Tag: Clinical-Nursing

  • John Locke and Thomas Hobbes social contract theory essay

    John Locke and Thomas Hobbes social contract theory essay

    Topic B

    Using Vaughn’s Ch. 8 and the excerpts from Locke reprinted there, explain Locke’s view of human nature. Use details from the textbook to support your description of his view. Next, explain Hobbes’s view of human nature, again using details from the textbook to support your description of Hobbes’s view. How does Locke’s view of human nature differ from Hobbes’ view? Which thinker’s argument do you find more convincing? Explain fully, and defend your answer.

     

    John Locke and Thomas Hobbes social contract theory essay

    Essay 3: Topic B

    Understanding early modern theories of human nature is essential to grasping the development of political philosophy. Vaughn’s Chapter 8 examines the ideas of John Locke and Thomas Hobbes, two key figures who shaped liberalism and social contract theory. Locke portrays humans as morally capable and naturally inclined to cooperate through the concept of natural rights. In contrast, Hobbes emphasizes human insecurity, competition, and vulnerability in the absence of authority. These differing views of human nature underpin their distinct ideas about political legitimacy. This essay reviews Locke and Hobbes’s ideas, analyzing, quoting, and comparing their perspectives, and concludes that Locke’s perspective offers a more persuasive explanation of social order and human motivation.

    Locke’s view of human nature

    Locke’s perspective on human nature begins with the belief that everyone is inherently free and equal. Vaughn notes that Locke rejects the notion that humans are born under others’ control. Instead, Locke argues that each person possesses equal moral worth and fundamental rights (Vaughn, 2022). His view of human nature is orderly, grounded in a moral realm regulated by reason. Locke uses reason to show that all individuals are autonomous and equal, and thus no one should harm others’ lives, health, liberty, or possessions (Vaughn, 2022). This supports the idea that natural law persists even in the absence of a formal government. According to Locke, humans can recognize moral boundaries and adjust their conduct accordingly, laying the foundation for his later endorsement of limited political power.

    GET A HUMAN-WRITTEN PAPER HERE

    The account Locke presents emphasizes the strong belief that humans are rational. Vaughn notes that, for Locke, people can grasp natural law through reflection and shared moral principles (Vaughn, 2022). Humans are neither purely self-interested calculators nor merely saints. Instead, they possess faculties for reciprocity, restraint, and judgment. Locke acknowledges that people may violate natural law, but such violations are exceptions rather than the norm or inherent traits. This suggests that conflicts stem from bias, passion, or misjudgment rather than from inherent hostility. Because humans can understand rights and fairness, Locke argues that social cooperation is possible. His theory treats political society as a rational extension of natural moral relations, not an artificial imposition on inherently hostile beings John Locke and Thomas Hobbes social contract theory essay.

    Locke focuses on natural rights to clarify his view of human nature. Vaughn explains that Locke holds that each human being inherently has rights to life, liberty, and property, which derive from their status as humans rather than from societal institutions (Vaughn, 2022). He states that property is gained through labor: lawful ownership is established by combining one’s labor with resources. The process of acquiring property requires respect for others’ rights, foresight, and intentional effort. In addition, Locke emphasizes that limits should be respected, asserting that there must be a moral limitation on appropriation (Vaughn, 2022). These are clear boundaries, implying that humans have the capacity to balance moral duties with self-interest. For Locke, political authority exists mainly to protect existing rights rather than to establish morality.

    Locke remains optimistic about the state of nature but acknowledges its challenges. In this condition, individuals judge for themselves, which can lead to instability, conflicts, and biases (Vaughn, 2022). These challenges justify forming a government based on consent. He emphasizes that disorder stems from structural issues, not inherent evil, particularly the absence of dependable enforcement and impartial judgment. Consequently, a government is created to address these practical concerns while protecting natural freedoms. His view of human nature is moderate, noting that humans are moral and benefit from institutions that foster stability and reduce bias. This balanced perspective on human morality and the necessity of institutions sets Locke apart from more pessimistic thinkers.

    Hobbes’s view of human nature

    Vaughn explains that Hobbes’s perspective on human nature is distinct from other views. Hobbes believes that humans are mostly equal in intelligence and strength, but this equality leads to fear and competition (Vaughn, 2022). Since everyone desires the same resources and not everyone can have them, conflict is inevitable. Hobbes identifies three main causes of conflict: competition, diffidence (mutual distrust), and glory (reputation concerns) (Vaughn, 2022). Without a central authority, these tendencies can result in insecurity John Locke and Thomas Hobbes social contract theory essay. Hobbes describes life as “solitary, poor, nasty, brutish, and short,” emphasizing that the core human instinct is self-preservation.

