Sim Sarah James: ADVANCED PRACTICE SERIES Activity Report: Oncology Latest Update with complete solution

Patient Attempts Progress Sarah James Time Per Attempt #1 100% 51 mins #2 17/20 100% 7 mins Final 20/20 * Eligibility for CEUs requires a minimum total score of 80%, combined across all five complete patient encounters. Once 80% or higher is achieved in total, across all five patient encounters, a "Survey and Certificate" button will appear on your activity report. Notes Patient Notes Sarah James 20/20 Downloaded by patrick kaylian () NONPF Core Behaviors Your performance has been mapped to the NONPF Nurse Practitioner Core Competencies. An overview of your strongest and weakest Core Behaviors has been included below, calculated from all completed patients within the simulation (up to 5). Top 3 Behaviors Demonstrating Competence 100% Collaborates in interprofessional teams discussions regarding ethical risks, benefits, and outcomes, as indicated. 100% Student expresses integration of physiologic, behavioral, social, and diagnostic data to justify clinical reasoning and decision making. 100% Distinguishes between normal, abnormal, developmental delay, and age related physiologic and behavioral changes. Top 3 Behaviors Needing Attention 0% Applies CDC recommendations for vaccination. 0% Utilizes appropriate, evidenced based screening tools to assesses for physiologic, behavioral, and social behaviors and symptoms. 0% Applies holistic data sources to identify gaps in care. NONPF Subcompetencies Code SubCompetency Score 1.2 Apply theory and research-based knowledge from nursing, the arts, humanities, and other sciences. 95% 1.2l Translate science-based theories and concepts to guide one’s overall NP practice. 90% 1.2m Employ ethical decision making to manage and evaluate patient care and population health. 100% 1.3 Demonstrate clinical judgment founded on a broad knowledge base. 91% 1.3f Demonstrate clinical judgment using a systematic approach to inform, improve, and advance NP practice processes and outcomes. 90% 800 Country Club Road, P.O. Box 2540, Waterbury, CT 06723 | 1.800.749.2427 | SentinelU.com 2 ) Code SubCompetency Score 1.3g Demonstrate clinical judgment to inform and improve NP practice based on the foundational knowledge of advanced physiology/pathophysiology, advanced health assessment and advanced pharmacology 83% 1.3h Synthesize current and emerging evidence to influence NP practice 100% 2.1 Engage with individuals and/or caregivers in establishing a caring relationship. 75% 2.1f Practice holistic person-centered care to include confidentiality, privacy, comfort, emotional support, mutual trust, and respect. 100% 2.1g Engage in shared decision making with consideration of determinants of health. 50% 2.2 Communicate effectively with individuals. 100% 2.2k Utilize communication tools and techniques to promote therapeutic relationships with individuals and/or caregiver. 100% 2.3 Integrate advanced assessment in NP practice. 51% 2.3i Utilize advanced critical thinking to determine the appropriate focused or comprehensive relevant patient history. 50% 2.3k Apply advanced assessment skills to perform a focused patient physical assessment utilizing appropriate techniques. 90% 2.3l Order the appropriate diagnostic and screening tests based on patient’s risk factors and chief complaint. 82% 2.3m Identify health risk factors. 50% 2.3n Evaluate determinants of health that may influence the patient’s well-being. 0% 2.3o Utilize appropriate evidence-based screening tools. 33% 2.4 Diagnose actual or potential health problems and needs 88% 2.4h Analyze physical findings to differentiate between normal, variations of normal, and signs of pathology to formulate actual and differential diagnoses. 83% 2.4i Utilize diagnostic reasoning to formulate actual and differential diagnoses. 92% 2.5 Manage care of individuals 100% 2.5k Provide holistic person-centered care by developing a mutually acceptable, cost-conscious, and evidence based plan of care. 100% 2.5l Synthesize data to develop and initiate a person-centered plan of care. 100% 2.5m Prescribe medications safely and accurately using patient data and following legal and regulatory guidelines. 100% 2.5n Order appropriate nonpharmacological interventions. 100% 2.5o Anticipate risks and take action to mitigate adverse events. 100% 2.5p Incorporate health promotion, maintenance and restoration of health into plan of care. 100% 2.6 Demonstrate accountability for care delivery 100% 2.6l Collaborate with the interprofessional team to formulate a plan of care. 100% 2.6m Order consultations or referrals based on evidence and standards of professional care. 100% 2.7 Evaluate outcomes of care. 75% 2.7g Evaluate individual outcomes based on evidence-based interventions. 100% 2.7i Analyze data to evaluate interventions, inequities, and gaps in care. 50% 2.8 Promote self-care management. 100% 3 Code SubCompetency Score 2.8k Integrate the principles of self-care management. 100% 2.8l Incorporate coaching in patient and family self-care management. 100% 2.8m Create partnerships with community organizations to support self-care management. 100% 4.1 Advance the scholarship of NP nursing practice. 100% 4.1n Translate advanced practice knowledge to inform practice and patient outcomes. 100% 4.1p Apply clinical investigative skills to improve health outcomes. 100% 6.1 Communicate in a manner that facilitates a partnership approach to quality care delivery. 75% 6.1n Demonstrate equitable and quality health care through interprofessional collaboration with the health care team. 50% 6.1o Advocate for the patient as a member of the health care team. 100% 7.2 Incorporate consideration of cost-effectiveness of care. 100% 8.2 Use information and communication technologies to gather data, create information, and generate knowledge. 100% 8.2m Select appropriate technology and communication tools to promote engagement and share credible information that is congruent with patient needs, values, and learning styles. 100% 10.2 Demonstrate professional maturity. 100% 10.2n Uphold standards of the NP profession.