NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

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Course Description:

Apply theoretical foundations and clinical skills in comprehensive health assessment across the lifespan. In addition, this course will also focus on the foundations and principles of differential diagnosis and diagnostic reasoning, as well as bio-psycho-socio-cultural/spiritual considerations in advanced assessment across the lifespan. For a list of major topics to be covered in this course, please refer to the Course Topics/Lesson Titles Table in this syllabus.

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5418: Advanced Health Assessment and Diagnostic

Reasoning

Pre and Co-requisite Courses:

Prerequisite courses: NURS 5315 or Certificate Program Standing

Section:

NURS-5418 – 400

Instructor(s):

Jason K. Smith, MSN, APRN, PMHNP-BC

Co-Lead Teacher

Clinical Assistant Professor

Christina Burns, MSN, APRN, NP-C

Co-Lead Teacher

Clinical Instructor

Email:

[email protected]

[email protected]

Student Email:

Students enrolled in online UTA FNP courses are expected to check their UTA email daily. Students waiting for their next course to start are expected to check their UTA email a minimum of twice weekly.

Faculty and Students – Email:

For reasons of web security, faculty, staff, and students must use their official UT Arlington e-mail address for all university-related business. As a security measure, and in order to protect student privacy, only emails received through the UTA email system will receive a response. Emails received from any student’s personal email address will be deleted without a response.

Instructor Office or Department Location:

Virtual office hours by appointment only

Instructor Office or Department Telephone Number:

Felicia Chamberlain, (817) 272-0659, [email protected] Coordinator – Nursing Administration and Online Education Programs

Emergency Phone Number for Reaching Faculty:

Felicia Chamberlain, (817) 272-0659, [email protected] Coordinator – Nursing Administration and Online Education Programs

Faculty Profile:

https://www.uta.edu/profiles/jason-smith-4151

Preferred Methods for Reaching Instructor:

Correspondence should be directed to me via email at [email protected] or [email protected]

Emails are checked at least once daily on weekdays and weekend days. Should we need to communicate further via telephone or virtual video conferencing, then that can be arranged after the initial email correspondence. Please check with your clinical faculty for their preferred methods of communication.

Maximum Timeframe for Responding to Student Communication:

Response to student emails can generally be expected within 24 hours with a 48 hour maximum time frame.

Response to student assignments may be expected within 72 hours.

Virtual Office Hours:

By appointment only

Please email the professor or your clinical faculty to request and schedule an individual (or small group) virtual work session. In your email request, include the purpose of the meeting, what you hope to learn as a result of this meeting, and who will be participating. The purpose of virtual office hours is to address/answer the unique instructional challenges/questions that cannot be answered via email, an announcement, or the question and answer forum provided within the course.

Zoom:

Zoom is a user-friendly, online, video-conferencing, screen-share tool.  It operates outside of

Blackboard.  If invited to attend a Zoom conference, students simply need to:

• Use a computer with video and audio features
• Download Zoom to their computer the first time they receive a Zoom link (you will do this simply by clicking on the link)
• Check their video and audio features via the cues provided in Zoom

The Zoom link can also be downloaded to your smart phone. Lastly, Zoom sessions can be saved and made available to all students through a link provided by the professor.

Students do not need a Zoom account to join Zoom meetings hosted by a faculty member. Zoom tutorials can be found at the following link: https://support.zoom.us/hc/en-us/articles/206618765-Zoom-Video-Tutorials

Academic Coach(es):

None for this course

Clinical Faculty:

Christina Burns, [email protected]

Candace Russell, [email protected]

Monica Lee, [email protected]

Ket Davis, [email protected]

Lynn Berger, [email protected]

Crystal Cisneros, [email protected]

Jalandria Gurley, [email protected]

Clinical Faculty Email:

(as above)

Clinical Faculty Profiles:

Please see your UTA email for an introduction from your clinical faculty. If the clinical faculty member has a Mentis profile, it can be accessed from the following homepage: http://www.uta.edu/profiles/

Credit Hours:

4 credit hours

Clinical Hours:

This is both a clinical and didactic course with 90 clinical hours. These 90 hours of required clinical time are achieved via interactive assignments, videos, tutorials, demonstrations, and other teaching/learning modalities. For this course, you will not be required to complete clinical hours in actual healthcare settings or agencies. These types of outside, agency-specific clinical hours are not required until the last three courses of the program.

Preparation for clinical coursework, however, begins early in the degree program. Check your Pathway to Graduation for detailed instructions regarding what you must do concurrently with each academic course to ensure you are ready for your clinical experience.

If you do not have access to your online Pathway to Graduation please notify your advisor. You will need to check and use your Pathway to Graduation concurrently with every course throughout the MSN-FNP degree program.

REQUIRED Textbooks & Equipment:

1. Ball, Dains, Flynn, Solomon, & Stewart. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby. ISBN: 978-0-323-11240-6
2. Dains, Baumann, & Scheibel. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier. ISBN: 978-0-323-26625-3
3. American Psychological Association. (2010). Publication manual of the American Psychological Association (6^th ). Washington DC: Author. ISBN: 978-1-4338-0561-5

(Not included as part of the course bundle as you should have already purchased this text for prerequisite courses)

4. Assessment Kits I & II: These can be purchased directly from the UTA bookstore. Please visit utashop.com
5. Seidel et al.: Mosby’s Physical Exam Video Series. ISBN: 9780323077606 (Must be purchased from the UTA bookstore and is offered as part of the course bundle)
6. Shadow Health Digital Clinical Experiences Program: (Not included in the UTA Course Bundle/MUST be purchased separately from either the UTA bookstore or directly from the manufacturer/publisher as below:

To purchase the Shadow Health Digital Clinical Program, please log on to app.shadowhealth.com

Click “Register for a Student Account.”

Then enter the Course PIN: May2016-3155-4702-6540-0532

The purchase fee is $99 and a credit card is required for purchase

Be sure to register under the appropriate section number for the course in which you are enrolled

Be sure to complete all of the steps in setting up your student account

 

For more information, please see the Shadow Health Student Information and Registration Sheet in Blackboard

OPTIONAL Textbooks/Online Supplemental Resources: (Nice to have but NOT Required):

1. Ball, Dains, Flynn, Solomon, & Stewart. (2015). Seidel’s guide to physical examination handbook (8th ed.). St. Louis, MO: Mosby Elsevier. ISBN: 000-0323169538
2. Online Accompaniment to Seidel’s Physical Examination and Health Assessment (Online Access Code). ISBN: 9780323172677. (Included in the UTA Course Bundle and must be included if purchasing the UTA bundle).

UTA N5418 Course Book/Equipment Bundle: ISBN: 9780323455381

The textbooks for this course can be purchased, as a bundle, directly from the UTA bookstore. Please note that this bundle WILL include the access code for the supplemental/optional online resources to the major text and the Mosby video series, but WILL NOT include the assessment kits, APA manual, the physical examination handbook to accompany the major text, or the REQUIRED Shadow Health Digital Clinical Experience Program Access Code (these must be purchased separately if required or desired).

Directions for ordering the Course Textbook Bundle:

Please visit URL: www.utashop.com

Click on Books (Upper Left Hand Corner)

Term: Spring 2016

Academic Session: DYN

Department: NURS

Course: 5418

Section: 400 or 402

Click on submit

Next screen will only display your required bundle for N5418. ISBN to the bundle is:

9780323455381

This bundle is comprised of the following course materials:

Dains et al.: Adv Hlth Asmt Diag Primary Care (5^th ed.) – Required Text #2

Seidel et al.: Mosby’s Phys Exam Video Series – Required Text #5

Ball et al.: PE & HA Online Access Code (8^th ed.) – Optional Text #2

Ball et al.: Seidel’s Guide to PE (8^th ed.) – Required Text #1

Please check with the UTA bookstore concerning the ordering/availability of parts and pieces of this bundle. The bundle retails for $402.90, and they are offering an additional discount on the purchase price of these items when bought as a bundle. The total student cost for the bundle will be $260.46, which is a savings of $142.44 or 35.35 % (versus buying each individual piece). Early ordering is recommended.

UTA bookstore information (for ordering, questions, or concerns):

www.utashop.com

(817) 272-2785 main

• 272-5757 text department

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5418: Advanced Health Assessment and Diagnostic

Reasoning

Attendance Policy:

Student attendance in this online course is required virtually as needed to successfully complete course assignments and assessments within the required timelines

Course Format and Design:

This course is presented completely online and is administered at an accelerated pace. The course builds upon your undergraduate education and will cover a significant amount of content over a short period of time. It is designed to facilitate and guide your learning. As such minimal written lecture content is provided, you will be required to read the text books and other course materials and to synthesize this information to complete all of the course assignments.

As a graduate student, the expectations of this course and curriculum are different than your undergraduate education. You are expected to synthesize the information from your readings and be able to apply it to clinical scenarios in a manner which is reflective of advanced practice nursing. As a graduate student, you are considered to be an independent learner and if needed identify additional resources to help you understand the concepts in the course.

This class utilizes multiple teaching/learning modalities in the delivery of the content. Supplemental videos and lectures have been provided over select concepts to enhance your learning. These videos and lectures are mandatory to view, and you will find them to be an integral part of learning in this particular course. For testing purposes, you are responsible for the content in the text books, lectures, videos, supplemental readings, and any of the other multimedia teaching/learning presentations utilized in this course. In simpler terms, any and all course-related content may be covered on your exams.

Test Review: There will be no formal test review for major exams in this course. Following each major exam (with the exception of the final exam), a synopsis of common errors will be provided to the class as a whole via email and a Blackboard announcement. Students may contact the lead instructor for this course for any further questions or concerns regarding this policy or their performance on any test or assignment in the course.

Course Expectations:

Students are expected to work independently on every assignment in this course unless instructed otherwise. Collusion or consulting with other students or healthcare professionals concerning assignments is not permitted. Sharing your work or borrowing the work of others will prevent students from fully benefitting from the learning opportunities in this course. It is YOUR work that we are interested in evaluating, NOT the work of others. Collusion or consulting with others is considered a matter of academic dishonesty and will be treated as such.

The amount of time required by students to study and complete assignments in this course will vary according to students’ previous professional experiences, prior learning, and, the pace at which one works. While having completed multiple years of practice generally provides students an advantage, these same students sometimes find themselves having to “unlearn” practices that are not supported by the most recent evidence or research. Students with fewer years of nursing experience will generally find themselves working more diligently to quickly increase their overall knowledge base – knowledge that their classmates may have developed over multiple years of working in healthcare settings. NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

It is recommended that students schedule a minimum of 20 hours per week to study and complete both the didactic content (non-clinical assignments) and clinical content (virtual and hands-on clinical skills assignments) for this course. Some weeks may require fewer hours and other weeks may require more hours.

