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NURS209 Study Guide

Practical Nursing
Theory

PN Diploma Program
2020 – 2021
WEEKLY CONTENT

Week Module Topics

1 1 Care of the Peri-operative Client: Preoperative Care/


Sept 8-11 Postoperative Care

2 2 Selected Health Challenges of the Pediatric Client: Child Safety,


Sept 14-18 Accidents and Abuse

3 2 Selected Health Challenges of the Pediatric Client


Sept 21-25 Quiz #1(2%)

4 3 Health Challenges of the Adolescent Client


Sept 28-Oct 2 Eating Disorders, Injury, Sexually Transmitted Infections

5 4 Holistic Care of the Maternal and Newborn Client: Prenatal, Labor


Oct 5- 9 and Delivery care, Newborn Nutrition

6 4 Holistic Care of the Maternal and Newborn Client: Postpartum


Oct 12-16 Care
Quiz #2 (2%)

7 Health Challenges: Adult Clients Experiencing Mental Health


Oct 19-23 Problems
Scholarly Assignment due (30%)

Oct 26-30 Reading week

8 5 TEST #1 (25%) Module 1-4


Nov 2-6

9 6 Selected Female Health Challenges


Nov 9-13

10 6 Selected Male Health Challenges


Nov 16-20 Quiz #3 (2%)

11 7 Renal and Urological Health Challenges


Nov 23-27

12 8 Adult Clients Gastrointestinal Health Challenges


Nov 30- Dec 4 Quiz #4 (2%)

13 9 Adult clients Hepatic Health Challenges


Dec 7-11 Quiz #5 (2%)

14 FINAL EXAM (ALL UNITS) (35%)- Specific Date/Time/Location


Dec 11-18- 13 - TBA

NURS209 Practical Nursing Study Guide 2020—2021 Page 2


Course Content

COURSE CONTENT ASSESSMENT RESOURCES


Care of the Peri-operative Client: Formal Self-Directed Learning
Preoperative Care Content will be NURS209 Evolve content
• Definitions and terminology evaluated on:
Primary Text
Preoperative Assessment: Test 1 Lewis, Heitkemper,
(Preadmission) Dirksen, O’Brien and
• Factors that affect outcomes of Final Exam Bucher (current ed.)
surgery: Past health history,
medications, abnormal laboratory Informal Secondary Text
findings Learning Activities: Potter and Perry
• Physical assessment: Review of (current ed.)
the systems Case Study on
Surgical Risk Supplemental
• Psychosocial assessment
Factors CNO Ethics (current ed.)
• Psychological support
• Health Teaching: Special CNO Culturally
Think-Pair-Share/ Sensitive Care
considerations -
Role Play on Pre-op CNO Consent (current ed.)
o Emotional capability
Teaching CNO Documentation
o Intellectual capability
o Developmental stage CNO Infection Control
o Age www.cno.org
o Language
o Culture Controlled Drugs and
o Religion Substances Act
www.laws-
Day of Surgery Preparation lois.justice.gc.ca
• Client Interview
• Laboratory and diagnostic testing
• Client assessment: general
assessment; define by (a) risk
factors (e.g., smoking, drug
allergies, chronic health
problems); and, (b) specific to the
surgery
• Consent to surgery: informed
consent
• Physical preparation: fluid and
electrolyte, reduction of infection,
bowel and bladder control and
promotion of rest and comfort,
management of intravenous lines
and catheters etc.
• Pharmacotherapeutics including
clients’ routine medications and
pre-operative medications
• Safety and health teaching
• Pre-operative checklists

NURS209 Practical Nursing Study Guide 2020—2021 Page 3


COURSE CONTENT ASSESSMENT RESOURCES
Care of the Perioperative Client: Formal Self-Directed Learning
Postoperative Care Content will be NURS209 Evolve content
• Definitions and Terminology evaluated on:
Primary Text
Immediate Post-Operative Care Test 1 Lewis, Heitkemper,
• Initial assessment: Evaluation of Final Exam Dirksen, O’Brien, and
airway, breathing and circulation Bucher (current ed.)
• Client Assessment Informal
o Pain assessment Learning Activities:Secondary Text
o Wound assessment Potter, Perry, Stockert,
o Drains Case Study on Post- and Hall (current ed.)
o Neurological assessment op Assessment/
o Urinary assessment: Fluid Priorities Supplemental
and electrolyte balance CNO Ethics (current ed.)
o Psychological support Think-Pair-Share on CNO Culturally
o Laboratory and diagnostic Post-op Sensitive Care (current ed.)
testing Complications CNO Consent (current ed.)
CNO Documentation
Prevention, Assessment and CNO Infection Control
Nursing Management for the www.cno.org
following Potential Complications
• Respiratory alterations Controlled Drugs and
• Cardiovascular alterations Substances Act
• Neurological alterations http://laws-
• Pain and discomfort lois.justice.gc.ca/eng/a
cts/c-38.8/page-1.html
• Gastro-intestinal alterations
• Urinary alterations
• Integumentary alterations
• Wound infection, dehiscence and
evisceration
• Psychological alterations

Discharge Planning/Follow Up
Care
• Wound management
• Medications
• Activities allowed and prohibited
• Dietary restrictions and
modifications
• Symptoms to be reported
• Follow up care instructions
• Community Resources
Selected Health Challenges of the Formal Self –Directed Learning
Pediatric Client Content will be NURS209 Evolve content
• Principles of care evaluated on:
• Definitions and terminology Primary Text
Test 1 Perry, Lowdermilk and
Accidents and Injury Final Exam Hockenberry (current
• Risk assessments including Concept Map & ed.)
home safety and developmental Scholarly
stages Assignment Secondary Text

NURS209 Practical Nursing Study Guide 2020—2021 Page 4


COURSE CONTENT ASSESSMENT RESOURCES

• Poison Jarvis (current ed.)


