exam
Walden University
NURS 6512 Week 7 I-HUMAN PATIENTS CASE STUDY: ASSESSING THE CARDIOVASCULAR SYSTEM
I-HUMAN PATIENTS CASE STUDY: ASSESSING THE CARDIOVASCULAR SYSTEM
This course requires you to complete a series of case studies using the i-Human Patients 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.
In order to adequately assess the chest region of a patient, advanced practice nurses need to be aware of a patient’s history, potential abnormal findings, and what physical exams and diagnostic tests should be conducted to determine the causes and severity of abnormalities.
Take a moment to observe your breathing. Notice the sensation of your chest expanding as air flows into your lungs. Feel your chest contract as you exhale. How might this experience be different for someone with chronic lung disease or someone experiencing an asthma attack?
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To prepare:
By Day 1 of this week, your Instructor will assign an i-Human Patients case for this Assignment.
Note:
Please see the
Course Announcements
section of the classroom for your i-Human Patients Assignment.
Review this week’s Learning Resources and consider the insights they provide related to the cardiovascular system.
Access and review the assigned i-Human Patients 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 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 (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 cardiovascular conditions.
Assignment
As you interact with this week’s i-Human Patients patient, complete the assigned case study. For guidance on using i-Human Patients, refer to the
i-Human Graduate Programs Help link
within the i-Human Patients platform.
By Day 7 of Week 7
Upload
your PDF from
i-Human Patients to submit this Assignment
.
submission information
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the
Turnitin Drafts
from the
Start Here
area.
To submit your completed assignment, save your Assignment as
WK7Assgn_LastName_FirstInitial
Then, click on
Start Assignment
near the top of the page.
Next, click on
Upload File
and select
Submit Assignment
for review.
Rubric
NURS_6512_Week 7_Assignment_Rubric
NURS_6512_Week 7_Assignment_Rubric
Criteria
Ratings
Pts
This criterion is linked to a Learning Outcome
History: Complete an appropriate health history. (Scores are automatically calculated in the i-Human platform.)
20
pts
Excellent
Achieves a score of 85–100%
15
pts
Good
Achieves a score of 84–75%
10
pts
Fair
Achieves a score of 74–65%
5
pts
Poor
Achieves a score of 64–55%
0
pts
Unsatisfactory
Achieves a score of 54% or below
20
pts
This criterion is linked to a Learning Outcome
Physical Exam: Complete an appropriate physical exam. (Scores are automatically calculated in the i-Human platform.)
20
pts
Excellent
Achieves a score of 85–100%
15
pts
Good
Achieves a score of 84–75%
10
pts
Fair
Achieves a score of 74–65%
5
pts
Poor
Achieves a score of 64–55%
0
pts
Unsatisfactory
Achieves a score of 54% or below
20
pts
This criterion is linked to a Learning Outcome
EMR Documentation History of Present Illness: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Subjective findings only
10
pts
Excellent
Complete HPI meeting all 5 criteria.
8
pts
Good
4 requirements are met.
6
pts
Fair
3 requirements are met.
4
pts
Poor
1–2 requirements are met.
0
pts
Unsatisfactory
No requirements are met.
10
pts
This criterion is linked to a Learning Outcome
EMR Documentation Subjective Data Document Current Medications, Review of System: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Subjective findings only
10
pts
Excellent
Complete HPI meeting all 5 criteria.
8
pts
Good
4 requirements are met.
6
pts
Fair
3 requirements are met.
4
pts
Poor
1–2 requirements are met.
0
pts
Unsatisfactory
No requirements are met.
10
pts
This criterion is linked to a Learning Outcome
EMR Documentation Objective Data Document Physical Exam Findings: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Objective findings only
10
pts
Excellent
Complete HPI meeting all 5 criteria.
8
pts
Good
4 requirements are met.
6
pts
Fair
3 requirements are met.
4
pts
Poor
1–2 requirements are met.
0
pts
Unsatisfactory
No requirements are met.
