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Module 04 Written Assignment – Nursing Diagnosis Purpose of the Assignment 1. Assist students in clustering assessment data

April 24, 2024

Module 04 Written Assignment – Nursing Diagnosis

Purpose of the Assignment

1. Assist students in clustering assessment data when developing a nursing diagnosis.

2. Develop students’ ability to write client based outcomes when planning care.

Course Competencies

· Explain components of multidimensional nursing care for clients with musculoskeletal disorders.

Scenario

Kacie Benson, a 19-year-old female, is a client on your unit due to a skiing accident. She is unconscious and may or may not regain consciousness. She is on complete bedrest. She requires frequent repositioning to maintain correct body alignment and attention to her range of motion (ROM). She responds to painful stimuli with slight non-purposeful withdrawal. No spontaneous movements are noted. A recent lower extremity ultrasound showed no evidence of venous thrombosis, and she continues on low molecular weight heparin injections. Her fluid and electrolyte balance is being maintained by a tube feeding at 60 mL per hour continuously. She is incontinent of stool and has an indwelling Foley catheter. Her heels are reddened, but otherwise, her skin is intact.

Instructions

Complete the template for Kacie Benson, considering her medical history and medications.

In this table, include this information:

· Three NANDA-I approved nursing diagnoses

· One SMART goal for each nursing diagnosis

· Two scholarly sources to support information in the care map.

· Cite sources in-text and on a reference page using APA format.

Resources

What is the SMART method? How do I set realistic goals?

Nurse Reference eBooks

APA 7th Edition Guide

Nursing Diagnosis	Nursing Diagnosis	Nursing Diagnosis

SMART Goal	SMART Goal	SMART Goal

Module 04 Written Assignment – Nursing Diagnosis grading Rubric

Total Assessment Points – 35

Levels of Achievement
Criteria	Mastery Advanced/exceeds achievement	Proficiency Clear/effective achievement	Competence Adequate/basic achievement	Emerging Limited/growing achievement	Not Submitted
Nursing Diagnosis 3 Points	3 Points			0 Points	0 Points
	Three NANDA-I diagnoses provided.	The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved.	The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved.	Three NANDA-I diagnoses not provided.	Did not submit.
Nursing Diagnosis 10 Points	10 Points	9 Points	8 Points	7 Points	0 Points
	Superior application of nursing diagnosis for the scenario.	Satisfactory nursing diagnosis for the scenario.	Reasonable nursing diagnosis for the scenario.	Inappropriate nursing diagnosis for the scenario.	Did not submit.
SMART Goals 3 Points	3 Points			0 Points	0 Points
	Included 1 SMART goal for each nursing diagnosis.	The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved.	The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved.	Did not include 1 SMART goal for each nursing diagnosis.	Did not submit.
SMART Goals 10 Points	10 Points	9 Points	8 Points	7 Points	0 Points
	Superior SMART goals.	Satisfactory SMART goals.	Reasonable SMART goals.	Inappropriate SMART goals.	Did not submit.
Scholarly Sources 5 Points	5 Points			0 Points	0 Points
	Included 2 scholarly sources.	The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved.	The achievement of this criteria is assessed at either the Emerging or Mastery levels. Demonstration of this action or skill is either achieved or not achieved.	Did not include 2 scholarly sources.	Did not submit.
	4 Points	3 Points	2 Points	1 Point	0 Points
Spelling, Grammar, APA Format and Style 4 Points	Exemplary format and style throughout with no spelling, grammar, or APA errors present.	Satisfactory format and style throughout, with minor spelling, grammar, or APA errors present.	Reasonable format and style throughout, with some spelling, grammar, or APA errors present that occasionally detract from reading.	Format and style throughout need development, with several spelling, grammar, or APA errors present that often detract from reading.	Did not submit.

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