Category: Nursing

NURS

6512

Physical

Examination

Check

Off

Rubric
Part 1:

Head and Face, Ears, Eyes, Nose, Throat and Mouth
Grades

are awarded

as

follows:
2/4

=

Demonstrated

thoroughly with

correct

technique
1/2

=

Demonstrated

Partially

with

mostly

correct

technique
0

=

Did

not

demonstrate

or

demonstrated

with

incorrect

technique
*A head to toe

(cephalo
–
caudal), and anterior
–
posterior approach should be used when
conducting

the

exam. No

deductions

given

for

exam

steps

out

of

order.

Students

should
verbalize each exam step

and

must identify all cranial nerves by name and number.
Appropriate

documentation

noted

in

blue
Have

patient

sit

up
HEAD

AND

FACE
Palpates lymph nodes of the head and neck:
Preauricular

(in front ears)
, postauricular

(behind
ears)
, occipital

(back of

head),

tonsillar

(edge of

jaw)
,
submandibular

(under

jaw)
,

submental

(chin)
,

anterior
cervical

(front neck)
, posterior cervical

(back neck),
supraclavicular

(above

clavicle)

(verbalize

locations)
No enlargements and they are equal bilaterally
4

2

0
CN

5

(Trigeminal)
Motor

–

palpate

over the

masseter

muscle

as patient

clenches jaw
–

CN

5

intact
Sensory

–

light touch

sensation

to

forehead, cheeks,

chin, nose

(patient closes
eyes and identifies where they are being touched)

–
CN 5 intact
2

1

0
CN

7

(Facial)
Inspect for

facial

symmetry

with

smile, frown,

raise

eyebrows, puff cheeks, pucker
lips

CN 7 intact
2

1

0
EAR
Inspect

auditory

canal

and

TM

(using

otoscope)

To

both

ears
(Pull

up

and

back).

External

auditory

canal

is

clear. No

swelling, redness, drainage,
or cerumen. Tympanic membrane is pearly gray and there is no effusion.
4

2

0
CN

8

(Acoustic)

(Hearing)
Whisper

Test (whisper 3

words

out

of patient’s

sight, and

patient

repeats

words
back) Test one ear at a time.

Hearing is intact bilaterally.
2

1

0
EYE
CN

2

(Optic)
Assess

peripheral/central

vision
Peripheral

vision
–

stand

at

same

eye

level

and

bring

hands

from

beside

patient

until
they

see

them.

Let

me

know

when

you

see

my

hands.

Do

directly

beside, above,
and below.

Peripheral vision is normal.
2

1

0
CN

2

(Optic)
Check pupillary response to light [PERRL]

Using ophthalmoscope with light have
patient stare

at my

nose

and

come

from side

with

light source. Pupils

are

about 2
–
3mm and they respond to light.
2

1

0
CN

3

(Oculomotor),

4

(Trochlear),

6

(Abducens)

Extraoccular

Movement
Test for

conjugate

gaze

with

EOM.

Using

an

H

pattern

have

patient follow

with

only
eyes. All EOM’s are intact equally.
2

1

0
Assess

blood

vessels

in

the

eye

–

Fundoscope

exam (using

ophthalmoscope)

To
both

eyes
.

Disc

margins

are

round

and

sharp

No

AV

nicking

No

exudate

or
hemorrhages
2

1

0
NOSE
Assess

nasal

turbinates

and

septum

(using

light

source)

Lift

tip

of

nose
All

turbinates

are

pink

and

moist. Septum

is

midline. Angling

anteriorly, I see

the
septum is straight with no deviation.
2

1

0
Palpates

frontal

and

maxillary

sinuses

No

tenderness

noted.

2

1

0
THROAT

AND

MOUTH

Inspect lips, teeth, gums, buccal

mucosa,

palate,

tongue, the

floor of

the

mouth
(under the tongue), posterior pharynx, and tonsils (
grade tonsils, if present
)
Lips
–
pink and moist.
Open

mouth.
Teeth
–
no

signs

of

decay

or

cracks.
Gums
–

no

redness

or

swelling

and

moist

and

pink.
Buccal Mucosa
–
moist and pink bilaterally
Upper

Soft

and

Hard

Palates
–
pink

and

moist
Tongue
–
smooth and pink
Lift

tongue
Floor

of mouth

is

pink

with

no

nodules

or

drainage

and

is

moist.
Posterior

pharynx
–

no

drainage

and

is

moist

and

pink.

Grade

Tonsils

if

present
4

2

0
CN

9

(glossopharyngeal)

and

10

(Vagus).
Say

“Ahh” and

soft

palate

and

uvula

rise

symmetrically

with

phonation

(CN

10)
* Gag

reflex not

tested

for

this exam

(CN

9).

Must

only state name

and number
Uvula rises symmetrically with phonation, so CN 10 is intact.
2

1

0
CN

12

(Hypoglossal)
Stick

out

tongue

and

move

it

left

to

right.

Intact
2

1

0

NURS 6501 Week 2 – A 24-year-old male presents to the clinic with a chief complaint of developing large areas of dandruff to his scalp and pitting of his fingernails

The Assignment

Develop a 1- to 2-page case study analysis in which you:

Explain why you think the patient presented the symptoms described.

Identify the genes that may be associated with the development of the disease.

Explain the process of immunosuppression and the effect it has on body systems.

By Day 7 of Week 2

Submit your Case Study Analysis Assignment by Day 7 of Week 2.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templatesLinks to an external site.). All papers submitted must use this formatting.

Case: A 24-year-old male presents to the clinic with a chief complaint of developing large areas of dandruff to his scalp and pitting of his fingernails. He also started noticing that he is having morning joint pain that partially relieves after he gets ready for work. He has used multiple types of dandruff shampoo without relief of symptoms. He is unable to remember any significant family history concerns. Labs include a rheumatoid factor which was negative. His ESR was mildly elevated

 

NURS 6501 Week 2 – A 24-year-old male presents to the clinic with a chief complaint of developing large areas of dandruff to his scalp and pitting of his fingernails

Week 2: Altered Physiology

Case Study

The case study involves a 24-year-old male patient who presents to the clinic with complaint of large sections with dandruff on his scalp and pitting on his fingernails. He has also been having morning join paint that is only partially relieved after he prepares to go for work.

Possible Diagnosis

Based on the patient’s presentation of dandruff, nail pitting, joint pain in the morning, and mildly elevated ESR, the most likely diagnosis is psoriatic arthritis, which is likely to have developed from psoriasis. According to Azuaga et al. (2023), it is a chronic inflammatory immune-mediated skin disease that involves erythematous and scaly plaque but tends to also affect the scalp and nails, with approximately 30% of the patients developing psoriatic arthritis. Psoriatic arthritis is a condition that integrates aspects of psoriasis and inflammatory arthritis. In this case, the presentation of dandruff on the scalp is highly likely to be psoriatic plaques, especially due to their resistance to the typical dandruff treatment. In their study, Akaishi et al. (2020) noted that psoriatic arthritis presents with enthesitis or inflammation of the entheses or regions where tendons or ligaments are inserted into bones. The symptoms of nails are a major distinguishing factor in psoriatic arthritis, differentiating it from other types of inflammatory arthritis. The mildly elevated erythrocyte sedimentation rate (ESR) is a likely indicator of the presence of systemic inflammation, which is suggestive of an active psoriatic disease.

