NRNP – 6531 Adv Practice Care of Adults Across the Lifespan

Week 1: Competencies of Advanced Nursing Practice
Advanced nursing practice competencies focus on the unique practice knowledge, skills, and attitudes a nurse practitioner must demonstrate as they work with adults across the lifespan in clinical settings. They are developed by experts in the field and provide clarity about what is needed to be successful in your career. Competencies need to be practiced so they can be used to effectively address a wide range of situations. In addition to real-world settings, there are virtual opportunities that can facilitate the development of competencies. For example, throughout this course, you will complete case study simulation assignments with virtual i-Human patients presenting a variety of medical conditions. These types of virtual simulations provide you with the formative practice needed to help guide and prepare you for the real-world clinical experience.

For this week, you will examine advanced nursing practice competencies and reflect on your strengths and challenges related to the competencies. In light of your reflection, you will consider how this course may help you attain your career goals or objectives.

Learning Objectives
Students will:

Analyze strengths and challenges related to nursing practice competencies
Describe professional career goals or objectives
Learning Resources
Required Readings (click to expand/reduce)
Required Media (click to expand/reduce)
Class Café: Introductions

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This Class Café is a place for discussions that do not necessarily relate to the formal content of this course and will not be assessed. However, we encourage you to get to know your colleagues and familiarize yourselves with everyone’s background and personal history. Note: If your posting is of a personal nature or involves issues that are of concern only to you and require an individual response from the Instructor, please email the Instructor directly.

By Day 2
Post and introduce yourself to your colleagues and ask any questions you might have about the course or questions in general.

Respond to your colleagues and answer any questions or ask any questions that you might have.

Note: This Class Café is not required and will not be assessed; however, you are encouraged to get to know your colleagues.

Submission and Grading Information
Post by Day 2
To Participate in this Discussion:

Class Café: Introductions

Discussion: Career Goals: Strengths and Challenges Related to Nursing Practice Competencies
An advanced practice nurse collaborates and communicates with patients, families, doctors, nurses, and specialists to ensure patients receive the care they need. As they diagnose, treat, manage, and educate patients, they are responsible for ensuring patient safety and maintaining ethical behavior. Competencies have been developed to help the advanced practice nurse to understand the practice knowledge, skills, and attitudes they need to be successful.

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For this Discussion, you will examine advanced nursing practice competencies and reflect on your strengths and challenges related to the competencies. In light of your reflection, you will consider how this course may help you attain your career goals or objectives.

To prepare:

Review the Learning Resources for this week, specifically the advanced nursing practice competencies. As you review the competencies, reflect on your own strengths and challenges when working with adults across the lifespan.
By Day 3
Post a summary of your expectations of this course. Also, include a brief explanation of your strengths and challenges as they relate to nursing practice competencies when working with adults. Describe any career goals or objectives this course may help you accomplish in the Family Nurse Practitioner (FNP) or Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) role and explain why. Use your research to support your explanations by providing credible and scholarly sources.

Read a selection of your colleagues’ responses.

By Day 6
Respond to at least two of your colleagues on two different days by offering a suggestion or resources to help your colleagues in addressing their personal strengths or challenges, or their career goals. Use your research to support your suggestions. Provide at least 3 credible and current scholarly sources.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Submission and Grading Information
Grading Criteria
To access your rubric:

Week 1 Discussion Rubric

Post by Day 3 and Respond by Day 6
To Participate in this Discussion:

Week 1 Discussion

Assignment
Practicum Manual Acknowledgment
The Practicum Manual describes the structure and timing of the classroom-based and practicum experiences and the policies students must follow to be successful in the nurse practitioner (NP) specialties.

Field Experience: MSN Nurse Practitioner Practicum Manual
Click here and follow the instructions to confirm you have downloaded and read the entire MSN Nurse Practitioner Practicum Manual and will abide by the requirements described in order to successfully complete this program.

