UOP NRP531 2021 September Complete Course Latest (Full)

NRP531 Advanced Health Assessment I

Week 1 Discussion

Subjective vs Objective Data

Respond to the following in a minimum of 175 words:

What is the difference between subjective and objective data?

In which part of the SOAP note will you document the subjective and objective data?

Is the patient’s health history subjective or objective data? Why?

 

NRP531 Advanced Health Assessment I

Week 2 Discussion

Dermatological Conditions

Respond to the following in a minimum of 175 words:

What abnormal findings in a skin lesion would warrant a biopsy?

How will you determine if a dermatological condition requires urgent intervention? Give examples of conditions.

included APA format references in your discussion contributions

 

NRP531 Advanced Health Assessment I

Week 3 Discussion

Musculoskeletal Conditions

Respond to the following in a minimum of 175 words:

What aspects of the history are important to distinguish between a systemic versus a mechanical musculoskeletal condition?

What aspects of the history and physical exam findings would be classic for carpal tunnel syndrome?

Include APA formatted references in your discussion contribution

 

NRP531 Advanced Health Assessment I

Week 4 Discussion

Exam Findings

Respond to the following in a minimum of 175 words:

What fundoscopic exam findings would you expect in a patient with long-term, uncontrolled hypertension?

What fundoscopic exam findings would you expect in a patient with long-term, uncontrolled diabetes?

Include APA format references on your discussion contributions.

 

NRP531 Advanced Health Assessment I

Week 5 Discussion

Resources for Evaluating Mental Status Title

Respond to the following in a minimum of 175 words:

Describe tools that can be used in the clinic to evaluate the patient’s mental status.

Include APA format references on your discussion contributions.

 

NRP531 Advanced Health Assessment I

Week 6 Discussion

Edema

Respond to the following in a minimum of 175 words:

Where do you document edema in your SOAP note?

How do you describe it?

What is the differential diagnosis that might result in edema?

Include APA format references for your discussion contributions.

 

NRP531 Advanced Health Assessment I

Week 7 Discussion

Exam Techniques

Respond to the following in a minimum of 175 words:

Explain how you would perform the following exam techniques and what they might indicate:

Tactile Fremitus

Bronchophony

Egophony

Include APA format references for your discussion contributions.

 

 

NRP531 Advanced Health Assessment I

Week 8 Discussion

Hepatomegaly

Respond to the following in a minimum of 175 words:

Explain how you would determine if a patient has hepatomegaly.

Include APA format references on your discussion contributions.

 

NRP531 Advanced Health Assessment I

Week 1 Assignment  

Symptom Analysis and Organization of Data for Written Record

Throughout this course you will learn about important concepts and processes related to the FNP role. You’ll start, in this assignment, with obtaining and documenting information to accurately identify the critical components of a health history.

Complete the Symptom Analysis and Organization of Data for Written Record worksheet.

Submit your assignment. In APA format with a cover sheet and references.

 

NRP531 Advanced Health Assessment I

Week 2 Assignment  

Coding & Billing Worksheet

This week you gained insight regarding the requirements needed to determine billing codes. Now it is time to apply what you have learned.

Utilize the Coding Guide and Superbill example as a reference to complete the Coding & Billing Worksheet.

Complete the Coding & Billing Worksheet.

Submit your assignment.

Local students: Print one color copy of the Coding Guide and a copy of the Superbill example. Bring the documents to your next class meeting and prepare to discuss.

Online students: Prepare to post a copy of your completed Coding & Billing Worksheet in the designated discussion activity in Week 3. Include APA format cover sheet and APA format references.

 

 

 

 

NRP531 Advanced Health Assessment I

Week 3 Assignment 1

Episodic SOAP Note: Tom Walker Pt. 1

This week you have gained insight about how to properly examine and document findings for the spine, shoulders, elbows, hands, wrists, fingers, hips, knees, feet and ankles, including specialty tests. You learned the importance of assessing range of motion and muscle strength, along with properly executing specialty exams to further assess joint stability all to narrow your list of potential diagnoses.

Now it is time to apply your documentation skills by writing an episodic SOAP note for Mr. Tom Walker who presents to you with multiple complaints.