10
pts
This criterion is linked to a Learning Outcome
Key Findings: Organize the key findings with the most important first and least important last. NURS 6512 Week 4 I-HUMAN PATIENTS CASE STUDY: ASSESSING THE CARDIOVASCULAR SYSTEM
5
pts
Excellent
The key findings are complete and appropriately organized.
4
pts
Good
The key findings are complete but the organization is not correct.
3
pts
Fair
There are 1–2 key findings missing or organized inappropriately.
2
pts
Poor
There are 3 key findings missing and organization is incorrect.
0
pts
Unsatisfactory
There are more than 3 key findings missing and organization is incorrect.
5
pts
This criterion is linked to a Learning Outcome
Problem Statement: Document a brief and accurate problem statement using professional language that includes the following: 1.) Name or initials, age; 2.) Chief complaint; 3.) Positive and negative subjective findings; 4.) Positive and negative objective findings.
5
pts
Excellent
All requirements are met.
4
pts
Good
3 requirements are met.
3
pts
Fair
2 requirements are met.
2
pts
Poor
1 requirement is met.
0
pts
Unsatisfactory
No requirements are met.
5
pts
This criterion is linked to a Learning Outcome
Management Plan: Use the expert diagnosis provided to create a pertinent, comprehensive, evidenced-based management plan. Address the following criteria in the plan: 1.) Diagnostic tests; 2.) Medications (write out a complete order, even for OTC meds); 3.) Suggested consults/referrals; 4.) Patient education; 5.) Follow-up, including time interval and specific symptoms to prompt a return visit sooner; 6.) Provide rationales for each intervention and include references to support your plan. Clinical practice guidelines should be utilized as applicable.
15
pts
Excellent
All requirements are met.
13
pts
Good
5 requirements are met.
10
pts
Fair
4 requirements are met.
7
pts
Poor
1-3 requirements are met.
0
pts
Unsatisfactory
No requirements are met.
15
pts
This criterion is linked to a Learning Outcome
References and Format: Current APA citations for references in management plan. Use of clinical practice guidelines when applicable.
5
pts
Excellent
0–1 errors Clinical practice guidelines used when applicable.
4
pts
Good
2–3 errors Clinical practice guidelines used when applicable.
3
pts
Fair
4–5 errors Clinical practice guidelines not used when applicable.
2
pts
Poor
6–7 errors Clinical practice guidelines not used when applicable.
0
pts
Unsatisfactory
More than 7 errors; clinical practice guidelines not used when applicable.
5
pts
Total Points:
100 NURS 6512 Week 4 I-HUMAN PATIENTS CASE STUDY: ASSESSING THE CARDIOVASCULAR SYSTEM
Question 12 1 pts
Barriers for providers related to intimate partner violence screening include:
Group of answer choices
Discomfort with the topic
GET EXAM HELP HERE
Having too much power that might be intimidating
Time constraints
A and C
A, B, and C
NRNP 6552
Midterm Exam
Walden University
Question 101 pts
Jenna comes in complaining of intense itching in the vaginal area. She also has some itching in the vulvar area. It is really bad after she has intercourse. In gathering her history, she tells you she had an ear infection a few weeks ago and took amoxicillin for it but otherwise, has been healthy. On exam, you note a thick, white, lumpy discharge with the consistency of cottage cheese. The vulva is red and swollen as are the labial folds. There is no strong odor. The most likely diagnosis is:
Group of answer choices
Bacterial vaginosis
Trichomoniasis
Urinary tract infection
Vulvovaginal candidiasis
NRNP 6552
Midterm Exam Walden University
Question 81 pts
A progesterone challenge test that produces withdrawal bleeding is indicative of:
Group of answer choices
No ovarian function
Infertility
GET EXAM HELP HERE
Functioning ovaries
Uterine cancer
Question 7 1 pts
The American Cancer Society (ACS) has recently updated its colorectal cancer screening guidelines. The new guidelines recommend screening average-risk patients for that disease at age ________
Group of answer choices
40
45
GET EXAM HELP HERE
50
55
Question 3 1 pts
When looking from a feminist perspective at research studies, one of the great concerns is that:
Group of answer choices
There are too many studies involving women
GET EXAM HELP HERE
