This document provides instructions for a nursing student assignment to document a neurological assessment. Students are asked to:
1) Perform a subjective assessment of a neurological problem including symptoms, medications, and allergies.
2) Conduct an objective neurological exam covering mental status, cranial nerves, reflexes, coordination, motor and sensory function.
3) Identify 2 actual or potential risk factors based on exam findings.
The assignment should be submitted in APA format and will be graded based on inclusion of required elements and clarity of writing.
TitleDocumentation of problem-based assessment of the neurolo
1. Title:
Documentation of problem-based assessment of the neurological
system.
Purpose of Assignment:
Learning the required components of documenting a problem
based subjective and objective assessment of neurological
system. Identify abnormal findings.
You will perform a history of a neurologic problem that you
mor one that you have experienced and perform an assessment
of the neurologic system. You will document your subjective
and objective findings, identify actual or potential risks, and
submit this in a Word document to the drop box provided.
Course Competency:
Apply assessment techniques for the neurological and
respiratory systems.
Instructions:
Content: Use of three sections:
· Subjective
· Objective
· Actual or potential risk factors for the client based on the
assessment findings with description or reason for selection of
them.
Format:
· Standard American English (correct grammar, punctuation,
etc.)
· No Consideration for plagiarism
2. · WRITE NURSE PERSPECTIVE
· USE NURSE CONCEPT
· APA FORMAT 7EDITION, INTEXT CITATION, AND
THREE REFERENCES
· 2PAGES
MAKE SURE FOLLOE Documentation Grading Rubric- 10
possible points
Levels of Achievement
Criteria
Emerging
Competence
Proficiency
Mastery
Subjective
(4 Pts)
Missing components such as biographic data, medications, or
allergies. Symptoms analysis is incomplete. May contain
objective data.
Basic biographic data provided. Medications and allergies
included. Symptoms analysis incomplete. Lacking detail. No
objective data.
Basic biographic data provided. Included list of medications and
allergies. Symptoms analysis: PQRSTU completed. Lacking
detail. No objective data. Information is solely what “client”
provided.
Basic biographic data provided. Included list of medications and
allergies. Symptoms analysis: PQRSTU completed. Detailed. No
objective data. Information is solely what “client” provided.
Points: 1
Points: 2
Points: 3
Points:4
3. Objective
(4 Pts)
Missing components of assessment for particular system. May
contain subjective data. May have signs of bias or explanation
of findings. May have included words such as “normal”,
“appropriate”,
“okay”, and “good”.
Includes all components of assessment for particular system.
Lacks detail. Uses words such as “normal”, “appropriate”, or
“good”. Contains all objective information. May have signs of
bias or explanation of findings.
Includes all components of assessment for particular system.
Avoided use of words such as “normal”, “appropriate”, or
“good”. No bias or explanation for findings evident Contains
all objective information
Includes all components of assessment for particular system.
Detailed information provided. Avoided use of words such as
“normal”, “appropriate”, or “good”. No bias or explanation for
findings evident. All objective information
Points: 1
Points: 2
Points: 3
Points: 4
Actual or Potential Risk Factors
(2 pts)
Lists one to two actual or potential risk factors for the client
based on the assessment findings with no description or reason
for selection of them. Failure to provide any potential or actual
risk factors will result in zero points for this criterion.
Brief description of one or two actual or potential risk factors
for the client based on assessment findings with description or
reason for selection of them.
Limited description of two actual or potential risk factors for
4. the client based on the assessment findings with description or
reason for selection of them.
Comprehensive, detailed description of two actual or potential
risk factors for the client based on the assessment findings with
description or reason for selection of them.
Points: 0.5
Points: 1
Points: 1.5
Points: 2
Title:
Documentation of
problem
-
based
assessment of the
neurologic
al
system
.
Purpose of Assignment:
Learning
the required components of documenting a problem based
subjective and objective
assessment
5. of
neurologic
al
system
. Identify abnormal
findings.
You will perform a history of a neurologic problem that you
mor one that you have experienced
and perform an assessment of the neurologic system. You will
document your subjective and
objective findings, identify actual or potential risks, and su
bmit this in a Word document to the
drop box provided.
Course Competency:
Apply assessment techniques for the neurological and
respiratory systems.