    Hobbes’s view of human nature centers on psychological egoism. Vaughn notes that Hobbes holds that actions are primarily driven by self-interest, even those that may appear altruistic (Vaughn, 2022). Moral norms lack authority without enforcement because individuals cannot rely on others to observe them. The fear of violent death is the strongest motivator, prompting rational individuals to invoke the social contract to pursue peace. Nevertheless, attaining peace requires surrendering significant freedoms to a sovereign endowed with absolute power. This pessimistic view of human nature underscores the need for a strong, centralized government. Unlike Locke, Hobbes sees political order as a means to preserve stability in an inherently perilous environment, not as a protector of preexisting rights.

    Comparison

    Examining Locke’s and Hobbes’s arguments highlights key differences between optimistic and skeptical views. Locke sees humans as rational, morally guided, and able to identify their rights and duties without government (Vaughn, 2022). In contrast, Hobbes views humans as mistrustful, self-interested, and prone to conflict in the absence of coercive authority (Vaughn, 2022). Locke’s concept of the natural state involves moral principles, whereas Hobbes lacks a consistent idea of justice. As a result, Locke supports limited government based on individual rights and consent, while Hobbes champions near-absolute sovereignty. Their disagreement arises from contrasting beliefs about moral judgment, trust, and human motivation. Locke’s perspective reflects cautious optimism aligned with liberalism, whereas Hobbes’s skepticism favors authoritarian stability. These differing political views reflect their distinct understandings of human nature.

    Convincing argument

    Locke’s optimistic perspective appears more compelling. Daily human interactions reveal that, despite self-interest, people often act out of empathy or fairness, adhere to norms, and cooperate. This complexity is acknowledged by Vaughn’s interpretation, which recognizes both moral capacity and the importance of institutions (Vaughn, 2022). Although Hobbes rightly points to rivalry and insecurity, he appears singularly focused on egoism and fear, which limits the support for his arguments. Locke provides a more persuasive explanation of how moral expectations can persist even in loosely regulated settings. His approach accepts conflict without assuming universal hostility. In addition, Locke emphasizes consensus and rights, a view aligned with the modern values of accountability and dignity. Overall, Locke’s view of human nature offers a more nuanced, richer basis for political philosophy.

    Conclusion

    Vaughn’s Chapter 8 examines ideas about human nature and how they shape political systems. Locke’s positive view of morally capable, rational people supports a model grounded in natural rights and limited government. By contrast, Hobbes’s pessimistic view of humans as mistrustful and vulnerable justifies a powerful sovereign. Their contrasting perspectives (optimistic vs. pessimistic) highlight the ongoing debate about human nature. Overall, Locke presents a balanced outlook that more effectively explains how moral values, self-interest, and reason work together in human societies. By recognizing both institutional importance and ethical capacity, Locke makes a strong case for political systems that protect basic freedoms.

    Reference

    Vaughn, L. (2022).
    Philosophy Here and Now: Powerful Ideas in Everyday Life
    (4th ed.). Oxford University Press. John Locke and Thomas Hobbes social contract theory essay

  • NURS 6512: Physical Examination Reference Sheet

    NURS 6512: Physical Examination Reference Sheet

    NURS 6512 – Advanced Health Assessment & Diagnostic Reasoning

    Purpose: To guide students in documenting objective findings only during the physical

    examination.

    REMINDER: PHYSICAL EXAM = OBJECTIVE DATA ONLY

    This section should include only what you observe, measure, or assess — not what the patient

    reports. Do NOT include subjective statements or history.

    ✅ Correct (Objective): “Lungs clear to auscultation bilaterally; no wheezes, rales, or rhonchi.”

    ❌ Incorrect (Subjective): “Patient reports shortness of breath and chest tightness.”

