(Answers)-NURS-6512N- Assignment: Module 2-Online Nursing Assignment Help
Description
CASE STUDY LINK: https://cdn-media.
Simulation Case Study #2: Comprehensive Health History and a Focused Physical Examination
Simulation case studies can help you strengthen your advanced assessment and documentation skills, supporting accurate clinical reasoning and prepare you for future patient encounters. This simulation assignment allows you to demonstrate your ability to collect and document both subjective and objective data during a comprehensive health assessment.
Level 1: No AI Permitted
- AI tools may not be used at any stage
- Common for clinical documentation or performance‑based work
Resources
Be sure to review the Learning Resources before completing this assessment.
Required Resources
NOTE: Utilize this text as a clinical reference to aid your analysis for the relevant areas noted. Also utilize study questions to develop your understanding of the concepts and topics presented throughout this course.
- Soriano, R. P. (2026). Bates’ guide to physical examination and history taking (14th ed.). Wolters Kluwer Health.
- Chapter 13, “Head and Neck”
- Chapter 14, “Eyes”
- Chapter 15, “Ears and Nose”
- Chapter 16, “Throat and Oral Cavity”
- American College of Radiology. (n.d.). Appropriateness CriteriaLinks to an external site.. https://www.acr.org/Clinical-
Resources/Clinical-Tools-and- Reference/Appropriateness- Criteria - Document: Comprehensive Health History Reference Sheet (PDF)Download Comprehensive Health History Reference Sheet (PDF)
- Document: Physical Exam Reference Sheet (PDF)Download Physical Exam Reference Sheet (PDF)
- Document: Week 4 Assignment Template (Word)Download Week 4 Assignment Template (Word)
- Walden University, LLC. (n.d.). Simulation case study #2: Painful rashLinks to an external site.. Walden University Canvas. https://waldenu.instructure.
com
To prepare:
- Review Learning Resources in Weeks 1–4.
- Download and review the “Comprehensive Health History Reference SheetDownload Comprehensive Health History Reference Sheet” and the “Physical Exam Reference SheetDownload Physical Exam Reference Sheet.”
- Access Simulation Case Study #2: Painful RashLinks to an external site..
- Review current evidence-based guidelines related to the patient complaint.
- Download the Assignment TemplateDownload Download the Assignment Template.
The Assignment
Based on the case, complete document a comprehensive health history (subjective data only) and a focused physical examination (objective data only).
Do NOT provide:
- A diagnosis
- A differential diagnosis list
- A treatment plan
- Prescriptions
- Patient education
This assignment evaluates assessment and documentation skills only.
Expand the health history and focused physical examination results as appropriate by identifying and documenting expected findings. You may include your own version of history sections as you see fit. In other words, you can formulate your own health history and objective data of the patient as long as it is properly documented.
Part I: Comprehensive Health History (Subjective Data Only)
Reminder: The health history includes only information provided by the patient. It should not include physical exam findings.
You must:
- Expand the HPI using OLDCARTS
- Write the HPI as a cohesive paragraph (not bullet points)
- Include complete PMH, PSH, medications, allergies, preventive health, social history, and SDOH
- Complete a comprehensive or focused ROS (subjective only)
Part II: Focused Physical Examination (Objective Data Only)
Part III: Reflection (1–2 pages)
By Sunday of Week 4
Submit your Assignment.
Submission Information
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Rubric
| Criteria | Ratings | Pts |
|---|---|---|
|
Part I: Comprehensive Health History (Subjective Data Only)… Demonstrates accurate and complete documentation of patient comprehensive health history (subjective data only).
|
25 to >22.35 ptsExcellentProvides accurate and complete documentation of patient comprehensive health history (subjective data only).
22.35 to >19.85 ptsGoodProvides a mostly accurate and complete patient comprehensive health history (subjective data only); may contain some minor errors.
19.85 to >0 ptsPoorDoes not provide documentation of patient health history (subjective data only); documentation is inaccurate and/or incomplete.
|
25 pts
|
|
Part II: Focused Physical Examination (Objective Data Only)… Demonstrates accurate and complete documentation of patient focused physical examination (objective data only).
|
25 to >22.35 ptsExcellentProvides accurate and complete documentation of patient focused physical examination (objective data only).
22.35 to >19.85 ptsGoodProvides a complete, mostly accurate documentation of patient focused physical examination (objective data only); may contain some minor errors.
19.85 to >0 ptsPoorDoes not provide documentation of patient focused physical examination (objective data only); data provided is inaccurate and/or incomplete.
|
25 pts
|
|
Part III: Reflection Section 1: Subjective vs. Objective Distinction…Identify two examples where it may have been challenging to separate subjective from objective data; Explain how you ensured that patient-reported symptoms remained in the history section; Explain how you ensured that only observable or measurable findings were included in the physical exam section.
|
15 to >13.41 ptsExcellentProvides two fully developed examples of situations that posed a challenge separating subjective and objective data… Fully explains how they ensured that patient-reported symptoms remained in the history section… Fully explains how they ensured that only observable or measurable findings were included in the physical exam section.
13.41 to >11.91 ptsGoodProvides two adequately developed examples of situations that posed a challenge separating subjective and objective data… Adequately explains how they ensured that patient-reported symptoms remained in the history section… Adequately explains how they ensured that only observable or measurable findings were included in the physical exam section.
