Student Name:

Instructor:

STUDENT NAME: DATE:

PATIENT INITIALS: PATIENT DISEASE/DISORDER:

Criteria Exceeds Expectations Meets Expectations Approaching Expectations Does Not Meet Expectations

1.Pathopysiology for admitting diagnosis, S/S, Diagnostic test and proposed treatment Pathophysiology is explained in complete detail with accurate and in-depth understanding of chief complaint and presenting signs/symptoms supported by diagnostic test and proposed treatment plan; APA references. Pathophysiology is explained in some detail with some understanding of chief complaint and presenting signs/symptoms somewhat supported by diagnostic test and understanding to proposed treatment plan; with references. Pathophysiology is explained vaguely with marginal understanding of chief complaint and presenting signs/symptoms vaguely supported by diagnostic tests and vague understanding to proposed treatment plan; no references cited. Pathophysiology details limited with poor understanding of chief complaint and presenting signs/symptoms does not support medical diagnosis, not supported by diagnostic test and with no proposed treatment plan; no references cited.

NURS 211L Concept Map Template Assignment
2. History of other
health problems, hospitalizations and surgeries Complete details given of other health problems with full understanding in relation to present health problem explanation and provides detailed history of previous hospitalizations and surgeries. Some details given of other health problems with partial explanation in relation to present health problem with some history provided for patient’s previous hospitalization and surgeries. Vague details given of other health problems with minimal explanation in relation to present health problem and previous hospitalization and any surgeries. No details given of other health problems, without explanation, in relation to present health problem with no history provided for previous hospitalization and surgeries.
3. Family, Culture
and Ethnic background Complete information provided about patient family, provides cultural point of view in illness and wellness and connects Ethnicity to health problems, APA references. Some information provided about patient family and cultural point of view in illness and wellness, somewhat connects Ethnicity to health problems, with references. Vague information provided about patient family and cultural point of view in illness and wellness, vaguely connects Ethnicity to health problems, no references cited. No information provided about patient family and cultural point of view in illness and wellness, establishes no connect to Ethnicity and the health problems, no APA references.
4. Discharge
Planning Complete information provided about discharge planning. Some information provided about discharge planning. Vague about the information on discharge planning. No information provided on discharge planning.
5.Identify
complications occurred with present medical diagnosis using priority assessments specific to patient’s status Complete information provided with present medical diagnoses using priority assessment specific to patient’s status. Example stroke patient with priority assessment can identify paralysis as a complication or inability to swallow. Some information provided with present medical diagnoses using priority assessment specific to patient’s status. Vague information provided with present medical diagnosis using priority assessment specific to patient’s status. No information provided with present medical diagnosis using priority assessment specific to patient’s status.
CRITERIA 5 3 2 1-0
6. Use clinical & psychosocial assessment
data to validate selection of nursing diagnoses Completely able to provide rationale for chosen nursing diagnosis using clinical and psychosocial assessment data. Somewhat able to provide rationale for chosen nursing diagnosis using clinical and psychosocial assessment data. Vague in providing rationale for chosen nursing diagnosis using clinical and psychosocial assessment data. Not able to provide rationale for chosen nursing diagnosis using clinical and psychosocial assessment data.
CRITERIA 10 8 5 3-0
7. Priority Nursing Diagnosis 1 at risk and 2 actual TWO (2) actual nursing diagnoses written correctly per format with proper R/T and Evidence for actual Nursing diagnosis and R/T for at risk nursing diagnosis. Written correctly without sufficient data to support diagnosis. Written incorrectly with sufficient data to support diagnosis. Written incorrectly without sufficient data to support diagnosis.
8. Planning/Goals
& Evaluation Goal is measureable, realistic, related to the problem; Data supports if goal is met, not met with appropriate revisions. Goal is not measureable, realistic, related to the problem; Data somewhat supports if goal is met, not met with appropriate revisions. Goal is not measureable, not realistic, related to the problem; Data vaguely supports if goal is met, not met with inappropriate revisions. Goal is not measureable, not realistic, not related to the problem; Data does not support if goal is met, not met with inappropriate revisions.
9. Medications Lists all MAR medications with relevant side effects and nursing considerations specific to patient and reasons why patient is receiving drug. Lists all MAR medications but does not include relevant side effects and nursing considerations specific to patient and why patient is receiving drug. Lists most of the MAR medications with relevant side effects and nursing considerations specific to patient and why patient is receiving drug. Lists some MAR medications but does not include relevant side effects and nursing considerations specific to patient.
CRITERIA 5 4 3 1-0
10. General
Organization Accurate APA format, Appropriate citations & references; No spelling or grammar errors. 1-2 APA format errors, Some citations, references are appropriate; Minimal spelling or grammar errors. Many APA format errors, Inappropriate citations or references; Many spelling or grammar errors. No APA formatting; No citations or references included many spelling or grammar errors.