Review the Tom Walker Scenario.

Use the SOAP Note Template and the SOAP Note Structure Guide to develop your documentation needed to complete your SOAP Note.

The assessment and plan sections will not be graded but should be completed to ensure documentation of a complete SOAP Note. You will also use this information to complete your E&M coding for the visit. Make sure to:

Document all relevant information using appropriate terminology.

List the appropriate ICD-10 codes and E&M codes using the diagnoses provided.

Include APA format cover sheet and APA format references.

 

NRP531 Advanced Health Assessment I

Week 3 Assignment 2

Episodic SOAP Note: Tom Walker Pt. 2

Assignment Content

Great work, now that you have completed your SOAP Note for Tom Walker, it is time for reflection. This reflection is your opportunity to review what you learned about the patient, the process, and the outcomes in preparation for future patient encounters. The reflection must include a discussion about an evidence-based practice to improve the quality of care the patient receives.

Write a 700-word reflection providing rationale for your completed SOAP Note. Consider the interview information provided in the patient scenario to do the following within your reflection:

List 5 open-ended questions you would ask using descriptive language familiar to the patient during the HPI exam relevant to the chief complaint, including all pertinent and positive negatives. Provide a rationale for each question you ask by explaining why it is appropriate and how it aligns to the chief complaint.

Provide a minimum of 3 rationales for the physical exam components performed.

Locate and review a current evidence-based article that discusses evidence-based guidelines or new research relating to each diagnosis. Provide a brief summary of the article(s) in your reflection.

Identify a minimum of 2 barriers to quality health care the patient can potentially experience per the information provided in the interview (e.g., cultural, linguistic, economic, previous conditions, etc.).

As the FNP, explain how you can address these barriers to improve the quality of care the patient receives. Use a minimum of 2 peer reviewed articles to support your answers.

Include APA format cover sheet and APA format references.

Cite the references used to support your assignment.

Format your citations according to APA guidelines.

 

NRP531 Advanced Health Assessment I

Week 4 Assignment  

Reflection: i-Human Patients – Amanda Wheaton

Assignment Content

Read one of the recommended evidence-based practice academic articles provided at the end of the Amanda Wheaton case or locate an academic article from the University Library that relates to the conditions presented in the Amanda Wheaton case to improve your clinical skills.

Write a 500-word summary of the article as it relates to your patient encounter with Amanda Wheaton.

Include the following in your summary:

Rationale for the questions you asked during the history examination

Rationale for the physical exam that was conducted on the patient

Summary of what the article was trying to validate

Critique of your overall case evaluation (now that the diagnosis has been revealed) and examination of areas of opportunity identified in the article to improve your clinical skills

Include APA format cover sheet and APA format references.

 

NRP531 Advanced Health Assessment I

Week 5 Assignment 1

Episodic SOAP Note: Harold James Pt. 1

Assignment Content

This week focused on the overview of the anatomy of the brain, nervous systems, and additional variations in findings across the lifespan.

It is time to practice your documentation skills by completing a SOAP Note for Harold James.

Review the Harold James Scenario.

Use the SOAP Note Template and the SOAP Note Structure Guide to develop your documentation needed to complete your SOAP Note.

The assessment and plan sections will not be graded but should be completed to ensure documentation of a complete SOAP Note. You will also use this information to complete your E&M coding for the visit. Make sure to:

Document all relevant information using appropriate terminology.

List the appropriate ICD-10 codes and E&M codes using the diagnoses provided.

Include APA format cover sheet and APA format references.

 

NRP531 Advanced Health Assessment I

Week 5 Assignment 2

Episodic SOAP Note: Harold James Pt. 2

Assignment Content

Well done, now that you have completed your SOAP Note for Harold James, it is time for reflection. This reflection is your opportunity to review what you learned about the patient, the process, and the outcomes in preparation for future patient encounters. The reflection must include a discussion about an evidence-based practice to improve the quality of care the patient receives.