    GENERAL FORMAT FOR PHYSICAL EXAM DOCUMENTATION

    • General: Appearance, distress, hygiene, orientation

    • Skin: Color, temperature, turgor, lesions, rashes

    • Head: Normocephalic, atraumatic

    • Eyes: PERRLA, EOMI, conjunctiva clear

    • Ears: TM intact, no erythema or effusion

    • Nose: Mucosa pink, septum midline, no discharge

    • Mouth/Throat: Mucosa moist, no erythema or exudate

    • Neck: Supple, no lymphadenopathy, thyroid non-enlarged

    • Cardiac: RRR, no murmurs, rubs, or gallops

    • Lungs: CTA bilaterally, no wheezes, rales, or rhonchi

    • Abdomen: Contour, bowel sounds, tenderness, organomegaly

    • GU: External genitalia, discharge, lesions, CVA tenderness (as indicated)

    • Musculoskeletal: ROM, strength, gait, deformities, tenderness

    • Lower Extremities: Edema, pulses, color, warmth, capillary refill, sensation

    • Neuro: CN II–XII grossly intact, strength and sensation symmetrical

    Chief Complaint, Must-Not-Miss Diagnoses, and Systems to Examine

    Identify high-priority conditions and focus your exam to rule them out.

    Chief Complaint Must-Not-Miss Diagnoses Systems to Examine

    Cough or Shortness of

    Breath

    Pneumonia, Pulmonary

    embolism, Myocardial

    infarction, Heart failure,

    Pneumothorax

    Respiratory, Cardiac, ENT,

    Skin (cyanosis), Lower

    Extremities (edema/DVT

    signs)

    Abdominal Pain Appendicitis, Bowel

    obstruction, Perforated

    Abdomen, GU, Cardiac,

    Respiratory, Skin

    ulcer, Ectopic pregnancy,

    Cholecystitis, Pancreatitis

    (jaundice), Neuro (pain

    localization)

    Headache Subarachnoid hemorrhage,

    Meningitis, Temporal

    arteritis, Intracranial mass,

    Hypertensive emergency,

    CVA (stroke)

    Neuro, HEENT, Neck, Eyes

    (fundoscopic), Cardiac (BP),

    Skin (rash/meningitis)

    Back Pain Cauda equina syndrome,

    Epidural abscess, Spinal

    fracture, Pyelonephritis,

    Abdominal aortic aneurysm

    (AAA)

    Musculoskeletal, Neuro,

    Abdomen, GU (CVA

    tenderness), Skin

    (infection)

    UTI Symptoms Pyelonephritis, Urosepsis,

    Pregnancy, Obstructive

    uropathy

    Abdomen, GU, CVA

    tenderness, Skin (fever

    signs), Neuro (confusion in

    elderly)

    Sore Throat Peritonsillar abscess,

    Epiglottitis, Mononucleosis,

    Streptococcal pharyngitis

    HEENT, Lymphatic, Neck,

    Cardiac, Respiratory

    (airway), Skin

    (rash/scarlatina)

    Rash Cellulitis, Meningococcemia,

    Stevens-Johnson syndrome,

    Drug reaction, Anaphylaxis

    Skin, Lymphatic, HEENT

    (mucosal lesions),

    Respiratory (distress),

    Cardiac (shock signs)

    Extremity/Joint Pain DVT, Septic joint, Fracture,

    Cellulitis, Compartment

    syndrome

    Musculoskeletal, Neuro,

    Lower Extremities (pulses,

    edema, warmth, sensation),

    Skin

    DOCUMENTATION TIP

    • Use head-to-toe format only for comprehensive exams (annuals, new patient, baseline).

    • Use focused format for problem-based visits.

    • Objective findings should align with your assessment and must-not-miss differential diagnoses.

  • NRNP 6541 week 10 assignment Articulate Assignment: Evolving Case Study: Preschool and School-Aged Children

    NRNP 6541 week 10 assignment Articulate Assignment: Evolving Case Study: Preschool and School-Aged Children

    The mother presents to your pediatric office with concerns that her 7-year-old son is not reading well and is failing English. The parent feels he gets distracted and loses focus. She states that he has poor attention to details.

     

    Administer a NICHQ Vanderbilt test

     

    Correct! The NICHQ Vanderbilt test is administered to evaluate for signs of attention deficit disorder.

     

     

    10 mg Methylphenidate ER (30/70) PO daily QAM

     

    Correct: This is generic for Metadate CD and is the best choice.

     

    The mother adds that her son has a history of club foot, which is repaired

    However, he walks with a limp, and kids tease and bully him. They imitate the way he walks, and he now states that he does not like school and does not want to go.

