AndreaAndrews-APSAdult TypicalAanisah ADVANCED PRACTICE SERIESActivity Report: Cardiology 100 % correct & verified

ADVANCED PRACTICE SERIES® Activity Report: Adult Typical Patient Attempts Progress Time Per Attempt Score Aanisah Ali #1 100% 15 mins 20/20 (100%) Final 20/20 (100%) * 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 Aanisah Ali 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% Applies science-based frameworks, theories, and models to inform clinical reasoning 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. Top 3 Behaviors Needing Attention 100% Educates patient/caregiver and/or family members on accurate, evidenced based digital resources. 100% Judgment is consistent with scientific reasoning and current, available evidence. 100% Demonstrates quality patient-centered decision making. NONPF Subcompetencies Code SubCompetency Score 1.2 Apply theory and research-based knowledge from nursing, the arts, humanities, and other sciences. 100% 1.2l Translate science-based theories and concepts to guide one’s overall NP practice. 100% 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. 100% 1.3f Demonstrate clinical judgment using a systematic approach to inform, improve, and advance NP practice processes and outcomes. 100% 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 100% 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. 100% 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. 100% 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. 100% 2.3i Utilize advanced critical thinking to determine the appropriate focused or comprehensive relevant patient history. 100% 2.3k Apply advanced assessment skills to perform a focused patient physical assessment utilizing appropriate techniques. 100% 2.3l Order the appropriate diagnostic and screening tests based on patient’s risk factors and chief complaint. 100% 2.3m Identify health risk factors. 100% 2.3n Evaluate determinants of health that may influence the patient’s well-being. 100% 2.3o Utilize appropriate evidence-based screening tools. 100% 2.4 Diagnose actual or potential health problems and needs 100% 2.4h Analyze physical findings to differentiate between normal, variations of normal, and signs of pathology to formulate actual and differential diagnoses. 100% 2.4i Utilize diagnostic reasoning to formulate actual and differential diagnoses. 100% 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. 100% 2.7g Evaluate individual outcomes based on evidence-based interventions. 100% 2.7i Analyze data to evaluate interventions, inequities, and gaps in care. 100% 2.8 Promote self-care management. 100% 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. 100% 6.1n Demonstrate equitable and quality health care through interprofessional collaboration with the health care team. 100% 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. 100% Patient: Aanisah Ali The Activity Report contains details on the most recent attempt. A summary of previous attempts, if applicable, are provided in the report Overview section. Summary Completion of a brief survey is required to receive the CE Certificate. Your feedback is important for enhancing user experience and achievement of outcomes for future learners. To access, click on the "Survey and Certificate" button to the right of this prompt. EHR Vitals Points Knowledge Check: Which area of Information or Vital Signs is a TOP priority? 1/1 Pain : Acute pain 6/10 right ear, moderate pain (Sapra et al., 2023) Inquiry Knowledge Check: Which area of the Inquiry, excluding CC or HPI, is a TOP priority? 1/1 Psychosocial Habits: Uses Q-tips in the ear canal, no airplane/diving, no swimming (Dains et al., 2024) Inquiry Transcript Category Question Response Learner SME (CC) What brings you in today? My right ear is really hurting. (HPI) When did your symptoms start? About three days ago, my right ear started to hurt. It felt like I had something in my ear. I used a cotton swab and got out a big piece of wax. The next morning it started to hurt more, and now it is excruciating. (HPI) Does the pain come and go, or is it constant? It is constant and getting worse. (HPI) Is it painful to chew? It wasn’t before, but the more painful my ear gets, the harder it is to chew. better or worse? I have tried hydrogen peroxide and heat to help it. It is very painful to touch. I am not able to lay on my right side because it hurts. before? I had ear infections as a kid, but this is a different kind of pain. It hurts a lot more than my ear infections did. I don’t feel bad overall; just my right ear hurts. medical history. Yes, my father passed away from a heart attack at 59 years old. My grandmother and aunt on my mother’s side both had that beta anemia, the inherited kind. history. I don’t have any medical problems. As I stated, I had ear infections as a kid, but I have not had any problems as an adult. I do have three children: all natural births. (PSH) Do you have any surgical history? I had my tonsils removed when I was 12. I also had my gallbladder removed five years ago. What medications, if any, both prescribed and over- Medications the-counter do you take? How long have you been taking them? I take a prenatal vitamin because I am still breastfeeding. My baby is only four months old. Psychosocial Do you use anything to Habits clean your ears regularly? Yes, I use cotton swabs to clean my ears out every day. Inquiry Section Subjective Data Chief Complaint (CC) RIght ear pain History of Present Illness (HPI) 3 days constant and getting worse. becoming hard to chew. tried hydrogen peroxide, heat. can't lie on right side. ear infections as child. hurts more than as a child. Overall feels fine but right ear hurts Past Medical History (PMH) no PMH. Past Surgical History (PSH) tonsils removed as child. gallbladder 5 years ago Health Practices/Preventative Health Family Medical History (FMH) father - heart attack 59 grandmother, beta anemia Psychosocial Habits uses cotton swabs daily. no recent airplane use. no swimming Medications PNV - still breastfeeding Review of Systems (ROS) Knowledge Check: Which Review of Systems (ROS) area is a TOP priority? 2/2 ENT: Right ear pain, pain with chewing, no discharge (Dains et al., 2024) Assessment Knowledge Check: Which area of Physical Assessment is a TOP priority? 2/2 HEENT: External auditory canal is edematous and erythematous, pain, TM poorly visualized due to edema (Dains et al., 2024)