What’s Coming Up in Week 2?
Practicum – Upcoming Deadline
In the Nurse Practitioner programs of study (FNP, AGACNP, AGPCNP, and PMHNP) you are required to take several practicum courses. If you plan on taking a practicum course within the next two terms, you will need to submit your application via Meditrek .

For information on the practicum application process and deadlines, please visit the Field Experience: College of Nursing: Application Process – Graduate web page.

Please take the time to review the Appropriate Preceptors and Field Sites for your courses.

Please take the time to review the practicum manuals, FAQs, Webinars and any required forms on the Field Experience: College of Nursing: Student Resources and Manuals web page.

Field Experience: College of Nursing Quick Answers
Field Experience: MSN Nurse Practitioner Practicum Manual
Student Practicum Resources: NP Student Orientation

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will analyze an i-Human simulation case study about an adult patient with an integumentary condition and formulate a differential diagnosis, based on the patient’s information. Using the findings of your analysis, you will evaluate treatment options and then create an appropriate treatment plan for the patient.

Looking Ahead:
In this course and beginning in Week 2, you will be required to complete case study assignments using the web-based software i-Human. You should have received an email with your i-Human Patients login and password information. If you have not received this information, please contact the Course Instructor.

Ensure that you are able to log in to the software and review the i-Human Patients Case Player Student Manual as needed to familiarize yourself about how to navigate i-Human.

Week 3: Evaluation and Management of HEENT Conditions
Last week, observing external characteristics of a patient was introduced as an important initial component of a physical examination. In addition to those observations, additional patient information can be learned by examining the head, eyes, ears, nose and throat, referred to as the HEENT system. Abnormal or disease manifestations may cause changes to one or more parts of the HEENT system, and understanding those manifestations is a critical skill for the advanced practice nurse.

For this week, you will not have a simulation case study however, it will be important for you to recognize that your continued observations and additional patient information are critical to your advanced nursing skills. This Week 3 concludes Module 1, and you will complete a Knowledge Check assessment covering the Module 1 topics examined in Weeks 1–3.

Learning Objectives
Students will:

Identify key terms, concepts, and principles related to the primary care of adults across the lifespan
Learning Resources
Required Readings (click to expand/reduce)
Required Media (click to expand/reduce)
Knowledge Check: Module 1: Advanced Nursing Practice Competencies, Integumentary, and HEENT Conditions
In this exercise, you will complete a 10- question Knowledge Check to gauge your understanding of this module’s content. Please note that this is a formative practice to help you better prepare for your Midterm and Final Exam as well as your Nurse Practitioner (NP) certification exam. The questions in this Knowledge Check are related to the topics from Weeks 1, 2, and 3 Topics include:

Nursing competencies
Billing and coding
Integumentary conditions
HEENT conditions
It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

Photo Credit: [DirtyDog_Creative]/[Vetta]/Getty Images

By Day 7
Complete and submit your Knowledge Check.

Submission Information
Submit Your Knowledge Check by Day 7
To submit your Knowledge Check:

Week 3 Knowledge Check

What’s Coming Up in Module 2?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

In Module 2, you will examine the evaluation and management of cardiovascular conditions in Week 4 and respiratory conditions in Week 5. You will consider how to assess, diagnose, and treat two i-Human patients—one presenting a cardiovascular condition and one presenting a respiratory condition.

Week 5 Knowledge Check
In Week 5, you will experience your next Knowledge Check which covers the Module 2 topics from Weeks 4 and 5. Refer to the Week 5 Knowledge Check Assignment for further details related to the topics covered. Plan your time accordingly.

Week 4: Evaluation and Management of Cardiovascular Conditions
Many of the factors that contribute to cardiovascular conditions are preventable or manageable. Addressing the modifiable risk factors and adopting healthier lifestyle habits early in life can dramatically reduce the risk of developing cardiovascular conditions. The advanced practice nurse plays an important role in educating and advising their patients about ways to reduce modifiable risk factors, as well as encouraging and supporting their efforts.