• Burns Informal Townsend (current ed.)
• Falls Learning Activities:
• Choking Supplemental
• Drowning Case Study on Child CNO Abuse Prevention
Safety/ Precautions CNO Ethics (current ed.)
Child Abuse CNO Consent
Think-Pair-Share on CNO Culturally
• Types of child abuse
Assessment and Sensitive Care (current ed.)
• Incidence and prevalence
Reporting CNO Documentation
• Legal and ethical responsibilities
CNO Infection Control
• Nursing Process
CNO Therapeutic
o Nursing assessments and
Nurse-client
plans of care
relationship
o Nursing interventions and
CNO Mandatory
care
Reporting
• Child and family focus www.cno.org
• Community resources Child and Family
Services Act
Learning Framework www.e-laws.gov.on.ca
(for Health Problems see the
following section)
• Definition(s)
• Etiology
o Incidence and prevalence in
Canada
o Common risk factors
• Pathophysiology
• Clinical Manifestations
o Common signs and symptoms
• Diagnostic Tests
o Common diagnostic tests and
findings
o Nursing responsibilities
• Treatments
o Medical or surgical
interventions
o Drug therapy
• Nursing Process
o Nursing assessments and
plans of care
o Nursing interventions and
care
• Client education
o Prevention and treatment
• Collaborative care
o Psychosocial care
o Nursing role
o Community resources

NURS209 Practical Nursing Study Guide 2020—2021 Page 5


COURSE CONTENT ASSESSMENT RESOURCES
Health Problems (For Learning
Framework see the above section)
Life Threatening
• Anaphylaxis
• Seizures (including febrile
seizure)
• Meningitis

Head Ears Eye Nose Throat (HEENT)


• Acute otitis media
• Conjunctivitis
• Tonsillitis

Gastrointestinal
• Vomiting
• Diarrhea
• Appendicitis

Fluids and Electrolytes Imbalance


• Dehydration

Respiratory
• Croup
• Asthma
• Bronchiolitis

Special Populations
• Cystic fibrosis
• Cerebral palsy
• Autism

Dermatology
• Eczema

Health Challenges of the Formal Self-Directed Learning:


Adolescent Client Content will be NURS209 Evolve content
• Principles of care evaluated on:
Primary Text
Learning Framework Test 1 Perry, Lowdermilk and
(For Health Problems see the Final Exam Hockenberry (current
following section) ed.)
• Definition(s)
• Etiology Secondary Texts
o Incidence and prevalence in Jarvis (current ed.)
Canada Townsend (current ed.)
o Common risk factors
Informal Supplemental
• Pathophysiology
Learning Activities: CNO Confidentiality
• Clinical Manifestations
o Common signs and symptoms and Privacy – Personal
Case Study on MVI Health Information
• Diagnostic Tests and SCI
o Common diagnostic tests and CNO Consent (current ed.)

NURS209 Practical Nursing Study Guide 2020—2021 Page 6


COURSE CONTENT ASSESSMENT RESOURCES
findings CNO Culturally
o Nursing responsibilities Think-Pair-Share on Sensitive Care (current ed.)
• Treatments Compare/ Contrast CNO Documentation
o Medical or surgical Anorexia and CNO Infection Control
interventions Bulimia CNO Therapeutic
o Drug therapy Nurse-client
• Nursing Process relationship
o Nursing assessments and www.cno.org
plans of care
o Nursing interventions and
care
• Client education
o Prevention and treatment
• Collaborative care
o Psychosocial care
o Nursing role
o Community resources

Health Problems
(For Learning Framework see the
above section)

Eating Disorders
• Anorexia
• Bulimia

Accidents and Injury


• Motor vehicle injuries (MVI)
• Spinal cord injury (SCI)

Sexuality and Sexually


Transmitted Infections (STI)s

Holistic Care of the Maternal and Formal Self-Directed Learning


Newborn Client: Pre-natal, and Content will be NURS209 Evolve content
Labour and Delivery care evaluated on:
• Definitions Primary Text
Test 1 Perry, Lowdermilk and
Maternal adaptations during Hockenberry (current
pregnancy Scholarly ed.)
• Signs of Pregnancy Assignment
• Physiological Adaptation to Secondary Text
Pregnancy Final Exam Jarvis (current ed.)
• Psychological Adaptation to
Informal Supplemental
Pregnancy
Learning Activities: CNO Ethics (current ed.)
• Common Discomforts in
Pregnancy CNO Culturally
Case Study on Sensitive Care (current ed.)
• Factors that affect pregnancy Prenatal and
outcomes Antepartum Care

NURS209 Practical Nursing Study Guide 2020—2021 Page 7


COURSE CONTENT ASSESSMENT RESOURCES

• Danger Signs in Pregnancy CNO Consent (current ed.)