FNP Program Expectations:

1. GPA of 3.0: Students must maintain a GPA of 3.0. Please seek help immediately if you are at risk of dipping below this GPA. Ready to assist you are:

Your course professor

UTA Student Success Coordinators Your advisor

Your retention specialist

2. Let’s Get Clinical: Successful completion of the required 760 clinical hours during your last three courses is completely dependent upon successful completion of the “Let’s Get Clinical” portion of your Pathway to Graduation. Successful graduation requires both completion of
3. Preceptors and Clinical Sites: Students are responsible for arranging their own preceptors and clinical sites according to guidelines provided. This process begins very early in the overall program to ensure readiness when the clinical courses begin.

Course Topics / Lesson Titles:

Week/Module	Module Topics / Titles	Lesson Topics / Lesson Titles
1	The Health History & Diagnostic	Lesson 1: Patient Interviewing and the
	Reasoning	Health History
		Lesson 2: Cultural Competency and
		Spiritual Considerations in Advanced
		Assessment
		Lesson 3: Health Risk Screening and
		Assessment
		Lesson 4: Nutritional Assessment
		Lesson 5: Diagnostic Reasoning and
		Differential Diagnosis
2	Overview of Assessment	Lesson 1: Exam Techniques and
	Techniques, Objective Data, &	Equipment for Advanced Assessment
	Recording	Lesson 2: Assessment of Vital Signs,
		Pain, and Growth & Measurement
		Parameters
		Lesson 3: Recording and Documenting
		Assessment Data
3	Getting Started: The General	Lesson 1: The General Survey
	Survey & Assessment of	Lesson 2: Assessment of Skin/Hair/Nails
	Skin/Hair/Nails
4	Head/Neck/Associated Structures	Lesson 1: Assessment of the Head, Neck,
	& EENT Assessment	and Lymphatic Systems

Week/Module	Module Topics / Titles	Lesson Topics / Lesson Titles
		Lesson 2: Assessment of Eyes, Ears,
		Nose, and Throat (EENT)
5	Respiratory & CV Structures	Lesson 1: Assessment of Chest and
		Lungs
		Lesson 2: Assessment of Heart and
		Blood Vessels
6	The Torso	Lesson 1: Assessment of Breasts and
		Axillae
		Lesson 2: Assessment of the Abdomen
7	Male/Female Genitalia &	Lesson 1: Assessment of the Female
	Associated Structures	Genitalia
		Lesson 2: Assessment of the Male
		Genitalia
		Lesson 3: Assessment of the Anus,
		Rectum, and Prostate
8	Neuro, MSK, & the Sports	Lesson 1: Assessment of the
	Participation Evaluation	Neurological System
		Lesson 2: Assessment of the
		Musculoskeletal System
		Lesson 3: The Sports Participation
		Evaluation/Physical
9	Psychiatric/Mental Health	Lesson 1: Advanced Psychiatric
	Assessment	Assessment Across the Lifespan
10	Putting It All Together	Lesson 1: Putting it All Together: The
		Comprehensive Health History and
		Physical Examination
		Lesson 2: Critical thinking in Advanced
		Health Assessment and Diagnostic
		Reasoning
		Lesson 3: Emergent Findings in
		Advanced Assessment
11	Wrap Up/Final Exam Week	N/A

Course Outcomes and Performance Measurement:

Course Objective(s)			Module Number and				Assessment Item
			Objective(s)
			M (Module #)
			L (Lesson #)
			O (Objective #)
Obtain comprehensive &		M1	– L1, O: 1,3,4				Shadow Health Virtual
problem-focused health history		M1	– L2, O: 1,3,5				Assessment Exercises
across the lifespan.		M1	– L3, O: 1,3,4,6				Shadow Health Virtual
		M1	– L4, O: 1,3,4,6,7				Focused Exams
		M1	– L5, O: 1,3,4,7				Practice Quizzes
							Clinical Lab Skills
		M2	–L2,O:1
							Evaluation One: Health
		M8	–L3,O:1
							History & Write-Up
		M9	– L1, O: 1,3,4,7,8,10
							Clinical Lab Skills
		M10 – L1/L2/L3, O: 1,3,4,6,10
							Evaluation Two: Problem
							Focused/Episodic Exam &
							Write-Up
							Exam 1
							Exam 2
							Comprehensive Final Exam
Obtain comprehensive &		M1	– L1, O: 3,5				Shadow Health Virtual
problem-focused physical		M2	– L1, O: 2,4,5,6				Assessment Exercises
examination across the lifespan.		M2	– L2, O: 3,6,7,8				Shadow Health Virtual
		M3/M4/M5/M6 – L1/L2, O:					Focused Exams
	2,3,4,5						Shadow Health Virtual
							Concept labs
		M7	– L1/L2/L3, O: 2,3,4,5				Practice Quizzes
							Clinical Lab Skills
		M8	– L1/L2, O: 2,3,4,5
							Evaluation Two: Problem
		M8	– L3, O: 3,6,7,8
							Focused/Episodic Exam &
		M9	– L1, O: 3,9,10
							Write-Up
		M10 – L1/L2/L3, O: 3,8,9,10
							Clinical Lab Skills
							Evaluation Three:
							Comprehensive Head-to-Toe
							Physical Exam & Write-Up
							Exam 1
							Exam 2
							Comprehensive Final Exam
Document findings from history		M1	– L1/L2/L3/L4/L5, O: 2				Shadow Health Virtual
and physical exam.		M2	– L1/L3, O: 1				Assessment Exercises
		M2	–L2,O:2				Shadow Health Virtual
		M3/M4/M5/M6/M8 – L1/L2,					Focused Exams
		O: 1					Clinical Lab Skills
							Evaluation One: Health
		M7	– L1/L2/L3, O: 1				History & Write-Up
							Clinical Lab Skills
		M8	–L3,O:2
							Evaluation Two: Problem
		M9	–L1,O:2
							Focused/Episodic Exam &
		M10 – L1/L2/L3, O: 2
							Write-Up
							9

Course Objective(s)			Module Number and			Assessment Item
			Objective(s)
			M (Module #)
			L (Lesson #)
			O (Objective #)
						Clinical Lab Skills
						Evaluation Three:
						Comprehensive Head-to-Toe
						Physical Exam & Write-Up
						Exam 1
						Exam 2
						Comprehensive Final Exam
Develop appropriate differential		M1	–L5,O:6			Shadow Health Virtual
diagnoses.		M2	–L1,O:3			Assessment Exercises
		M2	–L2,O:5			Shadow Health Virtual
		M2	–L3,O:2			Focused Exams
		M8	–L3,O:5			Practice Quizzes
						Clinical Lab Skills
		M9	–L1,O:6
						Evaluation Two: Problem
		M10 – L1/L2/L3, O: 7
						Focused/Episodic Exam &
						Write-Up
						Clinical Lab Skills
						Evaluation Three:
						Comprehensive Head-to-Toe
						Physical Exam & Write-Up
						Exam 1
						Exam 2
						Comprehensive Final Exam
Differentiate among normal		M1	–L1,O:4			Shadow Health Virtual
variations, normal and abnormal		M1	–L2,O:5			Assessment Exercises
findings across the lifespan.		M1	–L3,O:6			Shadow Health Virtual
		M1	– L4/L5, O: 7			Focused Exams
		M2	–L1,O:6			Shadow Health Virtual
						Concept labs
		M2	–L2,O:8
						Practice Quizzes
		M2	–L3,O:3
						Clinical Lab Skills
		M3/M4/M5/M6/M8 – L1/L2,
						Evaluation Two: Problem
		O: 5
						Focused/Episodic Exam &
		M7	– L1/L2/L3, O: 5			Write-Up
						Clinical Lab Skills
		M8	–L3,O:8
						Evaluation Three:
		M9	– L1, O: 10
						Comprehensive Head-to-Toe
		M10 – L1/L2/L3, O: 10				Physical Exam & Write-Up
						Exam 1
						Exam 2
						Comprehensive Final Exam
Incorporate socio/cultural		M1	– L1/L2/L3/L4/L5, O: 3			Shadow Health Virtual
beliefs, values and practices		M2	–L1,O:2			Assessment Exercises

10

Course Objective(s)			Module Number and			Assessment Item
			Objective(s)
			M (Module #)
			L (Lesson #)
			O (Objective #)
relevant to health into		M2	–L2,O:3			Shadow Health Virtual
assessment.		M3/M4/M5/M6 – L1/L2, O: 2				Focused Exams
		M7	– L1/L2/L3, O: 2			Shadow Health Virtual
		M8	– L1/L2, O: 2			Concept labs
		M8	–L3,O:3			Practice Quizzes
						Clinical Lab Skills
		M9	–L1,O:3
						Evaluation One: Health
		M10 – L1/L2/L3, O: 3
						History & Write-Up
						Clinical Lab Skills
						Evaluation Two: Problem
						Focused/Episodic Exam &
						Write-Up
						Clinical Lab Skills
						Evaluation Three:
						Comprehensive Head-to-Toe
						Physical Exam & Write-Up
						Exam 1
						Exam 2
						Comprehensive Final Exam
Provide health promotion and		M1	–L2,O:4			Shadow Health Virtual
disease prevention services		M1	– L3/L4/L5, O: 5			Assessment Exercises
based on age, developmental		M2	–L2,O:4			Shadow Health Virtual
stage, family history and		M8	–L3,O:4			Focused Exams
ethnicity.		M9	–L1,O:5			Practice Quizzes
						Clinical Lab Skills
		M10 – L1/L2/L3, O: 5
						Evaluation One: Health
						History & Write-Up
						Clinical Lab Skills
						Evaluation Two: Problem
						Focused/Episodic Exam &
						Write-Up
						Clinical Lab Skills
						Evaluation Three:
						Comprehensive Head-to-Toe
						Physical Exam & Write-Up
						Exam 1
						Exam 2
						Comprehensive Final Exam

