NU-664B Week 7 Assignment 2: Comprehensive Case Study
Value: 100 points
Due: Day 7
Gradebook Category: Assignments—Comprehensive Case Study

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Introduction
For this assignment, you will be completing an interactive case study electronically. You will progress through a patient case much like you would in practice. You will need to make decisions for your patient as you complete the case and provide a rationale for your answers and decisions. You will have one attempt to complete this assignment, which must be completed in one sitting.
Once you have completed your Comprehensive Case Study, save your Summary, and then upload it to Dropbox for grading.
Please refer to the Grading Rubric for details on how this activity will be graded.
To Submit Your Assignment:
- Select the Add Submissions button.
- Drag or upload your files to the File Picker.
- Select Save Changes.
Submission status
| Submission status | Submitted for grading |
|---|---|
| Grading status | Graded |
| Time remaining | Assignment was submitted 5 hours 38 mins early |
| Last modified | Sunday, 19 February 2023, 6:16 PM |
| File submissions | |
| Submission comments | Comments (0) |
Once you have completed the activities in this scenario and selected submitted, you will be unable to go back and change your answers.
Your Medical Assistant Has Given You The Following Information
An 80-year-old male patient, Gene Upshaw, comes in to see the primary care NP complaining of feeling “lightheaded.”
The MA completed vital signs per protocol and did orthostatic BPs since the patient was lightheaded.
Vital Signs
- Temp: 98.9
- Respiratory Rate: 18
- Blood Pressures / Heart Rate:
- Laying – 142/72 – 76
- Sitting – 120/66 – 72
- Standing – 90/50 – 72
- Pain: 4/10
| Criteria | Exemplary Exceeds Expectations |
Advanced Meets Expectations |
Intermediate Needs Improvement |
Novice Inadequate |
Total Points |
|---|---|---|---|---|---|
| Approach to Patient Care | Approach to patient care is organized, logical, patient-centered, and cost effective, with 0 errors.
10 points |
Approach to patient care is organized, logical, patient-centered, and cost effective, with 1–3 minor errors or 1 major error.
7 points |
Approach to patient care is organized, logical, patient-centered, and cost effective, with 4–6 minor errors or 2 major errors.
5 points |
Approach to patient care is organized, logical, patient-centered, and cost effective, with 6+ minor errors or 2+ major errors.
3 points |
10 |
| Differential Diagnoses (Including Problems) | All required differential diagnoses and problems are included (including worst case) and fully supported by findings.
Rationale for all differential diagnoses provided. 20 points |
Most required differential diagnoses and/or problems are included (including worst case); one is not supported by findings.
Rationale for most differential diagnoses provided. 18 points |
Some required differential diagnoses or problems are included (not including worst case); two are not fully supported by findings.
Rationale for some differential diagnoses provided. 14 points |
Few required differential diagnoses or problems are included; more than two are not fully supported by findings.
Rationale provided for few differential diagnoses. 9 points |
20 |
| Case Specific questions and Rationale | Logical and systematic organization of data.
Rationale provided for all answers and decisions made regarding patient care. Rationale is based on current evidence, with 0 errors. Correct terminology, spelling, and grammar. 20 points |
Logical and systematic organization of data.
Rationale provided for most answers and decisions made regarding patient care. Rationale is based on current evidence, with 1–3 minor errors or 1 major error. Terminology, spelling or grammar errors (1–3). 15 points |
Minor errors in organization of data.
Rationale provided for some answers and decisions made regarding patient care. Rationale is based on current evidence, with 4–6 minor errors or 2 major errors. Terminology, spelling, or grammar errors (4–6). 11 points |
Disorganized flow of data.
Rationale provided for few answers and decisions made regarding patient care. Rationale is based on current evidence, with 6+ minor errors or 2+ major errors. Terminology, spelling, or grammar errors (>6). 6 points |
20 |
| Plan | Comprehensive plan includes all components with no errors: Diagnostic testing Pharmacologic intervention Nonpharmacologic intervention Referrals Follow-up 50 points |
Plan missing 1 of the identified components or plan is based on current evidence, with 1–3 minor errors or 1 major error.: Diagnostic testing Pharmacologic intervention Nonpharmacologic intervention Referrals Follow-up 40 points |
Plan missing 2 of the identified components or plan is based on current evidence, with 4–6 minor errors or 2 major errors.: Diagnostic testing Pharmacologic intervention Nonpharmacologic intervention Referrals Follow-up 30 points |
Plan missing >3 of the identified components and/or has safety Concerns or is based on current evidence, with 6+ minor errors or 2+ major errors.: Diagnostic testing Pharmacologic intervention Nonpharmacologic intervention Referrals Follow-up 20 points |
50 |
| Total Points | 100 | ||||