• Possible Complications of Think-Pair-Share on CNO Documentation
Pregnancy: Obstetrical CNO Infection Control
• Hyperemesis gravidarum Terminology/ CNO Therapeutic
• Pre-eclampsia Complications Nurse-Client
• Gestational Diabetes relationship
• Placenta Previa www.cno.org
• Abruptio Placentae
Controlled Drugs and
Prenatal Care Substances Act
First Prenatal Visit www.laws-
lois.justice.gc.ca
• Client Interview
• Assessment of Maternal Well-
College of Midwives of
Being
Ontario
o Nagele’s rule, vital signs,
cmo.on.ca
weight, fundal height etc.
o Common laboratory and
diagnostic tests
o Psychosocial assessment
o Cultural considerations
o Client education
o Community resources

• Assessment of Fetal Well-


Being
o Fetal Heart
o Fetal Movements
o Ultrasound

Subsequent Prenatal Visits


• Nursing Process
o Nursing assessments and
plans of care
o Nursing interventions and
care
• Client education
• Collaborative care
o Psychosocial care
o Nursing role
o Community resources

The Labor Process


• Four essential components of
labor
• Four stages of labor
• Maternal and fetal adaptation to
labor
• Episiotomy
• Cultural Considerations
• Nursing Process
o Nursing assessments during

NURS209 Practical Nursing Study Guide 2020—2021 Page 8


COURSE CONTENT ASSESSMENT RESOURCES
labor (maternal and fetus) and
plans of care
o Nursing interventions and
care
• Client education
• Collaborative care
• Role of the midwife
• Comfort measures and Pain
management during labour
o Non-pharmacological
interventions
o Pharmacological interventions
• Psychosocial Role
• Birthing support to the mother
and her coaching team
Holistic Care of the Maternal and Formal Self-Directed Learning
Newborn Client: Postpartum Care Content will be NURS209 Evolve content
Cesarean Birth evaluated on:
• Nursing Process Primary Text
o Nursing Assessments Scholarly Perry, Lowdermilk and
(maternal and newborn) and Assignment Hockenberry (current
plans of care ed.)
o Nursing interventions and Final Exam
care Secondary Text
• Client education Informal Jarvis (current ed.)
• Collaborative care Learning Activities:
• Psychosocial care Supplemental
o Nursing role Case Study on CNO Ethics (current ed.)
Postpartum Care: CNO Culturally
o Community resources
Mother & Newborn Sensitive Care (current ed.)
Maternal: Immediate Period After CNO Consent (current ed.)
Birth Think-Pair-Share on CNO Documentation
Possible CNO Infection Control
• Physiological adaptation
Complications CNO Therapeutic
• Initial physical assessment of the
post-partum woman Nurse-client
• Assess vital signs, fundus and relationship
perineum (lochia), bladder, bowel www.cno.org
etc. Controlled Drugs and
Substances Act
• Pain assessment and
management
www.laws-
• Laboratory and diagnostic tests
lois.justice.gc.ca
• Maternal-newborn bonding
RPNAO Breastfeeding
Infant: Physiologic Adaptation Best Practice
• Initial assessment of the newborn Guidelines for Nurses
(transition): www.rnao.org
• APGAR scale
• Physiologic adaptation
• Hypoglycemia
• Physiological jaundice
• Nursing care of the normal

NURS209 Practical Nursing Study Guide 2020—2021 Page 9


COURSE CONTENT ASSESSMENT RESOURCES
newborn (immediately after birth)

Care of Mother and Child


• Nursing Process
o Nursing assessments
(maternal and fetus) and plans
of care
o Nursing interventions and care
• Client education
o Parent-child and sibling
bonding
o Breastfeeding
o Bottle feeding
o Infant care
o Breast, uterus and perineum
care
o Follow-up visits to the
physician or midwife
• Collaborative care
• Psychosocial care
o Nursing role
• Cultural considerations
• Community resources
Health Challenges: Adult Clients Formal Self-Directed Learning
Experiencing Mental Health Content will be NURS209 Evolve content
Problems evaluated on:
• Principles of care Primary Text
• Mental Health Act, 1990 Final Exam Pollard, Ray & Haase
(current ed.)
• Voluntary admission; involuntary
admission
Informal Secondary Text
Learning Framework Learning Activities: Ontario Mental Health
(For Health Problems see the Act
following section) Case Study on www.e-laws.gov.on.ca
• Definitions Anxiety Disorders
• Etiology Supplemental
o Incidence and prevalence in Think-Pair-Share on CNO Ethics (current ed.)
Canada Affective Disorders CNO Culturally
o Common risk factors Sensitive Care (current ed.)
CNO Consent (current ed.)
• Pathophysiology
CNO Documentation
• Clinical Manifestations CNO Restraints
o Common signs and CNO Therapeutic
symptoms Nurse-client
• Mental Health Assessment relationship
• Treatments www.cno.org
o Psychotherapy
o Cognitive Therapy RNAO Best Practice
o Behavior/Family/Group Guidelines
Promoting Safety:
Therapy
Alternative Approaches
o Psychopharmacology to Restraints
o Electroconvulsive therapy