Most of the research is qualitative, which limits the applicability
For many years, studies were done primarily on men with the findings being generalized to women
None of the above
Question 2 1 pts
On physical examination, pale atrophic depigmented tissue that has a “cigarette paper” appearance is consistent with:
Group of answer choices
Vaginal candidiasis
GET EXAM HELP HERE
Contact dermatitis
Lichen sclerosis
Gonorrhea
Question 1 1 pts
Endometriosis can effectively treated with:
Group of answer choices
Combined oral Contraceptive (COC)
Depo-Provera Injection
GET EXAM HELP HERE
Progestin Implant
B and C
Tina jones comprehensive assessment shadow health exam plan
Your Final Plan
Head and neck (25)
Inspect head
Inspect eyes
Inspect mouth and throat
Inspect eyelids
Inspect ears
Palpate scalp
xxx
Palpate axillary lymph nodes
Use penlight
Use ophthalmoscope
Perform whisper test
Assess eye movements
Use otoscope
xxx
Anterior chest (7)
Inspect anterior chest, cardiac
Palpate PMI
xxx
Ausculate cardiac points
Posterior chest (5)
Inspect posterior chest
xx
Auscultate posterior chest
Abdomen (9)
Inspect abdomen
Palpate abdomen, light
xx
Auscultate abdominal arteries
Upper extremities (16)
Palpate peripheral pulses, upper
Assess capillary refill, fingers
xx
Test stereognosis
Assess bicep strength
Assess hand strength
xx
Inspect fingernails
GET iHUMAN, EXAM OR SHADOW HEALTH HELP HERE
Lower extremities (15)
Inspect legs for edema
Palpate peripheral pulses, lower
Assess capillary refill, toes
xx
Assess ROM knees
Inspect toenails
Full body (4)
Vitals
xx
Inspect skin, general
Unused Exam Actions (0)
Transcript
Started:
May 22, 2025 |
Total Time:
All Lines ()
Interview Questions ()
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Hello!
Question
05/22/25 7:42 AM EDT
Hi. Im Preceptor Diana. I will explain the details of this assignment and your objectives, just as a preceptor would in real life.
Pay close attention to this information as it will help guide your exam.
At the end of this prebrief, you will
answer a short question about the upcoming assignment.
During the simulation, you may
return to these instructions at any time
by scrolling to the top of your transcript.
What is the situation? Tina jones comprehensive assessment shadow health exam plan
Question
05/22/25 7:43 AM EDT
Six months have passed since Tina Jones was admitted to Shadow General Hospital, and her foot wound has healed. Your role in this simulation is that of a healthcare provider who will
perform a comprehensive assessment on Ms. Jones
to demonstrate your clinical competency.
What are my objectives in this assessment?
Question
05/22/25 7:44 AM EDT
You will collect subjective data from Ms. Jones:
inquire into her current health status, body systems, mental health, and psychosocial history.
Regardless of whether you have assessed Tina previously,
ask all questions that are medically relevant
to understanding her current health status. In addition to collecting subjective data, you will
perform a physical exam on Ms. Jones systems
to gather objective data about her overall health. Ms. Jones has no new abnormal findings, so after you complete an exam task, you do not need to make selections in the Electronic Health Record, though you may document your findings if you like. While you should
communicate with patients using accessible, everyday language,
it is standard practice to
use professional medical terminology everywhere else, such as in documenting physical findings and nursing notes.
Tina jones comprehensive assessment shadow health exam plan You may complete the exam activities in any order and move between them as needed.
What else will this exam involve?
Question
05/22/25 7:45 AM EDT
You will
complete nursing tasks to protect the patients safety, privacy, and health.
While it is not required for this assignment, you can
document your findings, including vital signs,
in the Electronic Health Record. This record provides necessary information for healthcare professionals who will continue patient care. Activities other than Subjective and Objective Data Collection, such as Documentation and Education and Empathy, provide valuable practice for their real-world counterparts. However, they are not automatically graded by the simulation.
How will I be evaluated?
