NR 507 Week 3 Discussion: Client Scenario
NR 507 Week 3 Discussion: Client Scenario – Step-by-Step Guide
The first step before starting to write the NR 507 Week 3 Discussion: Client Scenario, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment.
It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.
How to Research and Prepare for NR 507 Week 3 Discussion: Client Scenario
The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list.
You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.
How to Write the Introduction for NR 507 Week 3 Discussion: Client Scenario
The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.
How to Write the Body for NR 507 Week 3 Discussion: Client Scenario
The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.
How to Write the In-text Citations for NR 507 Week 3 Discussion: Client Scenario
In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:
The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.
How to Write the Conclusion for NR 507 Week 3 Discussion: Client Scenario
When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.
How to Format the Reference List for NR 507 Week 3 Discussion: Client Scenario
The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication.
Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:
References
Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456
Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.
NR 507 Week 3 Discussion: Client Scenario Instructions
Purpose
The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in applying pathophysiology knowledge. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared. This discussion will support the professional formation of the nurse practitioner (NP) role. Have a look at NR507 Week 4 Collaboration Café Discussion.
Course Outcomes
This discussion enables the student to meet the following course outcomes:
- CO 1: Analyze pathophysiologic mechanisms associated with selected disease states across the lifespan.
- CO 2: Examine the way in which homeostatic, adaptive, and compensatory physiological mechanisms can be supported and/or altered through specific therapeutic interventions across the lifespan.
- CO 3: Distinguish risk factors associated with selected disease states across the lifespan.
- CO 4: Integrate advanced pathophysiological concepts in the diagnosis and treatment of health problems in selected populations.
- CO 5: Relate research findings to the management of patients with complex pathophysiologic dysfunction.
Due Date
Initial posts are due to the discussion forum by Wednesday at 11:59 p.m. MT. Instructor and peer responses are due by Sunday at 11:59 p.m. MT. Students must post on a minimum of two separate days. A 10% late penalty will be imposed for discussions posted after the deadline Wednesday at 11:59 p.m. MT, regardless of the number of days late. NOTHING will be accepted after 11:59 p.m. MT on Sunday (i.e., the student will receive an automatic 0).
Total Points Possible: 50
Preparing the Assignment
Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.
General Instructions
The purpose of this discussion is to examine an assigned disease process and determine which disease process explored in the discussion Janessa, the client, is experiencing. Follow the instructions below and your faculty member will reveal which disease process Janessa is experiencing at the end of the discussion week.
Step 1: Review the following client scenario:
Janessa, a 41-year-old female client, presents to the NP complaining of shortness of breath, weakness, and dizziness for “about a month.” She denies having a cough or recent illness. She has a history of endometriosis, and her physical assessment reveals her lungs are clear to auscultation bilaterally, and her mucous membranes are pale.
Step 2: Review your assigned disease process from the chart below. Your assigned disease process is based on the first letter of your last name.
| Last Name | Disease Process |
| A – H | Condition: Anemia |
| I – P | Condition: Heart Failure |
| Q – Z | Condition: Asthma |
Step 3: Review your assigned disease process and answer the discussion prompts below with explanation and detail, providing complete references for all citations.
Step 4: Reply to a peer with a different assigned condition.
Include the following sections:
1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
- Discuss the underlying pathophysiological mechanisms of your assigned disease process. Which clinical manifestations observed in Janessa’s case could be explained by the pathophysiological mechanisms?
- Analyze Janessa’s clinical manifestations in the context of your assigned disease process. Do these findings support a diagnosis of your assigned disease process? Why or why not?
- Identify and justify the diagnostic tests (including labs, imaging, or other diagnostic tests) that would be most appropriate for investigating a diagnosis of your assigned disease process in Janessa. What could the results of these tests look like in your assigned disease process?
- Compare and contrast your response with a peer who was assigned a different condition. Does their condition fit Janessa’s case? Why or why not?
2. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations:
- Cite a scholarly source in the initial post.
- Cite a scholarly source in one faculty response post.
- Cite a scholarly source in one peer post.
- Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
- Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
3. Engagement in Meaningful Dialogue: Engage peers and faculty by asking questions and offering new insights, applications, perspectives, information, or implications for practice.
- Peer Response: Respond to at least one peer on a topic other than the initially assigned topic.
- Faculty Response: Respond to at least one faculty post.
- Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.
4. Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
5. Reference Citation: Use current APA format to format citations and references free of errors.
6. Wednesday Participation Requirement: Provide a substantive response to the graded discussion topic (not a response to a peer or faculty) by Wednesday, 11:59 p.m. MT of each week.
7. Total Participation Requirement: Provide at least three substantive posts (one to the initial question or topic, one to a student peer, and one to a faculty question) on two different days during the week.
