nursing

The Assignment (Template) 

Analyze your assigned patient scenario (posted in Week 9 Announcements) and use an AI tool (such as ChatGPT, GROK, etc.) to assist in creating the following: 

· Differential Diagnoses (3–5): List and provide a rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis. 

· Final Diagnosis: Identify the final diagnosis with a rationale supported by subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines. 

· Final Problem Statement: Write a problem statement with positive, negative, subjective and objective findings and pertinent history. 

· Evidence-Based Management Plan: Include diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines. Use a minimum of 3–5 peer-reviewed, scholarly sources published within the last 5 years. Cite all sources used with in-text citations and a corresponding list of references.  

· Complete and appropriate first-line medication orders (dose, route, frequency, duration, quantity, refills); thorough patient education including diagnosis explanation, medication teaching, lifestyle guidance, and red-flag symptoms; appropriate referrals with clear justification; and specific follow-up instructions including timeframe, purpose, and ED/urgent care precautions.) 

· Reflection on AI US: Write a brief paragraph discussing the accuracy, usefulness, and limitations of AI in developing your management plan. 

· Use of AI: Ensure all AI-generated recommendations are verified and adjusted based on clinical judgment and guideline validation. 

· Appendix: Include copies of prompts entered and outputs generated. 

 Assigned Week 9 Case Study (Use This Case for Your Assignment)

Case Study 1: Headache and Vision Changes

Chief Complaint

"I've been having bad headaches and sometimes see flashing lights."

History of Present Illness

A 28-year-old female presents with a  3-month history of recurrent headaches occurring  2–3 times per week. The pain is described as  throbbing, located on  one side of the head, and is often accompanied by  nausea and  light sensitivity. The headaches last several hours and are sometimes preceded by  visual disturbances, including shimmering lights or zigzag lines. She denies trauma, fever, or neck stiffness. Stress and lack of sleep worsen the headaches. Ibuprofen provides partial relief. She denies weakness, confusion, or speech changes.

Past Medical History

· Seasonal allergies

· No hypertension

· No diabetes

Family History

· Mother: History of migraines

· Father: Hypertension

Social History

· Nonsmoker

· Drinks 2–3 cups of coffee daily

· Occasional alcohol use

· Works long hours as a graphic designer

· Sleeps approximately 5–6 hours per night

Review of Systems

Positive

· Light sensitivity

· Mild nausea

· Visual aura before headaches

Negative

· Weakness

· Dizziness

· Neck stiffness

· Vision loss

Objective Findings

· Vital Signs: BP 118/76 mmHg, HR 78 bpm, afebrile

· General: Alert, cooperative, no acute distress

· HEENT: No sinus tenderness; pupils equal, round, and reactive to light; no papilledema

· Neurological: Cranial nerves II–XII intact; motor strength 5/5 throughout; reflexes 2+; gait normal; no focal neurological deficits

· Pain: 7/10 during headache episodes

The Assignment (Template) 

Analyze your assigned patient scenario (posted in Week 9 Announcements) and use an AI tool (such as ChatGPT, GROK, etc.) to assist in creating the following: 

· Differential Diagnoses (3–5): List and provide a rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis. 

· Final Diagnosis: Identify the final diagnosis with a rationale supported by subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines. 

· Final Problem Statement: Write a problem statement with positive, negative, subjective and objective findings and pertinent history. 

· Evidence-Based Management Plan: Include diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines. Use a minimum of 3–5 peer-reviewed, scholarly sources published within the last 5 years. Cite all sources used with in-text citations and a corresponding list of references.  

· Complete and appropriate first-line medication orders (dose, route, frequency, duration, quantity, refills); thorough patient education including diagnosis explanation, medication teaching, lifestyle guidance, and red-flag symptoms; appropriate referrals with clear justification; and specific follow-up instructions including timeframe, purpose, and ED/urgent care precautions.) 

· Reflection on AI US: Write a brief paragraph discussing the accuracy, usefulness, and limitations of AI in developing your management plan. 

· Use of AI: Ensure all AI-generated recommendations are verified and adjusted based on clinical judgment and guideline validation. 

· Appendix: Include copies of prompts entered and outputs generated. 

 Assigned Week 9 Case Study (Use This Case for Your Assignment)

Case Study 1: Headache and Vision Changes

Chief Complaint

"I've been having bad headaches and sometimes see flashing lights."

History of Present Illness

A 28-year-old female presents with a  3-month history of recurrent headaches occurring  2–3 times per week. The pain is described as  throbbing, located on  one side of the head, and is often accompanied by  nausea and  light sensitivity. The headaches last several hours and are sometimes preceded by  visual disturbances, including shimmering lights or zigzag lines. She denies trauma, fever, or neck stiffness. Stress and lack of sleep worsen the headaches. Ibuprofen provides partial relief. She denies weakness, confusion, or speech changes.

Past Medical History

· Seasonal allergies

· No hypertension

· No diabetes

Family History

· Mother: History of migraines

· Father: Hypertension

Social History

· Nonsmoker

· Drinks 2–3 cups of coffee daily

· Occasional alcohol use

· Works long hours as a graphic designer

· Sleeps approximately 5–6 hours per night

Review of Systems

Positive

· Light sensitivity

· Mild nausea

· Visual aura before headaches

Negative

· Weakness

· Dizziness

· Neck stiffness

· Vision loss

Objective Findings

· Vital Signs: BP 118/76 mmHg, HR 78 bpm, afebrile

· General: Alert, cooperative, no acute distress

· HEENT: No sinus tenderness; pupils equal, round, and reactive to light; no papilledema

· Neurological: Cranial nerves II–XII intact; motor strength 5/5 throughout; reflexes 2+; gait normal; no focal neurological deficits

· Pain: 7/10 during headache episodes