    That the patient should set up mental health counseling for her son and that you will give a referral for such.

    Correct. Good choice! The patient should be referred to counseling.

    FOLLOW-UP: 3.5 Weeks

    You see the family back for a follow-up visit 3.5 weeks later after starting 10 mg of methylphenidate ER (30/70). The patient has gained 1 lb and is able to sleep well.

    Increase the current medication from 10 mg to 20 mg.

    Correct! Doses should be increased incrementally. Start low and go slow.

     

     

    Decrease his medication to 20 mg methylphenidate ER (30/70), recommend increased calories (with ice cream) and recheck his weight in 1 month.

    Correct! It is important to decrease the medication when you hit significant side effects such as weight loss or issues sleeping. You still should recommend increased calories.

     

    SUMMARY (1 of 5)

    After adjusting the medication to 20mg methylphenidate ER (30/70), the patient returns a month later and has gained 6 lbs. He is no longer having any issues sleeping. His grades remain excellent.

    SUMMARY (2 of 5)

    He has not had additional issues with poor attention at school. He is now seeing a mental health therapist and receiving cognitive behavioral therapy, which has helped with school avoidance issues.

    SUMMARY (3 of 5)

    He has not had additional issues with poor attention at school. He is now seeing a mental health therapist and receiving cognitive behavioral therapy, which has helped with school avoidance issues.

    SUMMARY (4 of 5)

    The therapist recommended interventions at school which has eliminated the bullying. The patient states, “I did a class presentation on club foot and showed pictures of my funny baby feet . . .

    SUMMARY (5 of 5)

     . . . and the x-rays from my surgeries.  My classmates asked to see my scars and it was cool to show them.  Now kids play with me instead of tease me. I like school again.” NRNP 6541 week 10 assignment Articulate Assignment: Evolving Case Study: Preschool and School-Aged Children

  • NURS 6512 Physical Examination Check Off Rubric Part 1: Head and Face, Ears, Eyes, Nose, Throat and Mouth

    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

    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.

    BUY A HUMAN-WRITTEN ASSIGNMENT HERE

    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

  • NURS 6512 Assignment 2: Mike Taylor Simulation Case Studies – Influenza

    NURS 6512 Assignment 2: Mike Taylor Simulation Case Studies – Influenza

    Simulation Case Study #1: Obtaining a Comprehensive Health History

    Obtaining an accurate and comprehensive health history is a foundational competency in advanced clinical practice. Research consistently demonstrates that a significant part of diagnoses can be accurately identified based on history alone. Beyond identifying symptoms, a comprehensive health history integrates biological, psychological, social, cultural, and environmental factors that influence health outcomes.

    GET HUMAN-WRITTEN ASSIGNMENT HELP HERE

    Resources

     

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

    Required Resources

    To prepare:

    Download the 
    Week 2 Case Study Assignment Template

    Download and review the 
    Comprehensive Health History Reference Sheet
    .

    Access S
    imulation Case Study #1: Obtaining a Comprehensive Health History

    Part I: Obtaining and Documenting a Comprehensive Health History

    Using only the information provided in the initial patient presentation, complete a comprehensive adult health history as if you conducted the patient interview yourself.

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

    Your written submission must include the following sections:

    Identifying Data

    Chief Complaint (in patient’s own words)

    History of Present Illness (fully developed provider-written narrative using OLDCART or OPQRST format)

    Past Medical History

    Surgical History

    Current Medications (including OTC and supplements)

    Allergies (including reactions)

    Family History

    Social History (including occupation, living situation, substance use)

    Social Determinants of Health (employment stability, financial strain, housing, transportation, access to care, ability to isolate, vaccine hesitancy)

    Vaccination History (including influenza and COVID status)

    NURS 6512 Assignment 2: Mike Taylor Simulation Case Studies – Influenza

    Focused Review of Systems

    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 presentation and pathophysiology of influenza

    Risk stratification and high-risk populations

    Current influenza vaccination recommendations

    Best practices in advanced health assessment documentation

    Any portion of the “reflection” section

    NURS 6512 Assignment 2: Mike Taylor Simulation Case Studies – Influenza

    Acceptable Sources

    Peer-reviewed scholarly journal articles

    CDC clinical guidelines

    IDSA clinical practice guidelines

    WHO clinical guidance documents

    Evidence-based advanced practice nursing resources

    Unacceptable Sources

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

    General health blogs

    Wikipedia

    Non–peer-reviewed commercial websites

    Part II: Reflection

    This reflection is designed to strengthen clinical reasoning by evaluating your interviewing process and identifying opportunities to enhance assessment quality.

