Student’s Name: __________________________ PART I –STUDENT QUESTIONAIRRE All items require a “yes” or “no” response. Incomplete forms will be returned and the student will relinquish his/her position in the nursing program. Check to the right of each item. If “yes”, explain as appropriate using the back of the page, if necessary. Yes No PAST ILLNESSES: Hospitalization(s) (date, reason) Operation(s) (date, type) 3. Serious accident 4. Serious illness 5. Emotional problems 6. Psychiatric treatment Other significant health problem (specify) COMMUNICABLE DISEASES: (give dates) Yes No 8. Chicken pox (varicella) 9. Malaria 10. Tuberculosis 11. Poliomyelitis 12. Diphtheria 13. Scarlet fever 14. Mononucleosis 15. Mumps 16. Measles (rubeola) 17. Rubella 18. HIV infection 19. (specify) ALLERGIES: Yes No 20. Penicillin 21. Other antibiotics (give names) medications (give names) 23. Latex 24. Life threatening reaction to bee stings, food, etc. 25. Do you carry epinephrine pen? DO YOU CURRENTLY TAKE: Yes No 26. Heart/blood pressure medications 27. Tranquilizers 28. Insulin 29. Antidepressants (give name) 30. Allergy injections 31. Other (specify) HAVE YOU EVER HAD: Yes No 32. Migraines (diagnosed by MD) 33. Seizure disorder 34. Paralysis or disability 35. Thyroid problems 36. High blood pressure 37. Rheumatic 38. Heart murmur (diagnosed by MD) 39. Mitral valve prolapse 40. Asthma 41. Stomach or duodenal ulcer 42. Colitis/ileitis 43. Irritable bowel 44. Arthritis or joint disease 45. Hepatitis 46. Kidney disease/bladder problems 47. High cholesterol 48. Back problems 49. Eating disorder (type) 50. Diabetes 51. Skin problems 52. Tumors (malignant or nonmalignant) 53. Anemia 54. Hernia 55. Ear infections
CURRENT HEALTH PROBLEMS: Yes No 56. Are you currently in psychiatric Counseling? 57. Do you have a chronic disease? (specify) 58. Physical disability (type) 59. Learning disability 60. Visual impairment (describe) 61. Hearing loss 62. Hearing aid 63. Crutches, brace or prosthesis? 64. Loss of a paired organ (e.g., eye, lung, kidney) Which organ? Which side? 65. Are you currently treatment for any medical problem? If so, describe on back. Medications you are taking that you expect to continue taking while in nursing school, including over-the-counter medications. List below. __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ __________________________
Tusculum College School of Nursing Master of Science in Nursing FNP CURRICULUM PLAN Full Time Curriculum Plan Accelerated Program 4 Semesters BSN to MSN Fall 1 Course Number Course Title Credits Clinical Hours/Clock Hrs NURS 520 Health Assessment and Diagnostic Reasoning 2 NURS 521 Health Assessment and Diagnostic Reasoning Lab 1 NURS 530 Pathophysiology for Advanced Practice Nursing 3 NURS 501 Theoretical Foundations and Research Design 4 NURS 502 Health Care Systems and Informatics (online) 2 Total 12 Spring 1 NURS 503 Leadership and Contemporary Roles In Advanced Practice 3 NURS 540 Pharmacotherapeutics for Advanced Practice 4 NURS 551 Differential Diagnosis and Primary Care of Young and Middle Adult 3 NURS 552 Differential Diagnosis and Primary Care of Young and Middle Adult Practicum 2 120 Total 12 Summer 1 NURS 504 Bioethical Issues and Health Care Policy 3 NURS 561 Differential Diagnosis and Primary Care of Pediatric Population 2 NURS 562 Differential Diagnosis and Primary Care of Pediatric Population Practicum 2 120 NURS 571 Differential Diagnosis and Primary Care of Women 2 NURS 572 Differential Diagnosis Primary Care of Women Practicum 2 120 Total 11 Fall 2 NURS 581 Differential Diagnosis and Primary Care of Older Adults 2 NURS 582 Differential Diagnosis and Primary Care of Older Adults Practicum 2 120 NURS 505 Scholarly Synthesis 3 NURS 592 Integrative Practicum in Family Practice 3 180 Total 10 Total 45 660 *Clinical courses have a 1: 4 credit hour to clinical hour ratio. ** Didactic and Clinical Courses must be taken concurrently.
Tusculum College School of Nursing Master of Science in Nursing FAMILY NURSE PRACTITIONER CONCENTRATION STUDENT CLINICAL OBJECTIVES Learning Objectives: Review the course objectives. Then list your most important goals for this clinical experience and specific strategies to meet these goals. Course: NURS_____________ Objective Strategies Student Name: ______________________ Student Signature: ___________________________ Date: __________________ Preceptor Name: ____________________ Preceptor Signature: _________________________ Tusculum college school of nursing Master of Science in Nursing FAMILY NURSE PRACTITIONER CONCENTRATION
b. Differentiates normal from abnormal findings/ recognizes range of normal 0 1 2 3 4 5 c. Judiciously orders/performs lab and diagnostic tests 0 1 2 3 4 5 3. Assessment a. Differentiates relevant from irrelevant diagnostic cues 0 1 2 3 4 5 b. Formulates a diagnosis fully supported by the patient data 0 1 2 3 4 5 c. Produces accurate, prioritized list of client risk factors and risk taking behaviors 0 1 2 3 4 5 d. Develops an accurate, complete and prioritized problem list 0 1 2 3 4 5 4. Plan (for each identified problem) a. Plan includes judicious use of further diagnostic studies 0 1 2 3 4 5 b. Plan includes appropriate strategies 0 1 2 3 4 5 c. Plan includes appropriate pharmacologic strategies 0 1 2 3 4 5 d. Provides accurate and appropriate educational counseling/anticipatory guidance 0 1 2 3 4 5 e. Plan logically relates to the diagnoses 0 1 2 3 4 5 f. Plans for appropriate 0 1 2 3 4 5 5. Documentation/Presentation of a. Can articulate a succinct and accurate bullet presentation 0 1 2 3 4 5 b. Records client data accurately, using appropriate terminology and format 0 1 2 3 4 5 6. General a. Uses current evidence-based findings as a base for health care planning 0 1 2 3 4 5 b. Demonstrates critical thinking and diagnostic reasoning 0 1 2 3 4 5