Course Calendar with Due Dates/Times

	Course or Module	Due Date/Time		Assignment
	Activity			Details
	Pathway to Graduation –
	Orientation (Course
	One)
	Personal Graduation Plan	Must be submitted by the	N/A if completed
		end of a student’s first
		course in the program.
	Pathway to Graduation –
	Let’s Get Clinical
	(Courses Two through
	Fourteen)
	Items as Indicated Within	Week Five, Saturday, 23:59	As per UTACONHI program
	“Let’s Get Clinical.”		guidelines
	Module/Week One
	Attestation Statement	Wednesday 23:59	Completed in Blackboard
	Readings	Saturday 23:59	Seidel et al. – Chapter 1,
				The History and
				Interviewing Process, pp.
				1-20
			Seidel et al. – Chapter 2,
				Cultural Competency, pp.
				21-29
			Allen & Crouch – Book
				Chapter, Cultural and
				Spiritual Health
				Assessment, pp. 311-330
				(found on Blackboard in
				Course Readings)
			Dains et al. – Chapter 2,
				Evidence-Based Health
				Screening, pp. 6-10
			Seidel et al. – Chapter 7,
				Nutrition, pp. 95-113
			Dains et al. – Chapter 39,
				Weight Loss/Gain
				[Unintentional] (Common
				Systemic Problems), pp.
				194-207
			Dains et al. – Chapter 1,
				Clinical Reasoning,
				Differential Diagnosis,
				Evidence-Based Practice,
				and Symptom Analysis,
				pp. 1-5
	Lectures	Saturday 23:59		Powerpoint Lecture: The
				Health History Interview
	Videos	Saturday 23:59		Mosby Video: Effective
				Communication and
				Interview Skills
	Clinical Practice Activities	Saturday 23:59		Shadow Health:
				Conversation Concept
				Lab ‘Rachel Adler’
				Personal Clinical Practice
				Exercise: Health History
				Interview – with family

	Course or Module	Due Date/Time			Assignment
	Activity				Details
					member, friend, or
					colleague etc.
					Weekly Meeting with
					Clinical Faculty (Q & A,
					demo/practice)
	Shadow Health	Saturday 23:59		See practice activities above for
	Assignments / Practice			Shadow Health Concept Lab
					Shadow Health
	Quizzes
					Registration and Digital
					Clinical Experience
					Orientation Video
				Practice Quiz: Seidel et al.
					– Chapter 1, The History
					and Interviewing Process
				Practice Quiz: Seidel et al.
					– Chapter 2, Cultural
					Competency
				Practice Quiz: Seidel et al.
					– Chapter 7, Nutrition
					Shadow Health
					Assessment Exercise:
					Health History ‘Tina
					Jones’
	Respondus Practice Test	Saturday 23:59		Completed in Blackboard; Requires
				use of Respondus Lockdown
				Browser and Webcam
	Kaltura Practice Video	Saturday 23:59		See Further Instructions in
	Submission – Practice HPI			Syllabus/Blackboard, submitted in
				Blackboard
	Module/Week Two
	Readings	Saturday 23:59		Seidel et al. – Chapter 3,
					Examination Techniques
					and Equipment, pp. 30-49
				Seidel et al. – Chapter 4,
					Vital Signs and Pain
					Assessment, pp. 50-63
				Seidel et al. – Chapter 6,
					Growth and
					Measurement, pp. 79-94
				Dains et al. – Chapter 17,
					Fever (Common Systemic
					Problems), pp. 194-207
				Seidel et al. – Chapter 26,
					Recording Information,
					pp. 616-631
	Lectures	Saturday 23:59			Powerpoint Lecture:
					UTACONHI
					Documentation of
					Assessment Findings and
					Best Practices
	Videos	Saturday 23:59		N/A
	Clinical Practice Activities	Saturday 23:59			Weekly Meeting with
					Clinical Faculty (Q & A,
					demo/practice)
	Shadow Health	Saturday 23:59		Practice Quiz: Seidel et al.
	Assignments / Practice				– Chapter 3, Examination
					Techniques and
	Quizzes
					Equipment

Course or Module

Due Date/Time

Assignment

Activity

Details

Practice Quiz: Seidel et al.

– Chapter 4, Vital Signs

and Pain Assessment

Practice Quiz: Seidel et al.

– Chapter 6, Growth and

Measurement

Practice Quiz: Seidel et al.

– Chapter 6, Growth and

Measurement

Clinical Lab Skills

Saturday 23:59 (Video and

See Further Instructions in

Syllabus/Blackboard, submitted in

Evaluation One: Video &

Write-Up both

Blackboard

Write-Up

due/submitted to

Blackboard)

Module/Week Three

Readings

Saturday 23:59

Seidel et al. – Chapter 5,

Mental Status, pp. 66-67

(Physical Appearance &

Behavior/State of

Consciousness only)

Seidel et al. – Chapter 24,

Putting It All Together, p.

597 (General Inspection

only)

Dains et al. – Chapter 16,

Fatigue (Common

Systemic Problems), pp.

184-193

Seidel et al. – Chapter 8,

Skin, Hair, and Nails, pp.

114-165

Dains et al. – Chapter 28,

Rashes and Skin Lesions,

pp. 325-343

Lectures

Saturday 23:59

N/A

Videos

Saturday 23:59

Mosby Video: Skin, Hair,

and Nails

Clinical Practice Activities

Saturday 23:59

Personal Clinical Practice

Exercise: General Survey

and Skin/Hair/Nails

Assessment – with family

member, friend, or

colleague etc.

Weekly Meeting with

Clinical Faculty (Q & A,

demo/practice)

Shadow Health

Saturday 23:59

Practice Quiz: Seidel et al.

Assignments / Practice

– Chapter 8, Skin, Hair,

and Nails,

Quizzes

Module/Week Four

Readings

Saturday 23:59

Seidel et al. – Chapter 9,

Lymphatic System, pp.

166-183

Seidel et al. – Chapter 10,

Head and Neck, pp. 184-

203

14

	Course or Module	Due Date/Time			Assignment
	Activity				Details
				Seidel et al. – Chapter 11,
					Eyes, pp. 204-230
				Seidel et al. – Chapter 12,
					Ears, Nose, and Throat,
					pp. 231-259
				Dains et al. – Chapter 15,
					Earache, pp. 174-183
				Dains et al. – Chapter 21,
					Hoarseness, pp. 248-255
				Dains et al. – Chapter 25,
					Nasal Symptoms and
					Sinus Congestion, pp.
					301-309
				Dains et al. – Chapter 30,
					Red Eye, pp. 357-368
				Dains et al. – Chapter 32,
					Sore Throat, pp. 381-389
				Dains et al. – Chapter 38,
					Vision Loss, pp. 446-457
	Lectures	Saturday 23:59		N/A
	Videos	Saturday 23:59			Mosby Video: Head,
					Neck, and Lymphatic
					System
					Mosby Video: Eyes
				Mosby Video: Ears, Nose,
					and Throat
	Clinical Practice Activities	Saturday 23:59			Personal Clinical Practice
					Exercise: Head, Neck,
					and Lymphatic
					Assessment – with family
					member, friend, or
					colleague etc.
					Personal Clinical Practice
					Exercise: EENT
					Assessment – with family
					member, friend, or
					colleague etc.
					Weekly Meeting with
					Clinical Faculty (Q & A,
					demo/practice)
	Shadow Health	Saturday 23:59			Practice Quiz: Seidel et al.
	Assignments / Practice				–  Chapter  9,  Lymphatic
					System
	Quizzes
				Practice Quiz: Seidel et al.
					– Chapter 10, Head and
					Neck
				Practice Quiz: Seidel et al.
					– Chapter 11, Eyes
				Practice Quiz: Seidel et al.
					– Chapter 12, Ears, Nose,
					and Throat
					Shadow Health
					Assessment Exercise:
					HEENT ‘Tina Jones’
	Module/Week Five
	Readings	Saturday 23:59			Seidel et al. – Chapter 13,
					Chest and Lungs, pp.
					260-293

	Course or Module	Due Date/Time			Assignment
	Activity				Details
				Dains et al. – Chapter 11,
					Cough, pp. 118-132
				Dains et al. – Chapter 14,
					Dyspnea, pp. 159-173
				Seidel et al. – Chapter 14,
					Heart, pp. 294-331
				Seidel et al. – Chapter 15,
					Blood Vessels, pp. 332-
					349
				Dains et al. – Chapter 8,
					Chest Pain, pp. 81-96
				Dains et al. – Chapter 26,
					Palpitations, pp. 310-317
				Dains et al. – Chapter 33,
					Syncope, pp. 390-397
	Lectures	Saturday 23:59		N/A
	Videos	Saturday 23:59			Mosby Video: Chest and
					Lungs
					Mosby Video: Heart
					Mosby Video: Blood
					Vessels
	Clinical Practice Activities	Saturday 23:59			Shadow Health:
					Respiratory Concept Lab
					Personal Clinical Practice
					Exercise: Chest and
					Lungs Assessment – with
					family member, friend, or
					colleague etc.
					Shadow Health:
					Cardiovascular Concept
					Lab
					Personal Clinical Practice
					Exercise: Heart and Blood
					Vessels Assessment –
					with family member,
					friend, or colleague etc.
					Weekly Meeting with
					Clinical Faculty (Q & A,
					demo/practice)
	Shadow Health	Saturday 23:59		See practice activities above for
	Assignments / Practice			Shadow Health Concept Labs
				Practice Quiz: Seidel et al.
	Quizzes
					– Chapter 13, Chest and
					Lungs
				Practice Quiz: Seidel et al.
					– Chapter 14, Heart
				Practice Quiz: Seidel et al.
					– Chapter 15, Blood
					Vessels
					Shadow Health
					Assessment Exercise:
					Respiratory ‘Tina Jones’
					Shadow Health Focused
					Exam: Cough ‘Danny
					Rivera age 8’
					Shadow Health
					Assessment Exercise:
					Cardiovascular ‘Tina
					Jones’

16

	Course or Module	Due Date/Time			Assignment
	Activity				Details
					Shadow Health Focused
					Exam: Chest Pain ‘Brian
					Foster age 58’
	Items as Indicated Within	Week Five, Saturday, 23:59		As per UTACONHI program
	“Let’s Get Clinical.”			guidelines
	Clinical Skills Lab	Saturday 23:59		Signed / Submitted within
	Assignments			Blackboard for review by Clinical
				Instructors
	Checklist/Attestation Form
	Module/Week Six
	Readings	Saturday 23:59			Seidel et al. – Chapter 16,
					Breasts and Axillae, pp.
					350-369
				Dains et al. – Chapter 6,
					Breast Lumps and Nipple
					Discharge, pp. 61-72
				Dains et al. – Chapter 7,
					Breast Pain, pp. 73-80
				Seidel et al. – Chapter 17,
					Abdomen, pp. 370-415
				Dains et al. – Chapter 3,
					Abdominal Pain, pp. 11-
					32
				Dains et al. – Chapter 10,
					Constipation, pp. 110-117
				Dains et al. – Chapter 12,
					Diarrhea, pp. 133-147
				Dains et al. – Chapter 20,
					Heartburn and
					Indigestion, pp. 235-247
	Lectures	Saturday 23:59		N/A
	Videos	Saturday 23:59			Mosby Video: Breasts and
					Axillae
					Mosby Video: Abdomen
	Clinical Practice Activities	Saturday 23:59			Personal Clinical Practice
					Exercise: Axillae ONLY –
					with family member,
					friend, or colleague etc.
					Shadow Health:
					Gastrointestinal Concept
					Lab
					Personal Clinical Practice
					Exercise: Abdominal
					Assessment – with family
					member, friend, or
					colleague etc.
					Weekly Meeting with
					Clinical Faculty (Q & A,
					demo/practice)
	Shadow Health	Saturday 23:59		See practice activities above for
	Assignments / Practice			Shadow Health Concept Lab
				Practice Quiz: Seidel et al.
	Quizzes
					– Chapter 16, Breasts and
					Axillae
				Practice Quiz: Seidel et al.
					– Chapter 17, Abdomen