    After completing your comprehensive health history, submit a 1-page reflection addressing the questions listed in the assignment template.

    By Sunday of Week 2

    Submit the 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 
    MD1Assgn2_LastName_FirstInitial

    Then, click on 
    Start Assignment
    near the top of the page NURS 6512 Assignment 2: Mike Taylor Simulation Case Studies – Influenza

    Next, click on 
    Upload File
     and select 
    Submit Assignment
     for review.

    Rubric

    NURS_6512_Module1_Assignment2_Rubric

    NURS_6512_Module1_Assignment2_Rubric

    Criteria

    Ratings

    Pts

    This criterion is linked to a Learning Outcome
    Part I: Obtaining and Documenting a Comprehensive Health History… Demonstrates accurate and complete documentation of patient history containing only subjective data. Includes a focused (not comprehensive) review of systems.

    50
     
    to >
    44.7
     pts
    Excellent
    Provides accurate and complete documentation of patient health history containing subjective data and a focused review of systems.

    44.7
     
    to >
    39.7
     pts
    Good
    Provides a mostly accurate and complete documentation of patient health history containing subjective data and a focused review of systems.

    39.7
     
    to >
    0
     pts
    Poor
    Does not provide documentation of patient health history; documentation is inaccurate and/or incomplete.

    50
     pts

    This criterion is linked to a Learning Outcome
    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.

    20
     
    to >
    17.88
     pts
    Excellent
    Identifies 3–5 questions they would ask the patient to further strengthen their assessment. At least one question relates to social determinants of health

    17.88
     
    to >
    15.88
     pts
    Good
    Identifies 3–5 questions they would ask the patient to further strengthen their assessment. None of the questions relates to social determinants of health.

    15.88
     
    to >
    0
     pts
    Poor
    Does not identify 3–5 questions they would ask the patient; questions provided are unclear or incomplete.

    20
     pts

    This criterion is linked to a Learning Outcome
    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.

    15
     
    to >
    13.41
     pts
    Excellent
    Identifies one area of professional growth related to interviewing skills. Provides fully developed explanations of how they plan to strengthen their interviewing skills.

    13.41
     
    to >
    11.91
     pts
    Good
    Identifies one area of professional growth related to interviewing skills. Provides adequately developed explanations of how they plan to strengthen their interviewing skills.

    11.91
     
    to >
    0
     pts
    Poor
    Does not identify one area of professional growth related to interviewing skills; explanation of how they plan to strengthen their interviewing skills is vague, unclear, or incomplete.

    15
     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 Assignment 2: Mike Taylor Simulation Case Studies – Influenza

    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

  • Mike Taylor – Simulation Case Studies – Influenza

    Mike Taylor – Simulation Case Studies – Influenza

    Simulation Case Studies – Influenza

    Influenza Presentation

    Mike Taylor

    Age:
     27
    Sex:
     Male
    Race/Ethnicity: 
    Hispanic
    Marital Status:
     Married
    Occupation: 
    Construction worker
    Insurance:
     Private
    Living Situation:
     Lives with wife, mother, and 4-year-old son

    Chief Complaint (CC): 
    Fever and body aches for three days.

    Patient Statement

    About three days ago I started feeling really run down, like I was coming down with something. The next day I developed a fever — I think it was around 102 — and I’ve had chills on and off since then. My whole body aches, especially my back and legs, and I have this pounding headache that won’t go away. I’ve also had a dry cough and a sore throat.

    I did feel a little short of breath yesterday when I walked up the stairs, but I wasn’t sure if that was just because I was tired. I’ve also had some nausea and haven’t really felt like eating much. I haven’t had any vomiting or diarrhea.

    A few people at work have been out sick with the flu. I didn’t get my flu shot this year because last time I got it, I felt sick afterward.

    I’m mostly worried because I can’t afford to miss work, and my mom lives with us — she has diabetes — so I don’t want her getting sick.

    Mike Taylor – Simulation Case Studies – Influenza

  • NURS 6512: Comprehensive Health History Reference Sheet

    NURS 6512:

    Comprehensive Health History Reference Sheet

    ⚠

    Reminder: The health history includes **subjective data only**

    —

    information
    provided by the patient about their symptoms, perceptions, and experiences.
    Objective findings belong in the physical exam section.

