Mikki Meadows-Oliver

Abstract

Preceptors are essential in the clinical education of prelicensure registered nursing and advanced practice registered nursing students. However, there is a growing scarcity of preceptors available to provide clinical education. Additionally, preceptors have not uniformly received professional development in the practice of teaching that is essential in delivering high quality clinical education, and clinical education in nursing is an unfunded mandate. This article reviews the current state of preceptors, the importance and challenges of preceptors in clinical education, the lack of funding for clinical education by preceptors, and proposed solutions.

Abstract

This chapter explores the case of four-year-old Jennifer, who is presented to the primary care office with a complaint of abdominal pain for 2 days. Her mother states that Jennifer's pain is intermittent and is mainly on the left side of her abdomen. She states that the pain is sometimes worse after eating and that the pain is sometimes relieved by passing gas. Jennifer's sleep has not been interrupted by her abdominal pain. Jennifer had bronchiolitis at 6 months of age but has had no injuries or illnesses since that time. Jennifer passed her developmental screening at her last well-child visit. The chapter provides essential guidance and information for understanding how to diagnose and manage this case. This includes differential diagnosis and a series of critical thinking questions ideal for the family nurse practitioner.

Abstract

School connectedness is the degree to which students experience acceptance, inclusion, and care by school personnel and peers. A sense of belonging incorporates an emotional connection to the community. School connectedness and belonging are protective factors that promote student engagement, accomplishment, and community performance. Despite the rise in students from immigrant families in the United States, belonging and connectedness for youth from diverse cultural and linguistic experiences are understudied. School-based nurses, our term, is inclusive of advanced practice pediatric, family, and psychiatric nurse practitioners, are well-positioned to support school connectedness for youth who may encounter hurdles to health care because of cultural and linguistic differences. We present practice suggestions for language, culture, and inclusion using three health conditions experienced by youth: anxiety, asthma, and obesity. School-based nurses and other school personnel who provide linguistic and culturally appropriate care can support students in feeling connected and included in their school communities.

Abstract

This chapter explores the case of a four-year-old male, Javier, who is presented to the primary care office with his mother, Carol, with a complaint of bedwetting. Carol states that Javier consistently wets the bed each night although he remains dry throughout the day. Javier's nutrition history reveals that he has a balanced diet with enough dairy, protein, fruits, and vegetables. Javier does have occasional constipation that is relieved with an over-the-counter laxative. The chapter provides essential guidance and information for understanding how to diagnose and manage this case. This includes differential diagnosis and a series of critical thinking questions ideal for the family nurse practitioner.

Abstract

This chapter explores the case of Julio, a 9-month-old male, who is presented to the primary care office for a well-baby visit. Julio's nutrition history reveals that he is still being breastfed but that he is also being supplemented with a low-iron, milk-based formula. Julio's mother states that she gives Julio low-iron formula because formula that is not low-iron makes him constipated. Past medical history reveals that he was hospitalized at 4 months of age for bronchiolitis. The chapter provides essential guidance and information for understanding how to diagnose and manage this case by conducting pulmonary screening. This includes differential diagnosis and a series of critical thinking questions ideal for the family nurse practitioner.

Abstract

This chapter presents a case of a two-year-old female who is presented to the primary care office with her mother with a complaint of a burn to the right hand. Her nutrition history reveals that she has a balanced diet with enough dairy, protein, fruits, and vegetables. She has not eaten since she burned her hand. Her mother and father are healthy and have no history of chronic medical conditions. Her paternal grandmother (40 years old) has a history of obesity and high blood pressure. The chapter also provides essential guidance and information for understanding how to diagnose and manage this case. This includes differential diagnosis and a series of critical thinking questions ideal for the family nurse practitioner.

Abstract

This chapter explores the case of a 10-day-old male who is presented in the primary care office for a weight check and cardiovascular screening. His mother is concerned about his feeding habits. She believes that he takes awhile to drink his formula—longer than his siblings did; she also thinks that he sweats more than they did, even when he does not feel warm. During labor, she experienced a failure to progress, which resulted in her having a cesarean birth. The baby's Apgar scores were 8 at 1 minute and 9 at 5 minutes. The chapter provides essential guidance and information for understanding how to diagnose and manage this case. This includes differential diagnosis and a series of critical thinking questions ideal for family nurse practitioner.

Abstract

This chapter presents a case of a 7-month-old infant who is presented to the primary care office with complaints of cough for 2 days and “breathing heavy” since morning. She has had a fever for 2 days. Her maximum temperature at home was 101°F (rectal). She also has a runny nose. Her mother has tried an over-the-counter cough medicine without much relief. The chapter also provides essential guidance and information for understanding how to diagnose and manage this case. This includes differential diagnosis and a series of critical thinking questions ideal for the family nurse practitioner.

Abstract

This chapter explores the case of David, an 11-month-old infant, who is presented to the primary care office with complaints of watery diarrhea for 1 day. He has had at least 10 diapers with diarrhea since yesterday. David's mother is unsure of his urine output because each diaper is so full of stool. She is concerned that one of these factors may have caused or contributed to David's diarrhea. Further review of systems reveals that David has had decreased solid food and soy formula intake since yesterday and that he has been sleeping more than usual. The chapter provides essential guidance and information for understanding how to diagnose and manage this case. This includes differential diagnosis and a series of critical thinking questions ideal for the family nurse practitioner.

Abstract

This chapter presents a case of a 6-year-old boy who is presented in the primary care office with her mother with concerns about his increasingly disruptive behavior at home. He had some initial feeding issues as an infant with excessive irritability causing multiple formula changes. Since then he has had no food allergies or intolerances and eats a fairly well-balanced diet with the exception of excessive juice consumption. The chapter also provides essential guidance and information for understanding how to diagnose and manage this case. This includes differential diagnosis and a series of critical thinking questions ideal for the family nurse practitioner.