Assignment Prompt & Instructions
PLEASE COMPLETE ASSIGNMENT FOLLOWING THE INSTRUCTIONS AND THE RUBRIC. TEMPLATE IS ALSO ATTACHED.
**files (2)**
– ## NURS_6512_M4AS_Assignment_Template.docx
– ## WK9ASSIGNMENT.docx
**## NURS_6512_M4AS_Assignment_Template.docx**
## **NURS 6512: Week 9 Assignment Template**
## **Use of AI in Evidence-Based Plan Management**
Student Name:
Date:
Assigned Case:
**List AI Tools Used:**
**SECTION 1: Differential Diagnoses (3–5 Required)**
List and provide a rationale for each, using subjective, objective, and pertinent history of findings to rule out each differential diagnosis.
**SECTION 2: 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 (Use Template Below)**
[Initials/Name], [Age], presents with [chief complaint] characterized by [positive subjective findings] and denies [negative subjective findings]. Physical exam reveals [positive objective findings] with absence of [negative objective findings]. Pertinent history includes [relevant PMH, family history, or risk factors]. The overall clinical picture is most consistent with [final diagnosis].
**SECTION 3: Evidence-Based Management Plan**
Include diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines. Using a minimum of 3–5 peer- reviewed scholarly sources published within the last 5 years, develop an evidence-based management plan. Cite all sources used with in-text citations and a corresponding list of references listed in Section 4.
**Diagnostics**
• Order only tests supported by clinical decision rules or guidelines.
• Testing must change management.
• Document test + guideline + rationale.
**Medications**
• Include name, dose, route, frequency, duration, quantity, refills.
• Use evidence-based, first-line therapies.
• Consider allergies, interactions, renal/hepatic adjustment.
• Provide patient-specific instructions.
**Patient Education**
• Explain diagnosis and expected course.
• Provide medication teaching and red flags.
• Include lifestyle recommendations.
• Reinforce with teach-back when possible.
**Referrals / Consults**
• Refer to specialists or services as indicated (cardiology, neuro, derm, GI, psych, PT/OT, nutrition, behavioral health).
• Document the reason for referral.
**Follow-Up**
• Set specific time frame.
• State purpose of follow-up.
• Provide ED/urgent care precautions.
**References (3–5 REQUIRED)**
Include 3–5 peer-reviewed, scholarly sources published within the last 5 years. Cite them in APA format.
**SECTION 5: Reflection on AI Use**
Write a brief paragraph discussing the accuracy (verified against evidence-based resources), 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 all your interactions with various AI tools used, including prompts entered and outputs generated.
**## WK9ASSIGNMENT.docx**
**Week 9 Assignment: Use of AI in Evidence-Based Plan Management**
This assignment is designed to strengthen your clinical reasoning while exploring the ethical use of artificial intelligence (AI) in advanced practice nursing.
For this assignment, you will use an AI tool (such as ChatGPT, Grok, or your preferred platform) as a
**learning partner** to assist in developing an evidence-based management plan for your assigned neurological or psychiatric case study.
Your assignment will include:
·
**3–5 differential diagnoses** with supporting rationale
·
**Final diagnosis** supported by subjective, objective, and pertinent history findings
·
**Problem statement**
·
**Evidence-based management plan**, including:
· Diagnostics
· Medications with complete prescriptions
· Referrals/consultations
· Patient education
· Follow-up recommendations
·
**Reflection on the use of AI**, discussing its accuracy, usefulness, and limitations
·
**Appendix** containing your AI prompts and outputs
**Important Reminders**
· AI
**is required** for this assignment and should be used as a
**learning partner**, not as a replacement for your clinical judgment.
·
**Every AI-generated recommendation must be verified** using current evidence-based clinical practice guidelines and your own clinical reasoning.
· Support your work with
**3–5 peer-reviewed scholarly references published within the last five years.**
· Be sure to use the assignment template and review the grading rubric before you begin.
· Your assigned neurological or psychiatric case study is provided below.
·
**Submit your completed assignment by Day 7 of Week 9.**
Remember, the goal of this assignment is not simply to use AI—it is to critically evaluate AI-generated recommendations, validate them against current evidence-based guidelines, and apply your own clinical judgment to develop a safe, accurate, and comprehensive management plan.
**🚨 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
REQUIRED RESOURCES:
_NOTE: Utilize this text as a clinical reference to aid your analysis for the relevant areas noted._ Also utilize study questions to develop your understanding of the concepts and topics presented throughout this course.
· Soriano, R. P. (2026). Bates’ guide to physical examination and history taking(14th ed.). Wolters Kluwer Health.
· Chapter 11, "Cognition, Behavior, and Mental Status"
· Chapter 27, "Nervous System"
· Chu, K., Kelly, A. M., Kuan, W. S., Kinnear, F. B., Keijzers, G., Horner, D., Laribi, S., Cardozo, A., Karamercan, M. A., Klim, S., Wijeratne, T., Kamona, S., Graham, C. A., Body, R., & Roberts, T. (2024). HEAD and HEAD-Colombia study groups.
[Predictive performance of the common red flags in emergency department headache patients: A HEAD and HEAD-Colombia study\
Links to an external site.](https://www.proquest.com/scholarly-journals/predictive-performance-common-red-flags-emergency/docview/3060716797/se-2?accountid=14872). Emergency Medicine Journal, 41(6), 368–375. https://doi.org/10.1136/emermed-2023-213461
· Khosravi, M., Zare, Z., Mojtabaeian, S. M., & Izadi, R. (2024).
[Artificial intelligence and decision making in healthcare: A thematic analysis of a systematic review of reviews\
Links to an external site.](https://journals.sagepub.com/doi/full/10.1177/23333928241234863). Health Services Research and Managerial Epidemiology, 11, 23333928241234863. https://doi.org/10.1177/23333928241234863
· Ratti, E., Morrison, M., & Jakab, I. (2025).