    Chief Complaint (CC)
    • State the patient’s main reason for visit

    —

    concise and focused.
    • Use the patient’s own words in quotes (1
    –
    2 words or one short sentence).
    • Example: “Sore throat for two days.” or “Shortness of breath.”
    History of Present Illness (HPI)

    –

    OLDCARTS + Pertinent History
    • Use OLDCARTS to gather data, then synthesize into a cohesive paragraph written
    in complete sentences.
    • Avoid bullet points. Tell the story of the symptom(s) using the data you collected.
    • O

    –

    Onset: When did it start?
    • L

    –

    Location: Where is it? Does it radiate?
    • D

    –

    Duration: Constant or intermittent?
    • C

    –

    Character: Describe the quality (sharp, dull, throbbing).
    • A

    –

    Aggravating factors: What makes it worse?
    • R

    –

    Relieving factors: What makes it better?
    • T

    –

    Timing: Pattern, frequency, time of day.
    • S

    –

    Severity: 0
    –
    10 pain scale or functional impact.
    • Include associated symptoms and pertinent negatives (important symptoms the
    patient denies).
    • Incorporate pertinent history such as recent illness, exposures, travel, medications
    tried, previous episodes, or related chronic conditions.
    • Example: The HPI should read as a full paragraph that flows logically and reflects
    critical thinking

    —

    not as a list of OLDCARTS items.
    Past Medical History (PMH)
    • Chronic illnesses (HTN, DM, asthma, etc.)
    • Childhood illnesses (if relevant)
    • Hospitalizations and psychiatric history
    Surgical History (PSH)
    • List all surgeries/procedures with year, indication, and complications
    Medications
    • List all: prescription, OTC, herbal, and supplements
    • Include name, dose, route, frequency, indication
    • Note adherence and side effects

    Allergies
    • Drug, food, environmental

    —

    include reaction type (rash, anaphylaxis, etc.)
    • Document tolerated alternatives if known
    Preventive Health
    • Immunizations: Flu, COVID
    –
    19, Tdap, shingles, pneumococcal
    • Screenings: Pap, mammogram, colonoscopy, lipid, glucose, DEXA
    • Risk factors: Diet, exercise, safety, sexual health, sleep, stress, dental, vision
    Social History
    • Tobacco: Type, amount, duration, quit attempts
    • Alcohol: Type, frequency, quantity (CAGE if indicated)
    • Substance use: Illicit or prescription misuse
    • Occupation: Exposures, stress, satisfaction
    • Living situation & support system
    • Safety: IPV, firearms, seatbelt use
    • Social Determinants of Health (SDOH): Housing, food, transport, access, finances
    Review of Systems (ROS)
    These are

    subjective

    symptoms that the patient report
    s. No objective exam findings
    should be included here.
    • General: Fever, chills, weight change, fatigue
    • Skin: Rashes, lesions, itching
    • HEENT: Vision, hearing, congestion, sore throat
    • Cardiac: Chest pain, palpitations, edema
    • Respiratory: Cough, SOB, wheezing
    • GI: N/V/D, constipation, pain, appetite
    • GU: Dysuria, frequency, hematuria
    • MSK: Joint pain, stiffness, weakness
    • Neuro: Headache, dizziness, numbness, seizures
    • Psych: Mood, anxiety, sleep
    • Endo: Heat/cold intolerance, polyuria/polydipsia
    • Heme: Easy bruising/bleeding

    NURS 6512: Comprehensive Health History Reference Sheet

  • NURS 6512 Week 2 Assignment Template

    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):

    PLACE YOUR ORDER HERE

    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

    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.

     

     

    References

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

     

    NURS 6512 Week 2 Assignment Template

  • Motivational Interviewing – NURS 6512 Module 1 Assignment 1

    Motivational Interviewing – NURS 6512 Module 1 Assignment 1

    Explain how motivational interviewing (MI) differs in tone, structure, and patient engagement compared to traditional interviewing.

    … Unlike the traditional interviewing technique, which is authoritative and corrective, motivational interviewing (MI) is empathetic, nonjudgmental, and also supportive. The Engage – Focus – Evoke – Plan structure of motivational interviewing helps achieve the goal of behaviour change in a patient-centred manner. In contrast, the traditional approach of interview follows a linear pattern…

    Motivational Interviewing

    A provider’s interviewing techniques and communication style can have a significant impact on patient motivation and behavior.