NURS209 Practical Nursing Study Guide 2020—2021 Page 10


COURSE CONTENT ASSESSMENT RESOURCES

• Nursing Process www.rnao.org


o Nursing assessments and
plans of care
o Nursing interventions and
care
• Client education
o Prevention and treatment
• Collaborative care
o Psychosocial care
o Nursing role
o Community resources
• Growth and development
• Cultural considerations
• Community living and supports
• Legal and ethical implications

Health Problems
(For Learning Framework see the
above section)
Common symptoms of psychoses
• Changes in
o Thinking: Delusion
o Perception: Hallucination
o Feeling and Mood: Elation,
o Severe Depression
o Behaviour: Withdrawal,
Inappropriate Behaviour

Anxiety Disorders
• General Anxiety Disorder
• Panic Disorder
• Phobic Disorder
• Obsessive-Compulsive Disorders
(OCD)

Affective Disorders
• Depressive Disorders
• Bipolar Disorder
• Schizophrenia
• Substance Abuse and Dual
Diagnosis Suicide

NURS209 Practical Nursing Study Guide 2020—2021 Page 11


COURSE CONTENT ASSESSMENT RESOURCES
Female Reproduction Formal Self-Directed Learning
Content will be NURS209 Evolve content
Menarche and menopause evaluated on:
• Definitions Primary Text
• Client education Final Exam Lewis, Heitkemper,
• Cultural considerations Dirksen, O’Brien, and
Bucher (current ed.)
Health Challenges Related to Informal
Female Reproduction Learning Activities:
• Principles of care Secondary Text
Role Play/Case Jarvis (current ed.)
Study on Cultural Supplemental
Learning Framework
Consideration & CNO Ethics (current ed.)
(For Health Problems see the
following section) Health Teaching CNO Culturally
Think-Pair-Share on Sensitive Care (current ed.)
• Definitions
Female Cancers CNO Consent (current ed.)
• Etiology
o Incidence and prevalence in CNO Documentation
Canada CNO Infection Control
o Common risk factors CNO Therapeutic
• Pathophysiology Nurse-client
relationship
• Clinical Manifestations
www.cno.org
• Common signs and symptoms
• Diagnostic Tests
o Common diagnostic tests and
findings
o Nursing responsibilities
• Treatments
o Medical or surgical
interventions
o Drug therapy
o Cancer: External and internal
radiation; Chemotherapy
• Nursing Process
o Nursing assessments and
plans of care
o Nursing interventions and care
• Client education
o Prevention and treatment
• Collaborative Care
• Psychosocial care
o Nursing role
• Cultural and sexual
considerations
• Ambulatory and home care
• Community resources

Health Problems
(For Learning Framework see the
above section)
• Endometriosis
• Cancer

NURS209 Practical Nursing Study Guide 2020—2021 Page 12


COURSE CONTENT ASSESSMENT RESOURCES
o Uterine
o Ovarian
o Breast
o Cervical

Health Challenges Related to Male Formal Self-Directed Learning:


Reproduction Content will be NURS209 Evolve content
• Principles of care evaluated on:
Primary Text
Learning Framework Final Exam Lewis, Heitkemper,
(For Health Problems see the Dirksen, O’Brien, and
following section) Bucher (current ed.)
• Definitions Informal
• Etiology Learning Activities: Secondary Text
o Incidence and prevalence in Jarvis (current ed.)
Canada Case Study on Male
o Common risk factors Health Problems Supplemental
• Pathophysiology CNO Ethics (current ed.)
Think-Pair-Share/ CNO Culturally
• Clinical Manifestations
Role Play on Male Sensitive Care (current ed.)
• Common signs and symptoms
Reproductive CNO Consent (current ed.)
• Diagnostic Tests Health: Cultural
o Common diagnostic tests and CNO Documentation
Considerations & CNO Therapeutic
findings Health Teaching
o Nursing responsibilities Nurse-client
relationship
• Treatments
www.cno.org
o Medical or surgical
interventions
o Drug therapy
o Cancer: radiation,
chemotherapy
• Nursing Process
o Nursing assessments and
plans of care
o Nursing interventions and care
• Client education
o Prevention and treatment
• Collaborative care
• Psychosocial role
o Nursing role
• Cultural and sexual
considerations
• Ambulatory and home care
• Community resources