[Ethical and social considerations of applying artificial intelligence in healthcare—a two-pronged scoping review\
Links to an external site.](https://rdcu.be/e2lJI). BMC Medical Ethics, 26(1), 68. https://doi.org/10.1186/s12910-025-01198-1
Document:
[Week 9 Assignment Template (Word)](https://waldenu.instructure.com/courses/230515/files/19658073?wrap=1)
To prepare:
· Review all Week 9 Learning Resources, including materials on ethical AI use and evidence-based practice guidelines for neurological and psychiatric conditions.
·
[Download and review the Assignment Template](https://waldenu.instructure.com/courses/230515/files/19658073?wrap=1) [Download Download and review the Assignment Template](https://waldenu.instructure.com/courses/230515/files/19658073/download?download_frd=1).
· Your instructor will assign a neurological or psychiatric case study scenario found in course Announcements.
· Review current clinical practice guidelines (e.g., APA, AAN, AAFP, CDC, or USPSTF) relevant to your assigned condition.
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.
RUBRIC:
**NURS_6512_Module4_Assignment**
| | | |
| — | — | — |
| NURS_6512_Module4_Assignment |
| **Criteria** | **Ratings** | **Pts** |
| This criterion is linked to a Learning OutcomeDifferential Diagnoses (3–5): List and provide a rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis. | **20 to >17.88 ptsExcellent** Lists 3–5 differential diagnoses; provides a fully developed rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis.<br> <br>**17.88 to >15.88 ptsGood** Lists 3–5 differential diagnoses; provides an adequately developed rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis.<br> <br>**15.88 to >13.88 ptsFair** Lists 3–5 differential diagnoses; provides a minimally developed rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis.<br> <br>**13.88 to >0 ptsPoor** Does not list at least 3 differential diagnoses. | 20 pts |
| This criterion is linked to a Learning OutcomeFinal 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. | **15 to >13.41 ptsExcellent** Identifies the correct final diagnosis with a fully supported rationale with subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines.<br> <br>**13.41 to >11.91 ptsGood** Identifies the correct final diagnosis with adequately supported rationale with subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines.<br> <br>**11.91 to >10.41 ptsFair** Identifies the correct final diagnosis with minimally supported rationale with subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines.<br> <br>**10.41 to >0 ptsPoor** Does not identify the correct diagnosis; lacks rationale with subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines. | 15 pts |
| This criterion is linked to a Learning OutcomeWrite a problem statement with positive, negative, subjective, and objective findings and pertinent history. | **15 to >13.41 ptsExcellent** Provides a fully developed problem statement with positive, negative, subjective, and objective findings and pertinent history.<br> <br>**13.41 to >11.91 ptsGood** Provides an adequately developed problem statement with positive, negative, subjective, and objective findings and pertinent history.<br> <br>**11.91 to >10.41 ptsFair** Provides a minimally developed problem statement with positive, negative, subjective, and objective findings and pertinent history.<br> <br>**10.41 to >0 ptsPoor** Does not provide a problem statement with positive, negative, subjective, and objective findings and pertinent history. | 15 pts |
| This criterion is linked to a Learning OutcomeManagement Plan: Include diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines. 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 time frame, purpose, and ED/urgent care precautions.) | **20 to >17.88 ptsExcellent** Provides a fully developed, evidence-based management plan that includes diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines.<br> <br>**17.88 to >15.88 ptsGood** Provides an adequately developed, evidence-based management plan that includes diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines.<br> <br>**15.88 to >13.88 ptsFair** Provides a minimally developed management plan that includes some diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines. Lacks evidence-based approach in some or most sections.<br> <br>**13.88 to >0 ptsPoor** Does not provide a management plan; plan is vague, incomplete, inaccurate, and/or not sufficiently supported by evidence. | 20 pts |
| This criterion is linked to a Learning OutcomeReflection: Write a brief paragraph discussing the accuracy (verified against evidence-based resources), usefulness, and limitations of AI in developing your management plan. | **10 to >8.94 ptsExcellent** Provides a fully developed reflection demonstrating strong critical analysis of the accuracy (verified against evidence-based resources), usefulness, and limitations of AI in developing their management plan.<br> <br>**8.94 to >7.94 ptsGood** Provides an adequately developed reflection demonstrating sufficient critical analysis of the accuracy (verified against evidence-based resources), usefulness, and limitations of AI in developing their management plan.<br> <br>**7.94 to >6.94 ptsFair** Provides a minimally developed reflection demonstrating minimal critical analysis of the accuracy (not verified against evidence-based resources), usefulness, and limitations of AI in developing their management plan.<br> <br>**6.94 to >0 ptsPoor** Reflection lacks critical analysis; or reflection not provided. | 10 pts |
| This criterion is linked to a Learning OutcomeUse a minimum of 3–5 sources published within the last 5 years. Cite all sources used with in-text citations and a corresponding list of references. | **10 to >8.94 ptsExcellent** Uses 3 peer-reviewed scholarly sources.<br> <br>**8.94 to >7.94 ptsGood** Uses 2 peer-reviewed scholarly sources.<br> <br>**7.94 to >6.94 ptsFair** Uses 1 peer-reviewed scholarly source.<br> <br>**6.94 to >0 ptsPoor** Does not use peer-reviewed scholarly sources. | 10 pts |
| This criterion is linked to a Learning OutcomeSource Attribution and APA Formatting | **5 to >4.46 ptsExcellent** All sources are cited in APA format without any errors… Includes a complete AI template in the appendix… Student work is original– no AI-generated text is presented as student’s own, independent work.<br> <br>**4.46 to >3.96 ptsGood** All sources are cited in APA format with some minor errors… Includes a mostly complete AI template in the appendix… Student work is original– no AI-generated text is presented as student’s own, independent work.<br> <br>**3.96 to >3.47 ptsFair** All sources are cited with frequent APA formatting errors… Includes an incomplete AI template in the appendix… Student work is original– no AI-generated text is presented as student’s own, independent work.<br> <br>**3.47 to >0 ptsPoor** Missing source citations and/or minimal adherence to APA formatting rules… AI template missing… Student work is not original– AI-generated text is presented as student’s own, independent work. | 5 pts |
| This criterion is linked to a Learning OutcomeGrammar, Mechanics, and Punctuation | **5 to >4.46 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**4.46 to >3.96 ptsGood** Uses correct grammar, spelling, and punctuation with few errors.<br> <br>**3.96 to >3.47 ptsFair** Uses correct grammar, spelling, and punctuation with frequent errors.<br> <br>**3.47 to >0 ptsPoor** Post contains frequent errors in grammar, spelling, and punctuation that interfere with comprehension. | 5 pts |
Total Points: 100
**## WK9ASSIGNMENT.docx**
**Week 9 Assignment: Use of AI in Evidence-Based Plan Management**
This assignment is designed to strengthen your clinical reasoning while exploring the ethical use of artificial intelligence (AI) in advanced practice nursing.
