NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

NR511: Differential Diagnosis and Primary Care Essay Assignment Papers
NR511: Differential Diagnosis and Primary Care Essay Assignment Papers
Syllabus

Course Code: NR511

Course Title: Differential Diagnosis and Primary Care

Top Information

 Course Number: NR511

 Course Title: Differential Diagnosis and Primary Care

 Course Credit: 3 (Theory 0.5; Clinical 2.5)

 Pre-requisite: NR508, NR509
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Course Text

Textbook 1

 Dunphy, L. M., Winland-Brown, J. E., Porter, B. O., & Thomas, D. J. (2015). Primary

care: The art and science of advanced practice nursing (4th ed.). Retrieved from

http://online.vitalsource.com

Textbook 2

 Ferri, F. F. (2014). Ferri’s clinical advisor 2014: 5 books in 1. Philadelphia: Mosby

Elsevier. (Ebook)

Textbook 3

 Jarvis, C. (2016). Physical examination & health assessment (7th ed.). Retrieved from

http://online.vitalsource.com.(Ebook)

Required across all FNP courses:

Textbook 4

 American Psychological Association. (2010). Publication manual of the American

Psychological Association (6th ed.). Washington, DC: Author.

NR511 Syllabus
Course Description

This course will provide students with content regarding formulating differential diagnoses of

individuals within the primary care setting, along with an introduction to critical diagnostic skills

to cultivate evidence-based behaviors. An emphasis will be placed on processing client

information in a logical, progressive manner and formulating differential diagnoses for

individuals across the lifespan. The course will include 125 hours of supervised clinical

practicum in primary care.
Course Outcomes

1. Demonstrate diagnostic reasoning that will assist in health promotion and illness

management of common health problems in primary care through case study

presentation. (PO 1)

2. Plan for healthcare delivery in an evidence-based manner to support high-quality and

cost-effective care and decision-making. (PO 1, 9, 11)

3. Formulate differential diagnoses based on the subjective and objective patient data

obtained from the case study. (PO 1, 3)

4. Create weekly S-O-A-P documentation on a clinical patient, demonstrating increased

mastery each week. (PO 1, 3). NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

5. Create a plan of care which integrates pharmacological, complementary, and nonpharmacological

therapies for management of common health problems. (PO 1)

6. Utilize established standards and guidelines for management of common pediatric,

gynecology, internal medicine, and behavioral conditions in primary care. (1, 11)

7. Engage in sequential application of selected advanced skills/procedures. (PO 1)

8. Demonstrate advanced skills/procedures for quality outcomes pertinent to patient

care. (PO 1, 2)

9. Perform selected advanced skills/procedures appropriate to student competence and

provider scope of practice. (1)

10. Conduct a systematic and accurate assessment of a client’s total health status,

utilizing appropriate interviewing and data collection techniques. (PO 1, 2, 5, 11)

11. Reflect on personal and professional growth toward achieving competence as a

family nurse practitioner. (PO 5, 7)
NR511: Differential Diagnosis and Primary Care Essay Assignment Papers
Program Outcomes

The MSN program outcomes are aligned with the American Association of Colleges of Nursing

publication, The Essentials of Master’s Education in Nursing (2011). Upon completion of the MSN

degree program, the graduate will be able to:

1. Practice safe, high-quality advanced nursing care based on concepts and knowledge from

nursing and related disciplines.

2. Construct processes for leading and promoting quality improvement and safety in advanced

nursing practice and healthcare delivery.

3. Use contemporary communication modalities effectively in advanced nursing roles.

NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

4. Evaluate the design, implementation and outcomes of strategies developed to meet

healthcare needs.

5. Develop a plan for lifelong personal and professional growth that integrates professional

values regarding scholarship, service and global engagement.

6. Apply legal, ethical and human-caring principles to situations in advanced nursing practice.

7. Design patient-centered care models and delivery systems using the best available scientific

evidence.