NURS209 Practical Nursing Study Guide 2020—2021 Page 13


COURSE CONTENT ASSESSMENT RESOURCES
Health Problems (For Learning
Framework see the above section)
• Benign Prostatic Hyperplasia
• Cancer of the Prostate
• Testicular Cancer
Health Challenges related to Adult Formal Self-Directed Learning
Clients with Renal and Urological Content will be NURS209 Evolve content
issues evaluated on:
• Principles of care Primary Text Lewis, Heitkemper,
Final Exam Dirksen, O’Brien, and Bucher
Learning Framework (current ed.)
(For Health Problems see the Informal
following section) Learning Activities: Secondary Text
• Definitions Potter & Perry, Stockert, and
• Etiology Case Study on Hall (current ed.)
o Incidence and prevalence in Acute and Chronic
Canada Renal Failure Supplemental
o Common risk factors CNO Ethics (current ed.)
• Pathophysiology CNO Culturally
• Clinical Manifestations Sensitive Care (current ed.)
o Common signs and symptoms CNO Consent (current ed.)
• Diagnostic Tests CNO Documentation
o Common diagnostic tests CNO Infection Control
findings CNO Therapeutic Nurse-client
o Nursing responsibilities relationship www.cno.org
• Treatments
o Medical or surgical RNAO Best Practice Guidelines
interventions Decision Support for Adults
o Nutrition Living with Chronic Kidney
o Drug therapy Disease
RNAO Best Practice Guidelines
• Nursing Process
Promoting Continence Using
o Nursing assessments and
Prompted Voiding
plans of care
www.rnao.org
o Nursing interventions and care
• Client education
o Prevention and treatment
• Collaborative care
• Psychosocial care
o Nursing role
• Cultural and sexual
considerations
• Ambulatory and home care
• Community resources

Health Problems
(For Learning Framework see the
above section)
Infections
• Urinary Tract Infections (UTI)
• Cystitis
Calculus Formation

NURS209 Practical Nursing Study Guide 2020—2021 Page 14


COURSE CONTENT ASSESSMENT RESOURCES

• Kidney and bladder stones

Renal Failure
• Acute and chronic
• Dialysis
Health Challenges Related to Adult Formal Self-Directed Learning
Clients with Gastrointestinal Content will be NURS209 Evolve content
issues evaluated on:
• Principles of care Primary Text Lewis, Heitkemper,
Final Exam Dirksen, O’Brien, and Bucher
Learning Framework (current ed.)
(For Health Problems see the Informal
following section) Learning Activities: Secondary Text Potter, Perry,
• Definitions Stockert, and Hall (current ed.)
• Etiology Case Study on
o Incidence and prevalence in Lower GI Conditions Supplemental CNO Ethics
Canada (2009) CNO Culturally
o Common risk factors Think-Pair-Share on Sensitive Care (current ed.)
• Pathophysiology Upper GI Conditions CNO Consent (current ed.)
• Clinical Manifestations CNO Documentation
o Common signs and CNO Infection Control
symptoms CNO Therapeutic Nurse-client
• Diagnostic Tests relationship www.cno.org
o Common diagnostic tests and
findings RNAO Best Practice Guidelines
o Nursing responsibilities Decision Support for Adults
• Treatments Living with Chronic Kidney
o Emergency Care Disease
o Medical or surgical RNAO Best Practice Guidelines
interventions Promoting Continence Using
o Drug Therapy Prompted Voiding
o Nutrition www.rnao.org
o Bowel Diversion: ostomy care
o Cancer: Radiation;
Chemotherapy
• Nursing Process
o Nursing Assessments and
plans of care
o Nursing interventions and
care
• Client education
o Prevention and treatment
• Collaborative care
o Psychosocial Role
o Nursing role
• Cultural considerations
• Ambulatory and home care
• Community resources

Health Problems
(For Learning Framework see the

NURS209 Practical Nursing Study Guide 2020—2021 Page 15


COURSE CONTENT ASSESSMENT RESOURCES
above section)
Upper Gastrointestinal (GI) tract

• Gastroesophageal reflux disease


(GERD)
• Upper Gastrointestinal bleed

Lower Gastrointestinal (GI Tract)

• Peritonitis
• Diverticulitis
• Inflammatory Bowel Disease
(IBD: Crohn’s Disease and
Ulcerative Colitis)
• Bowel obstruction
• Colon cancer
Health challenges related to adult Formal Self-Directed Learning:
clients with Hepatic issues Content will be NURS209 Evolve content
evaluated on:
• Principles of care
Primary Text
Learning Framework Final Exam Lewis, Heitkemper, Dirksen,
(For Health Problems see the O’Brien, and Bucher (current
following section) ed.)
Informal
• Definitions Learning Activities:
• Etiology Secondary Text Potter, Perry,
o Incidence and prevalence in Case Study on Stockert, and Hall (current ed.)
Canada Hepatic Conditions
o Common risk factors
Supplemental
• Pathophysiology Think-Pair-Share on CNO Ethics (current ed.)
• Clinical Manifestations Acute and Chronic
o Common signs and CNO Culturally
Pancreatitis
symptoms Sensitive Care (current ed.)
• Diagnostic Tests CNO Consent (current ed.)
o Common diagnostic tests and CNO Documentation
findings
CNO Infection Control
o Nursing responsibilities
• Treatments CNO Therapeutic Nurse-client
o Medical or surgical relationship www.cno.org
interventions
o Drug Therapy
• Nursing Process
o Nursing assessments and
plans of care
o Nursing interventions and
care
• Client education/safety
o Prevention and treatment
• Collaborative care
• Psychosocial role
o Nursing role

NURS209 Practical Nursing Study Guide 2020—2021 Page 16


COURSE CONTENT ASSESSMENT RESOURCES

• Cultural considerations
• Ambulatory and home care
• Community resources

Health Problems (For Learning


Framework see the above section)
• Hepatitis
• Cirrhosis
• Liver Cancer
• Liver Failure
Pancreas
• Acute and Chronic Pancreatitis
Gallbladder
• Gall bladder disease

Please note: this course schedule may change as resources and circumstances require.