For this assignment, you will use an AI tool (such as ChatGPT, Grok, or your preferred platform) as a
**learning partner** to assist in developing an evidence-based management plan for your assigned neurological or psychiatric case study.
Your assignment will include:
·
**3–5 differential diagnoses** with supporting rationale
·
**Final diagnosis** supported by subjective, objective, and pertinent history findings
·
**Problem statement**
·
**Evidence-based management plan**, including:
· Diagnostics
· Medications with complete prescriptions
· Referrals/consultations
· Patient education
· Follow-up recommendations
·
**Reflection on the use of AI**, discussing its accuracy, usefulness, and limitations
·
**Appendix** containing your AI prompts and outputs
**Important Reminders**
· AI
**is required** for this assignment and should be used as a
**learning partner**, not as a replacement for your clinical judgment.
·
**Every AI-generated recommendation must be verified** using current evidence-based clinical practice guidelines and your own clinical reasoning.
· Support your work with
**3–5 peer-reviewed scholarly references published within the last five years.**
· Be sure to use the assignment template and review the grading rubric before you begin.
· Your assigned neurological or psychiatric case study is provided below.
·
**Submit your completed assignment by Day 7 of Week 9.**
Remember, the goal of this assignment is not simply to use AI—it is to critically evaluate AI-generated recommendations, validate them against current evidence-based guidelines, and apply your own clinical judgment to develop a safe, accurate, and comprehensive management plan.
**🚨 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
REQUIRED RESOURCES:
_NOTE: Utilize this text as a clinical reference to aid your analysis for the relevant areas noted._ Also utilize study questions to develop your understanding of the concepts and topics presented throughout this course.
· Soriano, R. P. (2026). Bates’ guide to physical examination and history taking(14th ed.). Wolters Kluwer Health.
· Chapter 11, "Cognition, Behavior, and Mental Status"
· Chapter 27, "Nervous System"
· Chu, K., Kelly, A. M., Kuan, W. S., Kinnear, F. B., Keijzers, G., Horner, D., Laribi, S., Cardozo, A., Karamercan, M. A., Klim, S., Wijeratne, T., Kamona, S., Graham, C. A., Body, R., & Roberts, T. (2024). HEAD and HEAD-Colombia study groups.
[Predictive performance of the common red flags in emergency department headache patients: A HEAD and HEAD-Colombia study\
Links to an external site.](https://www.proquest.com/scholarly-journals/predictive-performance-common-red-flags-emergency/docview/3060716797/se-2?accountid=14872). Emergency Medicine Journal, 41(6), 368–375. https://doi.org/10.1136/emermed-2023-213461
· Khosravi, M., Zare, Z., Mojtabaeian, S. M., & Izadi, R. (2024).
[Artificial intelligence and decision making in healthcare: A thematic analysis of a systematic review of reviews\
Links to an external site.](https://journals.sagepub.com/doi/full/10.1177/23333928241234863). Health Services Research and Managerial Epidemiology, 11, 23333928241234863. https://doi.org/10.1177/23333928241234863
· Ratti, E., Morrison, M., & Jakab, I. (2025).
[Ethical and social considerations of applying artificial intelligence in healthcare—a two-pronged scoping review\
Links to an external site.](https://rdcu.be/e2lJI). BMC Medical Ethics, 26(1), 68. https://doi.org/10.1186/s12910-025-01198-1
Document:
[Week 9 Assignment Template (Word)](https://waldenu.instructure.com/courses/230515/files/19658073?wrap=1)
To prepare:
· Review all Week 9 Learning Resources, including materials on ethical AI use and evidence-based practice guidelines for neurological and psychiatric conditions.
·
[Download and review the Assignment Template](https://waldenu.instructure.com/courses/230515/files/19658073?wrap=1) [Download Download and review the Assignment Template](https://waldenu.instructure.com/courses/230515/files/19658073/download?download_frd=1).
· Your instructor will assign a neurological or psychiatric case study scenario found in course Announcements.
· Review current clinical practice guidelines (e.g., APA, AAN, AAFP, CDC, or USPSTF) relevant to your assigned condition.
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.