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5418: Advanced Health Assessment and Diagnostic

Reasoning

	Course or Module		Due Date/Time				Assignment
		Activity					Details
							Shadow Health
							Assessment Exercise:
							Gastrointestinal ‘Tina
							Jones’
							Shadow Health Focused
							Exam: Abdominal Pain
							‘Esther Park age 78’
	Exam 1		Friday 08:00 – Sunday			See Further Instructions in
			23:59			Syllabus/Blackboard, completed in
						Blackboard; Requires use of
						Respondus Lockdown Browser and
						Webcam
	Module/Week Seven
	Readings		Saturday 23:59				Seidel et al. – Chapter 18,
							Female Genitalia, pp.
							416-465
						Dains et al. – Chapter 34,
							Urinary Incontinence, pp.
							398-408
						Dains et al. – Chapter 35,
							Urinary Problems in
							Females and Children, pp.
							409-418
						Dains et al. – Chapter 5,
							Amenorrhea, pp. 47-60
						Dains et al. – Chapter 36
							Vaginal Bleeding, pp. 419-
							433
						Dains et al. – Chapter 37,
							Vaginal Discharge and
							Itching, pp. 434-445
						Seidel et al. – Chapter 19,
							Male Genitalia, pp. 466-
							484
						Dains et al. – Chapter 18,
							Genitourinary Problems in
							Males, pp. 208-220
						Dains et al. – Chapter 27,
							Penile Discharge, pp.
							318-324
						Seidel et al. – Chapter 20,
							Anus, Rectum, and
							Prostate, pp. 485-500
						Dains et al. – Chapter 29,
							Rectal Pain, Itching, and
							Bleeding, pp. 344-356
	Lectures		Saturday 23:59			N/A
	Videos		Saturday 23:59				Mosby Video: Female
							Genitalia, Reproductive
							Tract, and Rectum
							Mosby Video: Male
							Genitalia and Rectum
							Review UTACONHI
							Student Example Video of
							Problem Focused Exam
							Demonstration
	Clinical Practice Activities		Saturday 23:59				Weekly Meeting with
							Clinical Faculty (Q & A,
							demo/practice)

Course or Module

Due Date/Time

Assignment

Activity

Details

Shadow Health

Saturday 23:59

Practice Quiz: Seidel et al.

Assignments / Practice

– Chapter 18, Female

Genitalia

Quizzes

Practice Quiz: Seidel et al.

– Chapter 19, Male

Genitalia

Practice Quiz: Seidel et al.

– Chapter 20, Anus,

Rectum, and Prostate

Clinical Lab Skills

Scheduled with Clinical

See Further Instructions in

Evaluation Two:

Faculty to be performed via

Syllabus/Blackboard, submitted in

Blackboard

Problem-

Zoom appointment during

Review the UTACONHI

Focused/Episodic Exam

Week 7; Must be

Problem-Focused Exam

with Faculty & Write-Up

completed by Saturday at

Student Demonstration

Video in Blackboard

23:59; Write-Up

due/submitted to

Blackboard within 24 hours

of Exam

Module/Week Eight

Readings

Saturday 23:59

Seidel et al. – Chapter 22,

Neurologic System, pp.

544-580

Dains et al. – Chapter 13,

Dizziness, pp. 148-158

Dains et al. – Chapter 19,

Headache, pp. 221-234

Seidel et al. – Chapter 21,

Musculoskeletal System,

pp. 501-543

Dains et al. – Chapter 22,

Lower Extremity Limb

Pain, pp. 256-274

Dains et al. – Chapter 23,

Upper Extremity Limb

Pain, pp. 275-287

Dains et al. – Chapter 24,

Low Back Pain (Acute),

pp. 288-300

Seidel et al. – Chapter 23,

Sports Participation

Evaluation, pp. 581-593

Lectures

Saturday 23:59

N/A

Videos

Saturday 23:59

Mosby Video: Neuro –

Mental Status, Speech,

and Cranial Nerves

Mosby Video: Neuro –

Motor/Sensory Functions

and Reflexes

Mosby Video:

Musculoskeletal

Clinical Practice Activities

Saturday 23:59

Personal Clinical Practice

Exercise: Neurological

Assessment – with family

member, friend, or

colleague etc.

	Course or Module	Due Date/Time		Assignment
	Activity			Details
				Personal Clinical Practice
				Exercise: MSK
				Assessment – with family
				member, friend, or
				colleague etc.
	Shadow Health	Saturday 23:59		Practice Quiz: Seidel et al.
	Assignments / Practice			– Chapter 22, Neurologic
				System
	Quizzes
				Practice Quiz: Seidel et al.
				– Chapter 21,
				Musculoskeletal System
			Practice Quiz: Seidel et al.
				– Chapter 23, Sports
				Participation Evaluation
				Shadow Health
				Assessment Exercise:
				Musculoskeletal ‘Tina
				Jones’
				Shadow Health
				Assessment Exercise:
				Neurological ‘Tina Jones’
	Module/Week Nine
	Readings	Saturday 23:59		Seidel et al. – Chapter 5,
				Mental Status, pp. 64-78
			Dains et al. – Chapter 4,
				Affective Changes, pp.
				33-46
			Dains et al. – Chapter 9,
				Confusion in Older Adults,
				pp. 97-109
			Dains et al. – Chapter 31,
				Sleep Problems, pp. 369-
				380
				Powerpoint: Cognitive
				Screenings Review
				Lecture Slides (Read
				Only)
	Lectures	Saturday 23:59		Video Lecture: Psychiatric
				Evaluation
			Video Lecture: Psych Eval
				of a Child
				Video Lecture: Diagnosing
				Depression
				Video Lecture: Suicide
				Video Leture: Physical
				Exam and Lab Results in
				Eating Disorders
				Video Lecture:
				Child/Adolescent Mental
				Health: ADHD Concerns
				Video Lecture:
				Neurocognitive Disorders:
				Assessment & Screening
	Videos	Saturday 23:59		Video: Demonstration of
				the Folstein MMSE

20 NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

	Course or Module	Due Date/Time		Assignment
	Activity			Details
				Video: Full Psychiatric
				Evaluation of Adult Patient
				‘Wyatt’
				Video: Adolescent
				Psychiatric Evaluation of
				‘Chase’, Part 1
				Video: Adolescent
				Psychiatric Evaluation of
				‘Chase’, Part 2
			Video: Discussion of the
				Adolescent Psychiatric
				Evaluation of ‘Chase’ by
				Dr. Carol Lieser
				Video: Psychiatric
				interview of a depressed
				patient in primary care
				Video: Psychiatric
				interview of an anxious
				patient in primary care
			Video: Use of SBIRT in an
				older, hospitalized male
				patient
	Clinical Practice Activities	Saturday 23:59		Personal Clinical Practice
				Exercise: Folstein MMSE,
				SLUMS, MoCA, and Mini
				Cog – with family
				member, friend, or
				colleague etc.
				Personal Clinical Practice
				Exercise: Download,
				save, and review the
				Vanderbilt ADHD Parent
				and Teacher Screening
				Tools – may administer to
				family member, friend, or
				colleague etc., and review
				the results; Be sure to
				review the teacher
				screening tool as well
				Weekly Meeting with
				Clinical Faculty (Q & A,
				demo/practice)
	Shadow Health	Saturday 23:59		Practice Quiz: Seidel et al.
	Assignments / Practice			– Chapter 5, Mental
				Status
	Quizzes
				Shadow Health
				Assessment Exercise:
				Mental Health ‘Tina
				Jones’
	Module/Week Ten
	Readings	Saturday 23:59		Seidel et al. – Chapter 24,
				Putting It All Together, pp.
				594-609
			Seidel et al. – Chapter 25,
				Taking the Next Steps:
				Critical Thinking, pp. 610-
				615

21 .NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

	Course or Module						Due Date/Time				Assignment
		Activity									Details
										Seidel et al. – Chapter 27,
											Emergency or Life-
											Threatening Situations,
											pp. 632-644
	Lectures						Saturday 23:59				Review Powerpoint
											Lecture: UTACONHI
											Documentation of
											Assessment Findings and
											Best Practices
	Videos						Saturday 23:59			Mosby Video: Putting It All
											Together
										Mosby Video: Putting It All
											Together – Child
											Mosby Video: Physical
											Exam of the Hospitalized
											Patient
											Review UTACONHI
											Student Demonstration
											Video of Comprehensive
											Head-to-Toe Physical
											Assessment/Exam
	Clinical Practice Activities						Saturday 23:59				Personal Clinical Practice
											Exercise: Practice for
											Comprehensive Head-to-
											Toe Physical Assessment
											Demonstration Video due
											in Week 11 (Clinical lab
											skills evaluation 3 – with
											family member, friend, or
											colleague etc.
											Weekly Meeting with
											Clinical Faculty (Q & A,
											demo/practice)
	Shadow Health						Saturday 23:59			Practice Quiz: Seidel et al. –
	Assignments / Practice									Chapter 24, Putting It All
										Together
	Quizzes
										Practice Quiz: Seidel et al. –
										Chapter 25, Taking the Next
										Steps: Critical Thinking
										Shadow Health Assessment
										Exercise: Capstone
										Assignment – Comprehensive
										Head-to-Toe Assessment
										‘Tina Jones’
	Exam 2						Friday 08:00 – Sunday			See Further Instructions in
						23:59				Syllabus/Blackboard, completed in
										Blackboard; Requires use of
										Respondus Lockdown Browser and
										Webcam
	Clinical Skills Lab						Saturday 23:59			Signed / Submitted within
	Assignments									Blackboard for review by Clinical
										Instructors
	Checklist/Attestation Form
	Module/Week Eleven
	Clinical Lab Skills						Wednesday 23:59			See Further Instructions in
	Evaluation Three:									Syllabus/Blackboard, submitted in
										Blackboard
	Comprehensive Head-to-						***Please note due
											Review UTACONHI

22 NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

Course or Module

Due Date/Time

Assignment

Activity

Details

Toe Physical

date/time as this differs

Student Demonstration

Video of Comprehensive

Examination Video &

from most other activities

Head-to-Toe Physical

Write-Up

in the course!

