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NRS420-O502 Health Assessment

Week 1 Discussion

DQ 1

The United States has ranked below other developed countries in maternal morbidity and mortality for several years and has not met the associated Healthy People 2030 goal. Maternal health is a critical factor for the live birth of a healthy infant. Social Determinants of Health (SDOH) along with Diversity, Equity, and Inclusion (DEI) are factors that influence maternal morbidity and mortality.

Choose two factors from SDOH or DEI that have influenced maternal morbidity and mortality in the United States. What are some best practices in health promotion that could improve maternal health outcomes? Provide a community resource or program in your area that is focused on improving maternal and infant health. Describe their services and provide a link or contact information for your resource.

DQ 2

You are a nurse at the Community Health Center. Based on the first letter of your first name, you are assigned the following age groups:

A-F: 0-3 months

G-L: 4-6 months

M-S: 7-9 months

T-Z: 10-12 months

A parent/caregiver has brought their infant to your Community Health Center. Based on your assigned age group, what will you assess to determine health and development status of the infant? Describe the normal findings you would anticipate for each area assessed. Select one area that could be a "red flag" finding. Discuss the recommendations that you would give the parent/caregiver supported by evidence-based practice to address this "red flag" finding.

NRS420-O502 Health Assessment

Week 2 Discussion

DQ 1

Child abuse and maltreatment is not limited to a particular age. It can occur in the infant/toddler (1 month-3 years of age), preschool (3-5 years of age), school-age (5-11 years of age), and adolescent (12-18 years of age) age groups. Choose one of the four age groups and outline the types of abuse most commonly seen among children of that age. Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse. Identify two factors that increase the vulnerability of a child for abuse in the age group you have selected.

DQ 2

You are a nurse conducting a physical assessment of a child between the ages of 3 and 12 at an urgent care clinic. Describe how your communication would be adapted to be able to effectively communicate with a patient of this age. What strategies would you use to encourage engagement with the child?

NRS420-O502 Health Assessment

Week 3 Discussion

DQ 1

Every two years, the U.S. conducts a Youth Risk Behavior Survey (YRBS) detailing trends of youth risk behaviors occurring over the past 10 years. The most recent YRBS analysis describes several trends that are impacting the well-being of teens. Explore the link to the YRBS results provided in the topic Resources. After reviewing the data for your state, and based on the first letter of your first name, identify one trend and area of focus that is impacting teens:

A- D: Sexual behavior

E- H: Substance abuse

I-K: Experiencing violence

L-N: Mental health and suicidality

O-R: School connectedness

S-V: Parental monitoring

W-Z: Unstable housing

Identify factors influencing this trend. Discuss data that validates this trend as a concern for adolescents today. Illustrate the nurse's role and specific actions that the nurse can take in addressing this area of concern in adolescents. Include specific support and informational resources the nurse can provide to parents or teenagers (such as website or contact information).

DQ 2

One of the primary roles of a nurse is the role of advocate. Teenagers' needs are best met through emotional support and advocacy. The Christian worldview supports compassionate care as does the American Nurses Association (ANA) Code of Ethics located in the topic Resources. Provision 1 states that "the nurse practices with compassion and respect for the inherent dignity, worth and unique attributes of every person." As nurses, our calling is to support the needs and vulnerabilities of our patients, regardless of our own personal beliefs. Teenagers today who may be questioning their sexuality and gender identity are entitled to and deserving of our support.

You are a nurse at a School-Based Health Center where a teenager disclosed that they are struggling with an LGBTQIA+ issue. Discuss how you would respond to this student. Explain what research has shown about the potential outcomes for teenagers who are not supported when in this difficult questioning period of "who they are." Explain how you, as a nurse can demonstrate compassion and support of this student. Provide two resources that you could you offer this student, either locally or online. Be specific with the contact information for your resources.

NRS420-O502 Health Assessment

Week 4 Discussion

DQ 1

Explore "Lippincott Advisor: Cultural Perspectives" and "Cultural Religious Competence in Clinical Practice," located in topic Resources. Select a culture, community, or religion that is unfamiliar to you and review what makes it unique. Apply what you have learned about your selection to the following scenario:

You are admitting a 19-year-old female college student to the hospital for fevers. Describe what would be important to remember while you interview this patient. Explain how you would communicate with this patient reflecting a culturally responsive approach. Discuss the health care support systems available in your community for someone of this group. If no support systems are available in your community, identify a national resource.

DQ 2

For the middle-aged adult, exercise can reduce the risk of various health problems. Choose one at-risk health issue that regular physical exercise and activity can help prevent and manage. As the patient's nurse, identify members of the interdisciplinary team and the role each member would play in guiding care for this patient. Describe recommendations that you would provide to assist patients with health promotion measures to incorporate exercise and physical activity into their lives. Provide a specific resource, including contact information (or website if applicable), you would share with your patient. 

NRS420-O502 Health Assessment

Week 5 Discussion

DQ 1

You are a Home Health RN who is making an initial visit to the home of an elderly couple to assess and develop a plan of care. Mr. Juarez, an 88-year-old man, broke his right tibia due to a fall. He was recently discharged from a skilled rehabilitation center where he had developed a catheter-associated urinary tract infection (CAUTI) from his indwelling urinary catheter. The infection has resolved, and he has now been discharged home with an indwelling urinary catheter. He remains in a cast and has graduated to limited use of crutches but is still unable to perform routine activities of daily living (ADLs).You will be coming to the home once a week.

Based on this scenario, describe the infection control measures that need to be observed and the personal protective equipment (PPE) that would be used during these visits.  Explain how some of the characteristics of the aging process may lead to vulnerabilities related to independent living, elder abuse, social connections, etc.

DQ 2

End-of-life care becomes an issue at some point for elderly patients. Discuss the difference between palliative care and hospice care programs. Discuss what you can do as a nurse to support your patients regarding end-of-life care in accordance with their wishes. Explain the use of advance directives versus Physician Order for Life Sustaining Treatment (POLST) and their legal implications when providing care for elderly patients.