NUR2204 Acute Care Across the Lifespan B
ASSESSMENT THREE | CLINICAL REASONING ASSIGNMENT
All you need to submit is JUST the template which you can find below.
Assessment name: Clinical Reasoning Case Study
Item: Written Assignment
Brief task description: Critically analyses the case study of a patient with an acute respiratory condition, to plan nursing assessments and interventions.
Due by: 8 September 2020 at 23:55
Length: Word count of 1200 words ± 10% (including in-text referencing and excluding reference list)
Maximum grade: 50
1. Your responses will be assessed according to the clinical content, evidence of critical thinking, adequate standard of academic writing and referencing formatting and quality of sources used.
2. Marks for academic writing and referencing will be awarded as per marking criteria (attached). Each question on the case study has been allocated with individual marks- please refer to questions in the case study
This assessment task must
1. Use the NUR2204 Clinical Reasoning Assignment Case Study
2. Use the template provided on Study Desk under Assessment three tab to answer the questions. Do not include the assessment questions as p[art of your response.
3. You are expected to present your assignment in a scholarly fashion and academic writing conventions. Answer each question in a paragraph format, writing in complete sentences with NO dot points unless otherwise specified
4. Use Times New Roman size 12 font and 1.5 line spacing
5. Use USQ APA referencing for citing academic literature (see https://www.usq.edu.au/library/referencing)
6. Use a separate page for references. The reference list is not included in the word count
7. In-text citations- You must include in-text citations in the body of your work. Each new point or piece of evidence must be attributed (via in-text citation) to the source. In-text references are included in the word count.
A minimum of ten (10) academic sources should be used. You will need at least seven (7) valid, contemporary peer-reviewed journal articles no older than seven (7) years as supporting evidence. In addition, you could use:
1. Textbooks (Maximum four  textbooks, and no older than five  years old)
2. Guidelines for health professionals that are peer-reviewed
3. Authoritative websites and government websites such as NHMRC, AIHW
4. Organisation resources intended for health professionals
References within 5 to 7 years are acceptable for this assignment. Any responses (answers) that are not referenced to academic sources will receive a mark of zero (0).
1. Use the Clinical Reasoning Case Study for this assessment
2. Use the template to write your responses (answers) for each question on the Clinical Reasoning Case Study
3. Do not need to rewrite the questions from the workbook
4. Include a reference list at the end of the template (after Question 11)
Ø Each question has been allocated with individual marks- please refer to questions in the case study as well as in the marking rubric
Ø 10 marks have been allocated for academic writing and referencing (see marking guide)
References – ACADEMIC SOURCES
In general, academic/scholarly sources have the following characteristics:
• They are written by a specific author or authors. In other words, scholarly sources specify
who their authors are.
• They contain a title.
• They are roughly a minimum of 10-30 pages in length.
• They contain an extensive bibliography.
• They are published in peer-reviewed journals or by scholarly publishers.
WHAT DOES COUNT AS AN ACADEMIC SOURCE:
• Academic (non-fiction) books or chapters from those books.
• Articles (not abstracts or reviews) from academic journals or quarterlies.
• Some academic articles from academic web sites (i.e. those related to universities sites). The URL should contain “.edu” in it. Some “.edu” web sites and pages could be counted as academic but use these sparingly.
• Articles (not abstracts or reviews) from academic databases such as PubMed, CINAHL, EBSCO, Wiley.
WHAT DOES NOT COUNT AS AN ACADEMIC SOURCE:
• Abstracts, book reviews, and opinion pieces (e.g. letters in journals)
• Blogs and social media postings.
• Non-academic web pages: i.e. pages aimed at the public, such as the Heart Foundation, Alzheimer’s Australia, nursing websites
• Commercial web pages: i.e. pages aimed to sell products; these may be subject to bias.
• Documents from government or organization websites such as the NMBA, AHPRA, Australian Bureau of Statistics. These may be used to provide context or background information, but they are not scholarly.