11.91 to >0 ptsPoorDoes not provide examples of situations that posed a challenge separating subjective and objective data; explanations are unclear or incomplete.
|
15 pts
|
|
Part III: Reflection Section 2: Additional Assessment Questions… Identify 2–3 additional questions you would ask to strengthen your subjective assessment…. For each question: State the question; Briefly explain why it is important; Describe how the response could guide your focused physical examination
|
10 to >8.94 ptsExcellentIdentifies 2–3 additional questions they would ask to strengthen their subjective assessment… Provides a fully developed explanation of why the question is important… Provides a fully developed description of how the response could guide their focused examination.
8.94 to >7.94 ptsGoodIdentifies 2–3 additional questions they would ask to strengthen their subjective assessment… Provides an adequately developed explanation of why the question is important… Provides an adequately developed description of how the response could guide their focused examination.
7.94 to >0 ptsPoorDoes not identify 2–3 additional questions they would ask to strengthen their subjective assessment; the questions provided are unclear, inaccurate, or incomplete.
|
10 pts
|
|
Part III: Reflection… Section 3: Professional Growth… Identify one area of your assessment skills that you would like to improve (e.g., documenting vesicular lesions, describing rash morphology, lymph node assessment). Briefly explain how you plan to strengthen that skill.
|
10 to >8.94 ptsExcellentIdentifies one area of their assessment skills they would like to improve… Provides a fully developed explanations of how they plan to strengthen that skill.
8.94 to >7.94 ptsGoodIdentifies one area of their assessment skills they would like to improve… Provides an adequately developed explanations of how they plan to strengthen that skill.
7.94 to >0 ptsPoorDoes not identify one area of assessment skills they would like to improve; explanation is unclear, inaccurate, or incomplete.
|
10 pts
|
|
Uses at least 3 scholarly resources that are less than 5 years old.
|
5 to >4.46 ptsExcellentUses 3 peer-reviewed scholarly sources published within the last 5 years.
4.46 to >3.96 ptsGoodUses 2 peer-reviewed scholarly sources published within the last 5 years.
3.96 to >3.46 ptsFairUses 1 peer-reviewed scholarly source published within the last 5 years.
3.46 to >0 ptsPoorDoes not use peer-reviewed scholarly sources or sources used are older than 5 years.
|
5 pts
|
|
Source Attribution and APA Formatting
|
5 to >4.46 ptsExcellentAll sources are cited in APA format without any errors.
4.46 to >3.96 ptsGoodAll sources are cited in APA format with some minor errors.
3.96 to >3.46 ptsFairAll sources are cited with frequent APA formatting errors.
3.46 to >0 ptsPoorMissing source citations and/or minimal adherence to APA formatting rules.
|
5 pts
|
|
Grammar, Mechanics, and Punctuation
|
5 to >4.46 ptsExcellentCorrect grammar, spelling, and punctuation with no errors.
4.46 to >3.96 ptsGoodCorrect grammar, spelling, and punctuation with few errors.
3.96 to >3.46 ptsFairCorrect grammar, spelling, and punctuation with frequent errors.
3.46 to >0 ptsPoorFrequent errors in grammar, spelling, and punctuation that interfere with comprehension.
|
5 pts
|
Part I: Comprehensive Health History (Subjective Data Only)
Reminder: The health history includes only information provided by the patient. It should not include physical exam findings.
You must:
- Expand the HPI using OLDCARTS
- Write the HPI as a cohesive paragraph (not bullet points)
- Include complete PMH, PSH, medications, allergies, preventive health, social history, and SDOH
- Complete a comprehensive or focused ROS (subjective only)
Part I: Comprehensive Health History (Subjective Data Only)
Part II: Focused Physical Examination (Objective Data Only)
Reminder: The physical exam includes only what the clinician observes, palpates, percusses, or auscultates.
You must:
- Perform and document a focused examination appropriate to the chief complaint,
- Determine and document what objective findings you would expect to assess and record based on your clinical reasoning.
Documentation Expectations
You must:
- Clearly separate subjective and objective data
- Avoid including patient-reported symptoms in the physical exam section
- Avoid including exam findings in the history section
- Use professional medical terminology
- Demonstrate logical organization
- Align examination scope with the chief complaint
Evidence-Based Practice Requirement
Your documentation must incorporate a minimum of three, evidence-based scholarly references published within the last five years (≤ 5 years old). Cite all sources in APA format.
References must support:
- Clinical assessment of integumentary complaints
- Focused skin examination principles
- Any portion of the reflection section
Acceptable Sources:
- Peer-reviewed journal articles
- CDC clinical guidance
- IDSA guidelines
- Advanced practice nursing scholarly texts
- WHO clinical documents
Unacceptable Sources:
- Patient education websites (e.g., Mayo Clinic, Cleveland Clinic, WebMD, Healthline)
- Wikipedia
- Blogs or commercial health sites
All references must be cited in APA format.
Part II: Focused Physical Examination (Objective Data Only)
Part III: Reflection (1–2 pages)
After completing your comprehensive health history and focused physical examination, submit a reflection addressing the reflection prompts in the assignment template. This reflection is designed to help you strengthen your ability to clearly separate subjective and objective findings while performing an integumentary assessment.
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