Assessment/Exam

Comprehensive Final

Friday 08:00 – Sunday

See Further Instructions in

Exam

23:59

Syllabus/Blackboard, completed in

Blackboard; Requires use of

Respondus Lockdown Browser and

Webcam

NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

N5418 Test Blueprints

Exam	Major Topics/(# questions)	Total # Questions on
		Exam
EXAM 1	(Covers Content in Weeks 1-5 only)	75
	Patient Interviewing/Health History (5)
	Cultural Competency (3)
	Spiritual Considerations (2)
	Health Risk Screening/Assessment (2)
	Nutritional Assessment (3)
	Diagnostic Reasoning/Differential Diagnosis (5)
	Exam Techniques/Equipment (5)
	Vital Signs/Pain/Growth & Measurement (4)
	Recording & Documenting (3)
	General Survey (3)
	Skin/Hair/Nails (6)
	Head/Neck/Lymphatics (6)
	EENT (8)
	Chest & Lungs (10)
	Heart & Blood Vessels (10)
EXAM 2	(Covers Content in Weeks 6-9 only)	75
	Breasts/Axillae (6)
	Abdomen (13)
	Female Genitalia (6)
	Male Genitalia (6)
	Anus/Rectum/Prostate (4)
	Neuro (13)
	MSK (12)
	Sports Physical (3)
	Psych (12)
Comprehensive Final	(Covers Content in Weeks 1-10)	125
Examination	Patient Interviewing/Health History (4)
	Cultural Competency (3)
	Spiritual Considerations (2)
	Health Risk Screening/Assessment (2)
	Nutritional Assessment (3)
		23

Diagnostic Reasoning/Differential Diagnosis (6)

Exam Techniques/Equipment (5)

Vital Signs/Pain/Growth & Measurement (4)

Recording & Documenting (3)

General Survey (4)

Skin/Hair/Nails (7)

Head/Neck/Lymphatics (7)

EENT (7)

Chest & Lungs (7)

Heart & Blood Vessels (7)

Breasts/Axillae (5)

Abdomen (7)

Female Genitalia (5)

Male Genitalia (5)

Anus/Rectum/Prostate (4)

Neuro (7)

MSK (7)

Sports Physical (3)

Psych (7)

Emergent Findings (4)

NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

Description of Major Assignments/Assessments: For all course assignments/assessments, please refer to the course calendar in this syllabus for specific due dates and times. Please refer to Blackboard for more details concerning these assignments and for grading rubrics.

Respondus Practice Test

This is a five item, multiple choice, practice quiz covering important information found in the course syllabus. The purpose of this practice test is to allow students to test the use of the Respondus Lockdown Browser and webcam (required for the three major exams in this course), as well as to allow students to troubleshoot any problems with Respondus or their computer and equipment prior to the first major exam in this course. This is a required practice assignment, and students must complete this activity before the end of week one in the course. Please refer to information found in this syllabus for further directions for downloading and using Respondus Lockdown Browser.

Kaltura Practice Video Submission

This is a brief, required practice assignment that will allow students to practice utilizing the Kaltura Video Recording application within Blackboard. Kaltura video recording will be required for this assignment, as well as Clinical Lab Skills Evaluations One and Two in the course. Videos recorded via other programs or methods will NOT be accepted in this course as they result in lengthy and sometimes impossible uploading/downloading times for faculty.

For this assignment, the student will work with a friend, family member, or colleague to demonstrate the initial few minutes of a health history. The family member, friend, or colleague will play the patient for this exercise. The student will first devise a brief script for the encounter (chief complaint by the patient and symptoms that the patient will report in the chief complaint). Then, the student will make a brief video recording of their initial encounter with the simulated patient using the Kaltura Recording mechanism in Blackboard. The student will need to demonstrate good communication skills with an introduction of self to the patient and a disclaimer about patient privacy and confidentiality. Then, the student will elicit the chief complaint from the patient and ask questions to develop the History of

Present Illness (HPI). The HPI will focus on the variables surrounding the symptoms reported in the chief complaint. Please refer to your readings and lectures for week one, as well as the SOAP note format to help you with the questions/variables. Your clinical instructors will provide you with feedback on your interview skills and ability to develop a thorough HPI.

Shadow Health Digital Clinical Experiences and Virtual Assessment Assignments

These assignments are designed to allow students an opportunity to practice advanced assessment techniques in a safe and fun format via simulated technology. For these assignments, students will interact virtually with various avatars (patients) to practice and demonstrate competency on a variety of assessment types and systems. The student will also be engaged in three digital concept labs to help sharpen assessment skills. These assignments will be graded on a pass/fail basis, but the student must generate a computer score of 80% or greater DCE score on each and every assignment in order to receive a grade of pass for the assignment. Assignments are due weekly, but students will have multiple/unlimited attempts to complete and pass the assignments in the week before the due date/time. The assignments will also remain open for the duration of the course so that students can review and practice various assessments and skills. Please see the detailed information on Shadow Health in subsequent pages of this syllabus for more information. Students are required to complete ALL post assessment activities for each assignment, including post-assessment questions and reflective journaling. Students’ activity and progress on these assignments will be monitored by clinical instructors and lead faculty. Students are required to download and save each certificate of completion for every assessment/assignment completed in Shadow Health.

Personal Clinical Practice Exercises

These exercises allow time for students to practice various assessment techniques on family members, friends, or colleagues. Please note that clinical time is awarded in this course for such practice, and students are expected to practice various skills so that they are comfortable with these skills for clinical lab skills evaluations. Students should be aware that practice does NOT make perfect…but PERFECT practice makes perfect, meaning that students who practice skills with incorrect techniques will have to unlearn the poor technique and relearn the correct technique. Be sure to utilize all of the clinical skills teaching resources in this course to ensure that you have mastered the correct techniques and use of equipment for advanced assessment. In the event that you have questions or concerns, please utilize your clinical faculty for help. Students may also award themselves credit for personal practice if they are practicing and utilizing the precise skills learned in this course in their patient encounters at work. Please avoid practicing skills on anyone that would constitute a breach of privacy or would be uncomfortable for anyone (such as male or female examinations, female breast examinations, or any other similar exams). Students will have ample opportunity to practice these skills further along in the program with preceptor guidance.

Clinical Skills Lab Assignments Checklist/Attestation Form

This form is an attestation form that the student signs each week to verify that he/she has completed the assigned clinical labs skills for this course. A copy of this form has been placed in the syllabus and will also be available on Blackboard. Either electronic or hand-written signatures will be acceptable. This form will be submitted at the end of weeks 5 and 10 in the course via drop-box in Blackboard.

NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

Weekly Virtual Meetings with Clinical Group Members/Clinical Faculty

These weekly meetings are designed for students to interact with their clinical group members and clinical instructors. These will be held via Zoom (a program similar to Skype or Collaborate). The format for these meetings will be decided by each individual clinical faculty member, but will cover topic areas such as clinical skills questions, questions about clinical assignments, demonstration of advanced assessment techniques or equipment. Weekly meeting times will be decided by each clinical faculty member. Faculty will send Zoom invites to students for these meetings. Once students receive the meeting invitation and connect to the meeting, they will be directed to a simple download of Zoom. More information on these weekly meetings will be sent to students via email from clinical instructors. Every attempt will be made by the clinical instructors to assign meeting times that will be conducive to students with various work/shift schedules.

Clinical Lab Skills Evaluation One: Health History Video and Write-Up

This assignment will focus on the student’s ability to perform a comprehensive health history/obtain subjective data from a friend, family member, or colleague playing the role of a simulated patient. Students will utilize the SOAP note format/outline provided to guide their questions for this assignment. The simulated patient may either answer questions true to their personal health history or provide ‘made-up’ information for the purposes of this assignment. Please see Blackboard for more specific information and the grading rubric for this assignment. Students will use Kaltura Media to record this video and will submit the video along with written documentation of the health history in SOAP note format.

Clinical Lab Skills Evaluation Two: Problem-Focused/Episodic Exam with Clinical Faculty and Write-Up

This assignment will test the student’ ability to perform a problem-focused/episodic exam of an ill patient simulated by the student’s clinical instructor. The visit will be performed via Zoom, and faculty will role play the patient. A patient chart will be provided to the student prior to the exam, but the student will perform the problem-focused health history and physical examination as appropriate to the scenario. For this assignment, students will need to bring a friend, family member, or colleague to the episodic exam in order to demonstrate the physical assessment component of the exam. Students will be given any abnormal findings in the physical exam. Students will present diagnoses (actual, differential, rule out if any, and chronic) and health promotion needs verbally to the clinical instructor at the end of the exam. Written documentation of the exam will be due to be submitted in Blackboard within 24 hours of completing the exam. Please see Blackboard for more specific information and the grading rubric for this assignment.

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5418: Advanced Health Assessment and Diagnostic

Reasoning

Clinical Lab Skills Evaluation Three: Comprehensive Head-to-Toe Physical Assessment and Write-Up

This assignment will test the student’s ability to perform a comprehensive head-to-toe physical examination on a family member, friend, or colleague playing the role of the patient. For this assignment, students will be expected to verbalize expected and actual findings as they are completing the exam. A demonstration video has been provided in Blackboard so that students can see the expectations for this assignment. Students will be allowed one sheet of paper (front and back) as a reference page for use during the exam, and one sheet of blank paper on which to take notes. Students will be penalized for over-using the reference page during their demonstration. No other notes or reference will be allowed, and students will be expected to pan the room to show that they do not have references in sight for this assignment. Please see Blackboard for more specific information and the grading rubric for this assignment. Students will use Kaltura Media to record this video and will submit the video along with written documentation of the physical exam findings.

Practice Quizzes

Practice quizzes have been provided throughout this course so that students can e=test their knowledge of didactic course content. Although encouraged, practice quizzes are optional and are not mandatory for course completion. These quizzes have been timed so that students can practice answering test items in a time-limited format. These quizzes can be completed as open-book/open-note quizzes, and the student will NOT be required to use the Respondus Lockdown Browser or webcam. Students will have unlimited attempts on the practice quizzes, and they will remain open and available for the duration of the course.