NURS209 Practical Nursing Study Guide 2020—2021 Page 17


SCHOLARLY ASSIGNMENT
ADULT & PEDIATRIC HEALTH CHALLENGES

The Purpose of Assignment

The purpose of this assignment is to deepen the students’ understanding and comprehension of
peri-operative, pediatric, adolescent, and maternal health concepts. Students will develop a
Critical Thinking Framework for a specific health challenge. In addition, students will write a
scholarly paper that identifies relevant data from a case study, a priority nursing diagnosis, clinical
manifestations, nursing interventions, collaborative care and community resources.

Process

Students will select a case study on a peri-operative, pediatric, adolescent, or maternal health
challenge. There are two parts to the assignment. Part A will promote analysis and critical
thinking. Part B will promote knowledge application, scholarly writing and research.

Part A
Critical Thinking Framework

Instructions:
Maximum length: 1 page (250 words)
Using a standard size (8.5 x 11) document, develop a Critical Thinking Framework that includes:

Relevant Case Study:


• Identify relevant data from the case study.

Clinical Manifestations/Complications:
• Identify relevant clinical manifestations from the case study and include related research (5
minimum).
• Clinical Manifestations must be physiological and psychosocial.

Priority Nursing Diagnosis/Problems :

• Identify two (2) priority-nursing diagnoses based on the selected clinical manifestations.
• Nursing diagnosis must be physiological and psychosocial.

Interventions:
• Identify five (5) treatment and/or illness prevention strategies (priority) related to each
nursing diagnosis.
• Identify evidence based treatment/prevention strategies.
• Please note: Treatment or illness prevention strategies must include a wide range of
activities such as health teaching, nutritional planning, nursing interventions and drug
therapy.
• Collaborative practice must be included to demonstrate knowledge of roles/responsibilities
of the health care team members.
• All treatment or prevention strategies should be specific and client centered (relate back to
client and context identified in the case study). Please ensure that all interventions include
in text citations and references.
• Please highlight the selected pathway in this Critical Thinking Framework that will be used
for your paper (Part B).

NURS209 Practical Nursing Study Guide 2020—2021 Page 18


Critical Thinking Framework

Relevant Case Study Details

Physiological Psychosocial
Clinical Manifestations (CM) (5 Clinical Manifestations (CM) (5
minimum). minimum).
- Identify all relevant CM from the - Identify all relevant CM from the
case study case study
- Include CM from research - Include CM from research
related to the case related to the case

- diagnosis

Physiological Psychosocial
Nursing Diagnosis (Risk/Actual) Nursing Diagnosis (Risk/Actual)
- ONE nursing diagnosis based on - ONE nursing diagnosis based on
the priority CM the priority CM

5 Total: 5 Total:

• Nursing Interventions • Nursing Interventions


• Treatments/Prevention • Treatments/Prevention
• Collaborative Practice • Collaborative Practice
• Community Resources • Community Resources

NURS209 Practical Nursing Study Guide 2020—2021 Page 19


Part B
Scholarly Written Paper

Include introduction and a conclusion relevant to the case study

• Provide a written paper related to the selected case-study with evidence-based rationales to
justify the links that you have made in the Critical Thinking Framework (Part A). Include
evidence-based rationales to support the path that you have chosen.

Relevant Case Study Data:


• Provide evidence-based rationales to support your selection of the relevant case study
data from the case scenario.
• Use peer reviewed articles to support your rationales.

Clinical Manifestations:
• Provide evidence-based rationales to support your selection of priority Clinical
Manifestation(s).
• Selected two (2) clinical manifestations to discuss. These clinical manifestations must relate
to the selected nursing diagnoses
• Use peer reviewed articles to support your rationales.

Nursing Diagnosis:
• Select only one (1) Nursing Diagnosis
• Provide evidenced based rationale to support your selection of the one (1) priority nursing
diagnosis.

Interventions:
• Justify your selection of five (5) priority interventions that relate to the (one) 1 selected
nursing diagnosis.
• Use peer reviewed articles to support your rationales.

Format:
Part A & B

• Students must adhere to APA (current edition).


• Title page must be included
• The Critical Thinking Framework must include in text citation.
• Part B must include a minimum of four (4) pages and a maximum of five (5) pages.
• A required minimum of 4 peer reviewed-credible references (text book can count as 1
reference).
• The paper should have evidence-based literature to support all sections of your paper

Format for Submitting Assignment

1. Students must adhere to APA current edition.


2. The penalty for late submission of assignments is a deduction of 20% per day of the
original assignment value (weekends count as two (2) days). Assignments submitted five
(5) days after the due date will not be marked. Assignments must be submitted
electronically. Assignments submitted after the due date and time (without prior discussion
with the professor) will be considered late. Assignments submitted on Fridays after 1600
hours, will not be considered received until 0800 hours Monday with a two (2)-day penalty
for the weekend.