    Required Resources

    NOTE: Utilize this text as a clinical reference to aid your analysis for the relevant areas noted. Also utilize study questions to develop your understanding of the concepts and topics presented throughout this course.

    Soriano, R. P. (2026). Bates’ guide to physical examination and history taking (14th ed.). Wolters Kluwer Health.

    Chapter 1, “Foundational Skills Essential to the Clinical Encounter”

    Chapter 2, “Interviewing, Communication, and Interpersonal Skills”

    Motivational Interviewing – NURS 6512 Module 1 Assignment 1

    Chapter 5, “Clinical Reasoning”

    Chapter 6, “Clinical Documentation and Oral Presentation”

    Chapter 7, “Health Maintenance and Screening”

    Chapter 8, “Evaluating Clinical Evidence”

    CARDI-OH. (n.d.). Clinician’s pocket guide on motivational interviewingLinks to an external site.. https://www.cardi-oh.org/files/resources/cardi-oh-clinicians-pocket-guide-on-motivational-interviewing.pdf

    Kay, J. M. (2025). The nurse practitioner ethicist: Distinct from a nurse ethicist?Links to an external site. Nursing Ethics, 32(8). https://doi.org/10.1177/09697330251350386

    Walden University, LLC. (n.d.). Motivational Interviewing–Style History Interview [Video]. Walden University Canvas. https://waldenu.instructure.com

    Walden University, LLC. (2026). Traditional, Directive History-Taking Interview [Video]. https://waldenu.instructure.com

    To prepare:

    Watch a video of two providers interviewing a patient.

    Motivational Interviewing–Style History Interview Video transcript

    Video demonstrates example of standard interviewing techniques versus example of motivational interviewing (MI) using The Process of MI framework:

    Engage
    – Build rapport, use open-ended questions, uncover values/hopes, and offer compassionate reflections.

    Focus
    – Bring the discussion to the health concern at hand, eliciting symptoms, concerns, and wellness indicators.

    Evoke
    – Explore reasons for and against change; use readiness rulers, double-sided reflections, and pros/cons.

    Plan
    – Collaboratively set attainable goals and elicit patient commitment to specific next steps.

    Assignment (1–2 pages) – Motivational Interviewing – NURS 6512 Module 1 Assignment 1

    Compare the efficacy of each provider’s approach to patient interviewing in regard to effect on patient behavior. Which approach is more effective in helping patients achieve health-related behavioral changes?

    PLACE YOUR ORDER HERE

    Explain how motivational interviewing (MI) differs in tone, structure, and patient engagement compared to traditional interviewing.

    Reflect on how you might use MI techniques in your own advanced practice role to promote patient-centered outcomes.

    Consider how principles of autonomy, beneficence, nonmaleficence, and justice apply to patient interviewing and communication practices.

    Use at least 3 scholarly resources that are less than 5 years old. Cite all sources in APA format.

    By Sunday of Week 1

    Submit the Motivational Interviewing – NURS 6512 Module 1 Assignment 1.

    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 Motivational Interviewing – NURS 6512 Module 1 Assignment 1 assignment, save your Assignment as MD1Assgn1_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 – Motivational Interviewing – NURS 6512 Module 1 Assignment 1

    NURS_6512_Module1_Assignment1_Rubric

    NURS_6512_Module1_Assignment1_Rubric

    Criteria Ratings Pts

    This criterion is linked to a Learning OutcomeCompare the efficacy of each provider’s approach to patient interviewing regarding the effect on patient behavior. Which approach is more effective in helping patients achieve health-related behavioral changes?

    20 to >17.88 pts

    Excellent

    Provides a fully developed comparison of the efficacy of each provider’s approach to patient interviewing regarding the effect on patient behavior. Thoroughly explains which approach is more effective in helping patients achieve health-related behavioral changes.

    17.88 to >15.88 pts

    Good

    Provides an adequately developed comparison of the efficacy of each provider’s approach to patient interviewing regarding the effect on patient behavior. Adequately explains which approach is more effective in helping patients achieve health-related behavioral changes.