Major Exams (Exam 1, Exam 2, Comprehensive Final Examination)

There will be three major exams in this course that will constitute the student’s didactic grade for the course. All exams are multiple choice. For these exams, students will be required to use the Respondus Lockdown Browser and their webcam. Exams are closed-book, and students will not be allowed to use their books, notes, or any other resources for these exams. For exams one and two, students will have 90 minutes for these 75-item exams. For the comprehensive final examination, students will have 150 minutes to complete the 125-item final examination. Please note that the final examination is comprehensive and will cover the entire didactic content for the course. Please refer to your syllabus for test blueprints. Exam questions may come from any of the teaching/learning resources utilized in this course, including textbooks, supplemental readings, videos, lectures, virtual clinical practice exercises, or any other content/information resource. Please refer to your course schedule for exam times/availability. Students must allow themselves enough time to complete the exam before it closes. Exams will close at the time noted on the course schedule. Students who fail to complete exams before the closing time will only receive credit for the questions answered prior to the exam closing. This could and likely will result in a very low score/failure on the exam. Please plan accordingly and do not miss the window of opportunity to take the exam.

Shadow Health: Student Information Resource Pages

What is the Shadow Health Digital Clinical Experience™ (DCE)?

Shadow Health provides a clinical simulation designed to improve your health assessment skills in a safe learning environment. You will examine digital patients throughout the course that are accessible online 24/7. Once you register, you will have lifetime access to the technology.

Shadow Health. (2016). Digital Clinical Experience (Version 4.0) [Software]. Available from http://www.shadowhealth.com

For registration and purchase

1. Registration directions: https://shadow.desk.com/customer/portal/articles/980991-how-to-register-with-shadow-health

 

2. Enter Course PIN – (refer to your official syllabus for this PIN)

3. Cost is $99 paid with a credit card

 

4. Be sure to register for the appropriate section of the course in which you are enrolled (refer to your syllabus for section number)

Login page: http://app.shadowhealth.com

Technical requirements

1. Review requirements: https://shadow.desk.com/customer/portal/articles/963290-dce-recommended-system-specifications
2. Tablets and mobile devices are not currently supported.
3. Recommended web browser is Mozilla Firefox.

Shadow Health Support:

1. Contact Shadow Health with any questions or technical issues regarding Shadow Health before contacting your instructor.

2. Support is available 24/7 with senior technicians available from 6am – 3am ET (5am – 2am CST) at http://support.shadowhealth.com.

27 NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

	Assignment			Average/Estimated Activity Time (Clinical
					Credit Time for Activity)
***ALL post exam activities are to be
			***may be more or less depending on individual
completed for each module
					student’s needs
Shadow Health DCE Orientation					½ hour
	Health History				3 ½ hours
	HEENT				3 hours
Respiratory Concept Lab					1 hour
	Respiratory				3 hours
Cardiovascular Concept Lab					1 hour
	Cardiovascular				3 hours
Abdominal/Gastrointestinal Concept Lab					1 hour
	Gastrointestinal				3 hours
Musculoskeletal					3 hours
	Neurological				3 hours
	Mental Health				3 hours
Focused Exam: Cough: “Danny Rivera” – age 8					3 hours
Focused Exam: Chest Pain: “Brian Foster” – age					3 hours
58
Focused Exam: Abdominal Pain: “Esther Park” –					3 hours
	age 78
Comprehensive Assessment					5 hours

Assignment Options

The assignment options set up for NURS 5418 allows students to do either of the following:

Flexible Turn In: Repeat the assignment as many times as desired and choose which attempt to turn in before the due date/time

Allow Reopening: Reopen an assignment attempt multiple times and revise the assignment before the due date/time.

1. Flexible Turn In

This option allows students to turn in an assignment attempt of their choosing. Here is a link about how to turn in an attempt of your choice: https://shadow.desk.com/customer/portal/articles/1900898-assignment-options-turn-in-reopen

1. Alternative option: Allow Reopening

This option allows students to reopen an assignment attempt before the due date

Here is a link about how to reopen an attempt:

https://shadow.desk.com/customer/portal/articles/1900898-assignment-options-turn-in-reopen

III. Grading

These digital/virtual clinical experiences are designed to provide students with a safe, fun, realistic, yet challenging virtual forum in which to learn and to practice advanced assessment and diagnostic reasoning skills. While the grades on these activities will not be factored into the student’s overall course grade, students must complete ALL assignments/evaluations/concept labs (including post-assessment written activities) with scores of 80% or above DCE Scores on assessments and 100% on concept labs. Please note that we are no longer using the SPI score as the basis for PASS/FAIL. Students who fail to meet the minimum threshold for these scores by the posted due date and time for each activity will not pass the clinical component of this course. Likewise, students who fail to complete ANY of these activities by the posted due date and time will NOT pass the clinical portion of this course.

	Graded Weight
Assignment	(percentage of	Expectations for Credit	Assignment Options
	coursework)	***DCE Scores determine Pass/Fail
Health History	P/F	80% or greater to Pass	Flexible Turn In &/or Allow
			Reopening
Body System	P/F	100% to Pass (Graded on	Flexible Turn In &/or Allow
Concept Labs		participation only: full participation =	Reopening
(x3)		100% score)
Body Systems	P/F	80% or greater to Pass	Flexible Turn In &/or Allow
(x7)			Reopening
Focused Exams	P/F	80% or greater to Pass	Flexible Turn In &/or Allow
(x3)			Reopening
Comprehensive	P/F	80% or greater to Pass	Flexible Turn In &/or Allow
Assessment			Reopening

For Further questions, please email your professor at:

[email protected] or [email protected]

Assignments and Assessments:

Blackboard Required:

Only assignments submitted through Blackboard will be reviewed and accepted for a grade, regardless of the reason. Assignments that are submitted through email will not be reviewed for feedback and will not be graded. They will be assigned a grade of zero. No exceptions will be made.

Technical Problems:

Because technology is vulnerable to experiencing difficulties you should not wait until the last minute to submit an assignment, complete a quiz, or test. If you experience technical difficulties contact Blackboard Support to help resolve the issue. They are open 24 hours a day.

Late Assignments / Assessments:

Late assignments will not be accepted for a grade or reviewed for feedback (regardless of the reason) and will be assigned a zero. Quizzes and tests must be started, completed, and submitted prior to the submission due date and time. Any quiz or test submitted after the due date and time will not be accepted. Make-up exams are not provided given the extended period for which exams are open

NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

Plagiarism:

Plagiarism is prohibited. Any assignment determined to have been plagiarized will be given a zero and the student reported for academic dishonesty. Copying your answers from your textbooks, journal articles, any website or any source is considered plagiarism. All of your work is to be in your own words, paraphrased and referenced according to APA style. Using quoted sentences is not an acceptable manner in which to complete any assignment in this course and does not reflect synthesis of the material. Consequently the use of quoted sentences will result in a point deduction up to and including a zero.

Academic Integrity:

All students enrolled in this course are expected to adhere to the UT Arlington Honor Code:

I pledge, on my honor, to uphold UT Arlington’s tradition of academic integrity, a tradition that values hard work and honest effort in the pursuit of academic excellence.

I promise that I will submit only work that I personally create or contribute to group collaborations, and I will appropriately reference any work from other sources. I will follow the highest standards of integrity and uphold the spirit of the Honor Code.

UT Arlington faculty members may employ the Honor Code as they see fit in their courses, including (but not limited to) having students acknowledge the honor code as part of an examination or requiring students to incorporate the honor code into any work submitted.

Per UT System Regents’ Rule 50101, §2.2, suspected violations of university standards for academic integrity (including the Honor Code) will be referred to the Office of Student Conduct. Violators will be disciplined in accordance with the University policy, which may result in the student’s suspension or expulsion from the University.

“Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, the submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts.”

As a licensed registered nurse, graduate students are expected to demonstrate professional conduct as set forth in the Texas Board of Nursing rule §215.8. in the event that a graduate student holding an RN license is found to have engaged in academic dishonesty, the college may report the nurse to the Texas Board of Nursing (BON) using rule §215.8 as a guide.

APA 6^th Edition:

Students are expected to use APA style to document resources. Numerous resources can be found through the UTA Library at the following links:

• http://library.uta.edu/sites/default/files/apa2014.pdf

• http://libguides.uta.edu/apa

• http://library.uta.edu/how-to/paper-formatting-apa-st

NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

Grading and Evaluation:

• = 90-100
• = 80-89.99
• = 70-79.99
• = 60-69.99
• = below 60

Individual assignment grades and end of course final grades are not rounded up.

Didactic course assignments/assessments = 40% of the final grade Clinical course assignments/assessments = 60% of the final grade

(See course assignment/grade weighting table below)

Students are required to maintain a GPA of 3.0 in the FNP Program

Students must pass both the didactic and clinical portions of a clinical course in order to pass the course. In order to pass the clinical portion, the student must receive a passing grade (minimum of 80%) on the faculty evaluations of the student’s clinical performance (problem-focused/episodic Clinical Lab Skills Evaluation and the comprehensive physical exam demonstration video). Students who fail a Clinical Lab Skills Evaluation assignment have a one-time option to retake the assignment. The lead teacher for this course will also evaluate the student’s clinical performance on the assignment retake. If the student passes the clinical performance retake (minimum of 80%), the maximum grade the student can receive for the evaluation for purposes of grade calculation is 80%. If the student fails the retake, the student will receive a grade of “F” for the course.

NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

Required Components for Course Credit	Weight / Percentage Value
	Within the Course
EXAM 1 (Didactic)	15 %
EXAM 2 (Didactic)	15 %

31 NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

Required Components for Course Credit	Weight / Percentage Value
	Within the Course
Comprehensive Final EXAM (Didactic)	10 %
	Didactic Course Total
	40 %
Clinical Lab Skills Evaluation 1: Health History	10 %
Interview & Write-Up
(Kaltura Video Submission)
Clinical Lab Skills Evaluation 2: Problem-	20 %
Focused/Episodic Exam with Clinical Faculty & Write-
Up
(via Zoom)
Clinical Lab Skills Evaluation 3: Comprehensive Head-	30 %
to-Toe Physical Examination Demonstration & Write-
Up (Kaltura Video Submission)
Shadow Health Digital Clinical Experiences	P / F
Assignments	(must complete ALL assignments with a
	score of 80% or better on each
	assignment to pass)
Course Clinical Experiences Time Log Attestation	P / F

Clinical Course Total

60 %

Total for Course = 100 %

N5418 Advanced Health Assessment and Diagnostic Reasoning

Clinical Skills Lab Assignments Checklist/Attestation Form

AP FNP Online Program, UTACONHI

NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

Week/	Clinical Skills Activity	Clinical	Student Signature
Module		Time	(written or electronic)
#		Awarded in
		Course
1	Mosby Video: Effective	½ HR
	Communication and Interview Skills

NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

32

1		Shadow Health Registration and		½ HR
	Digital Clinical Experience Orientation
		Video
1		Shadow Health: Conversation		1 HR
		Concept Lab ‘Rachel Adler’
1		Shadow Health Assessment Exercise:		3½HRS
		Health History ‘Tina Jones’
1		Personal Clinical Practice Exercise:		1 HR
		Health History Interview – with
		family member, friend, or colleague
		etc.
1		Weekly Meeting with Clinical Faculty		1 HR
		(Q & A, demo/practice)
2		Clinical lab skills evaluation 1	: Video	N/A Graded	(See gradebook for
		– Health History Interview and			confirmation of PASS)
		Write-up (Kaltura Media) due this
		week
2		Weekly Meeting with Clinical Faculty		1 HR
		(Q & A, demo/practice)
3		Mosby Video: Skin, Hair, and Nails		½ HR
3		Personal Clinical Practice Exercise:		1½HRS
		General Survey and Skin/Hair/Nails
		Assessment – with family member,
		friend, or colleague etc.
3		Weekly Meeting with Clinical Faculty		1 HR
		(Q & A, demo/practice)
4		Mosby Video: Head, Neck, and		½ HR
		Lymphatic System
4		Mosby Video: Eyes		½ HR
4		Mosby Video: Ears, Nose, and Throat		½ HR
4		Shadow Health Assessment Exercise:		3 HRS
		HEENT ‘Tina Jones’
4		Personal Clinical Practice Exercise:		1½ HRS
		Head, Neck, and Lymphatic
		Assessment – with family member,
		friend, or colleague etc.
4		Personal Clinical Practice Exercise:		3 HRS
		EENT Assessment – with family
		member, friend, or colleague etc.
4		Weekly Meeting with Clinical Faculty		1 HR
		(Q & A, demo/practice)
5		Mosby Video: Chest and Lungs		½ HR
5		Mosby Video: Heart		½ HR
5		Mosby Video: Blood Vessels		½ HR
5		Shadow Health: Respiratory Concept		1 HR
		Lab
5		Shadow Health Assessment Exercise:		3 HRS
		Respiratory ‘Tina Jones’

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5418: Advanced Health Assessment and Diagnostic

Reasoning

5	Shadow Health Focused Exam: Cough			3 HRS
		‘Danny Rivera age 8’
5	Shadow Health: Cardiovascular			1 HR
		Concept Lab
5	Shadow Health Assessment Exercise:			3 HRS
		Cardiovascular ‘Tina Jones’
5	Shadow Health Focused Exam: Chest			3 HRS
		Pain ‘Brian Foster age 58’
5	Personal Clinical Practice Exercise:			1½HRS
	Chest and Lungs Assessment – with
	family member, friend, or colleague
		etc.
5	Personal Clinical Practice Exercise:			1½HRS
	Heart and Blood Vessels Assessment
	– with family member, friend, or
		colleague etc.
5	Weekly Meeting with Clinical Faculty			1 HR
		(Q & A, demo/practice)
6	Mosby Video: Breasts and Axillae			½ HR
6		Mosby Video: Abdomen		½ HR
6	Shadow Health: Gastrointestinal			1 HR
		Concept Lab
6	Shadow Health Assessment Exercise:			3 HRS
		Gastrointestinal ‘Tina Jones’
6	Shadow Health Focused Exam:			3 HRS
	Abdominal Pain ‘Esther Park age 78’
6	Personal Clinical Practice Exercise:			1 HR
	Axillae ONLY – with family member,
		friend, or colleague etc.
6	Personal Clinical Practice Exercise:			1½HRS
	Abdominal Assessment – with family
	member, friend, or colleague etc.
6	Weekly Meeting with Clinical Faculty			1 HR
		(Q & A, demo/practice)
7	Mosby Video: Female Genitalia,			½ HR
	Reproductive Tract, and Rectum
7	Mosby Video: Male Genitalia and			½ HR
		Rectum
7		Clinical lab skills evaluation 2:		N/A Graded	(See gradebook for
	Problem-Focused/Episodic Exam				confirmation of PASS)
	with Clinical Faculty and Write-Up
		(via Zoom)
7	Weekly Meeting with Clinical Faculty			1 HR
		(Q & A, demo/practice)
8	Mosby Video: Neuro – Mental Status,			½ HR
		Speech, and Cranial Nerves

NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

8	Mosby Video: Neuro –	½ HR
	Motor/Sensory Functions and
	Reflexes
8	Mosby Video: Musculoskeletal	½ HR
8	Shadow Health Assessment Exercise:	3 HRS
	Musculoskeletal ‘Tina Jones’
8	Shadow Health Assessment Exercise:	3 HRS
	Neurological ‘Tina Jones’
8	Personal Clinical Practice Exercise:	3 HRS
	MSK Assessment – with family
	member, friend, or colleague etc.
8	Personal Clinical Practice Exercise:	3 HRS
	Neurological Assessment – with
	family member, friend, or colleague
	etc.
8	Weekly Meeting with Clinical Faculty	1 HR
	(Q & A, demo/practice)
9	Shadow Health Assessment Exercise:	3 HRS
	Mental Health ‘Tina Jones’
9	Video: Demonstration of the Folstein	¼ HR
	MMSE
9	Video: Full Psychiatric Evaluation of	1 HR
	Adult Patient ‘Wyatt’
9	Video: Adolescent Psychiatric	½ HR
	Evaluation of ‘Chase’, Part 1
9	Video: Adolescent Psychiatric	¼ HR
	Evaluation of ‘Chase’, Part 2
9	Video: Discussion of the Adolescent	¼ HR
	Psychiatric Evaluation of ‘Chase’ by
	Dr. Carol Lieser
9	Video: Psychiatric interview of a	¼ HR
	depressed patient in primary care
9	Video: Psychiatric interview of an	¼ HR
	anxious patient in primary care
9	Video: Use of SBIRT in an older,	¼ HR
	hospitalized male patient
9	Personal Clinical Practice Exercise:	1 HR
	Folstein MMSE, SLUMS, MoCA, and
	Mini Cog – with family member,
	friend, or colleague etc.
9	Personal Clinical Practice Exercise:	½ HR
	Download, save, and review the
	Vanderbilt ADHD Parent and Teacher
	Screening Tools – may administer to
	family member, friend, or colleague
	etc., and review the results; Be sure
	to review the teacher screening tool
	as well

9		Weekly Meeting with Clinical Faculty		1 HR
		(Q & A, demo/practice)
10		Mosby Video: Putting It All Together		½ HR
10		Mosby Video: Putting It All Together		½ HR
		– Child
10		Mosby Video: Physical Exam of the		½ HR
		Hospitalized Patient
10		Shadow Health Assessment Exercise:		5 HRS
		Capstone Assignment –
		Comprehensive Head-to-Toe
		Assessment ‘Tina Jones’
10		Personal Clinical Practice Exercise:		5 HRS
	Practice for Comprehensive Head-to-
		Toe Physical Assessment
	Demonstration Video due in Week 11
	(Clinical lab skills evaluation 3) – with
		family member, friend, or colleague
		etc.
10		Weekly Meeting with Clinical Faculty		1 HR
		(Q & A, demo/practice)
11		Clinical lab skills evaluation 3:	Video	N/A Graded		(See gradebook for
		– Comprehensive Head-to-Toe				confirmation of PASS)
		Physical Examination and Write-Up
		(Kaltura Media)
Total Course Clinical/Lab Skills Hours				90		I attest that I have completed the
						90 required clinical/lab skills
						hours for this course
						Student Signature:
						(written or electronic)
						Date:___________

NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

University Library Resources for Online Students:

Peace Williamson, Nursing Librarian Phone: (817) 272-7433 E-mail: [email protected]

Research Information on Nursing:

http://libguides.uta.edu/nursing

Library Home Page		http://www.uta.edu/library
Subject Guides		http://libguides.uta.edu

Library Home Page		http://www.uta.edu/library
Subject Librarians		http://www.uta.edu/library/help/subject-
		librarians.php
Database List		http://libguides.uta.edu/az.php
Course Reserves		http://pulse.uta.edu/vwebv/enterCourseReserve.do
Library Catalog		http://discover.uta.edu/
E-Journals		http://ns6rl9th2k.search.serialssolutions.com/
Library Tutorials		http://www.uta.edu/library/help/tutorials.php
Connecting from Off-Campus		http://libguides.uta.edu/offcampus
Ask A Librarian		http://ask.uta.edu

Resources often used by online students:  http://library.uta.edu/distance-disability-services

Disability Accommodations:

UT Arlington is on record as being committed to both the spirit and letter of all federal equal opportunity legislation, including The Americans with Disabilities Act (ADA), The Americans with Disabilities Amendments Act (ADAAA), and Section 504 of the Rehabilitation Act. All instructors at UT Arlington are required by law to provide “reasonable accommodations” to students with disabilities, so as not to discriminate on the basis of disability. Students are responsible for providing the instructor with official notification in the form of a letter certified by the Office for Students with Disabilities (OSD). Students experiencing a range of conditions (Physical, Learning, Chronic Health, Mental Health, and Sensory) that may cause diminished academic performance or other barriers to learning may seek services and/or accommodations by contacting:

NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

The Office for Students with Disabilities, (OSD):

www.uta.edu/disability or calling 817-272-3364.

Counseling and Psychological Services, (CAPS):

www.uta.edu/caps/ or calling 817-272-3671.

Only those students who have officially documented a need for an accommodation will have their request honored. Information regarding diagnostic criteria and policies for obtaining disability-based academic accommodations can be found at www.uta.edu/disability or by calling the Office for Students with Disabilities at (817) 272-3364.

Student Evaluation of Course:

Students are asked to please complete the anonymous course evaluation upon completion of this course. We use information gathered from student feedback to guide our overall continual improvement process. Thank you!

Title IX:

The University of Texas at Arlington does not discriminate on the basis of race, color, national origin, religion, age, gender, sexual orientation, disabilities, genetic information, and/or veteran status in its educational programs or activities it operates. For more information, visit uta.edu/eos. For information regarding Title IX, visit www.uta.edu/titleIX.

Schedule Adjustments:

As the instructor for this course, I reserve the right to adjust this schedule in any way that serves the educational needs of the students enrolled in this course. – Jason K. Smith, MSN, APRN, PMHNP-BC

Technology Requirements:

Students must have an up-to-date computer system with wired (not wireless) high-speed Internet in addition to e-mail and internet skills. The entire course will be delivered in an online format.

Respondus:

Tests and quizzes will be given using Respondus Lockdown Browser with webcam

monitoring. You will be required to download Respondus to complete any quiz or test.

Respondus can be downloaded at:

http://www.respondus.com/lockdown/download.php?id=163943837

For additional details on using Respondus Lockdown Browser, review this Student Quick Start Guide (PDF) in Blackboard.