Write a 700-word reflection providing rationale for your completed SOAP Note. Consider the interview information provided in the patient scenario to do the following within your reflection:

List 5 open-ended questions you would ask using descriptive language familiar to the patient during the HPI exam relevant to the chief complaint, including all pertinent and positive negatives. Provide a rationale for each question you ask by explaining why it is appropriate and how it aligns to the chief complaint.

Provide a minimum of 3 rationales for the physical exam components performed.

Locate and review a current evidence-based article that discusses evidence-based guidelines or new research relating to each diagnosis. Provide a brief summary of the article(s) in your reflection.

 Identify a minimum of 2 barriers to quality health care the patient can potentially experience per the information provided in the interview (e.g., cultural, linguistic, economic, previous conditions, etc.).

As the FNP, explain how you can address these barriers to improve the quality of care the patient receives. Use a minimum of 2 peer reviewed articles to support your answers.

Include APA format cover sheet and APA format references.

Cite the references used to support your assignment.

 

 

 

 

 

 

NRP531 Advanced Health Assessment I

Week 6 Assignment  

Assignment Content

Read one of the recommended evidence-based practice academic articles provided at the end of the Harvey Hoya case or locate an academic article from the University Library that relates to the conditions presented in the Harvey Hoya case to improve your clinical skills.

Develop a 500-word summary of your patient encounter with Harvey Hoya.

Include the following in your summary:

Rationale for the questions you asked during the history examination

Rationale for the physical exam that was conducted on the patient

Summary of what the article was trying to validate

Critique of your overall case evaluation (now that the diagnosis has been revealed) and examination of areas of opportunity identified in the article to improve your clinical skills

Include APA format cover sheet and APA format references.

 

NRP531 Advanced Health Assessment I

Week 7 Assignment  

Reflection: i-Human Patients – Marvin F. Webster, Jr.

Assignment Content

Read one of the recommended evidence-based practice academic articles provided at the end of the case or locate an academic article from the University Library that relates to the conditions presented in the Marvin F. Webster, Jr. case to improve your clinical skills.

 Write a 500-word summary of the article as it relates to your patient encounter with Marvin F. Webster Jr.

Include the following in your summary:

Rationale for the questions you asked during the history examination

Rationale for the physical exam that was conducted on the patient

Summary of what the article was trying to validate

Critique of your overall case evaluation (now that the diagnosis has been revealed) and examination of areas of opportunity identified in the article to improve your clinical skills

Include APA format cover sheet and APA format references.

 

 

NRP531 Advanced Health Assessment I

Week 8 Assignment 1

Episodic SOAP Note: Maria Álvarez Pt.1

Congratulations, you are ready to share your mastery of skills by completing a comprehensive SOAP note for patient Maria Álvarez.

Review the Maria Álvarez Scenario.

Use the SOAP Note Template and the SOAP Note Structure Guide to develop your documentation needed to complete your SOAP Note.

The assessment and plan sections will not be graded but should be completed to ensure documentation of a complete SOAP Note. You will also use this information to complete your E&M coding for the visit. Make sure to:

Document all relevant information using appropriate terminology.

List the appropriate ICD-10 codes and E&M codes using the diagnoses provided.

Include APA format cover sheet and APA format references.

 

NRP531 Advanced Health Assessment I

Week 8 Assignment 2

Episodic SOAP Note: Maria Álvarez Pt. 2

Assignment Content

Excellent work, now that you have completed your SOAP Note for Maria Álvarez, it is time for reflection. This reflection is your opportunity to review what you learned about the patient, the process, and the outcomes in preparation for future patient encounters. The reflection must include a discussion about an evidence-based practice to improve the quality of care the patient receives.

Write a 700-word reflection providing rationale for your completed SOAP Note. Consider the interview information provided in the patient scenario to do the following within your reflection:

List 5 open-ended questions you would ask using descriptive language familiar to the patient during the HPI exam relevant to the chief complaint, including all pertinent and positive negatives. Provide a rationale for each question you ask by explaining why it is appropriate and how it aligns to the chief complaint.

Provide a minimum of 3 rationales for the physical exam components performed.

Locate and review a current evidence-based article that discusses evidence-based guidelines or new research relating to each diagnosis. Provide a brief summary of the article(s) in your reflection.

