American Sentinel N522 Discussions Latest 2021 July (Full)

N522 Advanced Physical Assessment

Module 1 Discussion

Post to the discussion board a planned approach to communicating with someone who speaks another language.  What type of questions will you need to ask?  What communication issues were discussed this week in Shadow Health? How does communication impact the concept of clinical reasoning in nursing? Please discuss the issues completely, citing your sources so that your classmates can reference the information. Include one insight gained this week from your readings or interaction in Shadow Health.

N522 Advanced Physical Assessment

Module 2 Discussion

This week you have studied advanced physical assessment of the eyes, ears, nose, throat, head, neck and skin (HEENT). Describe the classification of rashes.  What additional resources for HEENT advanced health assessment skills have you found beneficial in developing your knowledge and psychomotor skills this week? Post a concept to the discussion board that you have had difficulty with and note where you are with resolution of your difficulties.  Please describe the issue completely, citing your sources so that your classmates can reference the information and provide additional “clinical pearls”. In other words, please include primary sources and/or reliable electronic sources to support your arguments.

N522 Advanced Physical Assessment

Module 3 Discussion

This week you have studied cardiovascular, peripheral vascular, and respiratory advanced physical assessment. What additional resources for these advanced health assessment skills have you found beneficial in developing your knowledge and psychomotor skills this week?

Post a concept to the discussion board that you have had difficulty with and note where you are with resolution of these difficulties.  Please describe the issue completely, citing your sources so that your classmates can reference the information and provide additional “clinical pearls”. In other words, please include primary sources and/or reliable electronic sources to support your arguments.

N522 Advanced Physical Assessment

Module 4 Discussion

DQ1 As you know, abdominal pain can be a challenging patient complaint because it is frequently benign, but it can also herald serious acute pathology. The history and physical examination are critical to narrowing the differential diagnosis of abdominal pain and guiding the evaluation. Acute abdominal pain frequently requires urgent investigation and management. Some patients may require the assessment of their airway, breathing, and circulation, followed by appropriate resuscitation. Many patients will require analgesics, which can be administered judiciously without compromising the physical assessment of peritoneal signs. That said, what are the common differential diagnoses of abdominal pain in emergency situations? Also, does your healthcare institution have a specific policy, algorithm and/or protocol on how to assess, manage, and treat abdominal pain? Please share an example of the protocol for abdominal pain from practice or the literature.

DQ2 You studied the cardiovascular system in your readings last week.  This week you completed a focused assessment of Brian Foster, a patient who is assessed for chest pain.  Please share your analysis of the subjective & objective data you collected during your assessment and provide your differential diagnoses, describing your clinical reasoning that helped you choose your diagnoses.  Share your individualized plan of care for Brian and include any lifespan or developmental considerations as well as cultural needs for this patient.

N522 Advanced Physical Assessment

Module 5 Discussion

This week you have studied neurological and musculoskeletal advanced physical assessment. While a diverse set of advanced physical assessment skills where do you place your greatest level of confidence and what areas need more development. What methods do you use to remember assessment of cranial nerves, mental status, or other important clinical assessments of persons with neurological or musculoskeletal problems? Of these areas of advanced physical assessment what psychomotor skill is most challenging for you to accomplish? Why?

Post a concept to the discussion board that you have had difficulty with and note where you are with resolution of these difficulties.  Please describe the clinical issue completely, citing your sources so that your classmates can reference the information and provide additional “clinical pearls”. In other words, please include primary sources and/or reliable electronic sources to support your arguments.

N522 Advanced Physical Assessment

Module 6 Discussion

This week you have studied mental health (psychological); urinary and reproductive systems of the male and female in advanced physical assessment. While this is a diverse set of advanced physical assessment skills where do you place your greatest level of confidence and what areas need more development.  Of these areas of advanced physical assessment where to you struggle in your nursing practice most when providing patient-centered education?

Please cite sources for additional knowledge, skill development, or professional development related to reproductive health and provide additional “clinical pearls” learned this week. In other words, please include primary sources and/or reliable electronic sources to support your arguments.

N522 Advanced Physical Assessment

Module 7 Discussion

Caring for persons across the life span and from very diverse cultural backgrounds can present challenges in nursing practice. As you studied the ethical and legal issues related to advanced physical assessment what insights have you gained to advance your clinical reasoning? Describe knowledge gained or re-affirmed through a de-identified clinical story.

N522 Advanced Physical Assessment

Module 8 Discussion

DQ1 Complete the focused assessment of Esther Park in Shadow Health.  Analyze your health history & physical assessment findings here with your list of differential diagnoses and a detailed explanation of your clinical reasoning for the choices you made.  Include a discussion of the specific cultural needs of this patient & how you will plan an individualized care plan that includes these needs.  What specific developmental & life span considerations will be necessary to provide care for Esther, keeping in mind the legal & ethical considerations of professional nursing practice?

DQ2 Consider the special topics of pain assessment and cultural competency. How are these nursing assessments conducted in your nursing practice? Are your assessments current and based upon contemporary evidence or are these in need of policy and procedural revision? If revision is needed, what might you suggest to be changed? If you perceive the assessments are clinically relevant, what evidence supports your current practice?