However, if cardiovascular conditions are left unmanaged, patients may suffer from serious complications. When evaluating patients, it is important to consider individual patient factors and behaviors that might increase patient risk of conditions, such as hypertension. There are also other conditions that require advanced practice nurses to use appropriate and critical thinking to correctly diagnose cardiovascular or other vascular-related conditions. For this reason, as the advanced practice nurse caring for patients, it is critical that you immediately identify signs and symptoms of blood clots and other cardiovascular conditions.

For this week, you will analyze an i-Human simulation case study about an adult patient with a cardiovascular condition. Based on the patient’s information, you will formulate a differential diagnosis, evaluate treatment options, and create an appropriate treatment plan for the patient.

Learning Objectives
Students will:

Formulate differential diagnoses for adult patients with cardiovascular conditions
Analyze pattern recognition in adult patient diagnoses
Analyze the role of patient information in differential diagnosis
Evaluate pharmacologic and non-pharmacologic treatment options for adult patients
Create an appropriate treatment plan that includes health education and follow-up care
Learning Resources
Required Readings (click to expand/reduce)
Required Media (click to expand/reduce)
Assignment: i-Human Case Study: Evaluating and Managing Cardiovascular Conditions
Because cardiovascular conditions are preventable and manageable, it is important that the advanced practice nurse use both their understanding of the cardiovascular system and the impact of patient factors and behaviors that might increase patient risk of such conditions. This critical information can guide you in immediately identifying signs and symptoms that can inform differential diagnoses and lead to identification of appropriate treatment options and a treatment plan.

Photo Credit: yodiyim / Adobe Stock

For this Case Study Assignment, you will analyze an i-Human simulation case study about an adult patient with a cardiovascular condition. Based on the patient’s information, you will formulate a differential diagnosis, evaluate treatment options, and create an appropriate treatment plan for the patient.

To prepare:

Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with cardiovascular conditions.
Access i-Human from this week’s Learning Resources and review this week’s i-Human case study. Based on the provided patient information, think about the health history you would need to collect from the patient.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with cardiovascular conditions.
Assignment

As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Graduate Programs Help link within the i-Human platform.

By Day 7
Complete and submit your Assignment in i-Human.

Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK4Assgn+last name+first initial.(extension)” as the name.
Click the Week 4 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 4 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:

Week 4 Assignment Rubric

Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:

Submit your Week 4 Assignment draft and review the originality report.

Submit Your Assignment by Day 7
To participate in this Assignment:

Week 4 Assignment

What’s Coming Up in Week 5?

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Next week, you will complete the next Knowledge Check which covers the topics from Weeks 4 and 5 of Module 2. Refer to the Week 5 Knowledge Check Assignment for further details related to the topics covered. Plan your time accordingly.

Week 5: Evaluation and Management of Respiratory Conditions
Respiratory conditions can often be well managed when properly diagnosed and treated. Despite the existence of effective pharmacological treatments, lack of patient adherence to those treatments can negatively affect patient outcomes. As an advanced practice nurse, you play a critical role in the management of respiratory conditions, including providing education to patients about treatment options and their potential side effects and helping them weigh the benefits and risks. You must know when to treat, when to order diagnostics, and when to refer for specialized care. Failure to implement the appropriate actions can negatively impact the diagnosis and treatment of a patient, including the possible loss of their life.

For this week, you will complete a Knowledge Check assessment covering the Module 2 topics examined in Weeks 4 and 5.