RUBRIC:
**NURS_6512_Module4_Assignment**
| | | |
| — | — | — |
| NURS_6512_Module4_Assignment |
| **Criteria** | **Ratings** | **Pts** |
| This criterion is linked to a Learning OutcomeDifferential Diagnoses (3–5): List and provide a rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis. | **20 to >17.88 ptsExcellent** Lists 3–5 differential diagnoses; provides a fully developed rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis.<br> <br>**17.88 to >15.88 ptsGood** Lists 3–5 differential diagnoses; provides an adequately developed rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis.<br> <br>**15.88 to >13.88 ptsFair** Lists 3–5 differential diagnoses; provides a minimally developed rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis.<br> <br>**13.88 to >0 ptsPoor** Does not list at least 3 differential diagnoses. | 20 pts |
| This criterion is linked to a Learning OutcomeFinal 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. | **15 to >13.41 ptsExcellent** Identifies the correct final diagnosis with a fully supported rationale with subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines.<br> <br>**13.41 to >11.91 ptsGood** Identifies the correct final diagnosis with adequately supported rationale with subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines.<br> <br>**11.91 to >10.41 ptsFair** Identifies the correct final diagnosis with minimally supported rationale with subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines.<br> <br>**10.41 to >0 ptsPoor** Does not identify the correct diagnosis; lacks rationale with subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines. | 15 pts |
| This criterion is linked to a Learning OutcomeWrite a problem statement with positive, negative, subjective, and objective findings and pertinent history. | **15 to >13.41 ptsExcellent** Provides a fully developed problem statement with positive, negative, subjective, and objective findings and pertinent history.<br> <br>**13.41 to >11.91 ptsGood** Provides an adequately developed problem statement with positive, negative, subjective, and objective findings and pertinent history.<br> <br>**11.91 to >10.41 ptsFair** Provides a minimally developed problem statement with positive, negative, subjective, and objective findings and pertinent history.<br> <br>**10.41 to >0 ptsPoor** Does not provide a problem statement with positive, negative, subjective, and objective findings and pertinent history. | 15 pts |
| This criterion is linked to a Learning OutcomeManagement Plan: Include diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines. 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 time frame, purpose, and ED/urgent care precautions.) | **20 to >17.88 ptsExcellent** Provides a fully developed, evidence-based management plan that includes diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines.<br> <br>**17.88 to >15.88 ptsGood** Provides an adequately developed, evidence-based management plan that includes diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines.<br> <br>**15.88 to >13.88 ptsFair** Provides a minimally developed management plan that includes some diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines. Lacks evidence-based approach in some or most sections.<br> <br>**13.88 to >0 ptsPoor** Does not provide a management plan; plan is vague, incomplete, inaccurate, and/or not sufficiently supported by evidence. | 20 pts |
| This criterion is linked to a Learning OutcomeReflection: Write a brief paragraph discussing the accuracy (verified against evidence-based resources), usefulness, and limitations of AI in developing your management plan. | **10 to >8.94 ptsExcellent** Provides a fully developed reflection demonstrating strong critical analysis of the accuracy (verified against evidence-based resources), usefulness, and limitations of AI in developing their management plan.<br> <br>**8.94 to >7.94 ptsGood** Provides an adequately developed reflection demonstrating sufficient critical analysis of the accuracy (verified against evidence-based resources), usefulness, and limitations of AI in developing their management plan.<br> <br>**7.94 to >6.94 ptsFair** Provides a minimally developed reflection demonstrating minimal critical analysis of the accuracy (not verified against evidence-based resources), usefulness, and limitations of AI in developing their management plan.<br> <br>**6.94 to >0 ptsPoor** Reflection lacks critical analysis; or reflection not provided. | 10 pts |
| This criterion is linked to a Learning OutcomeUse a minimum of 3–5 sources published within the last 5 years. Cite all sources used with in-text citations and a corresponding list of references. | **10 to >8.94 ptsExcellent** Uses 3 peer-reviewed scholarly sources.<br> <br>**8.94 to >7.94 ptsGood** Uses 2 peer-reviewed scholarly sources.<br> <br>**7.94 to >6.94 ptsFair** Uses 1 peer-reviewed scholarly source.<br> <br>**6.94 to >0 ptsPoor** Does not use peer-reviewed scholarly sources. | 10 pts |
| This criterion is linked to a Learning OutcomeSource Attribution and APA Formatting | **5 to >4.46 ptsExcellent** All sources are cited in APA format without any errors… Includes a complete AI template in the appendix… Student work is original– no AI-generated text is presented as student’s own, independent work.<br> <br>**4.46 to >3.96 ptsGood** All sources are cited in APA format with some minor errors… Includes a mostly complete AI template in the appendix… Student work is original– no AI-generated text is presented as student’s own, independent work.<br> <br>**3.96 to >3.47 ptsFair** All sources are cited with frequent APA formatting errors… Includes an incomplete AI template in the appendix… Student work is original– no AI-generated text is presented as student’s own, independent work.<br> <br>**3.47 to >0 ptsPoor** Missing source citations and/or minimal adherence to APA formatting rules… AI template missing… Student work is not original– AI-generated text is presented as student’s own, independent work. | 5 pts |
| This criterion is linked to a Learning OutcomeGrammar, Mechanics, and Punctuation | **5 to >4.46 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**4.46 to >3.96 ptsGood** Uses correct grammar, spelling, and punctuation with few errors.<br> <br>**3.96 to >3.47 ptsFair** Uses correct grammar, spelling, and punctuation with frequent errors.<br> <br>**3.47 to >0 ptsPoor** Post contains frequent errors in grammar, spelling, and punctuation that interfere with comprehension. | 5 pts |
Total Points: 100
**## NURS_6512_M4AS_Assignment_Template.docx**
## **NURS 6512: Week 9 Assignment Template**
## **Use of AI in Evidence-Based Plan Management**
Student Name:
Date:
Assigned Case:
**List AI Tools Used:**
**SECTION 1: Differential Diagnoses (3–5 Required)**
List and provide a rationale for each, using subjective, objective, and pertinent history of findings to rule out each differential diagnosis.