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Genes Associated with Development of the Disease

There are several genes that have been associated with the increased risk of developing psoriatic arthritis. According to Patel et al. (2023), the gene that is strongly linked to heightened risk for developing psoriasis and psoriatic arthritis is HLA-C*06:02. This gene has been involved in antigen presentation to T cells. Other genes that are associated with the development of psoriasis are the interleukins, which are cytokines that play critical in the differentiation, proliferation, migration, and adhesion of maturation of immune cells. Among the interleukins that are pro-inflammatory mediators and contribute to psoriasis are IL1B, IL2, IL6, IL12, IL15, IL17, IL18, and IL20 (Patel et al., 2023). The IL1B encodes a cytokine that is generated and serves a critical role in the inflammatory response. Another major inflammatory cytokine noted to cause elevation in psoriasis is the tumor necrosis factor α (TNF-α) that binds to certain receptors and stimulates the nuclear element factor kappa B, and in so doing, leads to rapid transcription of other inflammatory genes, including IL-6 and IL-8 NURS 6501 Week 2 – A 24-year-old male presents to the clinic with a chief complaint of developing large areas of dandruff to his scalp and pitting of his fingernails.

Process of Immunosuppression and Effect on Body Systems

Immunosuppression is a process that minimizes the activity of the immune system. This system is used in the treatment of autoimmune diseases such as psoriasis. Immunosuppression is used to target immune cells and can directly target immune cells such as T cells and B cells, thereby their ability to attack the body’s own tissue. Immunosuppression may also work by blocking the production of activity of cytokines, signal molecules that assist in the regulation of immune response. As a therapy for psoriatic arthritis, immunosuppression reduces the hyperproliferation of keratinocytes and infiltration of the skin, which helps address the psoriatic plaques. The immunosuppression treatments reduce synovial inflammation, pain, and swelling and, in so doing, minimize the progression of joint damage. By reducing systemic inflammation, immunosuppression helps mitigate the increased cardiovascular risk due to psoriatic arthritis.

 

References

Akaishi, T., Yamasaki, K., Mori, Y., Takahashi, T., Izumiyama, T., Terui, H., … & Ishii, T. (2020). Psoriatic arthritis with skin lesions localized to the scalp: A case report. 
Journal of General and Family Medicine
, 
21
(6), 264-267. https://doi.org/10.1002/jgf2.358

Azuaga, A. B., Ramírez, J., & Cañete, J. D. (2023). Psoriatic arthritis: pathogenesis and targeted therapies. 
International journal of molecular sciences
, 
24
(5), 4901. https://doi.org/10.3390/ijms24054901

Patel, H. A., Revankar, R. R., Pedroza, S. T., Graham, S., & Feldman, S. R. (2023). The genetic susceptibility to psoriasis and the relationship of linked genes to our treatment options. 
International Journal of Molecular Sciences
, 
24
(15), 12310. https://doi.org/10.3390/ijms241512310

Saleem, S., Imran, Z., Samdani, A., Khoso, B., Zehra, S., & Azhar, A. (2023). Mutations in PGRN gene associated with the risk of psoriasis in Pakistan: a case-control study. BMC Medical Genomics, 16(1), 335. https://doi.org/10.1186/s12920-023-01757-8

Xiao, Q., Mears, J., Nathan, A., Ishigaki, K., Baglaenko, Y., Lim, N., … & Raychaudhuri, S. (2023). Immunosuppression causes dynamic changes in the expression of QTLs in psoriatic skin.
Nature communications
, 
14
(1), 6268. https://doi.org/10.1038/s41467-023-41984-2

 

 

LEARNING OBJECTIVES – NURS 6501 Week 2 – A 24-year-old male presents to the clinic with a chief complaint of developing large areas of dandruff to his scalp and pitting of his fingernails

Students will:

Evaluate cellular processes and alterations within cellular processes

Analyze alterations in the immune system that result in disease processes

Identify racial/ethnic variables that may impact physiological functioning

Evaluate the impact of patient characteristics on disorders and altered physiology

The Assignment

Develop a 1- to 2-page case study analysis in which you:

Explain why you think the patient presented the symptoms described.

Identify the genes that may be associated with the development of the disease.

Explain the process of immunosuppression and the effect it has on body systems.

Things to remember:

APA format is required for all assignments

A minimum of three scholarly references is required for each assignment

Be sure that your references are no older than five years from the publication date

The writing center has APA templates that can be used and are very helpful

NURS_6501_Week 2_Case Study_Assignment_Rubric – NURS 6501 Week 2 – A 24-year-old male presents to the clinic with a chief complaint of developing large areas of dandruff to his scalp and pitting of his fingernails

NURS_6501_Week 2
_Case Study_Assignment_Rubric

Criteria

Ratings

Pts

Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following:Explain why you think the patient presented the symptoms described.

30 to >27.0 pts

Excellent

The response accurately and thoroughly describes the patient symptoms. … The response includes accurate, clear, and detailed reasons, with explanation for the symptoms supported by evidence and/or research, as appropriate, to support the explanation.

27 to >24.0 pts

Good

The response describes the patient symptoms. … The response includes accurate reasons, with explanation for the symptoms supported by evidence and/or research, as appropriate, to support the explanation.

24 to >22.0 pts

Fair

The response describes the patient symptoms in a manner that is vague or inaccurate. … The response includes reasons for the symptoms, with explanations that are vague or based on inappropriate evidence/research.

22 to >0 pts

Poor

The response describes the patient symptoms in a manner that is vague and inaccurate, or the description is missing. … The response does not include reasons for the symptoms, or the explanations are vague or based on inappropriate or no evidence/research.

30 pts

Identify the genes that may be associated with the development of the disease.

25 to >22.0 pts

Excellent

The response includes an accurate, complete, detailed, and specific analysis of the genes that may be associated with the development of the disease.

22 to >19.0 pts

Good

The response includes an accurate analysis of the genes that may be associated with the development of the disease.

19 to >17.0 pts

Fair

The response includes a vague or inaccurate analysis of the genes that may be associated with the development of the disease.

17 to >0 pts

Poor

The response includes a vague or inaccurate analysis of the genes that may be associated with the development of the disease is missing.

25 pts

Explain the process of immunosuppression and the effect it has on body systems.

30 to >27.0 pts

Excellent

The response includes an accurate, complete, detailed, and specific explanation of the process of immunosuppression and the effect it has on body systems.

27 to >24.0 pts

Good

The response includes an accurate explanation of the process of immunosuppression and the effect it has on body systems.