8. Manage human, fiscal and physical resources to achieve and support individual and

organizational goals.

9. Compose a plan for systematic inquiry and dissemination of findings to support advanced

nursing practice, patient-care innovation, and the nursing profession.

10. Collaborate interprofessionally in research, education, practice, health policy and leadership

to improve population health outcomes.

11. Apply principles of informatics to manage data and information in order to support effective

decision making.
NR511: Differential Diagnosis and Primary Care Essay Assignment Papers
Course Schedule

Week 1

Title: Primary Care in the 21st Century,

Caring and the Advanced Practice

Nurse, and the Art of Diagnosis and

Treatment

COs: 3, 6, 8

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 1: Primary Care in the

Twenty-First Century: A Circle

of Caring

 Chapter 4: The Art of

Diagnosis and Treatment

 Chapter 8: Eyes, Ears, Nose,

and Throat Problems

Assignments: Attestation Statement Completion

(required to begin course)

Clinical Encounter Log in eLogs with

SOAP note (required, but not graded)

Case Study

Discussions

Yes

Other

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Week 2

Title: Evidence Based Practice,

Neurological Problems, and Eyes,

Ears, Nose, and Throat Problems

COs: 4, 6, 9, 10

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 5: Evidence-Based

Care

 Chapter 6: Neurologic

Problems

Assignments: Clinical Encounter Log in eLogs with

SOAP note (required, but not graded)

Case Study

Discussions

Yes

 Other

Week 3

Title: Health Promotion, Skin Problems, and

Respiratory Problems

COs: 4, 5, 7, 8, 9

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 3: Health Promotion

 Chapter 7: Skin Problems

 Chapter 9: Respiratory

Problems

Assignments: Clinical Encounter Log in eLogs with

SOAP note(required, but not graded)

Case Study

Discussions

Yes

Other

Week 4

Title: Diagnostic Testing, Cardiovascular

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Problems, Abdominal Problems,

Renal Problems

COs: 2, 5, 7, 8, 9

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 10: Cardiovascular

Problems

 Chapter 11: Abdominal

Problems

 Chapter 12: Renal Problems

Assignments: Clinical Encounter Log in eLogs with

SOAP note (required, but not graded)

Quiz (required but not graded)

Case Study

Discussions

Yes

Other

Week 5

Title: Men’s Health Problems, Women’s

Health Problems, Musculoskeletal

Problems

COs: 3, 5, 6, 7, 8, 9

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 13: Men’s Health

Problems

 Chapter 14: Women’s Health

Problems

 Chapter 15: Musculoskeletal

Problems

Assignments: Clinical Encounter Log in eLogs

(required, but not graded)

Case Study

Discussions

Yes

Other

Retrieved on 1/16

Week 6

Title: Complex Diagnosis, Endocrine and

Metabolic Problems, Hematologic and

Immune Problems, and Emergency

Problems

COs: 2, 5, 7, 8, 9

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 16: Endocrine and

Metabolic Problems

 Chapter 17: Hematologic and

Immune Problems

 Chapter 19: Emergency

Problems

Assignments: Clinical Encounter Log in eLogs

(required, but not graded)

Case Study

Discussions

Yes

Other

Week 7

Title: Laboratory tests, Psychological

Problems, Palliative Care and

Practical Psychotherapy

COs: 1, 3, 5, 7, 8, 9

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 18: Psychosocial

Problems

 Chapter 20: Palliative Care

 Chapter 23: The 15-Minute

Hour: A Short-Term Approach

to Psychotherapy in Primary

Care

Assignments: Clinical Encounter Log in eLogs

(required, but not graded)

Case Study

Discussions

Yes

Other

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Week 8

Title: Ethical and Legal Issues, the Business

of Advanced Practice, Putting Caring

into Practice: Caring for Self

COs: 11

Reading: Dunphy, L. M., Winland-Brown, J. E.,

Porter, B. O., & Thomas, D. J. (2015).