**SECTION 2: 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 (Use Template Below)**
[Initials/Name], [Age], presents with [chief complaint] characterized by [positive subjective findings] and denies [negative subjective findings]. Physical exam reveals [positive objective findings] with absence of [negative objective findings]. Pertinent history includes [relevant PMH, family history, or risk factors]. The overall clinical picture is most consistent with [final diagnosis].
**SECTION 3: Evidence-Based Management Plan**
Include diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines. Using a minimum of 3–5 peer- reviewed scholarly sources published within the last 5 years, develop an evidence-based management plan. Cite all sources used with in-text citations and a corresponding list of references listed in Section 4.
**Diagnostics**
• Order only tests supported by clinical decision rules or guidelines.
• Testing must change management.
• Document test + guideline + rationale.
**Medications**
• Include name, dose, route, frequency, duration, quantity, refills.
• Use evidence-based, first-line therapies.
• Consider allergies, interactions, renal/hepatic adjustment.
• Provide patient-specific instructions.
**Patient Education**
• Explain diagnosis and expected course.
• Provide medication teaching and red flags.
• Include lifestyle recommendations.
• Reinforce with teach-back when possible.
**Referrals / Consults**
• Refer to specialists or services as indicated (cardiology, neuro, derm, GI, psych, PT/OT, nutrition, behavioral health).
• Document the reason for referral.
**Follow-Up**
• Set specific time frame.
• State purpose of follow-up.
• Provide ED/urgent care precautions.
**References (3–5 REQUIRED)**
Include 3–5 peer-reviewed, scholarly sources published within the last 5 years. Cite them in APA format.
**SECTION 5: Reflection on AI Use**
Write a brief paragraph discussing the accuracy (verified against evidence-based resources), 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 all your interactions with various AI tools used, including prompts entered and outputs generated.
**## WK9ASSIGNMENT.docx**
**Week 9 Assignment: Use of AI in Evidence-Based Plan Management**
This assignment is designed to strengthen your clinical reasoning while exploring the ethical use of artificial intelligence (AI) in advanced practice nursing.
For this assignment, you will use an AI tool (such as ChatGPT, Grok, or your preferred platform) as a
**learning partner** to assist in developing an evidence-based management plan for your assigned neurological or psychiatric case study.
Your assignment will include:
·
**3–5 differential diagnoses** with supporting rationale
·
**Final diagnosis** supported by subjective, objective, and pertinent history findings
·
**Problem statement**
·
**Evidence-based management plan**, including:
· Diagnostics
· Medications with complete prescriptions
· Referrals/consultations
· Patient education
· Follow-up recommendations
·
**Reflection on the use of AI**, discussing its accuracy, usefulness, and limitations
·
**Appendix** containing your AI prompts and outputs
**Important Reminders**
· AI
**is required** for this assignment and should be used as a
**learning partner**, not as a replacement for your clinical judgment.
·
**Every AI-generated recommendation must be verified** using current evidence-based clinical practice guidelines and your own clinical reasoning.
· Support your work with
**3–5 peer-reviewed scholarly references published within the last five years.**
· Be sure to use the assignment template and review the grading rubric before you begin.
· Your assigned neurological or psychiatric case study is provided below.
·
**Submit your completed assignment by Day 7 of Week 9.**
Remember, the goal of this assignment is not simply to use AI—it is to critically evaluate AI-generated recommendations, validate them against current evidence-based guidelines, and apply your own clinical judgment to develop a safe, accurate, and comprehensive management plan.
**🚨 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
REQUIRED RESOURCES:
_NOTE: Utilize this text as a clinical reference to aid your analysis for the relevant areas noted._ Also utilize study questions to develop your understanding of the concepts and topics presented throughout this course.
· Soriano, R. P. (2026). Bates’ guide to physical examination and history taking(14th ed.). Wolters Kluwer Health.
· Chapter 11, "Cognition, Behavior, and Mental Status"
· Chapter 27, "Nervous System"
· Chu, K., Kelly, A. M., Kuan, W. S., Kinnear, F. B., Keijzers, G., Horner, D., Laribi, S., Cardozo, A., Karamercan, M. A., Klim, S., Wijeratne, T., Kamona, S., Graham, C. A., Body, R., & Roberts, T. (2024). HEAD and HEAD-Colombia study groups.
[Predictive performance of the common red flags in emergency department headache patients: A HEAD and HEAD-Colombia study\
Links to an external site.](https://www.proquest.com/scholarly-journals/predictive-performance-common-red-flags-emergency/docview/3060716797/se-2?accountid=14872). Emergency Medicine Journal, 41(6), 368–375. https://doi.org/10.1136/emermed-2023-213461
· Khosravi, M., Zare, Z., Mojtabaeian, S. M., & Izadi, R. (2024).
[Artificial intelligence and decision making in healthcare: A thematic analysis of a systematic review of reviews\
Links to an external site.](https://journals.sagepub.com/doi/full/10.1177/23333928241234863). Health Services Research and Managerial Epidemiology, 11, 23333928241234863. https://doi.org/10.1177/23333928241234863
· Ratti, E., Morrison, M., & Jakab, I. (2025).
[Ethical and social considerations of applying artificial intelligence in healthcare—a two-pronged scoping review\
Links to an external site.](https://rdcu.be/e2lJI). BMC Medical Ethics, 26(1), 68. https://doi.org/10.1186/s12910-025-01198-1
Document:
[Week 9 Assignment Template (Word)](https://waldenu.instructure.com/courses/230515/files/19658073?wrap=1)
To prepare:
· Review all Week 9 Learning Resources, including materials on ethical AI use and evidence-based practice guidelines for neurological and psychiatric conditions.
·
[Download and review the Assignment Template](https://waldenu.instructure.com/courses/230515/files/19658073?wrap=1) [Download Download and review the Assignment Template](https://waldenu.instructure.com/courses/230515/files/19658073/download?download_frd=1).