24 to >17.0 pts

Fair

The response includes a vague or inaccurate explanation of the process of immunosuppression and the effect it has on body systems.

17 to >0 pts

Poor

The response includes a vague or inaccurate explanation of the process of immunosuppression and the effect it has on body systems.

30 pts

Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.

5 to >4.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. … A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

4 to >3.0 pts

Good

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. … Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.

3 to >2.0 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. … Purpose, introduction, and conclusion of the assignment are vague or off topic.

2 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. … No purpose statement, introduction, or conclusion were provided. 5 pts Written Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation 5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.0 pts

Good

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3 to >2.0 pts

Fair

Contains several (3 or 4) grammar, spelling, and punctuation errors.

2 to >0 pts

Poor

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts

Written Expression and Formatting –
The paper follows correct APA format
for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.

5 to >4.0 pts

Excellent

Uses correct APA format with no errors.

4 to >3.0 pts

Good

Contains a few (1 or 2) APA format errors.

3 to >2.0 pts

Fair

Contains several (3 or 4) APA format errors.

2 to >0 pts

Poor

Contains many (≥ 5) APA format errors.

5 pts

Total Points: 100 NURS 6501 Week 2 – A 24-year-old male presents to the clinic with a chief complaint of developing large areas of dandruff to his scalp and pitting of his fingernails

Back to Module 3: Psychopharmacology for Anxiety and Neurocognitive Disorders

Assignment: Patient Case Scenario: Debate Podcast

This week, you will present and defend an assigned stance (pro or con) and specific medication for a patient case study scenario via podcast recording. Within the podcast, you will also share your perspective on why the alternative medication class would not be appropriate for the patient case scenario.

Support your answers with evidence-based, peer-reviewed scholarly literature.

Note
: APA style format with citations and references will apply.

As a reminder, these were the assigned medications:

 

Pro

Con

Amphetamine

Amphetamine

Methylphenidate

Methylphenidate

Alpha Adrenergic Agonist

Alpha Adrenergic Agonist

Non-Stimulant

Non-Stimulant

Level 2: AI for Study and Planning Support

AI use is 
required
 and is to be used for brainstorming, outlining, or studying

You are fully responsible for the final work

Resources

Be sure to review the Learning Resources before completing this assessment.

Required Resources

To prepare:

Review the Required Learning Resources.

Review your research regarding your position and medication.

Consider how you will apply your specific position and medication to the presented patient case.

By Sunday of Week 6

Submit 
a link to a 5-minute podcast for your selected concept, focusing on modifiable and nonmodifiable risk factors. You are welcome to be as creative as you want to be, but you should aim to be concise in your delivery. Remember, the more you understand the concept, the more concise you can be with your audience.

Additionally, you 
must submit a completed AI Assessment Template
 as part of your submission.

Submission Information – Podcast

To submit your completed assignment, save your Assignment as 
MD3Assgn1PT1_LastName_FirstInitial

Then, click on 
Start Assignment
 near the top of the page.

Next, click on 
Text Entry
 tab, and add your Podcast link.

Next, agree to the End-User License Agreement.

Finally, select 
Submit Assignment
 for review.

Submission Information –  AI Assessment Template

To submit your completed assignment, save your Assignment as 
MD3Assgn1PT2_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_6630_Module3_Assignment_Rubric

NURS_6630_Module3_Assignment_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning Outcome
Shows Photo ID Displayed and Dressed ProfessionallyStudent

10
 pts
Excellent
Photo ID is clearly displayed and faculty are able to identify the student. The student is dressed professionally with a lab coat.

0
 pts
Poor
Photo ID is not clearly displayed (faculty cannot make out the student) or displayed at all. *Student must remedy this or grade will be a ZERO. The student is not dressed professionally with a lab coat.

10
 pts

This criterion is linked to a Learning Outcome
Podcast discusses student’s stance (either pro or con) on the medication to the presented patient case.

30
 
to >
26.82
 pts
Excellent
Provides a fully developed discussion of the student’s medication and stance (either pro or con) to the presented patient case.

26.82
 
to >
23.82
 pts
Good
Provides an adequately developed discussion of the student’s medication and stance (either pro or con) to the presented patient case.

23.82
 
to >
20.82
 pts
Fair
Provides a minimally developed discussion of the student’s medication and stance (either pro or con) to the presented case.

20.82
 
to >
0
 pts
Poor
Does not provide a discussion of the student’s medication and stance (either pro or con) to the presented case.

30
 pts

This criterion is linked to a Learning Outcome
Podcast is supported by evidence-based, peer reviewed scholarly articles and includes AI Submission details.

20
 
to >
17.88
 pts
Excellent
Uses at least 3 evidence-based, peer-reviewed articles and includes AI submission details.

17.88
 
to >
15.88
 pts
Good
Uses at least 2 evidence-based, peer-reviewed articles and includes AI submission details.

15.88
 
to >
13.88
 pts
Fair
Uses 1 evidence-based, peer-reviewed article and AI submission details.

13.88
 
to >
0
 pts
Poor
Does not use evidence-based, peer-reviewed articles and AI submission details may be missing or incomplete

20
 pts

This criterion is linked to a Learning Outcome
Professionalism

15
 
to >
13.41
 pts
Excellent
The podcast is consistently professional, well-communicated, and easy to follow.

13.41
 
to >
11.91
 pts
Good
The podcast is mostly professional, well-communicated, and easy to follow.

11.91
 
to >
10.41
 pts
Fair
The podcast is minimally professional. Some parts are poorly communicated and difficult to follow.

10.41
 
to >
0
 pts
Poor
The podcast is disorganized, unclear, or incomplete.

15
 pts

This criterion is linked to a Learning Outcome
Speaker Delivery

15
 
to >
13.41
 pts
Excellent
Speaker delivery is consistently engaging and clear.

13.41
 
to >
11.91
 pts
Good
Speaker delivery is mostly engaging and clear.

11.91
 
to >
10.41
 pts
Fair
Speaker delivery is minimally engaging. Some sections lack clarity.

10.41
 
to >
0
 pts
Poor
Speaker delivery is unclear or incomplete.

15
 pts

This criterion is linked to a Learning Outcome
Source Attribution and APA Formatting

5
 
to >
4.46
 pts
Excellent
All sources are cited in APA format without any errors… All images from sources include proper attribution without APA formatting errors.

4.46
 
to >
3.96
 pts
Good
All sources are cited in APA format with some minor errors… All images from sources include proper attribution with minor APA formatting errors.

3.96
 
to >
3.46
 pts
Fair
All sources are cited with frequent APA formatting errors… All images from sources include improper attribution with frequent APA formatting errors.

3.46
 
to >
0
 pts
Poor
Excludes source citations or shows minimal adherence to APA formatting rules… All images from sources lack attribution.

5
 pts

This criterion is linked to a Learning Outcome
Time

5
 pts
Excellent
The video does not exceed the 6-minute time limit.

