nurs6512 week 3 discussion

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Week 3 discussion

Discussion: Assessment Tools and Diagnostic Tests in Adults
and Children

When seeking to identify a patient’s health condition,
advanced practice nurses can use a diverse selection of diagnostic tests and
assessment tools; however, different factors affect the validity and
reliability of the results produced by these tests or tools. Nurses must be
aware of these factors in order to select the most appropriate test or tool and
to accurately interpret the results.

Not only do these diagnostic tests affect adults, body
measurements can provide a general picture of whether a child is receiving
adequate nutrition or is at risk for health issues. These data, however, are
just one aspect to be considered. Lifestyle, family history, and culture-among
other factors-are also relevant. That said, gathering and communicating this
information can be a delicate process.

In this Discussion, you will consider the validity and
reliability of different assessment tools and diagnostic tests. You will
explore issues such as sensitivity, specificity, and positive and negative
predictive values. You will also consider examples of children with various
weight issues. You will explore how you could effectively gather information
and encourage parents and caregivers to be proactive about their children’s
health and weight.

To prepare:

Review this week’s learning resources and consider factors
that impact the validity and reliability of various assessment tools and
diagnostic tests. We will also review examples of pediatric patients and their
families as it relates to BMI.

This week you will be assigned one of the following DB by
your instructor.

Select one of the following assessment tools or diagnostic
tests to explore for the purposes of this Discussion:

Mammogram

Prostate-specific antigen (PSA) test

Body-mass index (BMI) using waist circumference for adults

Select one of the examples on which to focus for this
Discussion. What health issues and risks may be relevant to the child you
selected?

Overweight 5-year-old boy with overweight parents

5-year-old girl of normal weight with obese parents

Severely underweight 12-year-old girl with underweight
parents

Search the Walden Library and credible sources for resources
explaining the tool or test you selected. What is its purpose, how is it
conducted, and what information does it gather?

What does the literature discuss regarding the validity,
reliability, and are there any issues with sensitivity, specificity, predictive
values, ethical dilemmas, and controversies related to the test or tool?

Based on the risks you identified, consider what further
information you would need to gain a full understanding of the child’s health.
Think about how you could gather this information in a sensitive fashion.

Consider how you could encourage parents or caregivers to be
proactive toward the child’s health.

By Day 3

Post a description of how the assessment tool or diagnostic
test you selected is used in health care. Based on your research, evaluate the
test or the tool’s validity and reliability, and explain any issues with
sensitivity, reliability, and predictive values. Include references in
appropriate APA formatting.

Post an explanation of the health issues and risks that are
relevant to the child you selected. Describe additional information you would
need in order to further assess his or her weight-related health. Taking into
account the parents’ and caregivers’ potential sensitivities, list at least
three specific questions you would ask about the child to gather more
information. Provide at least two strategies you could employ to encourage the
parents or caregivers to be proactive about their child’s health and weight.

Note: For this Discussion, you are required to complete your
initial post before you will be able to view and respond to your colleagues’
postings. Begin by clicking on the “Post to Discussion Question” link
and then select “Create Thread” to complete your initial post.
Remember, once you click on Submit, you cannot delete or edit your own posts,
and you cannot post anonymously. Please check your post carefully before
clicking on Submit!

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues who selected a
different tool test, or child health example than you, using one or more of the
following approaches:

Critique your colleague’s evaluation of the validity and
reliability of the tool or test selected.

Suggest alternative or additional tools or tests that should
be considered when gathering information about specific conditions or symptoms.

Consider how you could encourage parents or caregivers to be
proactive toward the child’s health.

Suggest additional health risks or issues that could be
relevant to the child.

Critique your colleagues’ questions, and suggest how the parents
or caregivers might interpret these questions. Provide alternate or additional
questions.

Suggest an additional strategy for gathering patient
information or promoting proactivity

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