Identify a minimum of 2 barriers to quality health care the patient can potentially experience per the information provided in the interview (e.g., cultural, linguistic, economic, previous conditions, etc.).

As the FNP, explain how you can address these barriers to improve the quality of care the patient receives. Use a minimum of 2 peer reviewed articles to support your answers.

Include APA format cover sheet and APA format references.

NRP531 Advanced Health Assessment I

Week 1 Quiz

Question 1The components of the health history include all of the following except which one?

Review of systems

Personal and social items

Thorax and lungs

Present illness

Question 2The following information is recorded in the health history:

“The patient has had abdominal pain for 1 week. The pain lasts for 30 minutes at a time; it comes and goes. The severity is 7 to 9 on a scale of 1 to 10. It is accompanied by nausea and vomiting. It is located in the mid-epigastric area.”

Which of these categories does it belong to?

Chief complaint

Review of systems

History of present illness

Assessment

Question 3The following information is best placed in which category?

“The patient has had three cesarean sections.”

Obstetrics/gynecology

Adult illnesses

Surgeries

Psychiatric

Question 4Is the following information subjective or objective?

Mr. M. has shortness of breath that has persisted for the past 10 days; it is worse with activity and relieved by rest.

Subjective

Objective

Question 5On a very busy day in the office, Mrs. Donelan, who is 81 years old, comes for a routine follow up appointment for her hypertension. She is on a low-dose diuretic chronically and denies any side effects. Her blood pressure is 118/78 today, which is well-controlled. As you are writing her script, she mentions that it is hard not having her husband Bill around anymore. What would you do next?

Make sure she understands the script.

Explain that you will have more time at the next visit to discuss this.

Hand her the script and make sure she has a 3-month follow-up appointment.

Ask why Bill is not there.

Question 6For which of the following patients would a comprehensive health history be appropriate?

A new patient with the chief complaint of “I cut my hand”

A new patient with the chief complaint of “I sprained my ankle”

An established patient with the chief complaint of “I have an upper respiratory infection”

A new patient with the chief complaint of “I am here to establish care”

Question 7The following information is recorded in the health history:

“Patient denies chest pain, palpitations, orthopnea, and paroxysmal nocturnal dyspnea.”

Which category does it belong to?

Personal and social history

Review of systems

Chief complaint

Present illness

Question 8The following information is best placed in which category?

“The patient was treated for an asthma exacerbation in the hospital last year; the patient has never been intubated.”

Surgeries

Obstetrics/gynecology

Adult illnesses

Psychiatric

Question 9Mr. Q. is a 45-year-old salesman who comes to your office for evaluation of fatigue. He has come to the office many times in the past with a variety of injuries, and you suspect that he has a problem with alcohol. Which one of the following questions will be most helpful in diagnosing this problem?

Do you drink 2 to 3 beers every weekend?

You are an alcoholic, aren’t you?

When was your last drink?

Do you drink alcohol when you are supposed to be working?

Question 10The following information is recorded in the health history:

“The patient completed 8th grade. He currently lives with his wife and two children. He works on old cars on the weekend. He works in a glass factory during the week.”

Which category does it belong to?

Personal and social history

Review of systems

Chief complaint

Present illness

 

NRP531 Advanced Health Assessment I

Week 2 Quiz

Question 1An 18-year-old girl comes with her mother for evaluation of hair loss. She denies pulling or twisting her hair, and her mother has not noted this behavior at all. She does not put her hair in braids. On physical examination, you note a clearly demarcated, round patch of hair loss without visible scaling or inflammation. There are no hair shafts visible. Based on this description, what is your most likely diagnosis?

Alopecia areata

Tinea capitus

Traction alopecia

Trichotillomania

Question 2Jacob, a 33-year-old construction worker, complains of a “lump on his back” over his scapula. It has been there for about a year and is getting larger but does not hurt. He says his wife has been able to squeeze out a whitish cheesy-textured smelly substance on occasion. He worries this may be cancer. What is the most likely diagnosis based on this description?

