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NSG 6440 Week 1 Discussion: Adolescent Annual Exam

NSG 6440 Week 1 Discussion: Adolescent Annual Exam

NSG 6440 Week 1 Discussion: Adolescent Annual Exam

Discussion Questions

You are a Family Nurse Practitioner working in a community health center. You are seeing a 14-year-old adolescent patient for an annual visit. The patient’s mother is also present during the visit and notes that the patient’s grades in school have been declining. Her son is also hanging out with a group of kids that she has concerns about. The mother has concerns for what is going on with her son. Answer the following questions using course resources (texts) and two other evidence-based sources (current guidelines and/or scholarly articles that are within a 3-5 year time frame).

  1. What are the components of an annual exam for an adolescent patient?
  2. Is the mother required to be present during your exam?
  3. Describe 1 health promotion idea that you would discuss with your middle adolescence patient. Why is this idea important?
  4. What are some screening tools that might be of importance in this situation? (hint: do you suspect drug or alcohol abuse here?)

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NSG 6440 Week 10 Discussion – Evidence-Based Clinical Intervention

By the due date assigned, submit your Evidence-Based Clinical Intervention to the Discussion Area.

Your Evidence-Based Clinical Intervention should be submitted in a Microsoft Word document following APA style and should include the following:

  • The medical problem/diagnosis/disease.
  • Typical presenting signs and symptoms including:
    • Onset, Characteristics, Location, Radiation, Timing, Setting, Aggravating factors, Alleviating factors, Associated symptoms, Course since onset, Usual age group affected
    • Concomitant disease states associated with the diagnosis
  • The pathophysiology of the problem.
  • Three differential diagnoses and the usual presenting signs and symptoms in priority sequence with rationales.
  • Reference to at least two current journal articles that show evidence-based practice as how to best treat this disorder related to the primary differential.
  • The expected outcomes of the intervention.
  • Algorithms if available.
  • A typical clinical note in SOAP format.