Module 04 Written Assignment \u2013 Nursing Diagnosis
\nPurpose of the Assignment
\n1.\tHelp students in clustering assessment data when developing a nursing diagnosis.
\n2.\tDevelop students\u2019 ability to write client based outcomes when planning care.
\nCourse Competencies
\n\u2022\tExplain components of multidimensional nursing care for clients with musculoskeletal disorders.
\nInstructions
\nUsing the template below, write 3 NANDA-I approved nursing diagnoses in a proper format based on the client case provided below. Write one SMART client-centered goal for each nursing diagnosis. Consider the client\u2019s medical history and medications.
\nRiley Johnson, a 19-year-old woman, is a client on your unit due to a skiing accident. She is unconscious and may or may not regain consciousness. She is on complete bedrest. She requires frequent repositioning to maintain correct body alignment and attention to her ROM. She responds to painful stimuli with slight non-purposeful withdrawal. No spontaneous movements are noted. The recent lower extremity ultrasound showed no evidence of venous thrombosis, and she continues on low molecular weight heparin injections. Her fluid and electrolyte balance is being maintained by a tube feeding at 60 mL per hour continuously. She is incontinent of stool and has an indwelling Foley catheter. Her heels are reddened, but otherwise, her skin is intact.
\nUse at least two scholarly sources to support your nursing diagnoses. Be sure to cite your sources in-text and on a reference page using APA format.
\nCheck out the following link for information about writing SMART goals and to see examples:
\nhttp:\/\/rasmussen.libanswers.com\/faq\/212524
\nYou can find useful reference materials for this assignment in the School of Nursing guide:
\nhttps:\/\/guides.rasmussen.edu\/nursing\/referenceebooks
\nHave questions about APA? Visit the online APA guide:
\nhttps:\/\/guides.rasmussen.edu\/apa<\/p>\n
Nursing Diagnosis\tNursing Diagnosis\tNursing Diagnosis
\nOne sentence:
\n*Risk: Nursing diagnosis____Related to_____
\n*Problem: Nursing diagnosis____Related to____ as evidenced by<\/p>\n
1.\t\tOne sentence:
\n*Risk: Nursing diagnosis____Related to_____
\n*Problem: Nursing diagnosis____Related to____ as evidenced by<\/p>\n
2. \tOne sentence:
\n*Risk: Nursing diagnosis____Related to_____
\n*Problem: Nursing diagnosis____Related to____ as evidenced by<\/p>\n
3.
\nSMART Goal\tSMART Goal\tSMART Goal<\/p>\n
Goals need to be specific\/measurable with a timeline, and related to nursing diagnosis
\nEx. Patient will rate pain 0\/10 in 30 minutes
\n1.<\/p>\n
2.<\/p>\n
3.
\nModule 04 Written Assignment \u2013 Nursing Diagnosis Rubric
\nTotal Assessment Points – 35
\nLevels of Achievement
\nCriteria\tEmerging\tCompetence \tProficiency\tMastery
\nNursing Diagnosis (should fit the data)
\n(10 Pts)\tNursing diagnoses are insufficient and\/or do not fit the data.
\nFailure to submit Nursing Diagnosis will result in zero points for this criterion.\tWrites ONE NANDA-I approved nursing diagnosis in the correct format (including related to\/as evidenced by) with a strong connection to identified data.\tWrites TWO NANDA-I approved nursing diagnoses in the correct format (including related to\/as evidenced by) with a strong connection to identified data.\tWrites THREE NANDA-I approved nursing diagnoses in the correct format (including related to\/as evidenced by) with a strong connection to identified data.
\nPoints \u2013 7\tPoints \u2013 8\tPoints – 9\tPoints – 10
\nSMART Goal (should reflect the diagnosis and follow guidelines)
\n(15 Pts)\tThe goals meet few SMART goal guidelines and\/or are not related to the nursing diagnoses.
\nFailure to submit SMART goals will result in zero points for this criterion.\tWrites ONE goal for ONE nursing diagnosis and the goal meets all the SMART goal guidelines and are related to the nursing diagnosis.\tWrites ONE goal for TWO nursing diagnoses and the goals meet all the SMART goal guidelines and are related to the nursing diagnoses.\tWrites ONE goal for THREE nursing diagnoses and the goals meet all the SMART goal guidelines and are related to the nursing diagnoses.
\nPoints \u2013 11\tPoints – 12\tPoints – 13\tPoints \u2013 15
\nSpelling and Grammar
\n(5 Pts)\tNumerous spelling and grammar errors, which detract from the audience’s ability to comprehend material.\tSome spelling and grammar errors, which detract from the audience’s ability to comprehend material.\tFew spelling and grammar errors. \tMinimal to no spelling and grammar errors.
\nPoints: 2\tPoints: 3\tPoints: 4\tPoints: 5
\nAPA Citation
\n(5 Pts)\tAPA in-text citations and references are missing.\tAttempted to use APA in-text citations and references.\tAPA in-text citations and references are used with few errors.\tAPA in-text citations and references are used correctly.
\nPoints: 2\tPoints: 3\tPoints: 4\tPoints: 5<\/p>\n","protected":false},"excerpt":{"rendered":"
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