A malignant lesion

An enlarged lymph node

A sebaceous cyst

An actinic keratosis

Question 3A vesicle is an example of a:

Maculopapular skin lesion

Dermatome skin lesion

Primary skin lesion

Secondary skin lesion

Question 4You are speaking to an 8th grade class about health prevention and are preparing to discuss the ABDCEs of melanoma. Which of the following descriptions correctly defines this:

A=asymmetry; B=irregular borders; C=color changes; D=diameter>6mm; E=evolution

A=asymmetry; B=irregular borders; C=color changes; D=distribution; E=evolution

A=actinic; B=basal cell; C=color changes; D=diameter>6 mm; E=evolution

A=actinic; B=irregular borders; C=ceratosis; D=dystrophic nails; E=evolution

Question 5A 28-year-old patient comes to the office for evaluation of a rash. At first there was only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch. On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back. Based on this description, what is the most likely diagnosis?

Tinea versicolor

Psoriasis

Pityriasis rosea

Atopic eczema

Question 6Mrs. Britton is a 34-year-old patient who presents to the office with complaints of a skin rash. You have noted a 4×3 cm, rough, elevated area which appears to be consistent with psoriasis. This is an example of a:

Plaque

Patch

Macule

Papule

Question 7Mrs. Leonard brings her newborn infant into the pediatrician’s office for a first well-baby visit. As the healthcare provider, you teach her that newborns are more vulnerable to hypothermia due to:

A poorly developed subcutaneous fat layer.

The presence of coarse terminal hair.

Their covering of vernix caseosa.

Desquamation of the stratum corneum after birth.

Question 8A 68-year-old gardener comes to your office for evaluation of a new lesion on his upper chest. The lesion appears to be “stuck on” and is oval, brown, and slightly elevated with a flat surface. It has a rough texture on palpation. Based on this description, what is your most likely diagnosis?

Seborrheic keratosis

Actinic keratosis

Squamous cell carcinoma

Basal cell carcinoma

Question 9Your inspection of a 6-year-old child reveals honey-colored exudate from a rash on his chin and around his mouth, which his mother reports he has been itching a lot. Which condition is most consistent with the above findings?

Impetigo

Viral Exanthem

Keratosis

Tricholtillomania

Question 10Mrs. Anderson presents with an itchy rash that is raised plus appears and disappears in various locations. Each lesion lasts for many minutes. What condition most likely accounts for this rash?

Psoriasis

Purpura

Urticaria (hives)

Insect bites

 

NRP531 Advanced Health Assessment I

Week 3 Quiz

Question 1A 32-year-old warehouse worker presents for evaluation of low back pain. He notes a sudden onset of pain after lifting a set of boxes that were heavier than usual. He also states that he has numbness and tingling in the left leg. He wants to know if he needs to be off of work. What test should you perform to assess for a herniated disc?

Epley’s maneuver

Leg-length test

Leg-strength test

Straight-leg raise test

Question 2When palpating joints, crepitus may occur when:

Supporting muscles are excessively spastic

Irregular bony surfaces rub together

There is excess fluid within the synovial membrane

Joints are excessively lax

Question 3The articulation of the radius and carpal bones is the:

Elbow joint

Acromioclavicular joint

Glenohumerol joint

Wrist joint

Question 4What technique is performed at every well infant examination during the first year of life to detect hip dislocation?

Leg length measurements

McMurray testing

Barlow-Ortolani maneuvers

Ballottement testing

Question 5Pain, swelling, loss of both active and passive motion, locking, and deformity would be consistent with which of the following?

Articular joint pain

Muscular injury

Nerve damage

Bursitis

Question 6Mrs. Fletcher complains of numbness of her right hand. On examination, sensation of the thumb, index finger, and middle finger have decreased sensation. Which of the following is affected?

Ulnar nerve

Radial nerve

Index nerve

Median nerve

Question 7Ulnar deviation and swan neck deformities are characteristics of:

Osteoporosis

Osteoarthritis

Congenital defects

Rheumatoid arthritis

Question 8When the patient flexes forward at the waist, what spinal observation would lead you to suspect scoliosis?