Primary care: The art and science of

advanced practice nursing (4th ed.).

Retrieved from

http://online.vitalsource.com

 Chapter 21: Ethical and Legal

Issues of a Caring-Based

Practice

 Chapter 22: The Business of

Advanced Practice

 Chapter 24: Putting Caring Into

Practice: Caring for Self

Assignments: Clinical Encounter Log in eLogs &

Clinical Performance Evaluation

(graded)

Quiz (required but not graded)

Reflection (graded)

Reflection Yes

Other

Late Assignment Policy

Students are expected to submit assignments by the time they are due. Assignments submitted

after the due date and time will receive a deduction of 10% of the total points possible for that

assignment for each day the assignment is late. Assignments will be accepted, with penalty as

described, up to a maximum of three days late, after which point a zero will be recorded for the

assignment.

In the event of an emergency that prevents timely submission of an assignment, students may

petition their instructor for a waiver of the late submission grade reduction. The instructor will

review the student’s rationale for the request and make a determination based on the merits of

the student’s appeal. Consideration of the student’s total course performance to date will be a

contributing factor in the determination. Students should continue to attend class, actively

participate, and complete other assignments while the appeal is pending.

This Policy applies to assignments that contribute to the numerical calculation of the course

letter grade.

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Evaluation Methods

Assignment Points Weighting

Case Study Discussions

(100 points, Weeks 1–7)

700 70%

Reflection

(due Week 8)

50 5%

Quiz

(required, but not graded due

Week 4 & 8)

N/A N/A

Clinical Encounter Log

(due Weeks 1–8)

Clinical Performance Evaluation

(Week 8)

Final clinical performance

evaluation pass and/or

documentation of 125 hours =

250 points

Fail or unsatisfactory on clinical

performance evaluation and/or

less than 125 hours

documented =0 points

250 25%

Total Points 1,000 100%

A passing grade, or S, must be achieved on the clinical performance evaluation. If this is

achieved and the 125 clinical hours are documented, the 250 points will be added to the

remainder of the course points to calculate the final course grade. If the student does not

achieve a passing grade (fail) for the clinical performance evaluation, then the final

course grade assigned will be F.

No extra credit assignments are permitted for any reason.

All of your course requirements are graded using points. At the end of the course, the points are

converted to a letter grade using the scale in the table below. Percentages of 0.5% or higher are

NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

not raised to the next whole number. A final grade of 76% (letter grade C) is required to pass

the course.

LETTER

GRADE POINTS PERCENTAGE

A 940–1,000 94–100%

A- 920–939 92–93%

B+ 890–919 89–91%

B 860–889 86–88%

B- 840–859 84–85%

C+ 810–839 81–83%

C 760–809 76–80%

F 759 and below 75% and below

Students agree that, by taking this course, all required papers may be subject to submission for

textual similarity review to Turnitin.com for the detection of plagiarism. All submitted papers will

be included as source documents in the Turnitin.com reference database solely for the purpose

of detecting plagiarism of such papers. Use of the Turnitin.com service is subject to the Terms

and Conditions of Use posted on the Turnitin.com site.
Participation Guidelines

The weekly case study discussion is worth up to 100 points. Students are expected to

participate a minimum of four times (once in part one by Tuesday, 11:59 p.m. MT, once in part

two by Thursday, 11:59 p.m. MT, provide a written summary in SOAP format to the Dropbox by

Sunday, 11:59 p.m. MT, and one post to a student peer as required in the interactive dialogue

criterion). The student must provide answers to the graded case study questions from part one,

post a treatment plan for part two and provide a written summation of their case in SOAP format

to the Dropbox for part three. NR511: Differential Diagnosis and Primary Care Essay Assignment Papers
Grading Rubric

