Program Outcome #4: Integrate professional values through scholarship and service in
health care. (Professional identity)
The studies and activities added to the layers from the previous sessions. The prepared FNP
student interprets guidelines and studies correctly and then can offer help and assistance to the
practicum healthcare team and patients. Week 1 compare then contrast a disorder and week 4 the
APEA exam allowed the student to realize weaknesses. During clinical hours strengths were
evident when applying knowledge and skill to patient care and contributing to the treatment plan.
Using the technology of Cleveland Heart Lab, specific inflammatory markers in addition to
traditional lipid testing provides meaningful information to determine the person’s cardiovascular
risk. An example is taking the result and trending response to current medications, diet, and
exercise. If the inflammatory markers and lipid results are not improving, treatment requires
increasing the dose of the statin, adding omega and or niacin. Time dedicated to the complete
understanding of DASH/Mediterranean diet and the amount of exercise to positively affect and
lower the markers and lipids. A more specific case involved a patient that was referred for a sleep
study. Detecting the need for the test was determined through the interview and constitutional
systems assessment. It was liberating to recognize symptoms, discuss the health risk related to
sleep apnea, and then probe the preceptor. Though not proficient at this point, I do possess
individual thinking, acting, and feeling of an advanced practice nurse.
MSN essential IV: Advocates for positive health outcomes through compassionate,
evidence-based, collaborative advanced nursing practice. (Extraordinary Nursing)
According to Thomas et al, 2017, within the quality competency area, the NP core competency
“generates knowledge from clinical practice to improve practice and patient outcomes and
applies clinical investigative skills to improve health outcomes.” The curriculum support of the
competency includes “appraising evidence for application to practice (e.g., design, methods,
tools, analysis), literature search methods, including, but not limited to, the PICO Model to
define a clinical questions and search for the best clinical evidence.” (Thomas et al, 2017)
Program graduates should display testimony of acquiring the skills necessary to bring evidencebased practice into the clinic with a basis of consistency. Week 6 switched the role of student to
educator. Students were assigned a mental health disorder. The project enhanced identifying
clinical practice guidelines, apply the patient’s HPI, analyze plan and act as the facilitator to
promote active learning. My case study was derived from information surrounding substance