Prominent cervical concave curve

Restricted ability to flex at the hips

Prominent lumbar hump

Lateral curvature of the spine

Question 9A 50-year-old woman presents with “left hip pain” of several weeks duration. There is marked tenderness when you press over her proximal lateral thigh. What do you think she has?

Rheumatoid arthritis

Osteoarthritis

Sciatica

Trochanteric bursitis

Question 10A red, hot, swollen joint of a big toe in a 40 year old man should lead you to suspect which condition:

Gout

Synovitis

Bursitis

Trauma

 

NRP531 Advanced Health Assessment I

Week 4 Quiz

Question 1You observe pupillary response as the patient looks at a distant object and then at an object held 10 cm from the bridge of the nose. You are assessing for:

Pupillary light reflex

Confrontation reaction

Accommodation

Nystagmus

Question 2Cotton wool spots are most closely associated with:

Hypertension

Normal aging processes

Glaucoma

Eye trauma

Question 3Peripheral vision can be estimated by means of which test?

Pupillary reaction

Snellen Chart

Confrontation

Accommodation

Question 4To perform the Rinne test, place the tuning fork on the:

Mastoid bone

Forehead

Top of the head

Preauricular area

Question 5A patient presents with ear pain. She is an avid swimmer. The history includes pain and drainage from the left ear. On examination, she has pain when the ear is manipulated, including manipulation of the tragus. The canal is narrowed and erythematous, with some white debris in the canal. The rest of the examination is normal. What diagnosis would you assign this patient?

Cholesteatoma

Otitis externa

Otitis media

Perforation of the tympanum

Question 6A 29 – year old physical therapist presents for evaluation of an eyelid problem. On observation, the right eyeball appears to be protruding forward. Based on the description, which is the most likely diagnosis?

Ptosis

Ectropion

Exophthalmos

Epicanthus

Question 7Mr. Cole’s visual acuity is 20/100. This means that he:

Can see at 20 feet what a normal person can see at 100 feet

Can see at 100 feet what a normal person can see at 20 feet

Obtains a 20% correct score at 100 feet

Can accurately name 20% of the letters at 20 feet

Question 8A college student presents with a sore throat, fever, and fatigue for several days. You notice exudates on her enlarged tonsils. You do a careful lymphatic examination and notice some scattered small, mobile lymph nodes just behind her sternocleidomastoid muscles bilaterally. What group of nodes is this?

Submandibular

Posterior cervical

Occipital

Tonsillar

Question 9Normal tympanic membrane color is:

Chalky white

Pink

Amber

Pearly gray

Question 10A light is pointed at a patient’s pupil, which contracts. It is also noted that the other pupil contracts as well, though it is not exposed to bright light. Which of the following terms describes this latter phenomenon?

Near reaction

Consensual reaction

Direct reaction

Accommodation

NRP531 Advanced Health Assessment I

Week 5 Quiz

Question 1When hearing is evaluated, which cranial nerve is being tested?

XII

IV

VIII

III

Question 2A 22-year-old man is brought to your office by his father to discuss his son’s mental health disorder. The patient was diagnosed with schizophrenia 6 months ago and has been taking medication since. The father states that his son’s dose isn’t high enough and you need to raise it. He states that his son has been hearing things that don’t exist. You ask the young man what is going on and he tells you that his father is just jealous because his sister talks only to him. His father turns to him and says, “Son, you know your sister died 2 years ago!” His son replies “Well, she still talks to me in my head all the time!” Which best describes this patient’s abnormality of perception?

Fugue state

Illusion

Hallucination

Question 3Which cranial nerves innervate the face?

VIII and IX

II and V

III and VI

V and VII

Question 4The finger-to-nose test allows assessment of:

coordination and fine motor function.

sensory function.

alcohol impairment.

stereognosis.

Question 5When you ask a patient to close his eyes and identify an object placed in their hand, you are evaluating:

graphesthesia.

proprioception.

cognitive level.

stereognosis.

Question 6A 29-year-old woman comes to your office. As you take the history, you notice that she is speaking very quickly, and jumping from topic to topic so rapidly that you have trouble following her. You are able to find some connections between ideas, but it is difficult. Which word describes this thought process?

Flight of ideas

Incoherence

Derailment

Circumstantiality

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