Criteria

Exceptional

Outstanding or

highest level of

performance

Exceeds

Very good or

high level of

performance

Meets

Satisfactory

level of

performance

Needs

Improvements

Poor or

failing level of

performance

Developing

Unsatisfactory

level of

performance

Total Points

Possible=

100

24 Points 21 Points 19 Points 9 Points 0 Points

Application

of Course

Knowledge

Post contributes

unique

perspectives or

Post

contributes

unique

Post has

limited

perspective,

Post

perspectives

are not

Post offers no

insight or

application to

Retrieved on 1/16

Criteria

Exceptional

Outstanding or

highest level of

performance

Exceeds

Very good or

high level of

performance

Meets

Satisfactory

level of

performance

Needs

Improvements

Poor or

failing level of

performance

Developing

Unsatisfactory

level of

performance

insights

applicable to the

results from the

physical exam

differential

diagnoses.

Part One: Initial

post includes at

least three (3)

differential

diagnoses with

rationale for

each problembased

learning

case study

patient and

answers all

questions

presented in the

case.

Parts Two and

Three:

Presumptive

diagnosis and

treatment plan

are appropriate

and evidence

based for each

case study

patient.

perspectives

or insights,

but may lack

some

applicability to

presented

case study

patients.

Part One:

Initial post

includes at

least two (2)

differential

diagnoses

with rationale

for each

problembased
learning case

study patient

and answers

most of the

questions

presented in

the case.

Parts Two

and Three:

Confirmed

diagnosis and

treatment plan

partially

applicable

and evidence

based for

each case

study patient.

insights

and/or

applicability to

presented

case study

patients.

Part One:

Initial post

does not

address each

patient or

does not

include at

least two (2)

differential

diagnoses for

each patient.

Some

evidencebased
rationale may

be missing.

Does not

answer

questions

presented in

the case.

Parts Two and

Three:

Confirmed

diagnosis and

treatment plan

are not

applicable or

may not be

evidencebased.
consistent with

current

practice.

the case study

presentation

24 Points 21 Points 19 Points 9 Points 0 Points

Support from

EvidenceBased
Initial discussion

posts in parts

one, two and

Initial

discussion

posts for parts

Initial

discussion

posts for parts

Citations to

non-scholarly

websites given

Discussion

posts contain

no evidence-

Retrieved on 1/16

Criteria

Exceptional

Outstanding or

highest level of

performance

Exceeds

Very good or

high level of

performance

Meets

Satisfactory

level of

performance

Needs

Improvements

Poor or

failing level of

performance

Developing

Unsatisfactory

level of

performance

Practice

(EBP)

SOAP note are

supported by

evidence from

appropriate

sources

published within

the last 5 years.

In-text citations

and full

references are

provided

one, two, and

SOAP note

are partially

supported by

evidence from

appropriate

sources

published

within the last

5 years.

In-text

citations and

full references

are provided.

Evidencebased,

peer

reviewed

journal article

cited but may

not fully

support the

treatment

plan.

one, two, and

SOAP note

are partially

supported by

evidence.

Sources may

not be

scholarly in

nature or may

be older than

5 years.

In-text

citations

and/or full

references

may be

incomplete or

missing.

as rationale to

support

differential

diagnoses

and/or

treatment plan.

based practice

reference or

citation.

24 Points 21 Points 19 Points 9 Points 0 Points

Organization

Discussion

posts and

SOAP notes

presents case

study findings in

a logical,

meaningful, and

understandable

sequence. Each

problem-based

learning case

study patient is

presented

individually in all

discussion

posts and

SOAP notes.

Part One:

Discussion

posts and

SOAP notes

are relevant to

the topic but

may be

unclear or

difficult to

follow in

places.

Part One:

Discussion

questions

may not be

addressed

individually for

each patient.

SOAP note

Discussion

posts and

SOAP notes

not fully

relevant to the

topic. May be

unclear or

difficult to

follow in

places.

SOAP note

does not

contain all

components

and/or may be

missing data.

Discussion post

presents case

findings and

plan or

intervention

that are

sometimes

unclear to

follow and may

not always be

relevant to topic

Discussion post

is not relevant

to case study.