NURS209 Practical Nursing Study Guide 2020—2021 Page 20


Critical Thinking Framework & Scholarly Assignment Rubric
Assignment Criteria Excellent Good Satisfactory Needs Improvement Below Accepted Standard Mark
85 – 100% 70 -84% 60 – 69% 50 -59% 0 – 49%
Part A: Critical Thinking q Identified priority data from q Identified priority data from q Identified priority data from q Identified priority data from q Little or no relevance,
Framework case study that is relevant to case study that is relevant to case study that is relevant to case study that is relevant to accuracy, and logic.
q Identified relevant priority focus /priority focus /priority of concept focus /priority of concept map focus /priority of concept q Clinical
data from case study q Excellent identification of map q Identification of clinical map limited and/or unclear. manifestations (10),
q Clinical Manifestation/ clinical manifestations (10), q Good identification of manifestations (10), nursing q Clinical manifestations (10) - nursing diagnosis (2), /10
Complication (5 nursing diagnosis (2), clinical manifestations (10), diagnosis (2), interventions < 2 missing interventions (10),
physiological and 5 interventions (10), related to nursing diagnosis (2), (10), related to the identified q Nursing diagnosis (2) – related to the
psychosocial- 10 total) the identified data. interventions (10), related to data. missing 1 identified data –
q 2 Nursing Diagnoses (1 q Relevant, accurate, and the identified data. q Listed connections q Interventions (10) - < 2 Missing -4 or more
Psychosocial and 1 logical components with q Relevant, accurate, and satisfactory- other links may missing, incomplete and/or components and/or
Pathophysiological) very strong connections. logical components with need to be considered for limited. links.
q Treatment/Prevention/Interve q Components and all links good connections. stronger connections. q Listed connections unclear q No evident support
ntion (5 per Nursing complete. q Components and all links q Components and all links q No listed literature support from literature within
Diagnosis- total of 10) q Organized, clear, concise, complete. complete. within map. map
q Components and all links and organized. q Organized, clear, concise, q Organization and clarity are q Minimal relevance, accuracy, q No Highlighted
complete. q Well supported with and organized. satisfactory, however can be and logic. priority pathway
q Organized, clear, concise, literature within the map. q Supported with literature improved further. q Minimal organization. q Not organized.
and organized. q Highlighted priority pathway within the map. q Literature support evident q No Highlighted priority
q Literature support q Highlighted priority pathway within the map. More support pathway
Highlighted priority pathway can further strengthen overall
map.
q Highlighted priority pathway

(10 - 8.5) (8.4 - 7.0) (6.9 - 6.0) (5.9 - 5.0) (4.9 - 0)


Part B: Scholarly Paper q All priority information q Majority of the priority q Most of the priority q Missing >3 key priority q No priority
Identifies key priority identified from case study. information identified from information identified from information from case study. information from case
information/data from case q Identified data that is case study. case study. q Identified data is not study identified
study. relevant to focus /priority of q Identified data that is relevant q Identified data that is relevant significant to the focus/ q Identified data is
concept map to focus /priority of concept to focus /priority of concept priority of the overall inconsistent to the
q Identify relevant priority data q Rationale to support map. map done at satisfactory level. concept map. priority/focus of the /8
from case study and provides identified data done very q Rationale to support q Rationale to support identified q Rationale to support concept map
rationales. well. identified data done well. data done in satisfactory identified data unclear at q Rationale not
manner. times. provided.
(8 – 6.8) (6.7 – 5.7) (5.6 – 4.8) (4.7 – 4) (3.9 – 0)
Clinical Complication/ q Thorough discussion of q General discussion of q Some discussion of rationale q Minimal/limited discussion q No discussion of
Manifestations: rationale and evidence for rationale and evidence for and evidence. Missing of rationale and evidence. rationale or support
selected clinical selected manifestations/ discussion for 1 of the Missing discussion for more provided for
q Discuss the evidenced based manifestations/complications complications. highlighted priorities. than 1 highlighted priorities. highlighted clinical
rationales defending why the . q Good integration and use of q Some integration and use of q Minimal integration and use manifestations /
highlighted clinical q Good integration and use of peer reviewed references peer reviewed references of peer reviewed references concerns. /12
manifestations/complications peer reviewed references throughout to support chosen throughout to support chosen throughout to support chosen
were selected as priorities. throughout to support chosen pathway. pathway. pathway.
q All highlighted priorities on pathway. q Discussion areas are client q Discussion areas are client q Discussion areas are
the map are discussed. q Discussion areas are client centered. centered at satisfactory level. minimally client centered.
q 2 Clinical Manifestations centered. q Clear, concise, and q Mostly clear, concise, and q Minimal clarity, conciseness
discussed q Clear, concise, and organized. organized. and organization.
organized.
(12 – 10.2) (10.1 - 8.3) (8.2 - 7.2) (7.1 - 6) (5.9 – 0)

