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NRNP-6568F/DRNP-6568/DRNP-6568F/NRNP-6568

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NRNP6568 Synthesis in Advanced Nursing Practice Care of Patients in Family Care Settings

Week 1 Discussion

Certification and Licensure

Now that you are in your final course in your program, it is time to turn in earnest to preparing for certification and licensure. You will need to take and pass a national FNP certification exam.  Once certified, you will then be eligible to apply for licensure as an advanced practice registered nurse (APRN) in the state desired. It will be up to you to ensure you are knowledgeable about the practice agreements, scope of practice, and prescriptive authority in your state.

Photo Credit: Getty Images/iStockphoto

Although there is a movement called the APRN Consensus Model to standardize NP regulations nationally, it is still the case that requirements vary state to state. In some states, NPs may establish independent practice without the supervision of an MD. Additionally, states are currently categorized as either allowing full practice, reduced practice, or restricted practice. Full practice states allow NPs to evaluate, order diagnostics, diagnose, and treat patients. They are licensed under the exclusive authority of the state board of nursing for the appropriate state. Many states may require prescriptive authority protocols in addition to collaborative agreement.

Another important area to consider and plan for is prescriptive authority. Prescriptive authority is granted under state law by the appropriate board. The board granting prescriptive authority may be the medical board, state board of pharmacy, or nursing board for the appropriate state licensure being pursued. The authority to write for a controlled substance is granted at a federal level and is verified through the Drug Enforcement Administration (DEA) by the appropriate state board. Drug Enforcement Agency registration is granted at the federal level and has additional requirements/fees for the registration process.

Finally, the legal landscape for NPs is constantly changing as the status of NPs as providers improves on a national level. Legislative changes may occur annually, bi-annually, or during an emergency legislative meeting at the state or federal level. These legislative sessions and any subsequent changes will significantly impact your scope of practice as a nurse practitioner.

For this Discussion, you examine professional issues for your state, including certification and licensure, scope of practice, independent practice, prescriptive authority, and legislative activities.

To prepare:

Review practice agreements in your state.

Identify whether your state requires physician collaboration or supervision for nurse practitioners and, if so, what those requirements are.

Research the following:

How do you get certified and licensed in your state?

What is the application process for certification in your state?

What is the primary nurse licensure office resource website in your state?

How does your state define the scope of practice of a nurse practitioner?

What is included in your state’s practice agreement?

How do you get a Drug Enforcement Agency (DEA) license?

How does your state describe a nurse practitioner’s controlled-substance prescriptive authority and what nurse practitioner drug schedules are nurse practitioners authorized to prescribe?

In what legislative and advocacy activities are your state nurse practitioner organization(s) involved?

By Day 3

Post a summary of your findings on your state based on the questions listed above. Explain the types of regulations that exist and the barriers that may impact nurse practitioner independent practice in your state. Be specific. Also, describe what surprised you from your research.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on 2 different days in one or more of the ways listed below.

Share an insight from having viewed your colleagues’ posts.

Suggest additional actions or perspectives.

Share insights after comparing state processes, roles, and limitations.

Suggest a way to advocate for the profession.

Share resources with those who are in your state.

 

NRNP-6568F/DRNP-6568/DRNP-6568F/NRNP-6568

NRNP6568 Synthesis in Advanced Nursing Practice Care of Patients in Family Care Settings

Week 3 Assignment 1

Study Plan

Based on your practice exam question results, identify strengths and areas of opportunity and create a tailored study plan to use throughout this course to help you prepare for the national certification exam. This will serve as an action plan to help you track your goals, tasks, and progress.

Photo Credit: AJ_Watt / E+ / Getty Images

To Prepare:

Reflect on your practice exam results. Identify content-area strengths and opportunities for improvement.

Also reflect on your overall test-taking. Was the length of time allotted comfortable or did you run out of time? Did a particular question format prove difficult?

The Assignment:

Summarize your practice exam results, including your strengths and opportunities for improvement.

Note: Your grade for this Assignment will not be derived from your test results but from your self-reflection and study plan.

Create a study plan, including 3–4 specific goals and the tasks you need to complete to accomplish each goal. Include a timetable for accomplishing them and a description of how you will measure your progress.

Describe resources you would use to accomplish your goals and tasks, such as ways to participate in a study group or review course, mnemonics and other mental strategies, and print or online resources you could use to study.