Retrieved on 1/16

Criteria

Exceptional

Outstanding or

highest level of

performance

Exceeds

Very good or

high level of

performance

Meets

Satisfactory

level of

performance

Needs

Improvements

Poor or

failing level of

performance

Developing

Unsatisfactory

level of

performance

Discussion

questions

addressed

individually for

each patient.

contains all

elements but

may not be

written

following

SOAP note

format.

24 Points 21 Points 19 Points 9 Points 0 Points

Interactive

Dialogue

Presents case

study findings

and responds

substantively to

at least one

topic-related

post of a peer

including

evidence from

appropriate

sources, and all

direct faculty

questions

posted in parts

one and two.

Presents case

study findings

and responds

substantively

to at least one

topic-related

post of a peer.

Does not

include

evidence from

appropriate

sources.

Responds to

some direct

faculty

questions

posted in

parts one and

two.

Responds to a

student peer

and/or faculty

questions but

the posts add

limited content

or insights to

the

discussion.

Responds to a

student peer

and/or faculty,

but the nature

of the response

is not

substantive.

Does not

respond to a

topic-related

peer post

and/or does not

respond to

faculty

questions

posted by

Sunday.

4 Points 3 Points 2 Points

1 Point

0 Points

Grammar,

Syntax, APA

APA format,

grammar,

spelling, and/or

punctuation are

accurate, or

with zero to one

errors.

Two to four

errors in APA

format,

grammar,

spelling, and

syntax noted.

Five to seven

errors in APA

format,

grammar,

spelling, and

syntax noted.

Eight to nine

errors in APA

format,

grammar,

spelling, and

syntax noted.

Post contains

greater than ten

errors in APA

format,

grammar,

spelling, and/or

punctuation or

Retrieved on 1/16

Criteria

Exceptional

Outstanding or

highest level of

performance

Exceeds

Very good or

high level of

performance

Meets

Satisfactory

level of

performance

Needs

Improvements

Poor or

failing level of

performance

Developing

Unsatisfactory

level of

performance

repeatedly

makes the

same errors

after faculty

feedback.

0 Points

Deducted

-10 Points per

Discussion

Part

Participation

Enters first

post to part

one by 11:59

p.m. MT on

Tuesday;

First post to

part two by

11:59 p.m. MT

on Thursday;

and submits

written

summation

by Sunday

11:59 p.m.

MT. Written

submission

(SOAP notes)

will NOT be

accepted

after Sunday

11:59 p.m.

MT.

* 10 points

deducted per

discussion

part if this

criteria is not

met.

Enters first post

to part one by

11:59 p.m. MT

on Tuesday;

first post to part

two by 11:59

p.m. MT on

Thursday; and

submits written

summation by

Sunday 11:59

p.m. MT.

10 points

deducted per

discussion part

if this criteria is

not met.

Written

submission will

not be accepted

after Sunday

11:59 p.m. MT.

33 points

deducted for

missing SOAP

note.

Retrieved on 1/16

Webliography Disclaimer

The purpose of the Webliography is to provide students with annotated bibliographies of world

wide websites relevant to their courses. These websites are not meant to be all inclusive of what

is available for each course’s subjects and have not been sanctioned as academically rigorous

or scholarly by Chamberlain College of Nursing. Please exercise caution when using these

websites for course assignments and references. NR511: Differential Diagnosis and Primary Care Essay Assignment Papers

Professional Portfolio

Select assignments from courses across the FNP program will be compiled as artifacts within a

Professional Portfolio to demonstrate your professional growth and expertise. Your final

portfolio, which will be submitted in the final course NR661, will be assessed against the

learning outcomes of the program. The Professional Portfolio will include the following:

 Reflections from Week 8 for all FNP courses

 Five exemplar case studies (student selects top five)

 eLogs portfolio

 Curriculum vitae

 Professional development plan paper from NR510
NR511: Differential Diagnosis and Primary Care Essay Assignment Papers


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