· Your instructor will assign a neurological or psychiatric case study scenario found in course Announcements.
· Review current clinical practice guidelines (e.g., APA, AAN, AAFP, CDC, or USPSTF) relevant to your assigned condition.
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.
RUBRIC:
**NURS_6512_Module4_Assignment**
| | | |
| — | — | — |
| NURS_6512_Module4_Assignment |
| **Criteria** | **Ratings** | **Pts** |
| This criterion is linked to a Learning OutcomeDifferential Diagnoses (3–5): List and provide a rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis. | **20 to >17.88 ptsExcellent** Lists 3–5 differential diagnoses; provides a fully developed rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis.<br> <br>**17.88 to >15.88 ptsGood** Lists 3–5 differential diagnoses; provides an adequately developed rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis.<br> <br>**15.88 to >13.88 ptsFair** Lists 3–5 differential diagnoses; provides a minimally developed rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis.<br> <br>**13.88 to >0 ptsPoor** Does not list at least 3 differential diagnoses. | 20 pts |
| This criterion is linked to a Learning OutcomeFinal 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. | **15 to >13.41 ptsExcellent** Identifies the correct final diagnosis with a fully supported rationale with subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines.<br> <br>**13.41 to >11.91 ptsGood** Identifies the correct final diagnosis with adequately supported rationale with subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines.<br> <br>**11.91 to >10.41 ptsFair** Identifies the correct final diagnosis with minimally supported rationale with subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines.<br> <br>**10.41 to >0 ptsPoor** Does not identify the correct diagnosis; lacks rationale with subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines. | 15 pts |
| This criterion is linked to a Learning OutcomeWrite a problem statement with positive, negative, subjective, and objective findings and pertinent history. | **15 to >13.41 ptsExcellent** Provides a fully developed problem statement with positive, negative, subjective, and objective findings and pertinent history.<br> <br>**13.41 to >11.91 ptsGood** Provides an adequately developed problem statement with positive, negative, subjective, and objective findings and pertinent history.<br> <br>**11.91 to >10.41 ptsFair** Provides a minimally developed problem statement with positive, negative, subjective, and objective findings and pertinent history.<br> <br>**10.41 to >0 ptsPoor** Does not provide a problem statement with positive, negative, subjective, and objective findings and pertinent history. | 15 pts |
| This criterion is linked to a Learning OutcomeManagement Plan: Include diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines. 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 time frame, purpose, and ED/urgent care precautions.) | **20 to >17.88 ptsExcellent** Provides a fully developed, evidence-based management plan that includes diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines.<br> <br>**17.88 to >15.88 ptsGood** Provides an adequately developed, evidence-based management plan that includes diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines.<br> <br>**15.88 to >13.88 ptsFair** Provides a minimally developed management plan that includes some diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines. Lacks evidence-based approach in some or most sections.<br> <br>**13.88 to >0 ptsPoor** Does not provide a management plan; plan is vague, incomplete, inaccurate, and/or not sufficiently supported by evidence. | 20 pts |
| This criterion is linked to a Learning OutcomeReflection: Write a brief paragraph discussing the accuracy (verified against evidence-based resources), usefulness, and limitations of AI in developing your management plan. | **10 to >8.94 ptsExcellent** Provides a fully developed reflection demonstrating strong critical analysis of the accuracy (verified against evidence-based resources), usefulness, and limitations of AI in developing their management plan.<br> <br>**8.94 to >7.94 ptsGood** Provides an adequately developed reflection demonstrating sufficient critical analysis of the accuracy (verified against evidence-based resources), usefulness, and limitations of AI in developing their management plan.<br> <br>**7.94 to >6.94 ptsFair** Provides a minimally developed reflection demonstrating minimal critical analysis of the accuracy (not verified against evidence-based resources), usefulness, and limitations of AI in developing their management plan.<br> <br>**6.94 to >0 ptsPoor** Reflection lacks critical analysis; or reflection not provided. | 10 pts |
| This criterion is linked to a Learning OutcomeUse a minimum of 3–5 sources published within the last 5 years. Cite all sources used with in-text citations and a corresponding list of references. | **10 to >8.94 ptsExcellent** Uses 3 peer-reviewed scholarly sources.<br> <br>**8.94 to >7.94 ptsGood** Uses 2 peer-reviewed scholarly sources.<br> <br>**7.94 to >6.94 ptsFair** Uses 1 peer-reviewed scholarly source.<br> <br>**6.94 to >0 ptsPoor** Does not use peer-reviewed scholarly sources. | 10 pts |
| This criterion is linked to a Learning OutcomeSource Attribution and APA Formatting | **5 to >4.46 ptsExcellent** All sources are cited in APA format without any errors… Includes a complete AI template in the appendix… Student work is original– no AI-generated text is presented as student’s own, independent work.<br> <br>**4.46 to >3.96 ptsGood** All sources are cited in APA format with some minor errors… Includes a mostly complete AI template in the appendix… Student work is original– no AI-generated text is presented as student’s own, independent work.<br> <br>**3.96 to >3.47 ptsFair** All sources are cited with frequent APA formatting errors… Includes an incomplete AI template in the appendix… Student work is original– no AI-generated text is presented as student’s own, independent work.<br> <br>**3.47 to >0 ptsPoor** Missing source citations and/or minimal adherence to APA formatting rules… AI template missing… Student work is not original– AI-generated text is presented as student’s own, independent work. | 5 pts |
| This criterion is linked to a Learning OutcomeGrammar, Mechanics, and Punctuation | **5 to >4.46 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**4.46 to >3.96 ptsGood** Uses correct grammar, spelling, and punctuation with few errors.<br> <br>**3.96 to >3.47 ptsFair** Uses correct grammar, spelling, and punctuation with frequent errors.<br> <br>**3.47 to >0 ptsPoor** Post contains frequent errors in grammar, spelling, and punctuation that interfere with comprehension. | 5 pts |
Total Points: 100
**## NURS_6512_M4AS_Assignment_Template.docx**
## **NURS 6512: Week 9 Assignment Template**
## **Use of AI in Evidence-Based Plan Management**
Student Name:
Date:
Assigned Case:
**List AI Tools Used:**
**SECTION 1: Differential Diagnoses (3–5 Required)**
List and provide a rationale for each, using subjective, objective, and pertinent history of findings to rule out each differential diagnosis.