By Day 7

Submit your study plan.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK3Assgn1+last name+first initial.(extension)” as the name.

Click the Week 3 Assignment 1 Rubric to review the Grading Criteria for the Assignment.

Click the Week 3 Assignment 1 link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn1+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

 

NRNP-6568F/DRNP-6568/DRNP-6568F/NRNP-6568

NRNP6568 Synthesis in Advanced Nursing Practice Care of Patients in Family Care Settings

Week 3 Assignment 2

Assessing, Diagnosing, and Treating Patients With HEENT Conditions

Most everyone has at some point experienced minor HEENT conditions, such as a head cold or seasonal allergies, and symptoms, such as a runny nose, watery eyes, or a sore throat. While they are relatively minor and short-lived, they nevertheless impair many of the simple pleasures so many enjoy.

HEENT symptoms can represent a wide variety of issues, some of which suggest problems that extend well beyond their temporary impact on life’s simple pleasures. HEENT conditions can result in dangerous respiratory impairment or be symptoms of life-threatening conditions or disease.

For this Assignment, your instructor will assign a case study, which will give you the opportunity to practice assessing, diagnosing, and treating patients with HEENT conditions.

Photo Credit: Getty Images/iStockphoto

To Prepare:

Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with conditions of the head, eyes, ears, nose, and throat.

Review the case study provided by your Instructor. Based on the provided patient information, think about the health history you would need to collect from the patient.

Consider what physical exams and diagnostic tests would be appropriate in order to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.

Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.

Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.

Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with HEENT conditions.

The Assignment

Use the Focused SOAP Note Template to address the following:

Subjective: What details are provided regarding the patient’s personal and medical history?

Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any morbidities or psychosocial issues.

Assessment: Explain your differential diagnoses, providing a minimum of three. List them from highest priority to lowest priority and include their CPT and ICD-10 codes for the diagnosis. What would your primary diagnosis be and why?

Plan: Explain your plan for diagnostics and primary diagnosis. What would your plan be for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.

Reflection notes: Describe your “aha!” moments from analyzing this case.

By Day 7

Submit your focused SOAP note.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK3Assgn2+last name+first initial.(extension)” as the name.

Click the Week 3 Assignment 2 Rubric to review the Grading Criteria for the Assignment.

Click the Week 3 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn2+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your submission.

 

 

 

NRNP-6568F/DRNP-6568/DRNP-6568F/NRNP-6568

NRNP6568 Synthesis in Advanced Nursing Practice Care of Patients in Family Care Settings

Week 6 Assignment

Assessing, Diagnosing, and Treating Patients With Complex Conditions

For this Assignment, you will be assigned a complex patient case study with conditions related to any of the topics covered in Weeks 4–6. This includes cardiovascular, pulmonary, gastrointestinal, renal, musculoskeletal, and neurological conditions.

Photo Credit: [Gene Chutka]/[E+]/Getty Images

To Prepare:

Review this and previous weeks’ Learning Resources as needed.

Review the case study provided by your Instructor. Based on the provided patient information, think about the health history you would need to collect from the patient.

Consider what physical exams and diagnostic tests would be appropriate in order to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.

Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.

Consider each patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.

Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with their condition(s).

The Assignment:

Use the Focused SOAP Note Template to address the following:

Subjective: What details are provided regarding the patient’s personal and medical history?

Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any morbidities or psychosocial issues.

Assessment: Explain your differential diagnoses, providing a minimum of three. List them from highest priority to lowest priority and include their CPT and ICD-10 codes for the diagnosis. What would your primary diagnosis be and why?

Plan: Explain your plan for diagnostics and primary diagnosis. What would your plan be for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.

Reflection notes: Describe your “aha!” moments from analyzing this case.

By Day 7

Submit your focused SOAP note.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK6Assgn+last name+first initial.(extension)” as the name.

Click the Week 6 Assignment Rubric to review the Grading Criteria for the Assignment.

Click the Week 6 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK6Assgn+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your submission.

 

NRNP-6568F/DRNP-6568/DRNP-6568F/NRNP-6568

NRNP6568 Synthesis in Advanced Nursing Practice Care of Patients in Family Care Settings

Week 9 Assignment

Preventative Health and Assessing, Diagnosing, and Treating Special Populations

Certain groups of patients have concerns that may be specific to their particular population. Conditions related to men’s or women’s health, pregnancy, pediatrics, older adults, college students, LGBTQ individuals, athletes, those with particular cultural beliefs or concerns, or those undergoing palliative or end-of-life care would all fall under this category. Individuals may identify with more than one category.

