Health Assessment

Scenario

A male nurse has been assigned to assess a new patient. The patient is a 58-year-old female who identifies as Muslim on her new patient forms. She does not speak English. She is accompanied by her husband (who also does not speak English) and her daughter. The daughter is acting as translator. The woman is alert and oriented, but she is not answering any of the questions asked of her. When asked a question, she looks at her husband who answers for her.

Wk 2 Summative Assessment: Patient Interviewing Reflection

Criteria Exemplary 90–100% A- to A

Proficient 74-89% C to B+

Developing  60-73% D to C-

Needs Improvement 0-59%

Health History

Weight: 20%

Thoroughly explained the process used to gather information on Tina Jones; included a full discussion of how the information from the health history helped them in assessing Tina’s symptoms; fully addressed how they engaged in therapeutic communication

Partially explained the process used to gather information on Tina Jones; partially included a brief discussion of how the information from the health history helped them in assessing Tina’s symptoms; partially addressed how they engaged in therapeutic communication

Inadequately explained the process used to gather information on Tina Jones; did not include a discussion of how the information from the health history helped them in assessing Tina’s symptoms; minimally addressed how they engaged in therapeutic communication

Vaguely explained or did not explain the process used to gather information on Tina Jones

Patient Health Conditions

Weight: 20%

Fully described the patient heath conditions that they were able to conclude based on the evidence they collected; accurately prioritized the patient’s needs and identified which require immediate care

Partially described the patient heath conditions that they were able to conclude based on the evidence they collected; somewhat accurately prioritized the patient’s needs and identified which require immediate care

Inadequately described the patient heath conditions that they were able conclude based on the evidence they collected; incorrectly prioritized the patient’s needs and misidentified which require immediate care

Vaguely described or did not describe the patient heath conditions that they were able to conclude based on the evidence they collected

Grading Rubrics NSG/523 v1 Page 3 of 10

Criteria Exemplary 90–100% A- to A

Proficient 74-89% C to B+

Developing  60-73% D to C-

Needs Improvement 0-59%

Cultural Competency

Weight: 20%

Provided several insightful ways of adapting the interview to ensure the patient’s culture is considered in order to make the patient more comfortable and inclined to provide more information regarding their immediate symptoms; adaptations showed a high degree of cultural sensitivity

Provided a few ways of adapting the interview to ensure the patient’s culture is considered in order to make the patient more comfortable and inclined to provide more information regarding their immediate symptoms; adaptations showed a degree of cultural sensitivity

Provided a few ways of adapting the interview to ensure the patient’s culture is considered, but the ways would not be very effective in making the patient feel comfortable; adaptations showed a limited degree of cultural sensitivity

Provided one way of adapting the interview to ensure the patient’s culture is considered, but it would unlikely make the patient comfortable, or did not provide any way of adapting the interview to ensure any culture considerations

Adjustments for Developmental Stages

Weight: 20%

Fully discussed the ways the interview could be adjusted based on the developmental state of the patient

Partially discussed the ways the interview could be adjusted the interview based on the developmental state of the patient

Inadequately discussed the ways the interview could be adjusted based on the developmental state of the patient

Vaguely discussed or did not discuss the ways the interview could be adjusted based on the developmental state of the patient

Technology and Population Health Data

Weight: 10%

Thoroughly described how technology could be used to obtain population health data that could be relevant to their patient

Partially described how technology could be used to obtain population health data that could be relevant to their patient

Inadequately described how technology could be used to obtain population health data that could be relevant to their patient

Vaguely described or did not describe how technology could be used to obtain population health data that could be relevant to their patient

Grading Rubrics NSG/523 v1 Page 4 of 10

Criteria Exemplary 90–100% A- to A

Proficient 74-89% C to B+

Developing  60-73% D to C-

Needs Improvement 0-59%

Expression of ideas or thought and audience awareness in oral communication Weight: 5%

Thoroughly expressed ideas and thoughts with words, using relevant content and appropriate forms of communication to convey the information; demonstrated comprehensive awareness of audience through use of effective delivery techniques, evidence, sources, and illustrations to support stance

Moderately expressed ideas and thoughts with words, using relevant content and appropriate forms of communication to convey the information; demonstrated adequate awareness of audience through use of effective delivery techniques, evidence, sources, and illustrations to support stance

Vaguely expressed ideas and thoughts with words, using relevant content and appropriate forms of communication to convey the information; demonstrated minimal awareness of audience through use of delivery techniques, evidence, sources, and illustrations to support stance

Did not sufficiently express ideas and thoughts with words, using relevant content and appropriate forms of communication to convey the information; did not sufficiently demonstrate awareness of audience through use of effective delivery techniques, evidence, sources, and illustrations to support stance

APA, grammar, and writing mechanics

Weight 3%

Accuracy in grammar, sentence structures, sentence boundaries, and word choice enhanced content; when applicable, attention to APA citation and formatting enhanced the content