3.46
 pts
Poor
The video exceeds the 6-minute time limit. (Note: Information presented after the 6 minutes will not be evaluated for grade inclusion.)

5
 pts

Total Points: 
100

How to Pass the TEAS Test

The TEAS Test is a deal for students who want to get into nursing and healthcare programs. The Test of Essential Academic Skills or TEAS for short is an exam that tests your skills in Reading, Mathematics, Science and English and Language Usage. The TEAS test is made by ATI, which’s short for Assessment Technologies Institute.

To do well on the TEAS test you need to have a plan. You need to understand what the test is like and what it covers. The test has four parts: Reading, Mathematics, Science and English and Language Usage. Each part tests skills that you need to succeed in nursing school. If you find that doing it on your own might delay your admission or make it completely impossible to join nursing school,
we help students pass the TEAS test
so that they can pursue their nursing career.

You should make a study plan that works for you. This means setting aside time each day to study, making goals and taking practice tests. You should also review what you have learned and take breaks so you do not get too tired. It is better to study a little each day than to try to cram everything into one or two days.

Using study materials is also important. You can use the TEAS study guide and practice tests to help you get ready. There are also resources like books, online courses and flashcards that can help. Just make sure the materials you use are up to date because the test can change over time.

The Reading part of the test is about understanding what you read. You need to be able to identify the idea understand what the author is saying and make good guesses based on the information. You can practice by reading articles and books and by taking practice tests.

The Math part of the test can be tough. You can get better with practice. You need to review math concepts like fractions, decimals and percentages. You should also practice solving problems without using a calculator.

The Science part of the test is often the part. It covers a lot of topics like anatomy and physiology, biology and chemistry. You need to understand the concepts not just memorize facts. You can use diagrams, flashcards and videos to help you learn.

The English and Language Usage part of the test is about grammar, punctuation and vocabulary. You need to review the rules of grammar and practice using them. You can also read books and articles to improve your vocabulary and grammar skills.

Taking practice tests is one of the ways to get ready for the TEAS test. You can take practice tests online. Use a study guide. This will help you get used to the format of the test. Identify areas where you need to improve.

On the day of the test you should be confident and ready. You should review what you have learned get a nights sleep and eat a healthy breakfast. You should also arrive early. Be ready to do your best.

In the end passing the TEAS test is an achievement. It takes work and dedication but it is worth it. You can do it if you make a plan study hard and stay focused. Remember to take care of yourself and stay calm. You will be on your way to a great career in nursing or healthcare.

Here are some things to keep in mind:

* Make a study plan and stick to it

* Use good study materials

* Practice, practice, practice

* Take care of yourself. Stay calm

* Review what you have learned and take breaks

* Get sleep and eat well

The TEAS test is not just about knowing things it is also about being prepared and confident. You can do it if you try. The TEAS test is a step towards a great career so do not be afraid to take it. You will be glad you did.

So if you want to pass the TEAS test you need to be ready to work and study a lot. You need to make a plan and stick to it, we help even though its a proctored exam. You need to take care of yourself. You can do it. It will be worth it, in the end. The TEAS test is a deal but it is not impossible. You can pass it. Achieve your goals.

Mastering the TEAS 7 is a deal for people who want to be nurses and other health professionals. The Assessment Technologies Institute (ATI) Test of Essential Academic Skills (TEAS) is an important test that measures how ready you are for school in four main areas: Reading, Mathematics, Science and English and Language Usage.

When schools are deciding who to let in they often look at your TEAS score much as your overall grade point average. To do well on the TEAS you need to be more than familiar with what you learned in high school. The TEAS 7 test has problems and different types of questions that test how well you can think critically and work under time pressure. If you don’t trust yourself to pass,
you can rely on us; we will ensure that you pass

with no hustle.

To succeed, you need a plan that combines understanding how your brain works, managing your time well and really knowing the material. This guide will show you how to prepare for the TEAS 7, including how the test’s structured, how to study for each subject and how to stay focused.

1. Understanding the Test: Structure, Scoring and Design

You cannot do well on a test if you do not understand how it works. The TEAS 7 has 170 questions, with 150 that count towards your score and 20 that do not. You have 209 minutes or 3 hours and 29 minutes to finish the test.

Each part of the test has its timer. If you finish one part early you cannot use that time on the next part. Here is how the test is divided:

– Reading: 39 scored questions, 5 questions, 55 minutes

– Mathematics: 34 scored questions, 8 unscored questions, 57 minutes

– Science: 44 scored questions, 10 unscored questions, 60 minutes

– English and Language Usage: 33 scored questions, 7 unscored questions, 37 minutes

The TEAS 7 also has different types of questions including:

– Multiple-Choice: You choose one answer from four options.

– Select All That Apply (SATA): You choose all the answers from a list.

– Supply in the Blank: You type in a specific answer.

– Hot Spot: You click on a part of a picture to answer the question.

– Ordered Response: You put a list of items in the correct order.

2. A Study Plan: The 6-to-8 Week Framework

You cannot just cram for the TEAS. You need to study over time to really learn the material. Here is a plan that you can follow over 6 to 8 weeks studying 12 to 15 hours per week:

6-8 WEEK STUDY TIMELINE |

| PHASE 1: Diagnostic & Baseline (Week 1) |

| -> Take a full practice test -> Find out what you need to work on -> Make a study schedule|

| PHASE 2: Heavy Content Acquisition (Weeks 2-4) |

| -> Review material actively -> Focus on Science and Math -> Do not just read your notes |

| PHASE 3: Refinement & Alternative Formats (Weeks 5-6) |

-> Practice SATA and Hot Spot questions -> Take timed quizzes -> Work on speed |

| PHASE 4: Full Simulation & Tapering (Final Week) |

-> Take full practice tests -> Review what you got wrong -> Rest before the test |

Phase 1: Diagnostic Benchmarking (Week 1)

You need to start by taking a full practice test to see what you need to work on. Then you can make a study schedule that focuses on your weaknesses.

Phase 2: High-Yield Content Acquisition (Weeks 2–4)

In this phase you will review the material focusing on Science and Mathematics. You need to review the material not just read it. Try using flashcards or writing down what you have learned from memory.

Phase 3: Execution and Alternative Formats (Weeks 5–6)

Now that you have reviewed the material you need to practice applying it. This means doing lots of practice questions, including SATA, Hot Spot and Supply-in-the-Blank questions.

Phase 4: Full-Scale Simulation and Tapering (Final Week)

In the week you should take full practice tests to simulate the real test. Then review what you got wrong and rest before the test.

3. Subject Material Strategies

The Science section is one of the parts of the TEAS, with 50 questions and 60 minutes to finish. You need to focus on Human Anatomy and Physiology well as Biology, Chemistry and Scientific Reasoning.

For Anatomy and Physiology focus on the 11 organ systems and tissue profiles.

For Biology and Chemistry focus on cell biology, kinetics and solutions.

For Reasoning focus on variable isolation and experimental design.

