NR526 – Clinical Questioning Essay

NR526 – Clinical Questioning Essay Assignment Guidelines & Scoring Rubric

Purpose

The purpose of this NR526 – clinical questioning essay assignment is to provide educator students with a tool for working with nursing students and staff members when they are caring for complex healthcare cases.

Course Outcomes

Through this assignment, the student will demonstrate the ability to:

CO 3 Integrate pathophysiologic mechanisms with advanced assessment and pharmacologic concepts to maximize patient outcomes in complex disease states. (PO 1, 4)

CO 5 Analyze risk factors associated with complex disease states in individuals, aggregates, and populations to devise effective disease management and/or health promotion strategies that reflect pertinent psychosocial, cultural, legal, ethical, and safety considerations. (PO 4, 6)

CO 7 Examine mechanisms and processes of homeostatic, adaptive, and compensatory physiological functions in complex disease states with an emphasis on appropriate assessment strategies and pharmacologic interventions. (PO 1, 4)

CO 8 Determine clinical data essential to identifying specified pathophysiologic or psychologic problems and the best plan of care. (PO 1, 4)

CO 10 Correlate changes and disruptions in major physiological systems and pathophysiological mechanisms with clinical data resulting from physical examination, laboratory data, and diagnostic test data with anticipated pharmacologic treatment. (PO 1, 4, 11)

Due Date:Sunday 11:59 p.m. MT at the end of Week 3

Total Points Possible:250

NR526 – Clinical Questioning Essay Assignment Requirements:
In this assignment you are the nursing professional development specialist (NPD specialist, formerly called the “staff educator”) assisting your assigned new graduate nurse in applying the nursing process. In the role of NPD specialist, you will not only take care of your patient at an advanced level, incorporating advanced physical assessment findings, associated pathophysiologic mechanisms that underlie the presenting disease, and the appropriate pharmacologic treatment approach, you will also consider the educational needs of your orientee.

1. Review Charles Gibson’s electronic health record, which provides information that is necessary to care for him in Second Life (SL) in the Emergency Department.
2. Meet and greet Charles Gibson and his wife, obtaining pertinent health history information as prompted.
3. Take special note of the objective and subjective data obtained, including the National Institute of Health (NIH) Scale for Stroke score and the prescriber’s orders.
4. As you develop this assignment, remember that you need at least two peer-reviewed references.
5. Be sure that your NR526 – clinical questioning essay assignment has a cover page and a reference list with proper APA formatting.

Preparing the NR526 – Clinical Questioning Essay Assignment paper
While your patient, Charles Gibson, is in CT scan, you are to take some time to reflect with your orientee. This assignment requires you to develop five reflective questions that pertain to your mutual case, Charles Gibson. Use the NR526_W3_Clinical_Questioning_Templatefound in “Course Resources” to complete this assignment.

1. Develop a question that pertains to the first five minutes that you spent with the patient. Stop and consider what would be obvious to you as an expert clinician, but would not be obvious to the developing graduate nurse. Your question can be a two-part question or a one-part question. Provide the appropriate answer to the question that you posed. Be sure your answer includes references, proper citations, and adequate detail to support a comprehensive answer.(The answer should be approximately 100 words.)
2. Develop a question that addresses the prescriber’s orders. Is there an order that exemplifies a treatment approach for “brain attack”? How would you promote critical thought for a new graduate in order to support his or her analysis and evaluation of new orders? Provide the appropriate answer to the question that you posed. Be sure your answer includes references, proper citations, and adequate detail to support a comprehensive answer. (The answer should be approximately 100 words.)
3. Develop a question that stimulates the graduate nurse to think about the pathophysiologic basis for the patient’s presenting disease. Provide the appropriate answer to the question that you posed. Be sure your answer includes references, proper citations, and adequate detail to support a comprehensive answer. (The answer should be approximately 100 words.)
4. Develop a second question that has the graduate nurse think about the pathophysiologic basis for the patient’s presenting disease. Provide the appropriate answer to the question that you posed. Be sure your answer includes references, proper citations, and adequate detail to support a comprehensive answer. (The answer should be approximately 100 words.)
5. Develop a question of your choice about this case. Consider where you were on the learning curve as a graduate nurse. Consider how you would promote critical thought and developing knowledge for a graduate nurse. Provide the appropriate answer to the question that you posed. Be sure your answer includes references, proper citations, and adequate detail to support a comprehensive answer. (The answer should be approximately 100 words.)