Rare inaccuracies/errors in grammar, sentence structures, sentence boundaries, word choice; when applicable, APA citation and formatting did not detract from the content

Occasional inaccuracies/errors in grammar, sentence structures, sentence boundaries, and word choice; when applicable, APA citation and formatting detracted from the content

Frequent inaccuracies/errors in grammar, sentence structures, sentence boundaries, and word choice; when applicable, APA formatting made the content inaccessible

Supporting evidence

Weight: 2%

Student fully integrated relevant supporting evidence from quality sources

Student partially integrated relevant supporting evidence from quality sources

Student inadequately integrated relevant supporting evidence from quality sources

Student did not integrate relevant supporting evidence from quality sources

Grading Rubrics NSG/523 v1 Page 5 of 10

Wk 5 Summative Assessment: Cultural Competence Presentation

Criteria Exemplary 90–100% A- to A

Proficient 74-89% C to B+

Developing  60-73% D to C-

Needs Improvement 0-59%

Health disparities in the LGBTQ community

Weight: 10%

Provided numerous examples of the health disparities experienced by patients of the LGBTQ community; examples were historically based and supported by evidence

Provided some examples of the health disparities experienced by patients of the LGBTQ community; examples were historically based and supported by evidence

Provided limited examples of the health disparities experienced by patients of the LGBTQ community; did not provide evidence to support the examples

Provided one vaguely stated example or did not provide any examples of the health disparities experienced by patients of the LGBTQ community

Access to healthcare barriers

Weight: 10%

Accurately described the barriers this population may face in accessing health care

Partially described the barriers this population may face in accessing health care; description was mostly accurate

Inadequately described the barriers this population may face in accessing health care; accuracy of the description was questionable

Vaguely described or did not describe the barriers this population may face in accessing health care

Assessment strategy

Weight: 25%

Provided a strategy for decreasing the patient’s discomfort while being assessed that was based on the population’s needs and showed a high degree of cultural sensitivity; strategy would most likely produce the desired results

Provided a strategy for decreasing the patient’s discomfort while being assessed that was mostly based on the population’s needs and showed a notable degree of cultural sensitivity; strategy would likely produce the desired results

Provided a strategy for decreasing the patient’s discomfort while being assessed that was minimally based on the population’s needs and showed a low degree of cultural sensitivity; strategy was unlikely to produce the desired results

Provided a vague strategy or did not provide a strategy for decreasing the patient’s discomfort while being assessed

Grading Rubrics NSG/523 v1 Page 6 of 10

Criteria Exemplary 90–100% A- to A

Proficient 74-89% C to B+

Developing  60-73% D to C-

Needs Improvement 0-59%

Inclusion

Weight: 25%

Examples of inclusive language were insightful; included a discussion of pronoun preferences that showed a deep understanding of gender identity concerns of the patient

Examples of inclusive language were adequate; included a discussion of pronoun preferences that showed a good understanding of gender identity concerns of the patient

Examples of inclusive language were limited; included a discussion of pronoun preferences that showed a lack of understanding of gender identity concerns of the patient

Provided minimal examples of or did not provide any examples of inclusive language nor any discussion of pronoun preferences

Resources

Weight: 10%

Fully described the health care resources that are available for the LGBTQ community

Partially described the health care resources that are available for the LGBTQ community

Inadequately described the health care resources that are available for the LGBTQ community

Vaguely described or did not describe the health care resources that are available for the LGBTQ community

Age

Weight: 10%

Thoroughly addressed the influence the patient’s age can have on the assessment; provided examples of how different ages between adolescents and older adults would impact the assessment

Partially addressed the influence the patient’s age can have on the assessment; provided examples of how different ages between adolescents and older adults would impact the assessment

Inadequately addressed the influence the patient’s age can have on the assessment; provided no examples of how different ages between adolescents and older adults would impact the assessment

Vaguely addressed or did not address the influence the patient’s age can have on the assessment

Critical thinking and problem solving: analyze alternative

Weight: 5%

Fully recognized a need for a solution and thoroughly explored possible solutions

Moderately recognized a need for a solution and adequately explored possible solutions

Vaguely recognized a need for a solution and narrowly explored possible solutions

Did not or inaccurately recognized a need for a solution and did not explore possible solutions/explored infeasible solutions

Grading Rubrics NSG/523 v1 Page 7 of 10

Criteria Exemplary 90–100% A- to A

Proficient 74-89% C to B+

Developing  60-73% D to C-

Needs Improvement 0-59%

APA, grammar, and writing mechanics Weight 3%

Accuracy in grammar, sentence structures, sentence boundaries, and word choice enhanced content; when applicable, attention to APA citation and formatting enhanced the content

Rare inaccuracies/errors in grammar, sentence structures, sentence boundaries, word choice; when applicable, APA citation and formatting did not detract from the content

Occasional inaccuracies/errors in grammar, sentence structures, sentence boundaries, and word choice; when applicable, APA citation and formatting detracted from the content