To do well on the test you need to study Anatomy and Physiology. Do not try to memorize structures on their own. Instead study them by looking at how the structure and function’re related and how the body keeps itself in balance.

For the Cardiovascular and Respiratory Systems you need to know the pathway of blood through the body. This includes the inferior vena cava, right atrium, tricuspid valve, right ventricle, pulmonary valve, pulmonary arteries, lungs, pulmonary veins left atrium, bicuspid or mitral valve left ventricle and aortic valve. You also need to understand how changes in blood carbon dioxide levels affect the bodys pH and how this affects breathing rate.

The Gastrointestinal System is also important. You need to memorize the enzymes, where they are produced where they work and what they do. For example pepsinogen is produced by cells in the stomach and is activated by hydrochloric acid to become pepsin, which breaks down proteins.

You should also understand the Neuromuscular and Skeletal Systems. Make sure you know the difference between osteoblasts, which build bone and osteoclasts which break down bone. You should also understand how muscles contract and the roles of calcium ions, troponin, tropomyosin and adenosine triphosphate.

Biology and Chemistry are fundamental. You need to master the functions of parts of cells especially the mitochondria, endoplasmic reticulum, Golgi apparatus and lysosomes. You should be able to tell the difference between mitosis, which’s the division of regular cells and meiosis which is the production of gametes.

Chemical principles are also important. You should be able to balance chemical equations and understand concepts like molarity and the properties of water. You should also know about the scale and how it works.

Scientific reasoning is crucial. You need to be able to identify the variables in an experiment, including the variable, the dependent variable and the controlled variables.

The math section of the test assesses your knowledge of numbers, algebra and measurement. You will be given a calculator but it is basic so you need to know how to do math by hand. You should be able to add, multiply and divide fractions quickly and understand ratios, proportions and percentages. You should also know how to convert between units of measurement.

To do well on the reading section you need to be able to analyze passages quickly. Use a reading strategy, where you read the questions first and then look for the answers in the passage. You should be able to identify the idea of the passage and distinguish between fact and opinion.

The English and Language Usage section tests your knowledge of grammar and vocabulary. You should be able to identify the parts of a sentence and know how to use punctuation correctly. You should also be able to break down words into their parts to figure out their meanings.

To prepare for the
test, which is proctored
, you should use tactical testing mechanics and error analysis. When you practice use the isolation technique for select all that apply questions, where you evaluate each option separately. You should also systematically eliminate distractors, which’re incorrect options that are designed to distract you.

Keep an error log to track your mistakes and identify areas where you need to improve. For each mistake identify the concept you missed the root cause of the failure, the underlying logic of the answer and the preventative strategy for next time. Anatomy and Physiology questions require you to understand the structure and function of the body.

Math questions require you to be able to do calculations by hand including fractions and conversions. Reading comprehension questions require you to be able to analyze passages quickly and identify the main idea. English and Language Usage questions require you to know grammar and vocabulary.

By following these tips and practicing regularly you can do well on the test. Remember to stay focused and use your time wisely. The test is challenging. With the right preparation you can succeed. Anatomy and Physiology are key to understanding how the body works.

You need to know how the different systems of the body work together. The Cardiovascular and Respiratory Systems are closely. You need to understand how they function together. The Gastrointestinal System is also important. You need to know how it works to keep the body healthy.

The Neuromuscular and Skeletal Systems are also crucial. You need to understand how they work together to allow the body to move. Biology and Chemistry are fundamental to understanding how the body works and you need to have a foundation in these subjects.

The math section of the test requires you to be able to do calculations by hand. You need to be able to convert between different units of measurement. The reading section requires you to be able to analyze passages quickly and you need to be able to identify the main idea.

The English and Language Usage section requires you to know grammar and vocabulary. You need to be able to break down unfamiliar words into their parts to figure out their meanings. By following these tips and practicing regularly you can do well on the test. Anatomy and Physiology are essential to understanding how the body works.

You need to know how the different systems of the body work together to keep the body healthy. The test is challenging. With the right preparation you can succeed. Remember to stay focused and use your time wisely. The test requires you to have a foundation in Biology and Chemistry as well as math and reading comprehension.

You need to be able to analyze passages quickly and identify the main idea. You also need to know grammar and vocabulary and be able to break down words into their parts to figure out their meanings. By practicing and using the right strategies you can do well on the test. Anatomy and Physiology are key to understanding how the body works.

You need to know how the different systems of the body work together to keep the body healthy. The test is challenging. With the right preparation you can succeed. Remember to stay focused and use your time wisely. The test requires you to have a foundation in Biology and Chemistry as well, as math and reading comprehension.

You need to be able to analyze passages quickly and identify the main idea. You also need to know grammar and vocabulary and be able to break down words into their parts to figure out their meanings. By practicing and using the right strategies you can do well on the test.

5. Managing Your Mind and Making the Most of Test Day

When you are taking an exam like this your body gets really stressed out. Your heart beats faster you get anxious. You might even have trouble thinking clearly. If you do not control this stress it can make it hard for you to remember things you already know.

To Manage Stress on Test Day

Box Breathing: If you start to feel really overwhelmed or you get a questions that are really hard stop for 30 seconds or
get
TEAS 7 exam help from us
. Try box breathing: breathe in for 4 seconds hold it for 4 seconds breathe out for 4 seconds and hold it again for 4 seconds. This helps your body relax and clears your mind.

Strategic Pacing: Do not let one hard question mess up your test. If a question takes long make a smart guess mark it to come back to later and move on. Answer the questions first and then come back to the hard ones if you have time.

No Penalty for Wrong Answers: The TEAS 7 test only cares about the questions you get right. You will not lose points for answers. So if you do not know an answer just guess. In the two minutes of the test fill in an answer for every question even if you are not sure. You have a 25 percent chance of getting it right.

Passing the ATI TEAS 7 test is something you can achieve if you prepare well and do not just rely on luck. Treat getting ready for the test like a job. It will be easier to handle.

Start by taking a practice test to see what you need to work on and then make a study plan for the 6 to 8 weeks. Of just reading, use flashcards and take practice quizzes to help you remember things. Study the systems of the body how to convert doses how to read passages and the rules of grammar. Use strategies like treating some questions, like true or false keeping track of your mistakes and managing your time well. If you stick to your plan and work hard you will be able to handle the test and get into the nursing or health program you want.

How to Pass Proctored Exams

Proctored exams are used by schools, certification programs, and professional licensing exams to make sure students are honest and really know the material. These exams are different from tests because someone is watching you either in person or online. This can be scary for students. It is possible to pass a proctored exam if you prepare well study effectively, and manage your time.

To do well on an exam, you need to have a plan and be confident. You should know what to expect and how to handle the test if you expect to pass. However, should you require 
assistance with your proctored exams
, we are here to help
, as we have helped many other students.