NR526 – Clinical Questioning Essay Assignment Instructor Feedback Table

Category Potential Points Points Awarded Feedback
Questions 75
Answers 75
Applies Advanced Pathophysiology, Physical assessment and Pharmacology 75
Grammar, spelling, syntax, and punctuation 15
APA title page, citations, and reference page 10
Total Potential Points=
250

Ponts Awarded =
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NR526 – Clinical Questioning Essay Assignment Grading Rubric
Exceptional
(100%)

Outstanding or highest level of performance

Exceeds
(88%)

Very good or high level of performance

Meets
(80%)

Competent or satisfactory level of performance

Needs Improvement
(38%)

Poor or failing level of performance

Developing
(0)

Unsatisfactory level of performance

Content
Possible

Points = 250

Questions 75 Points 66 Points 60 Points 29 Points 0 Points
Five questions are presented that are reflective of the guidelines for this assignment. The questions promote critical thinking about the case. Five questions are presented that are mostly reflective of the guidelines for this assignment. Five questions are presented that are partially reflective of the guidelines for this assignment. Five questions are presented that are not reflective of the guidelines for this assignment. Questions are missing.
Answers 75 Points 66 Points 60 Points 29 Points 0 Points
Five answers to the proposed questions are presented that are approximately 100 words. The answers are accurate, specific to the question that was asked and presents sufficient detail. Answers are based on at least two peer-reviewed nursing articles. Five answers to the proposed questions are presented that are approximately 100 words.The answers are mostly accurate, mostly specific to the question that was asked and presents some detail.
Answers are based on only one peer-reviewed nursing articles.

Answers to the proposed questions are presented that are partially inaccurate, OR does not address the question specifically enough OR does not provide sufficient detail
Articles are applied but they are not peer-reviewed.

Answers to the proposed questions are inaccurate, do not specifically address the question that was asked and/or presents insufficient detail or no nursing articles are provided. Answers to the proposed questions are missing.
Applies Advanced Pathophysiology, Physical assessment and Pharmacology 75 Points 66 Points 60 Points 29 Points 0 Points
The three Ps that are relevant to this patient’s case are incorporated into the questions and related answers. The three Ps that are relevant to this patient’s case are mostly incorporated into the questions and related answers. The three Ps that are relevant to this patient’s case are partially incorporated into the questions and related answers. The three Ps that are relevant to this patient’s case are minimally incorporated into the questions and related answers. The three Ps that are relevant to this patient’s case are NOT incorporated into the questions and related answers.
Grammar, spelling, syntax, and punctuation 15 Points 13 Points 12 Points 6 Points 0 Points
Proper grammar, spelling syntax, and punctuation are used, with no more than1-2 errors. Proper grammar, spelling syntax, and punctuation are used, with no more than3-4 errors. Proper grammar, spelling syntax, and punctuation are used to some extent, with no more than 5-6 errors. Proper grammar, spelling syntax, and punctuation are not used; assignment contains 7-9 errors. Proper grammar, spelling syntax, and punctuation are not used; assignment contains 10 or more errors.
APA title page, citations, and reference page 10 Points 9 Points 8 Points 4 Points 0 Points
Proper APA format is used, with no more than1-2 errors. Proper APA format is used, with no more than 3-4 errors. Proper APA format is used to some extent, with no more than with 5-6 errors. Proper APA format is not used, with no more than 7-9 errors. Assignment contains 10 or more errors in APA format..
Total Points: _____of 250 points