NR509 Assignment Week 5: i-Human Virtual Patient Encounter

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Course
NR509 Advanced Physical Assessment

Purpose:
This assignment allows students to practice advanced nursing assessment and clinical reasoning skills in a virtual patient scenario. Students gather comprehensive subjective and objective data, identify key findings, develop a problem statement, and create a management plan aligned with evidence-based practice.

Step-by-Step Approach to Completing the Comprehensive i-Human Case:

  1. Comprehensive Health History
    1. Complete a comprehensive health history. Scores are automatically calculated within the i-Human platform when the health history is submitted.
  2. Comprehensive Physical Exam
    1. Complete a comprehensive physical exam. Scores are automatically calculated within the i-Human platform when the health history is submitted.
  3. EHR Documentation (Subjective Data): Document the history of present illness (HPI) and focused review of systems (ROS). Documentation must be:
    1. accurate
    2. detailed
    3. written using professional terminology
    4. pertinent to the chief complaint
    5. includes subjective findings only
  4. EHR Documentation (Objective Data): Document physical exam findings. Documentation must be:
    1. accurate
    2. detailed
    3. written using professional terminology
    4. pertinent to the chief complaint
    5. include objective findings only
  5. Key Findings: Organize key findings from the history and physical exam.
  6. Problem Statement: Document a brief, accurate problem statement using professional language. Include the following components:
    1. name or initials, age
    2. chief complaint
    3. positive and negative subjective findings
    4. positive and negative objective findings
  7. Management Plan: Use the expert diagnosis provided to create a pertinent comprehensive evidence-based management plan. If a specific component of the management plan is not warranted (i.e., no referrals are appropriate for the virtual patient) document that no intervention is warranted. Include the following components:
    1. diagnostic tests
    2. medications: type a specific prescription for each medication, including over-the-counter medications
    3. suggested consults/referrals
    4. client education
    5. follow-up, including time interval and specific symptomatology to prompt a sooner return
    6. provide rationales for each intervention and cite at least one relevant scholarly source as defined by program expectations

Key Concepts to Focus On:

  • Comprehensive data collection (subjective & objective)

  • Professional EHR documentation standards

  • Identification and prioritization of key findings

  • Concise, accurate problem statements

  • Evidence-based management planning with scholarly support

Sample Solution

Some clinicians may find it difficult to explain the logic behind their clinical thinking. As you gain experience, your clinical reasoning will begin at the outset of the patient encounter, not at the end. Reflect on the clinical reasoning you used during this virtual patient encounter.

During this virtual patient encounter, my clinical reasoning began the moment I reviewed the chief complaint and history of present illness. ……Click below to access the full sample solution (PDF)