    15.88 to >13.88 pts

    Fair

    Provides a minimally developed comparison of the efficacy of each provider’s approach to patient interviewing regarding the effect on patient behavior. Minimal or undeveloped explanation of which approach is more effective in helping patients achieve health-related behavioral changes.

    13.88 to >0 pts

    Poor

    Does not provide a comparison of the efficacy of each provider’s approach to patient interviewing regarding effect on patient behavior; comparison is vague, unclear, or inaccurate.

    20 pts

    This criterion is linked to a Learning OutcomeExplain how motivational interviewing (MI) differs in tone, structure, and patient engagement compared to traditional interviewing Motivational Interviewing – NURS 6512 Module 1 Assignment 1.

    20 to >17.88 pts

    Excellent

    Provides a fully developed explanation of how motivational interviewing (MI) differs in tone, structure, and patient engagement compared to traditional interviewing.

    17.88 to >15.88 pts

    Good

    Provides an adequately developed reflection on how they might use MI techniques in their own advanced practice role to promote patient-centered outcomes.

    15.88 to >13.88 pts

    Fair

    Provides a minimally developed reflection on how they might use MI techniques in their own advanced practice role to promote patient-centered outcomes.

    13.88 to >0 pts

    Poor

    Does not provide a reflection on how they might use MI techniques in their own advanced practice role to promote patient-centered outcomes; reflection is vague, unclear, or inaccurate.

    20 pts

    This criterion is linked to a Learning OutcomeReflect on how you might use MI techniques in your own advanced practice role to promote patient-centered outcomes.

    20 to >17.88 pts

    Excellent

    Provides a fully developed reflection on how they might use MI techniques in their own advanced practice role to promote patient-centered outcomes.

    17.88 to >15.88 pts

    Good

    Provides an adequately developed reflection on how they might use MI techniques in their own advanced practice role to promote patient-centered outcomes.

    15.88 to >13.88 pts

    Fair

    Provides a minimally developed reflection on how they might use MI techniques in their own advanced practice role to promote patient-centered outcomes.

    13.88 to >0 pts

    Poor

    Does not provide a reflection on how they might use MI techniques in their own advanced practice role to promote patient-centered outcomes; reflection is vague, unclear, or inaccurate.

    20 pts

    This criterion is linked to a Learning OutcomeConsider how principles of autonomy, beneficence, nonmaleficence, and justice apply to patient interviewing and communication practices.

    20 to >17.88 pts

    Excellent

    Provides a fully developed analysis of how principles of autonomy, beneficence, nonmaleficence, and justice apply to patient interviewing and communication practices.

    17.88 to >15.88 pts

    Good

    Provides an adequately developed analysis of how principles of autonomy, beneficence, nonmaleficence, and justice apply to patient interviewing and communication practices.

    15.88 to >13.88 pts

    Fair

    Provides a minimally developed analysis of how principles of autonomy, beneficence, nonmaleficence, and justice apply to patient interviewing and communication practices.

    13.88 to >0 pts

    Poor

    Does not provide an analysis of how principles of autonomy, beneficence, nonmaleficence, and justice apply to patient interviewing and communication practices; analysis is vague, unclear, or inadequate.

    20 pts

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

    10 to >8.94 pts

    Excellent

    Uses 3 peer-reviewed scholarly sources published within the last 5 years.

    8.94 to >7.94 pts

    Good

    Uses 2 peer-reviewed scholarly sources published within the last 5 years.

    7.94 to >6.94 pts

    Fair

    Uses 1 peer-reviewed scholarly source published within the last 5 years.

    6.94 to >0 pts

    Poor

    Does not use peer-reviewed scholarly sources or sources used are older than 5 years.

    10 pts

    This criterion is linked to a Learning OutcomeSource Attribution and APA Formatting

    5 to >4.46 pts Motivational Interviewing – NURS 6512 Module 1 Assignment 1

    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 OutcomeGrammar, Mechanics, and Punctuation

    5 to >4.46 pts

    Excellent

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

    4.46 to >3.96 pts

    Good

    Uses correct grammar, spelling, and punctuation with few errors.

    3.96 to >3.46 pts

    Fair

    Uses correct grammar, spelling, and punctuation with frequent errors.

    3.46 to >0 pts

    Poor

    Post contains frequent errors in grammar, spelling, and punctuation that interfere with comprehension.

    5 pts

    Total Points: 100 Motivational Interviewing – NURS 6512 Module 1 Assignment 1