For this Assignment, you practice assessing, diagnosing, and treating disorders seen in special population patients.

Photo Credit: Getty Images/Hero Images

To Prepare:

Review this week’s Learning Resources. Consider preventative health and assessing, diagnosing, and treating special populations.

Review the case study provided by your Instructor. Based on the provided patient information, think about the health history you would need to collect from the patient.

Consider what physical exams and diagnostic tests would be appropriate in order to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.

Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.

Consider each patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.

Develop a preventative health treatment plan for the patient that includes health promotion and patient education strategies for special populations.

Complete:

Use the Focused SOAP Note Template to address the following:

Subjective: What details are provided regarding the patient’s personal and medical history?

Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any morbidities or psychosocial issues.

Assessment: Explain your differential diagnoses, providing a minimum of three. List them from highest priority to lowest priority and include their CPT and ICD-10 codes for the diagnosis. What would your primary diagnosis be and why?

Plan: Explain your plan for diagnostics and primary diagnosis. What would your plan be for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.

Reflection notes: Describe your “aha!” moments from analyzing this case.

By Day 7

Submit your focused SOAP note.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK9Assgn+last name+first initial.(extension)” as the name.

Click the Week 9 Assignment Rubric to review the Grading Criteria for the Assignment.

Click the Week 9 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK9Assgn+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your submission.

 

NRNP-6568F/DRNP-6568/DRNP-6568F/NRNP-6568

NRNP6568 Synthesis in Advanced Nursing Practice Care of Patients in Family Care Settings

Week 10 Assignment

Nurse Practitioner Professional Career Planner

As you approach the end of your Master of Science in Nursing program and prepare for a career as a nurse practitioner, you will want to create a cover letter, resume, and portfolio that best represent your knowledge, skills, and abilities as a professional in the field of nursing.

For this Assignment, you will create a Career Planner that you can use as you pursue your next professional role.

Photo Credit: Getty Images

To Prepare:

Review the Career Planner Guide.

Seek out resources on cover letters, resumes, and other professional resources, as needed. The Walden University Career Services site has information on many topics of relevance.

Develop a cover letter, resume, philosophy statement, and other professional resources that meet the requirements outlined in the Career Planner Guide.

By Day 7

Submit Cover Letter, Resume, Personal Philosophy Statement and Long/Short term goals.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK10Assgn+last name+first initial.(extension)” as the name.

Click the Week 10 Assignment Rubric to review the Grading Criteria for the Assignment.

Click the Week 10 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK10Assgn+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your submission.

 

NRNP-6568F/DRNP-6568/DRNP-6568F/NRNP-6568

NRNP6568 Synthesis in Advanced Nursing Practice Care of Patients in Family Care Settings

Week 11 Assignment

National Organization of Nurse Practitioner Faculties (NONPF) Competencies

The National Organization of Nurse Practitioner Faculties (NONPF) has determined core competencies that apply to all nurse practitioners, regardless of specialty or patient population focus. NONPF has represented them within nine broad areas of core competence. NONPF created the first set of Nurse Practitioner Competencies in 1990; the most recent updates were incorporated in 2017. This synthesis course has had the overarching objective of preparing you to be able to synthesize knowledge gained throughout the program and be prepared to apply each of the nine core competencies within your selected areas of practice and your representative communities.

The nine broad areas of competency are:

Scientific Foundations

Leadership

Quality

Practice Inquiry

Technology and Information Literacy

Policy

Health Delivery System

Ethics

Independent Practice

To Prepare:

Review this week’s Learning Resources, focusing on the NONPF Core Competencies Content.

The Assignment

For each of the nine NONPF competencies, write one paragraph explaining how the program has prepared you to meet it (for a total of at least nine paragraphs). Then, propose and explain how you plan to engage in social change in your community as a nurse practitioner. Be specific and provide examples.

By Day 7

Submit your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.

Click the Week 11 Assignment Rubric to review the Grading Criteria for the Assignment.

Click the Week 11 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.

Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click Open.

If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.

Click on the Submit button to complete your submission.

 

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