Frequent inaccuracies/errors in grammar, sentence structures, sentence boundaries, and word choice; when applicable, APA formatting made the content inaccessible

Supporting evidence

Weight: 2%

Student fully integrated relevant supporting evidence from quality sources

Student partially integrated relevant supporting evidence from quality sources

Student inadequately integrated relevant supporting evidence from quality sources

Student did not integrate relevant supporting evidence from quality sources

Grading Rubrics NSG/523 v1 Page 8 of 10

Wk 6 Summative Assessment: Ethical and Legal Concerns in Advanced Health Assessment Paper

Criteria Exemplary 90–100% A- to A

Proficient 74-89% C to B+

Developing  60-73% D to C-

Needs Improvement 0-59%

Language barrier

Weight: 15%

Provided a complete response to how they will overcome the language barrier to obtain the patient’s health history

Provided an acceptable response to how they will overcome the language barrier to obtain the patient’s health history

Provided an inadequate response to how they will overcome the language barrier to obtain the patient’s health history

Provided an inappropriate response or did not provide any response to how they will overcome the language barrier to obtain the patient’s health history

Legal and ethical concerns

Weight: 20%

Thoroughly discussed the legal and ethical concerns that are produced by the scenario

Partially discussed the legal and ethical concerns that are produced by the scenario

Inadequately discussed the legal and ethical concerns that are produced by the scenario

Barely discussed or did not discuss the legal and ethical concerns that are produced by the scenario

Strategies and resources

Weight: 20%

Provided a comprehensive discussion of the strategies and resources that could help mitigate any ethical and legal concerns stemming from this patient visit

Provided a partial discussion of the strategies and resources that could help mitigate any ethical and legal concerns stemming from this patient visit

Provided an inadequate discussion of the strategies and resources that could help mitigate any ethical and legal concerns stemming from this patient visit

Provided a narrow discussion or did not provide any discussion of the strategies and resources that could help mitigate any ethical and legal concerns stemming from this patient visit

Grading Rubrics NSG/523 v1 Page 9 of 10

Criteria Exemplary 90–100% A- to A

Proficient 74-89% C to B+

Developing  60-73% D to C-

Needs Improvement 0-59%

Therapeutic communication

Weight: 15%

Fully discussed the therapeutic communication techniques that could be used to speak to the patient and family; techniques would show a high degree of empathy and make the patient and family feel more comfortable

Partially discussed the therapeutic communication techniques that could be used to speak to the patient and family; techniques would show some empathy and make the patient and family feel somewhat comfortable

Inadequately discussed the therapeutic communication techniques that could be used to speak to the patient and family; techniques would show slight empathy but would have no impact on making the patient and family feel comfortable

Provided a narrow discussion of the therapeutic communication techniques that could be used to speak to the patient and family or did not provide any discussion of therapeutic communication techniques

Cultural barriers

Weight: 20%

Provided culturally sensitive responses to cultural barriers; responses were creative and would most likely remove the barrier

Provided responses that were most culturally sensitive to cultural barriers; responses were adequate and may remove the barriers

Provided responses that lack cultural sensitivity to cultural barriers; responses would unlikely remove the barriers

Provided a narrow response or did not provide any responses to cultural barriers

Critical thinking and problem solving: Analyze alternative

Weight: 5%

Fully recognized a need for a solution and thoroughly explored possible solutions

Moderately recognized a need for a solution and adequately explored possible solutions

Vaguely recognized a need for a solution and narrowly explored possible solutions

Did not or inaccurately recognized a need for a solution; did not explore possible solution or explored impractical solutions

Grading Rubrics NSG/523 v1

Page 10 of 10

Criteria Exemplary 90–100% A- to A

Proficient 74-89% C to B+

Developing  60-73% D to C-

Needs Improvement 0-59%

APA, grammar, and writing mechanics

Weight 3%

Accuracy in grammar, sentence structures, sentence boundaries, and word choice enhanced content; when applicable, attention to APA citation and formatting enhanced the content

Rare inaccuracies/errors in grammar, sentence structures, sentence boundaries, word choice; when applicable, APA citation and formatting did not detract from the content

Occasional inaccuracies/errors in grammar, sentence structures, sentence boundaries, and word choice; when applicable, APA citation and formatting detracted from the content

Frequent inaccuracies/errors in grammar, sentence structures, sentence boundaries, and word choice; when applicable, APA formatting made the content inaccessible

Supporting evidence

Weight: 2%

Student fully integrated relevant supporting evidence from quality sources

Student partially integrated relevant supporting evidence from quality sources

Student inadequately integrated relevant supporting evidence from quality sources

Student did not integrate relevant supporting evidence from quality sources

NSG/523 Grading Rubrics
- Wk 2 Summative Assessment: Patient Interviewing Reflection
- Wk 5 Summative Assessment: Cultural Competence Presentation
- Wk 6 Summative Assessment: Ethical and Legal Concerns in Advanced Health Assessment

Health Assessment

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