**SECTION 2: 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 (Use Template Below)**
[Initials/Name], [Age], presents with [chief complaint] characterized by [positive subjective findings] and denies [negative subjective findings]. Physical exam reveals [positive objective findings] with absence of [negative objective findings]. Pertinent history includes [relevant PMH, family history, or risk factors]. The overall clinical picture is most consistent with [final diagnosis].
**SECTION 3: Evidence-Based Management Plan**
Include diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines. Using a minimum of 3–5 peer- reviewed scholarly sources published within the last 5 years, develop an evidence-based management plan. Cite all sources used with in-text citations and a corresponding list of references listed in Section 4.
**Diagnostics**
• Order only tests supported by clinical decision rules or guidelines.
• Testing must change management.
• Document test + guideline + rationale.
**Medications**
• Include name, dose, route, frequency, duration, quantity, refills.
• Use evidence-based, first-line therapies.
• Consider allergies, interactions, renal/hepatic adjustment.
• Provide patient-specific instructions.
**Patient Education**
• Explain diagnosis and expected course.
• Provide medication teaching and red flags.
• Include lifestyle recommendations.
• Reinforce with teach-back when possible.
**Referrals / Consults**
• Refer to specialists or services as indicated (cardiology, neuro, derm, GI, psych, PT/OT, nutrition, behavioral health).
• Document the reason for referral.
**Follow-Up**
• Set specific time frame.
• State purpose of follow-up.
• Provide ED/urgent care precautions.
**References (3–5 REQUIRED)**
Include 3–5 peer-reviewed, scholarly sources published within the last 5 years. Cite them in APA format.
**SECTION 5: Reflection on AI Use**
Write a brief paragraph discussing the accuracy (verified against evidence-based resources), 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 all your interactions with various AI tools used, including prompts entered and outputs generated.
**## WK9ASSIGNMENT.docx**
**Week 9 Assignment: Use of AI in Evidence-Based Plan Management**
This assignment is designed to strengthen your clinical reasoning while exploring the ethical use of artificial intelligence (AI) in advanced practice nursing.
For this assignment, you will use an AI tool (such as ChatGPT, Grok, or your preferred platform) as a
**learning partner** to assist in developing an evidence-based management plan for your assigned neurological or psychiatric case study.
Your assignment will include:
·
**3–5 differential diagnoses** with supporting rationale
·
**Final diagnosis** supported by subjective, objective, and pertinent history findings
·
**Problem statement**
·
**Evidence-based management plan**, including:
· Diagnostics
· Medications with complete prescriptions
· Referrals/consultations
· Patient education
· Follow-up recommendations
·
**Reflection on the use of AI**, discussing its accuracy, usefulness, and limitations
·
**Appendix** containing your AI prompts and outputs
**Important Reminders**
· AI
**is required** for this assignment and should be used as a
**learning partner**, not as a replacement for your clinical judgment.
·
**Every AI-generated recommendation must be verified** using current evidence-based clinical practice guidelines and your own clinical reasoning.
· Support your work with
**3–5 peer-reviewed scholarly references published within the last five years.**
· Be sure to use the assignment template and review the grading rubric before you begin.
· Your assigned neurological or psychiatric case study is provided below.
·
**Submit your completed assignment by Day 7 of Week 9.**
Remember, the goal of this assignment is not simply to use AI—it is to critically evaluate AI-generated recommendations, validate them against current evidence-based guidelines, and apply your own clinical judgment to develop a safe, accurate, and comprehensive management plan.
**🚨 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
REQUIRED RESOURCES:
_NOTE: Utilize this text as a clinical reference to aid your analysis for the relevant areas noted._ Also utilize study questions to develop your understanding of the concepts and topics presented throughout this course.
· Soriano, R. P. (2026). Bates’ guide to physical examination and history taking(14th ed.). Wolters Kluwer Health.
· Chapter 11, "Cognition, Behavior, and Mental Status"
· Chapter 27, "Nervous System"
· Chu, K., Kelly, A. M., Kuan, W. S., Kinnear, F. B., Keijzers, G., Horner, D., Laribi, S., Cardozo, A., Karamercan, M. A., Klim, S., Wijeratne, T., Kamona, S., Graham, C. A., Body, R., & Roberts, T. (2024). HEAD and HEAD-Colombia study groups.
[Predictive performance of the common red flags in emergency department headache patients: A HEAD and HEAD-Colombia study\
Links to an external site.](https://www.proquest.com/scholarly-journals/predictive-performance-common-red-flags-emergency/docview/3060716797/se-2?accountid=14872). Emergency Medicine Journal, 41(6), 368–375. https://doi.org/10.1136/emermed-2023-213461
· Khosravi, M., Zare, Z., Mojtabaeian, S. M., & Izadi, R. (2024).
[Artificial intelligence and decision making in healthcare: A thematic analysis of a systematic review of reviews\
Links to an external site.](https://journals.sagepub.com/doi/full/10.1177/23333928241234863). Health Services Research and Managerial Epidemiology, 11, 23333928241234863. https://doi.org/10.1177/23333928241234863
· Ratti, E., Morrison, M., & Jakab, I. (2025).