• Newspaper articles or articles found in popular magazines or magazines such as Time, Newsweek, The Australian, World Report. Again, these may be used for background or to illustrate a discussion, but they are not strong scholarly evidence.
• Encyclopedias, Wikipedia entries, and other reference works: please avoid these as they are far too general and in the case of wikis, not always reliable.
• Dictionaries: only use dictionary definitions for complex concepts or where a word is being used in an unusual way. Dictionaries are NOT included in the reference list.
• Fiction books, movies, and TV shows.
• The Bible, the Qur’an, or any other sacred/religious text.
• Strictly speaking, textbooks are NOT scholarly, and while they are acceptable in our context try to move away from these to stronger sources of evidence. Try to start developing skill in sourcing information which will support your learning in future years. If you are using the text, remember it is an edited book with various chapters authored by different people and should be referenced as such. Also, be wary of when it is a secondary source (when the work you are reading cites or quotes another author).
Questions regarding the assessment.
Q3b- List 2 side effects of the medication, are we allowed to use resources such as MIMS, Drug information leaflets ? or do we need to provide a journal article with the side effects listed
Q3c- explain two nursing responsibilities in regards to the side effects of the medication
I have read this as two nursing responsibilities FOR EACH side effect is this correct?
Q3b- Textbook- you are allowed to use up to 4 textbooks as reference such as your pharmacology textbook, Le Mone, MIMS online. Please don’t use drug pamphlets.
Q3c- However many side effects that you have identified above, you need to provide the nursing responsibility. For example: warfarin- side effect is prolonged bleeding time. Nursing responsibilities will include watching for bleeding such as advise patient to watch for bruising, use a soft bristle toothbrush.
Q. Question 4 states – What further nursing assessment you would want to carry out? Justify your answers and ensure ALL your statements are supported with scholarly recent and relevant literature.
Can I just clarify if we are referring to the nursing assessments for Frances?
A. Please read the case study again. All the questions are pertaining to the case study.
Q. In question 7, it asks to identify three (3) highest nursing priority nursing problems.
Are these problems specifically for the nurse or the patient? e.g. potential complications/risks the patient is at risk of developing such as pneumonia, hypoxia.
A. This case study is assessing your management of a patient in respiratory distress. The question is asking you your priority if care in managing a patient in respiratory distress. There are enough priority problems here without having to consider potential problems.
Q. in regards 2 Question 8: “Using two (2) of the nursing priority problems that you have identified above (in Question 7), justify at least two (2) nursing interventions for each of these priority problems.”
We choose 2 of the priorities from Question 7 and discuss 2 interventions TOTAL, or 2 interventions for EACH priority (4 TOTAL)?
A. Choose 2 priority problems out of Question 7 and provide 2 interventions per priority problem. That means 1 priority problem and 2 interventions
Q. Question 10 a asks – List two (2) signs and symptoms that would indicate that Frances’s condition has improved.
Is that – 2 signs AND 2 symptoms? or 2 answers TOTAL that could be either signs OR symptoms?
A. Total of 2 – can be both signs or both symptoms or one sign and one symptom
Q1. In regards to Question 11: “What measures could you have taken to allay Frances’s anxiety? Discuss two (2) measures with rationales.”
Do we discuss interventions we would use, such as actions or treatment/interventions, OR education/information we could provide to her to relieve anxiety?
A1. This question is asking you:
What would you do when your patient is having anxiety or you want to help to reduce you put patients anxiety?
Q2. I am just trying to clarify if this means anxiety in an emergency situation, so an intervention would be more appropriate for say symptom relief, or if this is in a general sense, so we would have time to say provide education and explanations to them (not an emergency)
A2. Please read the case study in its entirety. You have done all the interventions in Question 8, you have evaluated your interventions in subsequent questions. Now your patient is still anxious, what would you do?
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