NURS209 Practical Nursing Study Guide 2020—2021 Page 21


Assignment Criteria Excellent Good Satisfactory Needs Improvement Below Accepted Standard Mark
85 – 100% 70 -84% 60 – 69% 50 -59% 0 – 49%
Identified Nursing Diagnosis q Excellent identification of q Good identification of q Satisfactory identification of q Minimal identification of q No discussion of the 1
(Pathophysiological/ priority nursing diagnosis priority nursing diagnosis priority nursing diagnosis priority nursing diagnosis nursing diagnosis.
Psychosocial): related to the identified data. related to the identified data. related to the identified data. related to the identified data. q No discussion of
q Excellent integration and use q Good discussion of rationale q General discussion of rationale Some priorities unclear. rationale and/or use of /8
q Identifiy1 priority Nursing of peer reviewed references and evidence. and evidence. q Minimal discussion of literature support for
Diagnoses (1 throughout to support chosen q Good integration and use of q Some integration and use of rationale and evidence. diagnosis.
pathophysiological OR 1 pathway. peer reviewed references peer reviewed references q Minimal integration and use
psychosocial) q Rationale to support throughout to support chosen throughout to support chosen of peer reviewed references
q Discuss the evidenced based identified data done very pathway. pathway. throughout to support chosen
rationales defending why well. q Rationale to support q Rationale to support identified pathway.
your selected pathway is the q Discussion areas are client identified data done well. data done in satisfactory q Rationale to support identified
priority centered. q Discussion areas are client manner. data unclear at times.
q Clear, concise, and centered. q Discussion areas are client q Discussion areas are
organized. q Clear, concise, and centered at satisfactory level. minimally client centered.
organized. q Some clarity, conciseness, and q Minimal clarity, conciseness
organization and organization.
(8 – 6.8) (6.7 – 5.7) (5.6 – 4.8) (4.7 – 4) (3.9 – 0)
Interventions (5 discussed at q Excellent interventions q Good interventions identified q Satisfactory interventions q Minimal and/or missing q No discussion of
minimum) : identified that are thorough, that are specific and relevant identified that are specific and interventions identified that rationale/support for
specific and relevant to the to the identified priority path. relevant to the identified priority are specific and relevant to the the 5 interventions /12
q Identify relevant priority identified priority path. q Good discussion of rationale path. Some interventions may identified priority path. Some related to diagnosis
interventions for the q Thorough discussion of and evidence. need to be further explained. interventions may need to be and clinical
identified priority diagnosis rationale and evidence. q Good integration and use of q General discussion of rationale further explained. manifestations/
and clinical/ q Excellent integration and use peer reviewed references and evidence. Some integration q Minimal discussion of concerns.
manifestation/complication of peer reviewed references throughout to support chosen and use of peer reviewed rationale and evidence. q No use of literature
q Discuss the evidenced based throughout to support chosen pathway. references throughout to support q Minimal integration and use support.
rationales defending why pathway. q Discussion areas are client chosen pathway. of peer reviewed references
your selected pathway is the q Discussion areas are client centered. q Discussion areas are client throughout to support chosen
priority. centered. q Clear, concise, and centered at satisfactory level. pathway.
q 5 Interventions discussed q Clear, concise, and organized. q Some clarity, conciseness, and q Discussion areas are
organized. organization minimally client centered.
q Minimal clarity, conciseness
and organization.
(12 – 10.2) (10.1 - 8.3) (8.2 - 7.2) (7.1 - 6) (5.9 – 0)
5) APA Format utilized q Submitted to Turnitin.com q Submitted to Turnitin.com q Submitted toTurnitin.com q Submitted to Turnitin.com q Not submitted to
q APA correct including: in q Mostly correct application of q Mostly correct application of q Minimal application of APA Turnitin.com
text citations, reference list APA including: in text APA including: in text citations, with many mistakes. Only 1 q Numerous APA /4
(4 credible journals), format citations, reference list (2 or reference list (1 or 2 credible credible or no proper issues. No reference
etc. 3 credible journals and some journal and some other references provided. provided.
q 0 errors. other references), format etc. references), format etc. q 6 - 8 errors. q >8 errors
q 1-2 errors. q 3- 5 errors.
(4 – 3.2) (3.1 - 2.8) (2.7 - 2.4) (2.3 - 2) (1.9 - 0)
6) Scholarly Writing q Scholarly writing (Spelling q Scholarly writing (Spelling & q Scholarly writing (Spelling & q Scholarly writing (Spelling q Scholarly writing
& Grammar, Sentence Grammar, Sentence Structure Grammar, Sentence Structure & Grammar, Sentence (Spelling &
Structure and Punctuation) and Punctuation) and Punctuation) Structure and Punctuation) Grammar) /6
q Introduction and conclusion q Introduction and conclusion q Introduction and conclusion q Limited or unclear I q Missing introduction
q Page limit met q Page limit met q Page limit met introduction and conclusion and/or conclusion
q 0 errors (4) q 1-2 errors. q 3-5 errors (2) q Page limit not met q Page limit not met
q 6-8 errors q > 8 errors
(6 – 5.1) (5 – 4.2) (4.1 – 3.8) (3.7 – 3) (2.9 - 0)
Late Submission: x __ days= ___ deduction
/60

NURS209 Practical Nursing Study Guide 2020—2021 Page 22

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