Nurs-6512 Assign Wk3 Assignment 1: Case Study Assignment: Assessment Tools and Diagnostic Tests in Adults and Children When seeking to identify a patient’s

Nurs-6512 Assign Wk3

Assignment 1: Case Study Assignment: Assessment Tools and Diagnostic Tests in Adults and Children

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.

Not only do these diagnostic tests affect adults, body measurements can provide a general picture of whether a child is receiving adequate nutrition or is at risk for health issues. These data, however, are just one aspect to be considered. Lifestyle, family history, and culture—among other factors—are also relevant. That said, gathering and communicating this information can be a delicate process.

For this Assignment, 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. You will also consider examples of children with various weight issues. You will explore how you could effectively gather information and encourage parents and caregivers to be proactive about their children’s health and weight. 

 

To Prepare

  • Review this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests.
  • By Day 1 of this week, you will be assigned to one of the following Assignment options by your Instructor: Adult Assessment Tools or Diagnostic Tests – Cologuard 
  • Search the Walden Library and credible sources for resources explaining the tool or test you were assigned. What is its purpose, how is it conducted, and what information does it gather?

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  • Also, as you search the Walden library and credible sources, consider what the literature discusses regarding the validity, reliability, sensitivity, specificity, predictive values, ethical dilemmas, and controversies related to the test or tool.

 

The Assignment

Assignment (3–4 pages, not including title and reference pages):  

 topic is = Cologuard

Assignment Option 1: Adult Assessment Tools or Diagnostic Tests:
Include the following:

  • A description of how the assessment tool or diagnostic test you were assigned is used in healthcare.
    • What is its purpose?
    • How is it conducted?
    • What information does it gather?
  • 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.

Mosby items and derived items © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

Seidel: Mosby’s Guide to Physical Examination, 7
th

Edition

Checklists – History

History—Subjective Data

ID

Age, gender, DOB

CC

Reason for seeking care

HPI

O-onset

L-location

D-duration

C-character

A-aggravating/associated factors

R-relieving factors

T-temporal factors

S-severity

Medications, treatments

PMH

General health, surgeries, hospitalizations, illnesses, immunizations, medications,

allergies, blood transfusions, emotional status/psychiatric history

PERSONAL HISTORY

Cultural background, marital status, occupation, economic resources, environment

HEALTH HABITS

Tobacco, alcohol, illicit drugs, lifestyle, diet, exercise, exposure to toxins

HEALTH MAINTENANCE

Last PE; diagnostic tests (date, result, follow-up); self-exams (breast, genital,

testicular); last Pap smear, mammogram

FAMILY HISTORY

(Parents, siblings, children)

Cancer, DM, hypertension, heart disease, stroke

REVIEW OF SYSTEMS

GENERAL

Fever, chills, malaise, fatigue/energy, night sweats, desired weight

DIET

Appetite, restrictions, vitamins, supplements

SKIN, HAIR, NAILS

Rash, eruptions, itching, pigment changes

Mosby items and derived items © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

2

HEAD AND NECK

Headaches, dizziness, head injuries, loss of consciousness

EYES
Blurring, double vision, visual changes, glasses, trauma, eye diseases

EARS
Hearing loss, pain, discharge, vertigo, tinnitus

NOSE

Congestion, nosebleeds, postnasal drip

THROAT AND MOUTH

Hoarseness, sore throat, bleeding gums, ulcers, tooth problems

GASTROINTESTINAL

Indigestion, heartburn, vomiting, bowel regularity/changes

LYMPH

Tenderness, enlargement

ENDOCRINE

Heat/cold intolerance, weight change, polydipsia, polyuria, hair changes, increased

hat, glove, or shoe size

FEMALE

LMP, age at menarche, gravity, parity, menses (onset, regularity, duration,

symptoms), sexual life (number of partners, satisfaction), contraception, menopause

(age, symptoms)

MALE

Puberty onset, erections, testicular pain, libido, infertility

BREASTS

Pain, tenderness, lumps, discharge

CHEST AND LUNGS

Cough, sputum, shortness of breath, dyspnea on exertion, night sweats, exposure to

TB

CARDIOVASCULAR

Chest pain, palpitations, number of pillows, edema, claudication, exercise tolerance

HEMATOLOGY

Anemia, easy bruising

GENITOURINARY

Dysuria, flank pain, urgency, frequency, nocturia, hematuria, dribbling

MUSCULOSKELETAL

Joint pain, heat swelling

Mosby items and derived items © 2011 by Mosby, Inc., an affiliate of Elsevier Inc.

3

NEUROLOGIC
Fainting, weakness, loss of coordination

MENTAL STATUS

Concentration, sleeping, eating, socialization, mood changes, suicidal thoughts

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