NSG 6440 Practicum IV Family Health Primary
Care SU Full Course
NSG 6440 Practicum IV Family Health Primary Care SU Full Course
NSG 6440 Week 1 Discussion
Discussion Questions
You are a Family Nurse Practitioner working in a community health center. You are seeing a 14-
year-old adolescent patent for an annual visit. The patient’s mother is also present during the
visit and notes that the patient’s grades in school have been declining. Her son is also hanging
out with a group of kids that she has concerns about. The mother has concerns for what is
going on with her son. Answer the following questions using course resources (texts) and two
other evidence-based sources (current guidelines and/or scholarly articles that are within a 3-5
year time frame).
What are the components of an annual exam for an adolescent patient?
Is the mother required to be present during your exam?
Describe 1 health promotion idea that you would discuss with your middle adolescence patient.
Why is this idea important?
What are some screening tools that might be of importance in this situation? (hint: do you
suspect drug or alcohol abuse here?)
NSG 6440 Week 2 Discussion
This week you learned about common conditions in the adolescent client. Please review the
following case study and answer the following questions.
A fifteen-year-old female presents to your clinic complaining of shortness of breath and a
nonproductive nocturnal cough. She states she used to feel this way only with extreme
exercise, but lately, she has felt this way continuously. She denies any other upper respiratory
symptoms, chest pain, gastrointestinal symptoms, or urinary tract symptoms. Her past medical
[Type here]
, history is significant only for seasonal allergies, for which she takes a nasal steroid spray but is
otherwise on no other medications. She has had no surgeries. Her mother has allergies and
eczema, and her father has high blood pressure. She is the only child. She denies smoking and
illegal drug use. On examination, she is in no acute distress and her vital signs are: T 98.6, BP
120/80, pulse 80, and respirations 20. Her head, eyes, ears, nose, and throat examinations are
essentially normal. Inspection of her anterior and posterior chest shows no abnormalities. On
auscultation of her chest, there is decreased air movement and high-pitched whistling on
expiration in all lobes. Percussion reveals resonant lungs.
What is the chief complaint?
Based on the subjective and objective information provided what are your 3 top differential
diagnosis listing the presumptive final diagnosis first?
What treatment plan would you consider utilizing current evidence based practice guidelines?
Week 2 Project 2 SOAP Note and eMedley Entries
Each week, you are required to enter your patient encounters into eMedley. Your faculty will be
checking to ensure you are seeing the right number and mix of patients for a good learning
experience. You will also need to include a minimum of one complete SOAP note using this
template . The SOAP note should be related to the content covered in this week, and the
completed note should be submitted to the Submissions Area . When submitting your note, be
sure to include the reference number from eMedley.
Submission Details:
By the end of the week enter your patient encounters into eMedley and complete at least one
SOAP note in the template provided.
Name your SOAP note document SU_NSG6440_W2_SOAPLastName_FirstInitial.doc.
Include the reference number from eMedley in your document.
Submit your document to the Submissions Area by the due date assigned.
NSG 6440 Week 3 Discussion
In week 3 you learned about other common adolescent health conditions. Review the
following case study and answer the following questions:
An 18 year old white female presents to your clinic today with a 2 week history of intermittent
abdominal pain. She also is positive for periodic cramping and diarrhea as well as low grade
fever. She also notes reduced appetite. She notes that She admits smoking ½ PPD for the last 2
years. Denies any illegal drug or alcohol use. Does note a positive history of Crohn’s Disease.
Based on the information provided answer the following questions:
What are the top 3 differentials you would consider with the presumptive final diagnosis listed
first?
What focused physical exam findings would be beneficial to know?
What diagnostic testing needs completed if any to confirm diagnosis?
[Type here]
Care SU Full Course
NSG 6440 Practicum IV Family Health Primary Care SU Full Course
NSG 6440 Week 1 Discussion
Discussion Questions
You are a Family Nurse Practitioner working in a community health center. You are seeing a 14-
year-old adolescent patent for an annual visit. The patient’s mother is also present during the
visit and notes that the patient’s grades in school have been declining. Her son is also hanging
out with a group of kids that she has concerns about. The mother has concerns for what is
going on with her son. Answer the following questions using course resources (texts) and two
other evidence-based sources (current guidelines and/or scholarly articles that are within a 3-5
year time frame).
What are the components of an annual exam for an adolescent patient?
Is the mother required to be present during your exam?
Describe 1 health promotion idea that you would discuss with your middle adolescence patient.
Why is this idea important?
What are some screening tools that might be of importance in this situation? (hint: do you
suspect drug or alcohol abuse here?)
NSG 6440 Week 2 Discussion
This week you learned about common conditions in the adolescent client. Please review the
following case study and answer the following questions.
A fifteen-year-old female presents to your clinic complaining of shortness of breath and a
nonproductive nocturnal cough. She states she used to feel this way only with extreme
exercise, but lately, she has felt this way continuously. She denies any other upper respiratory
symptoms, chest pain, gastrointestinal symptoms, or urinary tract symptoms. Her past medical
[Type here]
, history is significant only for seasonal allergies, for which she takes a nasal steroid spray but is
otherwise on no other medications. She has had no surgeries. Her mother has allergies and
eczema, and her father has high blood pressure. She is the only child. She denies smoking and
illegal drug use. On examination, she is in no acute distress and her vital signs are: T 98.6, BP
120/80, pulse 80, and respirations 20. Her head, eyes, ears, nose, and throat examinations are
essentially normal. Inspection of her anterior and posterior chest shows no abnormalities. On
auscultation of her chest, there is decreased air movement and high-pitched whistling on
expiration in all lobes. Percussion reveals resonant lungs.
What is the chief complaint?
Based on the subjective and objective information provided what are your 3 top differential
diagnosis listing the presumptive final diagnosis first?
What treatment plan would you consider utilizing current evidence based practice guidelines?
Week 2 Project 2 SOAP Note and eMedley Entries
Each week, you are required to enter your patient encounters into eMedley. Your faculty will be
checking to ensure you are seeing the right number and mix of patients for a good learning
experience. You will also need to include a minimum of one complete SOAP note using this
template . The SOAP note should be related to the content covered in this week, and the
completed note should be submitted to the Submissions Area . When submitting your note, be
sure to include the reference number from eMedley.
Submission Details:
By the end of the week enter your patient encounters into eMedley and complete at least one
SOAP note in the template provided.
Name your SOAP note document SU_NSG6440_W2_SOAPLastName_FirstInitial.doc.
Include the reference number from eMedley in your document.
Submit your document to the Submissions Area by the due date assigned.
NSG 6440 Week 3 Discussion
In week 3 you learned about other common adolescent health conditions. Review the
following case study and answer the following questions:
An 18 year old white female presents to your clinic today with a 2 week history of intermittent
abdominal pain. She also is positive for periodic cramping and diarrhea as well as low grade
fever. She also notes reduced appetite. She notes that She admits smoking ½ PPD for the last 2
years. Denies any illegal drug or alcohol use. Does note a positive history of Crohn’s Disease.
Based on the information provided answer the following questions:
What are the top 3 differentials you would consider with the presumptive final diagnosis listed
first?
What focused physical exam findings would be beneficial to know?
What diagnostic testing needs completed if any to confirm diagnosis?
[Type here]
