Writers Den

Week 3 Clinical Questioning Assignment

Guidelines & Scoring Rubric

Purpose

The purpose of this assignment is to provide educator students with a
tool for working with nursing students and staff members when they are caring
for complex healthcare cases.

Due Date:Sunday 11:59 p.m. MT at the
end of Week 3

Total Points
Possible:

In this assignment you are
the nursing professional development specialist (NPD specialist, formerly
called the “staff educator”) assisting your assigned new graduate nurse in
applying the nursing process. In the role of NPD specialist, you will not only
take care of your patient at an advanced level, incorporating advanced physical
assessment findings, associated pathophysiologic mechanisms that underlie the
presenting disease, and the appropriate pharmacologic treatment approach, you
will also consider the educational needs of your orientee.

1. Review Charles Gibson’s electronic health record, which provides
information that is necessary to care for him in Second Life (SL) in the
Emergency Department.

2. Meet and greet Charles Gibson and his wife, obtaining
pertinent health history information as prompted.

3. Take special note of the objective and subjective data obtained,
including the National Institute of Health (NIH) Scale for Stroke score and the
prescriber’s orders.

4.
As you develop
this assignment, remember that you need at
least two peer-reviewed references.

5.
Be sure that your assignment has a cover page
and a reference list with proper APA formatting.

While your patient, Charles
Gibson, is in CT scan, you are to take some time to reflect with your orientee.
This assignment requires you to develop five reflective questions that pertain
to your mutual case, Charles Gibson. Use the NR526_W3_Clinical_Questioning_Template
attached at the bottom of the pageto complete this assignment.

1.
Develop a question that pertains to the first
five minutes that you spent with the patient. Stop and consider what would be
obvious to you as an expert clinician, but would not be obvious to the
developing graduate nurse. Your question can be a two-part question or a
one-part question. Provide the appropriate answer to the question that you
posed. Be sure your answer includes references, proper citations, and adequate
detail to support a comprehensive answer.(The answer should be
approximately 100 words.)

2.
Develop a question that addresses the
prescriber’s orders. Is there an order that exemplifies a treatment approach
for “brain attack”? How would you promote critical thought for a new graduate
in order to support his or her analysis and evaluation of new orders? Provide
the appropriate answer to the question that you posed. Be sure your answer
includes references, proper citations, and adequate detail to support a
comprehensive answer. (The answer should be approximately 100 words.)

3.
Develop a question that stimulates the graduate
nurse to think about the pathophysiologic basis for the patient’s presenting
disease. Provide the appropriate answer to the question that you posed. Be sure
your answer includes references, proper citations, and adequate detail to
support a comprehensive answer. (The answer should be approximately 100 words.)

4.
Develop a second question that has the graduate
nurse think about the pathophysiologic basis for the patient’s presenting
disease. Provide the appropriate answer to the question that you posed. Be sure
your answer includes references, proper citations, and adequate detail to
support a comprehensive answer. (The answer should be approximately 100 words.)

5.
Develop a question of your choice about this
case. Consider where you were on the learning curve as a graduate nurse. Consider
how you would promote critical thought and developing knowledge for a graduate
nurse. Provide the appropriate answer to the question that you posed. Be sure
your answer includes references, proper citations, and adequate detail to
support a comprehensive answer. (The answer should be approximately 100 words.)

Instructor Feedback Table

Category	Potential Points	Points Awarded	Feedback
Questions
Answers
Applies Advanced Pathophysiology, Physical assessment and Pharmacology
Grammar, spelling, syntax, and punctuation
APA title page, citations, and reference page
Total	Potential Points=	Ponts Awarded =

	Exceptional (100%) Outstanding or highest level of performance	Exceeds (88%) Very good or high level of performance	Meets (80%) Competent or satisfactory level of performance	Needs Improvement (38%) Poor or failing level of performance	Developing (0) Unsatisfactory level of performance
Content Possible Points =
Questions	Points	Points	Points	Points	0 Points
Five questions are presented that are reflective of the guidelines for this assignment. The questions promote critical thinking about the case.	Five questions are presented that are mostly reflective of the guidelines for this assignment.	Five questions are presented that are partially reflective of the guidelines for this assignment.	Five questions are presented that are not reflective of the guidelines for this assignment.	Questions are missing.
Answers	Points	Points	Points	Points	0 Points
Five answers to the proposed questions are presented that are approximately 100 words. The answers are accurate, specific to the question that was asked and presents sufficient detail. Answers are based on at least two peer-reviewed nursing articles.	Five answers to the proposed questions are presented that are approximately 100 words. The answers are mostly accurate, mostly specific to the question that was asked and presents some detail. Answers are based on only one peer-reviewed nursing articles.	Answers to the proposed questions are presented that are partially inaccurate, OR does not address the question specifically enough OR does not provide sufficient detail Articles are applied but they are not peer-reviewed.	Answers to the proposed questions are inaccurate, do not specifically address the question that was asked and/or presents insufficient detail or no nursing articles are provided.	Answers to the proposed questions are missing.
Applies Advanced Pathophysiology, Physical assessment and Pharmacology	Points	Points	Points	Points	0 Points
The three Ps that are relevant to this patient’s case are incorporated into the questions and related answers.	The three Ps that are relevant to this patient’s case are mostly incorporated into the questions and related answers.	The three Ps that are relevant to this patient’s case are partially incorporated into the questions and related answers.	The three Ps that are relevant to this patient’s case are minimally incorporated into the questions and related answers.	The three Ps that are relevant to this patient’s case are NOT incorporated into the questions and related answers.
Grammar, spelling, syntax, and punctuation	Points	Points	Points	Points	0 Points
Proper grammar, spelling syntax, and punctuation are used, with no more than1-2 errors.	Proper grammar, spelling syntax, and punctuation are used, with no more than3-4 errors.	Proper grammar, spelling syntax, and punctuation are used to some extent, with no more than 5-6 errors.	Proper grammar, spelling syntax, and punctuation are not used; assignment contains 7-9 errors.	Proper grammar, spelling syntax, and punctuation are not used; assignment contains 10 or more errors.
APA title page, citations, and reference page	Points	Points	Points	Points	0 Points
Proper APA format is used, with no more than1-2 errors.	Proper APA format is used, with no more than 3-4 errors.	Proper APA format is used to some extent, with no more than with 5-6 errors.	Proper APA format is not used, with no more than 7-9 errors.	Assignment contains 10 or more errors in APA format..
		Total Points:	_____ points

Question	Answer	What teaching point were you trying to make, which incorporated one or more of the three Ps?