**To view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar above the discussion board title and then Show Rubric.
NR 507 Week 3 Discussion: Client Scenario Example
Patient with Congestive Heart failure
Congestive heart failure (CHF) occurs when the heart is unable to pump blood effectively, leading to an insufficient oxygen and nutrient supply to tissues. This insufficiency causes blood to back up in the veins, leading to congestion in various parts of the body, including the lungs in left-sided heart failure and the abdomen in right-sided heart failure. The pathophysiology of CHF can be divided into several stages, with initial compensation mechanisms such as activation of the renin-angiotensin-aldosterone system (RAAS) and increased sympathetic nervous system activity (Zhang et al., 2022). These compensatory mechanisms temporarily improve perfusion but eventually exacerbate the condition. Over time, the heart’s ability to increase output diminishes, leading to fluid retention, pulmonary edema, and systemic symptoms like fatigue, weakness, and shortness of breath.
Janessa’s presenting symptoms can be related to several pathophysiological mechanisms of CHF, such as shortness of breath, weakness, and pale mucous membranes. In CHF, particularly left-sided heart failure, the heart’s inability to pump blood efficiently causes fluid to accumulate in the lungs, known as pulmonary congestion, leading to symptoms like shortness of breath and orthopnea.
Although Janessa does not report a cough, her complaint of shortness of breath could be indicative of fluid buildup in the lungs. Additionally, weakness can be caused by decreased cardiac output, leading to inadequate tissue perfusion, including that of the brain and muscles. This could explain her complaints of weakness and dizziness, as decreased oxygen delivery to these tissues results in fatigue. Moreover, pale mucous membranes may be a sign of poor oxygenation or reduced blood flow, which could occur in CHF due to decreased cardiac output and peripheral vasoconstriction.
Janessa’s symptoms could be related to CHF, although they are more likely associated with other conditions, such as anemia. Her complaints of shortness of breath, weakness, and dizziness, along with pale mucous membranes, align with symptoms commonly observed in anemia. The absence of cough, hemoptysis, adventitious breath sounds, pulmonary congestion, edema, weight gain, ascites, or distended neck veins, which are more commonly associated with CHF, makes anemia a more arguable diagnosis. Additionally, no other chronic diseases are noted that are associated with CHF, like hypertension, diabetes, hyperlipidemia, and peripheral vascular disease. However, further testing could be done to rule out CHF.
To rule out CHF as the cause of Janessa’s symptoms, the following diagnostic tests could be performed: an echocardiogram, B-type natriuretic peptide (BNP), chest x-ray, and electrocardiogram. An echocardiogram is the gold standard imaging test to evaluate heart function. An echocardiogram will provide information about left and right ventricular function, ejection fraction, and any valvular dysfunction. In CHF, a reduced ejection fraction <40% is typically seen in systolic heart failure, while diastolic heart failure may present with a normal ejection fraction but impaired filling of the heart (Zhang et al., 2022).
Elevated BNP levels are a marker of heart failure. BNP is released in response to increased ventricular pressure and fluid overload, making it a key biomarker in the diagnosis of CHF. An expected BNP in heart failure is typically greater than 100 pg/mL. A chest X-ray can show signs of pulmonary congestion or edema, and cardiomegaly, which would be indicative of left-sided heart failure. An ECG can help identify arrhythmias or other signs of heart disease that could be contributing to CHF.
As stated above, anemia may be a more likely diagnosis. Anemia is characterized by a reduced number of red blood cells or hemoglobin, resulting in a decreased oxygen-carrying capacity of the blood (Hirosawa et al., 2022). In Janessa’s case, anemia could explain her symptoms of weakness, dizziness, shortness of breath, and pale mucous membranes, especially when considering her history of endometriosis. Heavy bleeding depletes iron stores in the body and can result in anemia.
While both CHF and anemia can cause fatigue, dizziness, and pallor, the primary mechanism in CHF is poor cardiac output. In contrast, anemia results from insufficient oxygen delivery due to a lack of red blood cells or hemoglobin. Key diagnostic tests to rule out anemia may include a complete blood count (CBC) focusing on the mean corpuscular hemoglobin concentration (MCHC) which is a measure of the concentration of hemoglobin in a red blood cell, a peripheral blood smear examination to determine the size, shape, and color of the blood cells, or levels such as iron, vitamin B-12, folate, or erythropoietin.
References
Hirosawa, T., Hayashi, A., Harada, Y., & Shimizu, T. (2022). The Clinical and Biological Manifestations in Women with Iron Deficiency Without Anemia Compared to Iron Deficiency Anemia in a General Internal Medicine Setting: A Retrospective Cohort Study. International Journal of General Medicine, 15, 6765–6773. https://doi.org/10.2147/IJGM.S376405
Zhang, X., Qiu, P., Prushinskaya, A., Jiang, Y., Fan, H., & Yang, S. (2022). Characteristics of emergency department admissions with congestive heart failure in the United States: a Nationwide cross-sectional study. BMC Emergency Medicine, 22(1), 16–16. https://doi.org/10.1186/s12873-021-00564-7
