mds4.docx
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
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Nursing Diagnosis
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Nursing Diagnosis
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Nursing Diagnosis
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SMART Goal
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SMART Goal
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SMART Goal
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Module 04 Written Assignment – Nursing Diagnosis grading Rubric
Total Assessment Points – 35
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Levels of Achievement
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Criteria
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Mastery
Advanced/exceeds achievement
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Proficiency
Clear/effective achievement
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Competence
Adequate/basic achievement
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Emerging
Limited/growing achievement
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Not Submitted
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Nursing Diagnosis
3 Points
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3 Points
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0 Points
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0 Points
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Three NANDA-I diagnoses provided.
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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.
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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.
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Three NANDA-I diagnoses not provided.
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Did not submit.
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Nursing Diagnosis
10 Points
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10 Points
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9 Points
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8 Points
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7 Points
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0 Points
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Superior application of nursing diagnosis for the scenario.
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Satisfactory nursing diagnosis for the scenario.
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Reasonable nursing diagnosis for the scenario.
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Inappropriate nursing diagnosis for the scenario.
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Did not submit.
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SMART Goals
3 Points
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3 Points
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0 Points
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0 Points
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Included 1 SMART goal for each nursing diagnosis.
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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.
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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.
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Did not include 1 SMART goal for each nursing diagnosis.
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Did not submit.
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SMART Goals
10 Points
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10 Points
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9 Points
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8 Points
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7 Points
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0 Points
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Superior SMART goals.
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Satisfactory SMART goals.
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Reasonable SMART goals.
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Inappropriate SMART goals.
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Did not submit.
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Scholarly Sources
5 Points
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5 Points
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0 Points
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0 Points
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Included 2 scholarly sources.
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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.
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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.
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Did not include 2 scholarly sources.
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Did not submit.
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4 Points
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3 Points
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2 Points
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1 Point
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0 Points
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Spelling, Grammar, APA Format and Style
4 Points
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Exemplary format and style throughout with no spelling, grammar, or APA errors present.
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Satisfactory format and style throughout, with minor spelling, grammar, or APA errors present.
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Reasonable format and style throughout, with some spelling, grammar, or APA errors present that occasionally detract from reading.
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Format and style throughout need development, with several spelling, grammar, or APA errors present that often detract from reading.
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Did not submit.
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