(Solution) NR509 Alternative Writing Assignment Guidelines


As a family nurse practitioner, you must possess excellent physical assessment skills. This alternative writing assignment mirrors the discussion content of the debriefing session and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role.

Course Outcomes

This assignment is guided by the following Course Outcomes (COs):

  1. Apply advanced practice nursing knowledge to collecting health history information and physical examination findings for various patient populations. (PO 1, 2)
  2. Differentiate normal and abnormal health history and physical examination findings. (PO 1, 2)
  3. Adapt health history and physical examination skills to the developmental, gender-related, age-specific, and special population needs of the individual patient. (PO 1, 2)

The purposes of this assignment are to: (a) identify and articulateadvanced assessment health history and physical examination techniques which are relevantto a focused body system (CO 1), (b)differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2), and (c) adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4).

NOTE: You are to complete this alternative writing assignment ONLY if you had not participated or do not plan to participate in a debriefing session for the given week.

Due Date: This alternative written assignment is due no later than the Sunday of the week in which you did not attend the weekly debriefing session. For example, if you did not attend a debriefing session for Week 3, this written assignment is due the Sunday at 11:59 p.m. MT of Week 4.

The standard MSN Participation Late Assignment policy applies to this assignment (please see the course syllabus)

Total Points Possible: 25 Points


  1. This paper will be graded on the quality of the information, inclusion of evidence-based scholarly resources, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details below).
  2. Submit to the appropriate location in Canvas by 11:59 p.m. MT on Sunday of the week due.
  3. The length of the paper is to be no less than 1,500 words, excluding title page and reference list.
  4. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
  5. APA format (6th edition) is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1 inch margins and double spacing. See the APA manual for details regarding proper citation. See resources under Course Resources, “Guidelines for Writing Professional Papers” for further clarification.
  6. Organize the headings and content of your paper using the outline below:
    1. Identify and briefly discuss the body system selected for the topic of this paper
    2. Discuss the physiology (structure and function) of the body system including details about the major organ systems (if applicable)
    3. Discuss relevant health history questions (subjective data) pertaining to the body system
    4. Discussan overview of the objective data and expected normal physical examination findings for this body system
    5. Discuss special physical assessment examination techniques or procedures specific to assessing this body system
    6. Discuss how you might adapt your physical assessment skills or techniques to accommodate each of the following specific populations:
  1. Infant/pediatric
  2. Pregnancy
  • Geriatric
    1. Identify one major disease or disease process that may significantly impact this body system
    2. Discuss the expected abnormal physical examination findings that may be associated with this disease or disease process
    3. Summarize the key points

Preparing the Paper:

  1. Select a focused body system from the weekly lesson which corresponds with the week of the written assignment.
  2. Carefully read and review the selected body system in your course textbooks.
  3. Incorporate at least one scholarly peer-reviewed journal article that relates to the body system. It may be useful to identify an article that relates to a disease that impacts the body system.
  4. The paper must clearly articulate the relevance of advanced physical assessment skills, techniques, application of advanced practice knowledge, and assessment modification (when necessary) to accommodate for specific patient populations.
  5. Provide concluding statements that should summarize key points of the overall assignment content.
  6. In-text citations and reference page(s) must be written using proper APA format (6th edition).


Review of Body System

The cardiovascular system is among the significant human body organs that facilitate the supply of deoxygenated blood from the lung and oxygenated blood to all body parts. The system is made up of tiny veins, arteries, and capillaries that enable the flow of blood into specific organs(Jarvis, 2018). Other than oxygen, the transported blood consists of essential nutrients and minerals, anti-bodies and gaseous waste from the mainstream body organs. The blood is a crucial body component since it consists of live cells to perform the homeostasis in the human body. The pumping of blood takes two primary mechanical functions called venous return and cardiac output. Cardiac output refers to the volume of blood pumped out per minute via the ventricles.

On the other hand, cardiac output is the rate of heartbeat per minute. The heart must maintain a balance between the cardiac output and the venous output for health reasons. Essentially, understanding the anatomy of the human heart allows a healthcare provider to appreciate the continuous flow of blood throughout the body system.

The Human Heart

The heart is made of muscular components located in the mediastinum.Its primary function is to carry deoxygenated blood to the lungs from the body tissues and oxygenated blood back to the body from the lungs.As mentioned earlier, the blood is circulated through systematic tubes known as veins and arteries.The heart is made up of four significant parts: two lowers chambers consisting of ventricles and the upper chambers that involves the atria. Both the atria and ventricle chambers separate further to form the left and right parts of the heart. In this case, the right ventricle forms the right part of the heart while the atrium forms the left part of the heart.

The pericardium is a critical protective tissue that connects the heart with the chest and sheathes it to prevent external shock. Moreover, the pericardial fluid serves as the heart lubricate. The unique fluid runs between the parietal and serous pericardium. As such, the pericardium, myocardium, and pericardium layers are essential tissues that surround the heart. The myocardium consists of the cardiac muscle tissues that provide the power to pump the blood. Besides, the endocardium is an important layer that is responsible for preventing blood from sticking to the interior walls of the heart; a condition that may cause massive clotting of the blood.

The Physiology of the Heart System

The heart operates into two primary states; the Coronary systole state and the Diastole state. The cardiac muscles contract and pushes blood when the heart is in systole state. On the other hand, the diastole causes relaxation of the cardiac muscle to allow the entry of the blood into the main chambers. The blood pressure is affected by the two states in that; the ventricular…Please click the icon below to purchase full answer at only $10