PLAR for Practical Nurse Refresher NFDN 1001 Challenge Guide: Assignment

NFDN 1001 Challenge Assignment (35 marks)

Please note that this assignment contributes 30% towards your final NFDN 1001 grade.

Developing a Nursing Care Plan

Read the following scenario. By using the skills and resources available to you as a student
practical nurse, you will analyze assessment data using the metaparadigm concepts, establish
nursing diagnoses, write a goal/outcome statement using SMART criteria, and choose
interventions to achieve positive health outcomes. You will also provide rationale and literature
support for your choice of interventions. You will then plan how you will evaluate if the client
met the goal/outcome.

Scenario

Mr. Smith, 69 years old, is eight days post-operative for a colostomy. He complains of increased
pain at the surgical site. The previous nurse noted at the end of shift that the ostomy site was
leaking and the patient complained of burning around the skin. Mr. Smith has a past medical
history of IDDM (Insulin-Dependent Diabetes Mellitus) and requires blood glucose monitoring
to be done before meals.

Step 1: Click here to download the Nursing Care Plan Form.

Step 2: Create Nursing Diagnoses

Using the Nursing Diagnosis portion of the Nursing Care Plan Form, write two (2)
nursing diagnoses – one actual and one potential – that include the following:
 NANDA-approved nursing diagnosis statement. Make reference to a client strength
or health need. (Click here to access the List of NANDA Statements.)
 Cause/Contributing factors/Etiology (related to)
 Signs and Symptoms/Presenting evidence (as evidenced by, if applicable).

Note that the nursing diagnosis statement is one sentence that contains all three
components.

Step 3. Create Nursing Care Plan/Planning Goals and Interventions

Use the Nursing Care Plan Form to complete the care plan based on the scenario.
Priority Diagnosis:
 Choose one of the diagnoses you have written as your priority. Include why you
have made it a priority.
Goals/Expected Outcomes:
 Write one goal/outcome statement using SMART criteria. Be sure to include all of
the key components. Note that the goal/outcome statement should contain all of
the SMART criteria in one sentence.
 Document the goal/outcome statement on the Nursing Care Plan form.
PLAR for Practical Nurse Refresher NFDN 1001 Challenge Guide: Assignment

Evaluation:
 Identify how you plan to determine if the stated goal/outcome was achieved or
not. The evaluation statement should match the goal/outcome statement and
provide support with evidence from the literature. Be sure to include your sources
on a reference page. The evaluation statement needs to be clear and detailed
enough that any practical nurse would be able to evaluate the outcome.
Interventions:
 Identify three nursing interventions to help the client achieve the goal/expected
outcome, with evidence from literature, that relate back to your nursing diagnosis
and that will lead to a successful outcome and resolution of your nursing diagnosis.
 You need to ensure your interventions are from a nurse's perspective: “The nurse
will...” “What would you, a nurse…?”
 Document your nursing interventions on the Nursing Care Plan form and provide
support for your interventions (why you are choosing the particular intervention
with evidence from the literature. Be sure to cite your references as per APA
guidelines and include your sources on a reference page.
PLAR for Practical Nurse Refresher NFDN 1001 Challenge Guide: Assignment

Student Name ________________________________ Student Number _______________

Step 1: Nursing Diagnosis

Write one (1) nursing diagnosis.

 NANDA-approved nursing diagnosis statement. Make reference to a client strength or health
need.
 Cause/Contributing factors (related to)
 Symptom(s)/Presenting evidence (as evidenced by, if applicable)

Note that the nursing diagnosis should be one sentence that contains all three components
(NANDA statement/related to/as evidenced by).
PLAR for Practical Nurse Refresher NFDN 1001 Challenge Guide: Assignment

Step 2: Nursing Care Plan

Priority Nursing Diagnosis

with Rationale

Client-Centred Outcome
Write one goal
outcome statement
that meets the SMART
criteria.
SMART criteria:
 Specific
 Measurable
 Attainable
 Realistic
 Time-based
All SMART criteria in
one sentence
Evaluation
Write one evaluation
statement describing
how you plan to
evaluate if the
goal/outcome was
met or not met.
1) 2) 3)
Three (3) Nursing
Interventions
Select nursing
interventions to meet
the goals set, and to
change or maintain
health status.

Rationale for Interventions

Provide rationale for
selection of nursing
interventions and use
appropriate literature
such as text, articles,
and internet sites to
support choices.
PLAR for Practical Nurse Refresher NFDN 1001 Challenge Guide: Assignment

Nursing Care Plan – Marking Guide

Key Content Marking Guide
Points: 5 3 1 0

Step One: Nursing Diagnosis

 Wrote a nursing diagnosis statement that focused Excellent Satisfactory Minimal None
on an actual problem in reference to a client
strength or health need, related factors, and
evidence presented.
Total /5
Step Two: Nursing Care Plan

Goal/Expected Outcome Statements

 Wrote one outcome statement that included Excellent Satisfactory Minimal None
measurable criteria by using the SMART criteria
Evaluation Statement
 Identified plan to evaluate if expected outcomes Excellent Satisfactory Minimal None
were met or not met, with rationale
Nursing Interventions
 Nursing Intervention 1: Provided clearly written Excellent Satisfactory Minimal None
nursing intervention that fits with goal/outcome
including rationale with evidence from literature.
 Nursing Intervention 2: Provided clearly written Excellent Satisfactory Minimal None
nursing intervention that fits with goal/outcome
including rationale with evidence from literature
 Nursing Intervention 3: Provided clearly written Excellent Satisfactory Minimal None
nursing intervention that fits with goal/outcome
including rationale with evidence from literature
Total /25
PLAR for Practical Nurse Refresher NFDN 1001 Challenge Guide: Assignment

Key Content Marking Guide

Points: 1 0.5 0.25 0

Formatting

 APA formatted title page (header, page number; Excellent Satisfactory Minimal None
running head, date, course title, etc.)
 APA formatted paper for Summary Section Excellent Satisfactory Minimal None
(header, page number; double-spaced, paragraphs
indent 5 spaces or 1 tab, Times New Roman, 12-pt.
font, etc.).
 Assignment submitted using assignment template. Excellent Satisfactory Minimal None
 APA formatted Reference Page with all citations Excellent Satisfactory Minimal None
per APA guidelines
 Grammar appropriate and words spelled correctly Excellent Satisfactory Minimal None
(< 5 errors)
Total /5
Grand Total (all marking guides) /35