NR509 Week 4 Discussion: NP-Client Interaction and Communication Challenges

ByDaniel Rossi Updated on

NR509 Week 4 Discussion: NP-Client Interaction and Communication Challenges – Step-by-Step Guide

The first step before starting to write the NR509 Week 4 Discussion: NP-Client Interaction and Communication Challenges is 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 paper’s audience and purpose, as this will 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, review its use, including writing citations and referencing the resources used. You should also review the formatting requirements for the title page and headings in the paper, as outlined by Chamberlain University.

How to Research and Prepare for NR509 Week 4 Discussion: NP-Client Interaction and Communication Challenges

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify a list of keywords related to your topic using various combinations. The first step is to visit the Chamberlain 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 the Chamberlain University Library, PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last 5 years and go through each to check for credibility. Ensure that you obtain the references in the required format, such as 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. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next, create a detailed outline of the paper to help you develop headings and subheadings for the content. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NR509 Week 4 Discussion: NP-Client Interaction and Communication Challenges

The introduction of the paper is the most crucial part, as it helps provide the context of your work and determines whether the reader will be interested in reading through to the end. Begin 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 NR509 Week 4 Discussion: NP-Client Interaction and Communication Challenges

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 collected from the research, and ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance, as well as how it relates to the thesis statement. You should maintain a logical flow between paragraphs by using transition words and a flow of ideas.

How to Write the In-text Citations for NR509 Week 4 Discussion: NP-Client Interaction and Communication Challenges

In-text citations help readers give credit to the authors of the references they have used in their work. 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 Morelli et al. (2024), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Alawiye (2024) highlights 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 NR509 Week 4 Discussion: NP-Client Interaction and Communication Challenges

When writing the conclusion of the paper, start by restating 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. Conclude with a call to action that leaves a lasting impression on the reader or offers recommendations.

How to Format the Reference List for NR509 Week 4 Discussion: NP-Client Interaction and Communication Challenges

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

Morelli, S., Daniele, C., D’Avenio, G., Grigioni, M., & Giansanti, D. (2024). Optimizing telehealth: Leveraging Key Performance Indicators for enhanced telehealth and digital healthcare outcomes (Telemechron Study). Healthcare, 12(13), 1319. https://doi.org/10.3390/healthcare12131319

Alawiye, T. (2024). The impact of digital technology on healthcare delivery and patient outcomes. E-Health Telecommunication Systems and Networks, 13, 13-22. 10.4236/etsn.2024.132002.

NR509 Week 4 Discussion: NP-Client Interaction and Communication Challenges Example

Create a scenario depicting an interaction between an NP and a client. Describe the setting and type of encounter.  

An NP is meeting a client in a small exam room in a primary care office. The NP Allie is sitting at a desk reviewing the patient Charlie’s chart. Charlie, a 33-year-old male, has come in for his routine check-up and is sitting on the examination table, awaiting the examination. He is acting playfully and very informally, rather than professionally. Allie approaches Charlie in a friendly manner, stating, “How are you feeling today?” Have a look at NR509 Week 5 iHuman Virtual Patient Encounter Felipe Garcia.

Charlie responds, smiling, “My day is great, but I am better now that I am here with you. You must be the reason people are lining up to come to this office.” Allie maintains her professionalism and responds, “I’m glad you’re having a good day. Let’s review some details to ensure you are in good health. Your blood pressure is normal, but your cholesterol level was slightly elevated at your last visit. Have you made any lifestyle changes as far as diet and exercise?” Charlie leans forward and responds, grinning, “That depends.

Would you like to grab dinner with me? You could give me diet tips in person.” Allie maintains good eye contact and continues to be professional by setting a boundary and reinstating the purpose of this interaction. She states, “Charlie, I am here to focus on your health today. I take my job seriously and am committed to ensuring you feel your best. Is there anything else you would like to discuss about your health today?” Charlie quickly realizes she is being serious and refrains from making any more flirty or unprofessional advances towards Allie.

Describe the client’s challenging behaviors related to the topic assigned.

Charlie was exhibiting extremely flirtatious behaviors with inappropriate invitations toward his NP Allie. Charlie made flirtatious comments, such as commenting on Allie’s looks and suggesting they meet outside the medical office. Charlie was inappropriate by asking Allie to dinner and using his health as an excuse. This was also very manipulative and blurred the line between personal and professional intentions.

Examine the potential impact of the client’s behavior on the client-provider relationship.

The behaviors exhibited by this patient during the encounter pose challenges to the client-provider relationship, as they distract from the patient’s health concerns, blur the lines of professionalism required in a clinical setting, and could hinder open communication between the client and provider. Additionally, this encounter has potential ethical and legal implications that could jeopardize the provider’s practice and license.

According to Peregrin (2018), romantic or sexual interactions between patients and providers are unethical and distract from the patient obtaining quality health care. The patient could have misinterpreted the provider’s responses and accused her of harassment or inappropriate behavior if she had not responded by setting clear boundaries. This interaction can impact the client-provider relationship and communication because it disrupts the focus of care, undermines trust, and creates an uncomfortable situation. The provider may want to transfer the client’s care to another provider to avoid a similar compromising situation.

Analyze techniques to enhance communication with the client and address the client’s behavior.

Some techniques that Peregrin (2018) describes that providers can use to improve communication that would address inappropriate behavior such as what was displayed in this scenario would be to refrain from disclosing personal information or stories to patients, do not allow any behavior that is sexual in nature like flirting or inappropriate jokes, and to document any intimate conversations or physical touching, even if it is professional. These techniques will protect the provider in uncomfortable or unprofessional situations and enable them to maintain professional working relationships with clients.

Create sample documentation for the encounter.

Chief Complaint: Routine check-up.

HPI: Charlie is a 33-year-old male who presents for a routine visit with no acute complaints. He acknowledges that he has attempted dietary changes since his last visit, but admits to being inconsistent. The patient displayed flirtatious behavior during the encounter, including making personal comments and requesting non-professional interaction outside of the office. Redirected to focus on his goals for health improvement.

PMH: Hyperlipidemia.

Medications: None.

Allergies: None.

Social History: No tobacco, drug, or alcohol use. Works full-time.

Family History: Unknown health history of parents.

Physical:

General- Well-groomed, cooperative, but flirtatious in demeanor.

Cardiovascular- Regular rate and rhythm. No murmurs, gallops, or rubs auscultated.

Respiratory – Lungs are clear bilaterally on auscultation.

Abdomen- Flat, soft, non-tender. Present bowel sounds in all quadrants.

Neurological- A&Ox3. Pupils are equal and brisk. Speech normal.

Plan:

  • Repeat lipid panel in 6 months.
  • Continue lifestyle modifications with diet and exercise.
  • Schedule follow-up in 6 months or sooner if the patient exhibits new symptoms.
  • Professional boundaries were reinforced during the encounter, with the focus redirected to the patient’s health.

Patient Education:

  • Discussed the importance of diet and exercise for cholesterol management.
  • Provided patient with educational materials on cardiac diets and cholesterol management.

References

Peregrin, T. (2018). Maintaining Professional Boundaries in the Practitioner– Patient/Client Relationship. Journal of the Academy of Nutrition and Dietetics, 118(11), 2174–2177. https://doi.org/10.1016/j.jand.2018.07.020