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In nursing assessment, information is gathered and then interpreted. The two processes are different as one moves into the advanced practice role, as nursing assessment is employed to identify the health problems faced by the patient and are based on research, findings and literature (Spain, DeCristofaro, & Smith, 2004). The nurse is able to recognize the present health status and how it relates to the patient’s previous health status. The approach and the structure used in assessment is determined by the priorities of the specific service for which it is created and on the type of population the nurse is dealing with for example, elderly, children and adults (Rosdahl & Kowalski, 2008). However, clinical reasoning is a part of the assessment that is needed to understand and interpret gathered information. According to Spain et al. (2004), the clinical decision-making worksheet is developed to support data organization, interpretation and collection in accordance to standardized communication format.
2. Consider a clinical situation (patient case) in your own practice (current or past). In what ways do you see your role changing as you become an advanced practice registered nurse, and how might this affect your assessment of that patient?
Currently, as a registered nurse I receive patients in my care and consider the health status presently and how it is associated with the patient’s health history. I see my role changing as I become an advanced practice registered nurse as I will have gained full competencies needed in the profession. Moreover, I will be able to prescribe medication, diagnose and treat acute and chronic illness, all in the focus of health promotion and prevention. The competencies will help me in applying the knowledge of the scientific basis for quality care in practice (Thomas et.al, 2011). I will be able to apply expertise in data literacy, technology
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