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Client Challenges

NR509 Advanced Physical Assessment

Week 2 Discussion

Client Challenges




The purpose of the graded collaborative discussions is to engage faculty and students in an interactive dialogue to assist the student in organizing, integrating, applying, and critically appraising knowledge regarding advanced health assessment. Meaningful dialogue among faculty and students fosters the development of a learning community as ideas, perspectives, and knowledge are shared.


Course Outcomes


This discussion enables the student to meet the following course outcomes:


CO1: Apply advanced practice nursing knowledge to collecting health history information and physical examination findings for various patient populations.?


CO4:?Adapt health history and physical examination skills to the developmental, gender-related, age-specific, and special population needs of the individual patient.?


CO5: Conduct focused and comprehensive health histories and examinations for various patient populations.


Preparing the Assignment


Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.


Some clients may present specific challenges to the interview and physical examination. Nurse practitioners must be able to identify behaviors that impede the assessment and consider strategies to provide care to these clients. 


Review the assigned topics?listed by the first letter of your first name. For example, if your first name begins with the letter G then then your?assigned topic is?the approach to a flirtatious client.


The First Letter of Your First Name           Topic


A – D      Argumentative client


E – H       Flirtatious client


I – L         Talkative client


M – P     Client who displays racist or discriminatory behavior


Q – T       Adolescent client who is reluctant to answer questions


U – Z       Violent client


Complete the following requirements:




Create a sample scenario based on your assigned topic. Describe potential client behaviors consistent with the concern listed. 


Discuss an appropriate and professional approach to address the behavior and communicate with the client.


Provide an example of how you would document the encounter. 


 Integration of Evidence: Provide support?from?a?minimum of?one?scholarly?in-text citation?in addition to the textbook.??


Engagement in Meaningful Dialogue: Respond to a student peer and course faculty to further dialogue.?


Peer Response: Respond?substantively?to at least?one?topic-related?post?by?a?student?peer with a different topic from the initial post. A?substantive?post?adds content?or?insights?or?asks?a?question?that?will?add to the?learning?experience?and/or generate?discussion.???


Faculty Response: Respond substantively?to at least?one?question?by?course faculty. The faculty question may be directed to the student, to another student, or to the entire class.?????


Professionalism in Communication: Present information in a logical, meaningful, and understandable sequence that is clearly relevant to the discussion topic.??


Grammar, spelling, and/or punctuation are accurate.?


Good writing calls for the limited use of direct quotes. Direct quotes in discussions are to be limited to one short quotation (not to exceed 10 words). The quote must add substantively to the discussion.?


Reference Citation:?Provide references with complete information as required by APA (0-1 errors). Include in-text citations included for all references, AND references for all in-text citations (0 errors).?


Wednesday Participation Requirement: Provide?a?substantive?response to the graded?discussion?question(s) or topic(s),?posted by?the?course?faculty?(not?a?response?to a peer),?by?Wednesday,?11:59 p.m. MT?of?each week.?


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.?? ?


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