Understanding the Nature of Proctored Exams

The thing you need to do to pass a proctored exam is understand what it is. Proctored exams are designed to make sure you do the work by yourself and do not cheat. When you take a proctored exam online the computer will watch what you are doing. Make sure you are not looking at anything you should not be. If you take the exam in person, a teacher or test administrator will be there to make sure you follow the rules.

You should read all the instructions before the exam so you know what to do. This will help you avoid getting stressed out because you do not know what is going on. You should know what you can. Cannot bring to the exam, how the exam will be given and what you need to do to take it.

Develop a Comprehensive Study Plan

To pass a proctored exam you need to study. You should start studying a time before the exam, not just a few days before. Make a schedule. Stick to it. This will help you learn everything you need to know without getting too stressed out.

Your study plan should include:

* study sessions

* Learning goals

* Regular review periods

* Practice examinations

* Scheduled breaks

Breaking up your studying into parts will help you remember things better. Studying a bit every day is better than trying to cram all your studying into one or two long sessions.

Use Effective Study Techniques

Just reading your book or looking at your notes is not enough to learn something. You need to use techniques to help you understand and remember things.

Some good ways to study include:

* Practice questions and quizzes

* Flashcards

* Concept mapping

* Group discussions

* Teaching concepts to others

* Self-testing

Practice tests are very helpful. They help you find out what you do not know and get you used to taking tests. The more you practice the better you will be at taking tests.

Take Practice Exams

Practice exams are one of the ways to get ready for a proctored exam. They help you get used to the test and build your confidence.

Some benefits of practice exams include:

* Helping you manage your time

* Getting you used to the types of questions on the test

* Reducing your stress

* Helping you find out what you do not know

* Building your endurance

You should try to take full-length practice tests. After you take a practice test you should go over the questions you got wrong and try to understand why the right answer is right.

Manage Time

Managing your time is very important when you are taking a proctored exam. Many students do not do well on tests because they do not use their time well not because they do not know the material.

When you are studying you should focus on the things that’re hard for you. During the test you should keep track of how time you have left and make sure you have time to answer all the questions.

Some good ways to manage your time include:

* Answering the questions first

* Marking the questions and coming back to them later

* Keeping track of how time you have left

* Working at a pace

If you manage your time well you will have time to answer all the questions and do your best.

Prepare Your Testing Environment

If you are taking a proctored exam online the place where you take the test can affect how well you do. You should find a place where you can focus and make sure you have everything you need.

Before the test you should:

* Find a room

* Make sure the room is well lit

* Clear your desk of anything you should not have

* Turn off your phone and any other distractions

* Tell the people you live with that you are taking a test

If you have a place to take the test you will be able to focus and do your best.

Verify Technical Requirements

If you are taking a proctored exam online you need to make sure your computer and internet are working well. You should check everything before the test to make sure it is working.

Some things you should check include:

* Your computer

* Your internet connection

* Your webcam

* Your microphone

* The exam software

If you check everything before the test you will not have any problems during the test.

Reduce Test Anxiety

Many students get nervous when they are taking an exam. Even if you are well prepared you can still feel anxious.

Some things that can help you reduce your anxiety include:

* breathing

* Positive self-talk

* Practicing regularly

* Exercising

* Getting sleep

If you are prepared and confident you will feel better when you are taking the test.

Follow Exam Rules Carefully

When you are taking a proctored exam you need to follow all the rules. If you do not you could get in trouble. Your test could be invalidated.

You should read all the rules before the test. Make sure you understand them as we do, even as we
help you pass
. Some things you should know include:

* What you. Cannot bring to the test

* How to use a calculator

* How to take notes

* What to do if you need to take a break

* What kind of identification you need

If you follow the rules you will not have any problems during the test.

Apply Effective Test-Taking Strategies

When you are taking a proctored exam you need to have a plan. You should read each question carefully. Think about the answer.

Some strategies that can help you include:

* Reading each question carefully

* Eliminating answers that’re clearly wrong

* Staying focused

* Reviewing your answers

If you use these strategies you will do better on the test.

Maintain Physical and Mental Health

To do on a proctored exam you need to be healthy. You should get sleep eat well and exercise.

Some healthy habits include:

* Getting sleep

* Eating well

* Staying hydrated

* Exercising

* Taking breaks

Sleep is very important. It helps you learn and remember things. You should try to get plenty of sleep before the test.

Prepare for Exam Day

The day before the test you should review what you have learned and relax. You should not try to learn things the day before the test.

Before the test you should:

* Review what you have learned

* Get your identification ready

* Make sure you have everything you need

* Get a nights sleep

On the day of the test you should get there early or log in early. This will give you time to fix any problems that come up. If you are calm and confident you will do better on the test.

Passing an exam is not just about knowing the material. It is, about being prepared studying well and managing your time. If you have a plan and are confident you can do well on an exam. Proctored exams may seem scary. If you prepare well you can do great. With work and a good plan you can pass a proctored exam and do well in school.

NR536 Week 6 Judith Villalobos iHuman Virtual Patient Encounter Worksheet

 

Name:

 

Directions:
Complete the worksheet by answering the questions below.

 

Analyze the
Judith Villalobos iHuman Virtual Patient Encounter
virtual simulation experience from the perspective of a nurse educator, using the ADPIE (Assessment, Diagnosis, Planning, Intervention, Evaluation) framework.

 

A

Assessment

 

·        Evaluate how the virtual simulation experience promoted the development of clinical judgment and application of core nursing concepts.

 

·        Identify elements of the simulation (e.g., scenario complexity, client responses, fidelity) that most contributed to learning.

[Type here]

D

Diagnosis

 

·        Identify at least one barrier or challenge educators face when implementing virtual simulation (e.g., technology, cost, realism, inclusivity).

 

[Type here]

P

Planning

 

·        Identify the importance of structured debriefing after virtual simulation.

 

·        Identify one way in which educators can facilitate reflection on the Judith Villalobos iHuman virtual patient encounter to help learners connect theory to practice.

[Type here]

I

Intervention

 

·     Propose at least one teaching strategy you would implement to overcome barriers and enhance learner engagement, inclusivity, and connection between theory and practice.

[Type here]

E

Evaluation

 

·        Evaluate the virtual simulation experience to identify ways to modify or enhance the use of virtual simulation as a teaching strategy, ensuring it effectively addresses diverse learner needs across cognitive, psychomotor, and affective domains to achieve improved outcomes.

[Type here]

 

 

General Instructions  

Review the i-Human Virtual Patient Encounter Orientation Module if needed. Requirements, tutorials, and a practice case are provided.

Access and complete the Judith Villalobos i-Human Virtual Patient Encounter.

You have three attempts at the case.

Take notes on the case to aid in completion of the virtual patient encounter worksheet.

When you have completed a case, click Submit. Review the final score and feedback provided by i-Human.

Scores are adjusted based on your performance level.

Faculty will convert your highest score in i-Human to points earned in the grading rubric below.

