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When seeking to identify a patient’s health condition, advanced practice nurses can use a diverse selection of diagnostic tests and assessment tools; however, different factors affect the validity and reliability of the results produced by these tests or tools. Nurses must be aware of these factors in order to select the most appropriate test or tool and to accurately interpret the results.

In this Discussion, you will consider the validity and reliability of different assessment tools and diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative predictive values.

To prepare:

• Review this week’s Learning Resources and consider the factors that impact the validity and reliability of various assessment tools and diagnostic tests.

• Select one of the following assessment tools or diagnostic tests to explore for the purposes of this Discussion:

o Mammogram

o Physical tests for sore throat (inspecting the throat, palpating the head and neck lymph nodes, listening to breath sounds)

o Prostate-specific antigen (PSA) test

o Dix-Hallpike test

o Body-mass index (BMI) using waist circumference for adults

• Search the Walden Library and credible sources for resources explaining the tool or test you selected. What is its purpose, how is it conducted, and what information does it gather?

• Examine the literature and resources you located for information about the validity and reliability of the test or tool you selected. What issues with sensitivity, specificity, and predictive values are related to the test or tool?

• Are there any controversies or issues related to any of these tests or tools?

• Consider any ethical dilemmas that could arise by using these tests or tools.

By Day 3

Post a description of how the assessment tool or diagnostic test you selected is used in health care. Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.

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 Analyzes the key elements that make up a health assessment at the community, group, and individual levels. 

 Explains the process involved in conducting a comprehensive health assessment and outlines best-practice strategies for obtaining critical information. 

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This assignment enables the student to meet the following Course Outcomes.

CO1: Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO #1)

CO5: Explore the professional responsibilities involved in conducting a comprehensive health assessment and provide appropriate documentation. (PO #6)

Points

This assignment is worth a total of 200 points.

Due Date

The Lifestyle and Health Practices Profile is to be submitted at the end of Week 2.

Disclaimer

When completing a Lifestyle and Health Profile on an actual client, it is essential that the information is accurate and all areas are addressed. **Please note that for this assignment, a few sections containing sensitive information have been marked optional.** This assignment will only be shared for academic-related purposes, and will not be seen by your classmates. However, if you wish to leave any of the areas marked “option to not respond” blank, points will not be deducted. All areas not marked as optional must be completed for full credit. Contact your instructor if you have any questions or concerns.

Directions

1. Download the required NR305 Week 2 Personal Lifestyle Form March19 (Links to an external site.)Links to an external site.. You will document your responses to the profile using this MS Word document.
2. Complete the Life and Health Practices Profile, using yourself as the client. Please document your responses professionally, as you would in a client’s actual health record. Provide enough information to have answered the questions completely. For clarity, write full sentences in your documentation. To receive full credit, all questions must be addressed, except for those indicated as optional. If a question does not apply to you, please indicate this in the findings as “N/A”.
3. Once you have completed the profile, type your answers to the three questions listed under the form. APA format is not a requirement, however, please write in paragraph form when appropriate. Sentence structure, spelling, and grammar are important.
4. You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.
5. Save the completed form by clicking on Save as and add your last name to the file name, for example, NR305_W2_Personal_ Lifestyle_Form_Smith.
6. Submit the completed form to the Lifestyle and Health Practices Profile form by Sunday, 11:59 p.m. MT at the end of Week 2. Please post questions about this assignment to the Q & A Forums so the entire class may view the answers.

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment. Please see the grading criteria and rubrics on the page.

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DQ#1A

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.

For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.

To prepare:

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

· By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.

Case C 38-year-old Native American pregnant female living on a reservation

· How would your communication and interview techniques for building a health history differ with each patient?

· How might you target your questions for building a health history based on the patient’s social determinants of health?

· What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks.

· Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.

· Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.

· Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

By Day of Week 1

1-Post a Summary of the Interview and a Description of the Communicationtechniques you would use with your assigned patient.

“Case C 38-year-old Native American pregnant female living on a reservation”

2-Explain Why you would use these techniques.

3-Identify the risk Assessment Instrumentyou selected and Justify Why it would be applicable to the selected patient.

4-Provide at Least Five targeted questionsyou would ask the patient.

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