Tripod and Webcam:

You will need an external high definition (1080p) webcam with a tripod. An external webcam with a tripod is required to allow you to meet the requirements of the video monitoring for each quiz and test. An external webcam is one which is separate from your computer or laptop. A Logitech 1082p webcam is the required webcam for the FNP online program. Only a Logitech C920 or Logitech C930e will meet the program requirements.

NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

Quiz and Test Taking Rules and Tips:

Read the test taking tips prior to each quiz and test. Follow these tips to optimize your computer’s functionality, enhance blackboard’s function, and to minimize technical difficulties.

• Respondus Lockdown Browser with video monitoring will be used to administer each quiz and test. Please make sure to download Respondus prior to taking your first quiz.
• Update Respondus prior to completing each quiz and test.
• Update Java prior to completing each quiz and test.
• You will need an external high definition (1080p) webcam with a tripod. This will ensure that your IDs and videos are clearly seen. You will use this webcam throughout the online FNP curriculum. An external webcam is one that is separate from your computer or laptop.
• Using the tripod position the webcam to the side of your desk so that the webcam captures a profile view of you, your computer, and desk. The webcam should provide a clear view of you, the desk and computer from the level of the desk up.

• To ensure your webcam is working properly, complete the webcam test prior to taking every quiz and test.

• If you are kicked out of a quiz or test, close your browser completely, reopen it, and log back into Respondus lockdown browser to continue taking the quiz or test.

• A photo ID is required to take the test. Show your driver’s license or Mav ID when prompted by the system. Only your driver’s license or Mav ID are acceptable forms of identification. A work ID badge, passport, or other forms of ID are not acceptable and should not be used.

• Your photo ID must be held close enough to the camera to be read. The photo must be facing the camera. If the image of your ID is not legible you will be asked to provide an electronic copy of your driver’s license or Mav ID to verify your identity. Your grade will not be released until your identify has been verified. Failure to verify your identity will result in a zero for the quiz or test.

• You will be asked to show your environment. When you are prompted please rotate the camera to show your desk and the room in its entirety.

• Please ensure that there are no lights shining in front of the webcam. This will obscure the images taken by the webcam.

• Your desk must be completely clear of all materials. Papers, pencils, pens, books, electronics, cell phones, tablets etc. are not allowed on or around your desk while taking a quiz or test.

• Drinks are not allowed while taking a quiz or test.
• No one else may be in the room while you are taking a quiz or test.

• Once you have started a quiz or test you are not allowed to leave your desk. You must complete and submit the quiz or test prior to leaving your desk.
• Plug in laptops and computers prior to starting the quiz or test.
• Talking is prohibited.
• The use of any electronics is strictly prohibited.
• Hats may not be worn while taking a quiz or test.

Any violation in the above rules may result in any and all of the following:

• A point deduction up to and including a grade of zero on the respective quiz or test.
• The student may be reported to The Office of Student Conduct. If The Office of Student Conduct determines the reported student has participated in academic dishonesty the consequences may include any or all of the following: a quiz or test score of zero, course failure, probation, suspension or expulsion from the university.

Plagiarism:

Plagiarism is prohibited. Any assignment determined to have been plagiarized will be given a zero and the student reported for academic dishonesty. Copying your answers from your textbooks, journal articles, any website or any source is considered plagiarism. All of your work is to be in your own words, paraphrased and referenced according to APA style. Using quoted sentences is not an acceptable manner in which to complete any assignment in this course and does not reflect synthesis of the material. Consequently the use of quoted sentences will result in a point deduction up to and including a zero. NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

Safe Assign:

Safe assign is an electronic system which helps to identify plagiarized assignments. All student assignments are subject to being submitted to safe assign at any time to evaluate for plagiarism. Case studies and the electronic poster presentation will automatically be submitted to safe assign and evaluated for plagiarism. Discussion board posts may

Plagiarism: Copying another student’s paper or any portion of it is plagiarism. Copying a portion of published material (e.g., books or journals) without adequately documenting the source is plagiarism. Consistent with APA format, if five or more words in sequence are taken from a source, those words must be placed in quotes and the source referenced with author’s name, date of publication, and page number of publication. If the author’s ideas are rephrased, by transposing words or expressing the same idea using different words, the idea must be attributed to the author by proper referencing giving the author’s name and date of publication. If a single author’s ideas are discussed in more than one paragraph, the author must be referenced, according to APA format. Authors whose words or ideas have been used in the preparation of a paper must be listed in the references cited at the end of the paper. Students are expected to review the plagiarism module from the UT Arlington Central Library via http://library.uta.edu/plagiarism/index.html This is repeated here. At least one of the two needs to go under global stuff in the orientation, probably both.

Student Support Services:

UT Arlington provides a variety of resources and programs designed to help students develop academic skills, deal with personal situations, and better understand concepts and information related to their courses. Resources include tutoring, major-based learning centers, developmental education, advising and mentoring, personal counseling, and federally funded programs. For individualized referrals, students may visit the reception desk at University College (Ransom Hall), call the Maverick Resource Hotline at 817-272-6107, send a message to [email protected], or view the information at www.uta.edu/resources. Does this apply to online? Please find out what specifically applies to them and let’s get that message.

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5418: Advanced Health Assessment and Diagnostic

Reasoning

Drop Policy:

Students may drop or swap (adding and dropping a class concurrently) classes through self-service in MyMav from the beginning of the registration period through the late registration period. After the late registration period, students must see their academic advisor to drop a class or withdraw. Undeclared students must see an advisor in the University Advising Center. Drops can continue through a point two-thirds of the way through the term or session. It is the student’s responsibility to officially withdraw if they do not plan to attend after registering. Students will not be automatically dropped for non-attendance. Repayment of certain types of financial aid administered through the University may be required as the result of dropping classes or withdrawing. For more information, contact the Office of Financial Aid and Scholarships (http://wweb.uta.edu/aao/fao/).

NURS 5418: Advanced Health Assessment and Diagnostic Reasoning

Drop Policy:

Graduate students who wish to change a schedule by either dropping or adding a course must first consult with their Graduate Advisor. Regulations pertaining to adding or dropping courses are described below. Adds and drops may be made through late registration either on the Web at MyMav or in person through the student’s academic department. Drops can continue through a point two-thirds of the way through the term or session. It is the student’s responsibility to officially withdraw if they do not plan to attend after registering. Students will not be automatically dropped for non-attendance. Repayment of certain types of financial aid administered through the University may be required as the result of dropping classes or withdrawing. Contact the Office of Financial Aid and Scholarships at http://wweb.uta.edu/aao/fao/

The last day to drop a course is listed in the Academic Calendar available at http://www.uta.edu/records/services/academic-partnershipprograms.php#summer Make generic and leave vague for the different potential lengths of courses. Needs to go under program stuff.

Last day to drop or withdraw in this course:

1. A student may not add a course after the end of late registration

2. A student dropping a graduate course after the Census Date but on or before the last day to drop may with the agreement of the instructor, receive a grade of W but only if passing the course with a C or better average. A grade of W will not be given if the student does not have at least a C average. In such instances, the student will receive a grade of F if he or she withdraws from the class. Students dropping a course must:
   • Contact course faculty to obtain permission to drop the course with a grade of “W”.
   • Contact your graduate advisor to obtain the form and further instructions

Student Success Faculty:

In order to assist masters nursing students who are at academic risk or who need academic support, there are graduate faculty members available to you. The goal of the success faculty members is to support student achievement in masters-level coursework so students can reach their educational goals. Students may contact a success faculty member directly, or a course instructor may encourage you to contact a success faculty member.

The following are success faculty in the MSN Program:

Dr. Donelle Barnes is available as a writing coach to assist students in the MSN Core courses; theory, research, and evidence based practice. Since these courses are writing intensive, Dr. Barnes can help students improve the clarity and organization of their written papers. She can be reached via email: [email protected]

Dr. Mary Schira is available as a success faculty to assist with diverse resources that may include study skills, testing challenges/approaches, managing multiple responsibilities, and addressing personal issues impacting academic performance. Course content challenges may also be addressed, with referral to additional resources as indicated. Dr. Schira can be reached via email: [email protected]

Student Code of Ethics:

The University of Texas at Arlington College of nursing supports the Student Code of Ethics Policy. Students are responsible for knowing and complying with the Code. The Code can be found in the student handbook online: http://www.uta.edu/nursing/msn/msn-students

No Gift Policy:

In accordance with Regent Rules and Regulations and the UTA Standards of Conduct, the College of Nursing has a “no gift” policy. A donation to one of the UTA College of Nursing Scholarship Funds, found at the following link: is http://www.uta.edu/nursing/student-resources/scholarship would be an appropriate way to recognize a faculty member’s contribution to your learning. For information regarding Scholarship Funds, please contact the Dean’s office.

Online Conduct:

The discussion board should be viewed as a public and professional forum for course-related discussions. Students are free to discuss academic matters and consult one another regarding academic resources. The tone of postings should be professional in nature. It is not appropriate to post statements of a personal or political nature, or statements criticizing classmates or faculty. Inappropriate statements/language will be deleted by the course faculty and may result in denied access to the Discussion boards. Refer to UTACON Student Handbook for more information.

Department of Graduate

Programs

Judy Leflore, PhD, RN, NNP-BC, CPNP-PC & AC, ANEF, FAAN

Interim Associate Dean

Graduate Nursing Programs

Director, PNP, ACPNP, NNP Programs

Office # 518-Pickard Hall

Email: [email protected]

Felicia Chamberlain, AP Program Coordinator Office # 515- Pickard Hall (817)-272-0659 Email: [email protected]

Janyth Arbeau-Mauricio, Clinical Coordinator

Office # 610-Pickard Hall (817) 272-0788

Email address:  [email protected] or [email protected]

Angel Trevino-Korenek, Clinical Coordinator

Office # 610-Pickard Hall (817) 272-6344

Email address: [email protected]

Janette Rieta, AP/Campus Programs, Administrative Assistant Office # 510-Pickard Hall (817) 272-1039 Email: [email protected]

Kimberly Doubrava, Support Specialist II

Office # 612-Pickard Hall (817) 272-9373

Email address:  [email protected] or [email protected]

Graduate Advisors

Lisa Rose, AP/Campus Programs, Academic Advisor II (A-G) Office # 628B – Pickard Hall (817) 272-9591 Email: [email protected]

Rebekah Black, AP/Campus Programs, Academic Advisor (H-O)

Office # 630- Pickard Hall (817)-272-2291

Email: [email protected]

Caitlin Wade, AP/Campus Program, Academic Advisor II (P-Z) Office # 631 – Pickard Hall (817) 272-9397 Email: [email protected]