Download the 
Judith Villalobos i-Human Virtual Patient Encounter Worksheet
Download Judith Villalobos i-Human Virtual Patient Encounter Worksheet
Open this document with ReadSpeaker docReader 
. Use of this template is recommended. You may choose to create your own template; however, it must include all of the components in the rubric. See the rubric.

Answer the questions on the 
Judith Villalobos i-Human Virtual Patient Encounter Worksheet
Download Judith Villalobos i-Human Virtual Patient Encounter Worksheet
Open this document with ReadSpeaker docReader 
after completing the case.

Include the following sections (detailed criteria listed below and in the grading rubric). Answer the questions under each section with explanation and detail.

Section 1: Assessment 

Evaluate how the virtual simulation experience promoted the development of clinical judgment and application of core nursing concepts.

Identify elements of the simulation (e.g., scenario complexity, client responses, fidelity) that most contributed to learning.

Section 2: Diagnosis 

Identify at least one barrier or challenge educators face when implementing virtual simulation (e.g., technology, cost, realism, inclusivity).

Section 3: Planning 

Identify the importance of structured debriefing after virtual simulation.

Identify one way in which educators can facilitate reflection on the Judith Villalobos i-Human virtual patient encounter to help learners connect theory to practice.

Section 4: Intervention 

Propose at least one teaching strategy you would implement to overcome barriers and enhance learner engagement, inclusivity, and connection between theory and practice.

Section 5: Evaluation 

Evaluate the virtual simulation experience to identify ways to modify or enhance the use of virtual simulation as a teaching strategy, ensuring it effectively addresses diverse learner needs across cognitive, psychomotor, and affective domains to achieve improved outcomes. NR536 Week 6 Judith Villalobos iHuman Virtual Patient Encounter Worksheet

NURS 6512 Module 2 week 4 Simulation Case Study #2: Comprehensive Health History and a Focused Physical Examination

Module 2: General, HEENT, Neck, and Skin

Simulation Case Study #2: Comprehensive Health History and a Focused Physical Examination

Simulation case studies can help you strengthen your advanced assessment and documentation skills, supporting accurate clinical reasoning and prepare you for future patient encounters. This simulation assignment allows you to demonstrate your ability to collect and document both subjective and objective data during a comprehensive health assessment.

Level 1: No AI Permitted

AI tools may 
not
 be used at any stage

Common for clinical documentation or performance‑based work

Resources

 

Be sure to review the Learning Resources before completing this assessment.

Required Resources

To prepare:

Review Learning Resources in Weeks 1–4.

Download and review the “
Comprehensive Health History Reference Sheet
” and the “
Physical Exam Reference Sheet
 
Download
.”

Access 
Simulation Case Study #2: Painful Rash

Review current evidence-based guidelines related to the patient complaint.

Download the Assignment Template
 

The Assignment 

Based on the case, complete document a comprehensive health history (subjective data only) and a focused physical examination (objective data only).

Do NOT provide: 

A diagnosis

A differential diagnosis list

A treatment plan

Prescriptions

Patient education

This assignment evaluates assessment and documentation skills only. 

Expand the health history and focused physical examination results as appropriate by identifying and documenting expected findings. You may include your own version of history sections as you see fit. In other words, you can formulate your own health history and objective data of the patient as long as it is 
properly documented.

Part I: Comprehensive Health History (Subjective Data Only)

Reminder:
 The health history includes only information provided by the patient. It should not include physical exam findings.

You must: 

Expand the HPI using OLDCARTS

Write the HPI as a cohesive paragraph (not bullet points)

Include complete PMH, PSH, medications, allergies, preventive health, social history, and SDOH

Complete a comprehensive or focused ROS (subjective only)

Part II: Focused Physical Examination (Objective Data Only)

Reminder:
 The physical exam includes only what the clinician observes, palpates, percusses, or auscultates.

You must: 

Perform and document a focused examination appropriate to the chief complaint,

Determine and document what objective findings you would expect to assess and record based on your clinical reasoning.

NURS 6512 Module 2 week 4 Simulation Case Study #2: Comprehensive Health History and a Focused Physical Examination

Documentation Expectations 

You must:

Clearly separate subjective and objective data

Avoid including patient-reported symptoms in the physical exam section

Avoid including exam findings in the history section

Use professional medical terminology

Demonstrate logical organization

Align examination scope with the chief complaint

Evidence-Based Practice Requirement 

Your documentation must incorporate a minimum of three, evidence-based scholarly references published within the last five years (≤ 5 years old). Cite all sources in APA format.

References must support: 

Clinical assessment of integumentary complaints

Focused skin examination principles

Any portion of the reflection section

Acceptable Sources: 

Peer-reviewed journal articles

CDC clinical guidance

IDSA guidelines

Advanced practice nursing scholarly texts

WHO clinical documents

Unacceptable Sources: 

Patient education websites (e.g., Mayo Clinic, Cleveland Clinic, WebMD, Healthline)

Wikipedia

Blogs or commercial health sites

All references must be cited in APA format.

Part III: Reflection (1–2 pages)

After completing your comprehensive health history and focused physical examination, submit a reflection addressing the reflection prompts in the assignment template. This reflection is designed to help you strengthen your ability to clearly separate subjective and objective findings while performing an integumentary assessment.

By Sunday of Week 4

Submit
 your 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 
MD2Assgn_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_Module2_Assignment_Rubric

NURS_6512_Module2_Assignment_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning Outcome
Part I: Comprehensive Health History (Subjective Data Only)… Demonstrates accurate and complete documentation of patient comprehensive health history (subjective data only) NURS 6512 Module 2 week 4 Simulation Case Study #2: Comprehensive Health History and a Focused Physical Examination.

25
 
to >
22.35
 pts
Excellent
Provides accurate and complete documentation of patient comprehensive health history (subjective data only).

22.35
 
to >
19.85
 pts
Good
Provides a mostly accurate and complete patient comprehensive health history (subjective data only); may contain some minor errors.

19.85
 
to >
0
 pts
Poor
Does not provide documentation of patient health history (subjective data only); documentation is inaccurate and/or incomplete.

25
 pts

This criterion is linked to a Learning Outcome
Part II: Focused Physical Examination (Objective Data Only)… Demonstrates accurate and complete documentation of patient focused physical examination (objective data only).

25
 
to >
22.35
 pts
Excellent
Provides accurate and complete documentation of patient focused physical examination (objective data only).

22.35
 
to >
19.85
 pts
Good
Provides a complete, mostly accurate documentation of patient focused physical examination (objective data only); may contain some minor errors.

19.85
 
to >
0
 pts
Poor
Does not provide documentation of patient focused physical examination (objective data only); data provided is inaccurate and/or incomplete.

25
 pts

This criterion is linked to a Learning Outcome
Part III: Reflection Section 1: Subjective vs. Objective Distinction…Identify two examples where it may have been challenging to separate subjective from objective data; Explain how you ensured that patient-reported symptoms remained in the history section; Explain how you ensured that only observable or measurable findings were included in the physical exam section.

