Week 2: Focused Exam: Cough Results | Turned In Health Assessment - GCU - July 2020, nrs-

Week 2: Focused Exam: Cough Results | Turned In Health Assessment - GCU - July 2020, nrs- 434vn Return to Assignment Your Results Reopen Lab Pass • Overview • Transcript • Subjective Data Collection • Objective Data Collection • Education & Empathy • Documentation • Care Plan Experience Overview Patient: Danny Rivera Digital Clinical Experience Score 85% This score measures your performance on the Student Performance Index in relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 80.0%. This score may not be your final grade if your instructor chooses to include additional components, such as documentation or time spent. Student Performance Index 42.5 out of 50 Proficiency Level: Proficient • Beginning • Developing • Proficient Students rated as “beginning” are starting to develop their nursing competencies and clinical reasoning skills. In comparable nursing programs, 50% of students perform at the level of a beginning nurse. Review your results in the tabs on the left side of the page to identify areas for improvement. Students rated as “developing” demonstrate increasing clinical reasoning abilities as they apply their nursing knowledge. In comparable nursing programs, 25% of students perform at the level of a developing nurse. Review your results in the tabs on the left side of the page to identify areas for improvement. Students rated as “proficient” demonstrate entry-level expertise in nursing competencies and clinical reasoning skills. In comparable nursing programs, the top 25% of students perform at the level of a proficient nurse. Subjective Data Collection 21 out of 22 All Lines (234) Interview Questions (105) Statements (18) Exam Actions (111) Hi. I'm Preceptor Diana. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Pay close attention to this information as it will help guide your exam. At the end of this prebrief, you will answer a short question about the upcoming assignment. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript. Question What is the situation? 07/17/20 11:21 PM MDT Your patient is Danny Rivera, an 8-year-old Puerto Rican boy presenting with a cough in the Shadowville Elementary nurse's office. Your role in this simulation is that of a healthcare provider who will perform a focused history and physical examination in order to collect data, assess Danny's condition, and transfer care. In this simulation, you will be able to perform procedures not always typical to a school setting so you can gather as much data as possible. Question What are my objectives in this 07/17/20 assessment? 11:22 PM MDT Danny is very health literate and a good historian of his own health history; he can answer questions that not every child may be able to. In your interview with Danny, you will ask about the history of his presenting illness and the functioning of relevant systems in order to obtain subjective data related to his cough. If you discover any disease states, ask about symptoms and the patient's experiences of them. Your questioning should cover a broad array of the symptoms' characteristics. You will also inquire into the health history of Danny's family so you can determine his genetic predisposition to any diseases. In addition to collecting subjective data, you will perform a physical exam on Danny to gather objective data about his health and physiology. Throughout the conversation, you should educate and empathize with Danny when appropriate to increase his health literacy and sense of well-being. While you should communicate with patients using accessible, everyday language, it is standard practice to use professional medical terminology everywhere else, such as in documenting physical findings and nursing notes. You may complete the exam activities in any order and move between them as needed. Question What else will this exam 07/17/20 involve? 11:24 PM MDT Because Danny is a pediatric patient, you will also be required to make a phone call to his guardian's home to gather additional information. You can document your findings, including vital signs, in the Electronic Health Record. This record provides necessary information for healthcare professionals who will continue patient care. You will then move onto the Care Plan activity, in which you will synthesize your subjective and objective data to complete the nursing process. You will develop a nursing diagnosis for Mr. Rivera's condition, identify a treatment goal, plan your interventions and evaluations, and finally assess if your goal was achieved. You may also need to call Danny's guardian again to involve them in his