Instructions:
Content:
Use of three sections:
o
Subjective
6. o
Objective
o
A
ctual or potential risk
factors for the client based on the assessment findings
with description or reason for selection of them.
Format
:
·
Standard American English (correct grammar, punctuation, etc.)
·
No Consideration for plagiarism
·
WRITE
NURSE
PERSPECTIVE
·
USE
NURSE
CONCEPT
7. ·
APA FORMAT 7
EDITION, INTEXT
CITATION, AND THREE REFERENCES
·
2PAGES
MAKE SURE FOLLOE
Documentation Grading Rubric
-
10
possible points
Levels of Achievement
Criteria
Emerging
Competence
Proficiency
Mastery
Title:
Documentation of problem-based assessment of the neurological
8. system.
Purpose of Assignment:
Learning the required components of documenting a problem
based subjective and objective
assessment of neurological system. Identify abnormal findings.
You will perform a history of a neurologic problem that you
mor one that you have experienced
and perform an assessment of the neurologic system. You will
document your subjective and
objective findings, identify actual or potential risks, and submit
this in a Word document to the
drop box provided.
Course Competency:
Apply assessment techniques for the neurological and
respiratory systems.
Instructions:
Content: Use of three sections:
o Subjective
o Objective
o Actual or potential risk factors for the client based on the
assessment findings
with description or reason for selection of them.
Format:
etc.)
9. THREE REFERENCES
MAKE SURE FOLLOE Documentation Grading Rubric- 10
possible points
Levels of Achievement
Criteria
Emerging Competence Proficiency Mastery
SCI 200 Project Part One: Research Question Guidelines and
Rubric
Overview: Now that you have identified an issue in the natural
sciences to research for your project, the next step is to
formulate a specific research question to
investigate in your planning document. For example, if your
10. topic was electric cars, the following is an example question
that would narrow the focus of your
research: “What advances must be made in electric car
technology and usage to have an impact on climate change?” As
you develop your research question,
think about how English physician John Snow was forced to
develop his questions, and how they had to change over time.
With that in mind, you will investigate
sources for your chosen topic, so your research question may
evolve as you discover more details related to your topic.
Remember that science is an iterative
process.
Prompt: Articulate a clear and specific research question related
to the topic that you would like to investigate. You will submit
this question to your instructor
for feedback and guidance while shaping the direction of your
planning document.
Specifically, the following critical element must be addressed:
develop a specific research question. In other words, what
would you like to know more about
the topic?
Rubric
Guidelines for Submission: Your research question should be
one to two sentences, double spaced, with 12-point Times New
Roman font and one-inch margins.
Critical Elements Proficient (100%) Needs Improvement (75%)
Not Evident (0%) Value
Research Question Develops specific research
11. question related to chosen
topic
Develops specific research
question related to chosen
topic, but lacks specificity or
not clearly related to chosen
topic
Does not develop specific
research question related to
chosen topic
80
Articulation of
Response
Submission has no major errors
related to citations, grammar,
spelling, syntax, or organization
Submission has major errors
related to citations, grammar,
spelling, syntax, or organization
that negatively impact
readability and articulation of
main ideas
Submission has critical errors
related to citations, grammar,
spelling, syntax, or organization
that prevent understanding of
ideas
20
12. Total 100%
SCI 200 Project Part One: Research Question Guidelines and
Rubric Rubric
Clients Presentation: ( Your client can make up whatever they
want. They can be as dramatic. Have fun with it!)
Subjective Data :
Objective Data :
Mental Status Assessment-
Cranial Nerve Assessment-
Reflexes-
Coordination –
Motor Testing-
Sensory Testing-
Describe 2 Actual/Potential Risk Factors ( 2 points):
Clients Presentation:
( Your client can make up whatever they want. They can be as
dramatic. Have fun
with it!)
14. -
Describe 2 Actual/Potential Risk Factors ( 2 points):
Clients Presentation: ( Your client can make up whatever they
want. They can be as dramatic. Have fun
with it!)
Subjective Data :
Objective Data :
Mental Status Assessment-
Cranial Nerve Assessment-
Reflexes-
Coordination –
Motor Testing-
Sensory Testing-
Describe 2 Actual/Potential Risk Factors ( 2 points):