Question
05/22/25 7:46 AM EDT
In this assignment,
you will be evaluated on your Subjective and Objective Data Collection.
The evaluation of your interview is dependent on how you
word your questions therapeutically and precisely
and
explore all relevant topics with comprehensive breadth and depth.
The evaluation of your physical exam requires you only to
complete all exam actions.
Documentation of the exam is encouraged, as it can provide you valuable real-world experience, but they are not automatically graded by the simulation. This assignment takes on average
between 140 and 170 minutes.
You can
pause and resume the assignment at any time;
your work is always saved automatically.
How does this assignment prepare me for the real world?
Question
05/22/25 7:48 AM EDT
In this assessment, you will become familiarized with the structure and content of comprehensive assessments so that with real-life patients, you can: º
develop a mental model for sequencing a comprehensive exam
º
ask effective and comprehensive questions
º
evaluate the patients risk of disease, infection, injury, and complications
º and
document data with professional terminology.
In 1 or 2 sentences, answer this question
to help prepare for the upcoming exam: How does interviewing a healthy patient differ from interviewing a patient with a known
health condition
?
Interviewing a healthy patient focuses on general health conditions lifestyle and preventive care while for a sick patient and concentrates on specific symptoms, history and potential complications
Statement
05/22/25 7:57 AM EDT
Time to begin Tina jones comprehensive assessment shadow health exam plan.
Hello, I a Kerine, I will interview and examine you today
Greet
05/22/25 7:52 AM EDT
Hey.
What is your name
Question
05/22/25 7:53 AM EDT
Tina Jones.
Your date of birth
Question
05/22/25 7:53 AM EDT
February 17th.
Objective Data Collection: 70 of 73 (95.9%)
Hover To Reveal…
Hover over the
Patient Data
items below to reveal important information, including
Pro Tips
.
Found:
Indicates an item that you found.
Available:
Indicates an item that is available to be found.
Category
Scored Items
Experts selected these examinations as essential components of objective data collection for this patient.
Patient Data
Not Scored
Thorough examinations will yield better patient data. The following actions reveal the objective data of the patient’s case.
HEENT
Finding:
Inspected head and neck
Tina jones comprehensive assessment shadow health exam plan
Finding:
Scattered pustules on face and facial hair on upper lip
(Found)
Pro Tip: Inspecting the facial skin for the presence of discoloration, lesions, or abnormal hair growth assesses for underlying medical problems.
Example Question:
Finding:
Head is normocephalic, atraumatic
(Found)
Pro Tip: Because your patient may have unknowingly hit her head during her fall, giving special attention to your observation of the size and the shape of your patient’s head can identify any indications of trauma.
Example Question:
Finding:
Normal scalp hair distribution
(Found)
Pro Tip:
It’s important to inspect your patient’s hair
for distribution, color, and texture because abnormal hair growth or characteristics can indicate underlying health problems.
Example Question:
Finding:
Acanthosis nigricans noted on neck
(Found)
Pro Tip: Skin changes are common in patients with uncontrolled diabetes. A thorough inspection should be conducted of your patient’s skin, especially in folds around the neck, axilla, and groin.
Example Question:
Finding:
Inspected eyebrows and orbital area
Finding:
Right eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema
(Found)
Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions.
Example Question:
Finding:
Left eye: equal hair distribution on lashes and eyebrows, lids without lesions, no ptosis or edema
(Found)
Pro Tip: Examining the external eye for hair distribution, coloration, edema, lesions, and ptosis identifies abnormalities that can indicate infection or underlying conditions.
Example Question:
Finding:
Palpated scalp
Finding:
No masses
(Found)
Pro Tip: Female hair loss can indicate an underlying health problem or skin infection. Inspecting the scalp and hair for texture, distribution, and quantity helps to identify lesions or masses.
Example Question:
Finding:
Palpated sinuses
Tina jones comprehensive assessment shadow health exam plan
Finding:
No frontal sinus tenderness
(Found)
Pro Tip: Palpating the frontal sinuses checks for sinusitis.
Example Question:
Finding:
No maxillary sinus tenderne