This criterion is linked to a Learning OutcomeHealth History: Subjective Data (30 points possible/30% of total points available)
Required criteria
1. This individual must be at least 18 years of age and different from the individual used for the NR302 health history and physical examination assignment.
2. Demographic data with no patient identifiers (name or DOB)
3. Reason for care (why they are in the facility)
4. Present illness (PQRST of current illness)
5. Perception of health
6. Past medical history (including medications, allergies, and vaccinations and immunizations)
7. Family medical history
8. Review of systems – a minimum of three (3) conditions per system
9. Developmental considerations
10. Cultural considerations
11. Psychosocial considerations
12. Presence or absence of collaborative resources (community, family, groups, and healthcare system
***Submissions with a TurnItIn score >24% will not be accepted for grading.***
30 pts
Highest Level of Performance
Includes 12 requirements for section.
25 pts
High Level of Performance
Includes 10-11 requirements for section.
20 pts
Satisfactory Level of Performance
Includes 6-9 requirements for section.
15 pts
Unsatisfactory Level of Performance
Includes 1-5 requirements for section.
0 pts
Not Present
No requirements for this section presented.
30 pts
This criterion is linked to a Learning OutcomePhysical Examination: Objective Data (30 points/30%)
Required criteria
1. From NR302:
o HEENT (head, eyes, ears, nose, and throat)
o Neck (including thyroid and lymph chains)
o Respiratory system
o Cardiovascular system
2. From NR304:
o Neurological system
o Gastrointestinal system
o Musculoskeletal system
o Peripheral vascular system
***Submissions with a TurnItIn score >24% will not be accepted for grading.***
30 pts
Highest Level of Performance
Includes 8 requirements for section.
25 pts
High Level of Performance
Includes 7 requirements for section.
20 pts
Satisfactory Level of Performance
Includes 4-6 requirements for section.
15 pts
Unsatisfactory Level of Performance
Includes 1-3 requirements for section.
0 pts
Not Present
No requirements for this section presented.
30 pts
This criterion is linked to a Learning OutcomeNeeds Assessment (20 points/20%)
Required criteria
1. Based on the health history and physical examination findings, determine at least two health education needs for the individual. Remember, you may identify an educational topic that is focused on wellness.
2. Support the identified health teaching needs selected with evidence from two current, peer-reviewed journal articles.
3. Discuss how the interrelationships of physiological, developmental, cultural, and psychosocial considerations will influence, assist, or become barriers to the effectiveness of the proposed health education.
4. Describe how the individual’s strengths (personal, family, and friends) and collaborative resources (clinical, community, and health and wellness resources) effect proposed teaching.
***Submissions with a TurnItIn score >24% will not be accepted for grading.***
20 pts
High Level of Performance
Includes 4 requirements for section.
15 pts
High Level of Performance
Includes 3 requirements for section.
10 pts
Satisfactory Level of Performance
Includes 2 requirements for section.
5 pts
Unsatisfactory Level of Performance
Includes 1 requirement for section.
0 pts
Not present
No requirements for this section presented.
20 pts
This criterion is linked to a Learning OutcomeReflection (10 points/10%)
Required criteria
1. Describe the interaction in its entirety: include the environment, your approach to the individual, time of day, and other features relevant to therapeutic communication and to the interview process.
2. How did your interaction compare to what you have learned?
3. What went well?
4. What barriers to communication did you experience?
5. How did you overcome them?
6. What will you do to overcome them in the future?
7. Were there unanticipated challenges to the interview?
8. Was there information you wished you had obtained?
9. How will you alter your approach next time?
***Submissions with a TurnItIn score >24% will not be accepted for grading.***
10 pts
Highest Level of Performance
Includes 9 requirements for section.
8 pts
High Level of Performance
Includes 7-8 requirements for section.
6 pts
Satisfactory Level of Performance
Includes 5-6 requirements for section.
4 pts
Unsatisfactory Level of Performance
Includes 1-4 requirements for section.
0 pts
Not Present
No requirements for this section presented.
10 pts
This criterion is linked to a Learning OutcomeStyle and Organization (10 points/10%)
Required criteria
1. Writing reflects synthesis of information from prior learning and verbalizes thoughts and reasoning clearly.
2. Grammar and mechanics are free of errors.
3. APA 7th edition format used appropriately.
4. Use appropriate resources and ideas to support topic.
5. HIPAA protocols followed.
***Submissions with a TurnItIn score >24% will not be accepted for grading.***
10 pts
Highest Level of Performance
Includes 5 requirements for section.