Learning Objective
Students will:

Identify key terms, concepts, and principles related to the primary care of adults across the lifespan (KC)
Learning Resources
Required Readings (click to expand/reduce)
Required Media (click to expand/reduce)
Knowledge Check: Module 2: Cardiovascular and Respiratory Conditions
In this exercise, you will complete a 10-question Knowledge Check to gauge your understanding of this module’s content. Please note that this is a formative practice to help you better prepare for your Midterm and Final Exam as well as your NP certification exam. The questions in this Knowledge Check are related to the topics from Weeks 4 and 5. Topics include:

acute bronchitis
asthma
chronic obstructive pulmonary disease (COPD)
other respiratory conditions
myocardial infarction (MI)
hypertension (HTN)
thrombotic events

Photo Credit: [ismagilov]/[iStock / Getty Images Plus]/Getty Images

It is in your best interest to take your time, do your best, and answer each question to the best of your ability.

By Day 7
Complete and submit your Knowledge Check.

Submission Information
Submit Your Knowledge Check by Day 7
To submit your Knowledge Check:

Week 5 Knowledge Check

What’s Coming Up in Module 3?

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In Module 3, you will examine the evaluation and management of gastrointestinal conditions in Week 6, genitourinary and endocrine conditions in Week 7, and hematologic conditions in Week 8. In Weeks 7 and 8, you will also analyze an i-Human simulation case study about an adult patient presenting a condition and consider how to assess, diagnose, and treat the patient.

Week 6 Midterm Exam
In Week 6, you will not participate in a Discussion or complete an Assignment; however, you will take a Midterm Exam. Please, take this time to review the topics and resources covered in Weeks 1–6 to prepare for your exam. Plan your time accordingly.

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Week 8 Knowledge Check

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In Week 8, you will complete the next Knowledge Check, which covers the topics from Weeks 6, 7, and 8 of Module 3. Refer to the Week 8 Knowledge Check Assignment for further details related to the topics covered. Plan your time accordingly.

Week 6: Evaluation and Management of Gastrointestinal Conditions
Diagnosis of gastrointestinal conditions often begins with assessing the gastrointestinal tract. If it appears normal, but is not working correctly, the condition can often be a manifestation of an issue with the patient’s exercise regimen, diet, and/or medications. Other times, the gastrointestinal tract appears abnormal, does not work correctly, and may necessitate surgery to remove or repair the source of the manifestation. Patients with gastrointestinal conditions face many daily challenges as they adhere to treatment and management plans. For example, for some, it impacts their social life due to the potential complications related to the medications or diet restrictions that may be part of the treatment plan. They may feel that they are unable to tell others about the adverse effects, such as intense pain, nausea, bowel obstructions, dehydration, fatigue, and depression. As the advanced practice nurse, you must not only evaluate and treat patients experiencing these challenges but also help them to develop management plans that will minimize daily challenges related to their conditions.

For this week, you will not participate in a Discussion or complete an Assignment; however, you will examine the evaluation and management of gastrointestinal conditions through the variety of Learning Resources available to you. Additionally, you will complete and submit the Midterm Exam. Take this time to review the topics and resources covered in Weeks 1–6 and prepare for your exam. Plan your time accordingly.

Learning Objective
Students will:

Synthesize key terms, concepts, and principles related to the primary care of adults across the lifespan
Learning Resources
Required Readings (click to expand/reduce)
Required Media (click to expand/reduce)
Midterm Exam
This 100-question exam is a test of your knowledge in preparation for your certification exam. No outside resources, including books, notes, websites, or any other type of resource, are to be used to complete this exam. You are expected to comply with Walden University’s Code of Conduct.

This exam will be on topics covered in Weeks 1, 2, 3, 4, 5, and 6. Prior to starting the exam, you should review all of your materials. This exam is timed with a limit of 150 minutes for completion.

Photo Credit: [triloks]/[E+]/Getty Images

By Day 7
Submit your Midterm Exam.

Submission Information
Submit Your Exam by Day 7
To submit your Exam:

Week 6 Midterm Exam

What’s Coming Up in Week 7?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you will analyze an i-Human simulation case study about an adult patient with a gastrointestinal condition. Based on the patient’s information, you will formulate a differential diagnosis, evaluate treatment options, and create an appropriate treatment plan for the patient.

To go to the next week:

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