15
 
to >
13.41
 pts
Excellent
Provides two fully developed examples of situations that posed a challenge separating subjective and objective data… Fully explains how they ensured that patient-reported symptoms remained in the history section… Fully explains how they ensured that only observable or measurable findings were included in the physical exam section.

13.41
 
to >
11.91
 pts
Good
Provides two adequately developed examples of situations that posed a challenge separating subjective and objective data… Adequately explains how they ensured that patient-reported symptoms remained in the history section… Adequately explains how they ensured that only observable or measurable findings were included in the physical exam section.

11.91
 
to >
0
 pts
Poor
Does not provide examples of situations that posed a challenge separating subjective and objective data; explanations are unclear or incomplete.

15
 pts

This criterion is linked to a Learning Outcome
Part III: Reflection Section 2: Additional Assessment Questions… Identify 2–3 additional questions you would ask to strengthen your subjective assessment…. For each question: State the question; Briefly explain why it is important; Describe how the response could guide your focused physical examination

10
 
to >
8.94
 pts
Excellent
Identifies 2–3 additional questions they would ask to strengthen their subjective assessment… Provides a fully developed explanation of why the question is important… Provides a fully developed description of how the response could guide their focused examination.

8.94
 
to >
7.94
 pts
Good
Identifies 2–3 additional questions they would ask to strengthen their subjective assessment… Provides an adequately developed explanation of why the question is important… Provides an adequately developed description of how the response could guide their focused examination. NURS 6512 Module 2 week 4 Simulation Case Study #2: Comprehensive Health History and a Focused Physical Examination

7.94
 
to >
0
 pts
Poor
Does not identify 2–3 additional questions they would ask to strengthen their subjective assessment; the questions provided are unclear, inaccurate, or incomplete.

10
 pts

This criterion is linked to a Learning Outcome
Part III: Reflection… Section 3: Professional Growth… Identify one area of your assessment skills that you would like to improve (e.g., documenting vesicular lesions, describing rash morphology, lymph node assessment). Briefly explain how you plan to strengthen that skill.

10
 
to >
8.94
 pts
Excellent
Identifies one area of their assessment skills they would like to improve… Provides a fully developed explanations of how they plan to strengthen that skill.

8.94
 
to >
7.94
 pts
Good
Identifies one area of their assessment skills they would like to improve… Provides an adequately developed explanations of how they plan to strengthen that skill.

7.94
 
to >
0
 pts
Poor
Does not identify one area of assessment skills they would like to improve; explanation is unclear, inaccurate, or incomplete.

10
 pts

This criterion is linked to a Learning Outcome
Uses at least 3 scholarly resources that are less than 5 years old.

5
 
to >
4.46
 pts
Excellent
Uses 3 peer-reviewed scholarly sources published within the last 5 years.

4.46
 
to >
3.96
 pts
Good
Uses 2 peer-reviewed scholarly sources published within the last 5 years.

3.96
 
to >
3.46
 pts
Fair
Uses 1 peer-reviewed scholarly source published within the last 5 years.

3.46
 
to >
0
 pts
Poor
Does not use peer-reviewed scholarly sources or sources used are older than 5 years.

5
 pts

This criterion is linked to a Learning Outcome
Source Attribution and APA Formatting

5
 
to >
4.46
 pts
Excellent
All sources are cited in APA format without any errors.

4.46
 
to >
3.96
 pts
Good
All sources are cited in APA format with some minor errors.

3.96
 
to >
3.46
 pts
Fair
All sources are cited with frequent APA formatting errors.

3.46
 
to >
0
 pts
Poor
Missing source citations and/or minimal adherence to APA formatting rules.

5
 pts

This criterion is linked to a Learning Outcome
Grammar, Mechanics, and Punctuation

NURS 6512 Module 2 week 4 Simulation Case Study #2: Comprehensive Health History and a Focused Physical Examination

5
 
to >
4.46
 pts
Excellent
Correct grammar, spelling, and punctuation with no errors.

4.46
 
to >
3.96
 pts
Good
Correct grammar, spelling, and punctuation with few errors.

3.96
 
to >
3.46
 pts
Fair
Correct grammar, spelling, and punctuation with frequent errors.

3.46
 
to >
0
 pts
Poor
Frequent errors in grammar, spelling, and punctuation that interfere with comprehension.

5
 pts

Total Points: 
100

NURS 6512 Week 2 Assignment Template

NURS 6512

Week 2 Assignment Template

Part I: Comprehensive Health History

Subjective Data

Chief Complaint (CC):

History of Present Illness (HPI):

Past Medical History (PMH):

Surgical History (PSH):

Medications:

Allergies:

Preventive Health:

Social History (social determinants of health):

Review of Systems (ROS)

General:

Skin:

HEENT:

Cardiac:

Respiratory:

Gastrointestinal (GI):

Genitourinary (GU):

Musculoskeletal (MSK):

Neurologic:

Psychiatric:

Endocrine:

Hematologic/Lymphatic/Immune:

 

 

Part II: Reflection (1 page minimum)

Part II, Section 1: Additional Questions

Identify 3–5 questions you would ask the patient to further strengthen your assessment. Make sure at least one question relates to social determinants of health.

For each question:

• State the question

• Explain why it is clinically important

• Describe how the answer could influence your assessment

NURS 6512 Week 2 Assignment Template

Part II, Section 2: Professional Growth

Identify one area where you would improve your interviewing skills based on this case. Briefly explain how you plan to strengthen that area.

 

NURS_6512_Module2_AssignmentTemplate

References

List 3–5 peer-reviewed references, less than 5 Years Old. Cite all sources in APA format.

NURS 6512 Week 2 Assignment Template

James Carter Simulation Case Studies – Painful Rash – NURS 6512 Module 2 week 4

Simulation Case Studies – Painful Rash

Painful Rash Presentation

James Carter

Age:
 52
Sex:
 Male
Race/Ethnicity: 
African American
Marital Status:
 Married
Occupation: 
Warehouse Supervisor
Insurance:
 Private
Living Situation:
 Lives with spouse

Chief Complaint (CC): 
Painful rash on my right side

Patient Statement

About four days ago I noticed this tingling and burning feeling on the right side of my chest. At first, I thought I had pulled a muscle because it was sore and sensitive to touch. Then two days ago, I noticed a rash starting in the same area. It started as small red bumps and now it looks like little blisters. It really burns and sometimes feels sharp, especially if my shirt rubs against it. The pain is about a 7 out of 10 James Carter Simulation Case Studies – Painful Rash – NURS 6512 Module 2 week 4.

It hasn’t spread anywhere else that I can tell. I haven’t had anything like this before. I did feel kind of tired earlier this week, but I haven’t had a fever that I know of. No new soaps, lotions, detergents, or outdoor exposures.

I’ve been under a lot of stress at work and haven’t been sleeping well. I tried over-the-counter hydrocortisone cream, but it hasn’t helped. James Carter Simulation Case Studies – Painful Rash – NURS 6512 Module 2 week 4