[Ethical and social considerations of applying artificial intelligence in healthcare—a two-pronged scoping review\
Links to an external site.](https://rdcu.be/e2lJI). BMC Medical Ethics, 26(1), 68. https://doi.org/10.1186/s12910-025-01198-1
Document:
[Week 9 Assignment Template (Word)](https://waldenu.instructure.com/courses/230515/files/19658073?wrap=1)
To prepare:
· Review all Week 9 Learning Resources, including materials on ethical AI use and evidence-based practice guidelines for neurological and psychiatric conditions.
·
[Download and review the Assignment Template](https://waldenu.instructure.com/courses/230515/files/19658073?wrap=1) [Download Download and review the Assignment Template](https://waldenu.instructure.com/courses/230515/files/19658073/download?download_frd=1).
· Your instructor will assign a neurological or psychiatric case study scenario found in course Announcements.
· Review current clinical practice guidelines (e.g., APA, AAN, AAFP, CDC, or USPSTF) relevant to your assigned condition.
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.
RUBRIC:
**NURS_6512_Module4_Assignment**
| | | |
| — | — | — |
| NURS_6512_Module4_Assignment |
| **Criteria** | **Ratings** | **Pts** |
| This criterion is linked to a Learning OutcomeDifferential Diagnoses (3–5): List and provide a rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis. | **20 to >17.88 ptsExcellent** Lists 3–5 differential diagnoses; provides a fully developed rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis.<br> <br>**17.88 to >15.88 ptsGood** Lists 3–5 differential diagnoses; provides an adequately developed rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis.<br> <br>**15.88 to >13.88 ptsFair** Lists 3–5 differential diagnoses; provides a minimally developed rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis.<br> <br>**13.88 to >0 ptsPoor** Does not list at least 3 differential diagnoses. | 20 pts |
| This criterion is linked to a Learning OutcomeFinal 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. | **15 to >13.41 ptsExcellent** Identifies the correct final diagnosis with a fully supported rationale with subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines.<br> <br>**13.41 to >11.91 ptsGood** Identifies the correct final diagnosis with adequately supported rationale with subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines.<br> <br>**11.91 to >10.41 ptsFair** Identifies the correct final diagnosis with minimally supported rationale with subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines.<br> <br>**10.41 to >0 ptsPoor** Does not identify the correct diagnosis; lacks rationale with subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines. | 15 pts |
| This criterion is linked to a Learning OutcomeWrite a problem statement with positive, negative, subjective, and objective findings and pertinent history. | **15 to >13.41 ptsExcellent** Provides a fully developed problem statement with positive, negative, subjective, and objective findings and pertinent history.<br> <br>**13.41 to >11.91 ptsGood** Provides an adequately developed problem statement with positive, negative, subjective, and objective findings and pertinent history.<br> <br>**11.91 to >10.41 ptsFair** Provides a minimally developed problem statement with positive, negative, subjective, and objective findings and pertinent history.<br> <br>**10.41 to >0 ptsPoor** Does not provide a problem statement with positive, negative, subjective, and objective findings and pertinent history. | 15 pts |
| This criterion is linked to a Learning OutcomeManagement Plan: Include diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines. 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 time frame, purpose, and ED/urgent care precautions.) | **20 to >17.88 ptsExcellent** Provides a fully developed, evidence-based management plan that includes diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines.<br> <br>**17.88 to >15.88 ptsGood** Provides an adequately developed, evidence-based management plan that includes diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines.<br> <br>**15.88 to >13.88 ptsFair** Provides a minimally developed management plan that includes some diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines. Lacks evidence-based approach in some or most sections.<br> <br>**13.88 to >0 ptsPoor** Does not provide a management plan; plan is vague, incomplete, inaccurate, and/or not sufficiently supported by evidence. | 20 pts |
| This criterion is linked to a Learning OutcomeReflection: Write a brief paragraph discussing the accuracy (verified against evidence-based resources), usefulness, and limitations of AI in developing your management plan. | **10 to >8.94 ptsExcellent** Provides a fully developed reflection demonstrating strong critical analysis of the accuracy (verified against evidence-based resources), usefulness, and limitations of AI in developing their management plan.<br> <br>**8.94 to >7.94 ptsGood** Provides an adequately developed reflection demonstrating sufficient critical analysis of the accuracy (verified against evidence-based resources), usefulness, and limitations of AI in developing their management plan.<br> <br>**7.94 to >6.94 ptsFair** Provides a minimally developed reflection demonstrating minimal critical analysis of the accuracy (not verified against evidence-based resources), usefulness, and limitations of AI in developing their management plan.<br> <br>**6.94 to >0 ptsPoor** Reflection lacks critical analysis; or reflection not provided. | 10 pts |
| This criterion is linked to a Learning OutcomeUse a minimum of 3–5 sources published within the last 5 years. Cite all sources used with in-text citations and a corresponding list of references. | **10 to >8.94 ptsExcellent** Uses 3 peer-reviewed scholarly sources.<br> <br>**8.94 to >7.94 ptsGood** Uses 2 peer-reviewed scholarly sources.<br> <br>**7.94 to >6.94 ptsFair** Uses 1 peer-reviewed scholarly source.<br> <br>**6.94 to >0 ptsPoor** Does not use peer-reviewed scholarly sources. | 10 pts |
| This criterion is linked to a Learning OutcomeSource Attribution and APA Formatting | **5 to >4.46 ptsExcellent** All sources are cited in APA format without any errors… Includes a complete AI template in the appendix… Student work is original– no AI-generated text is presented as student’s own, independent work.<br> <br>**4.46 to >3.96 ptsGood** All sources are cited in APA format with some minor errors… Includes a mostly complete AI template in the appendix… Student work is original– no AI-generated text is presented as student’s own, independent work.<br> <br>**3.96 to >3.47 ptsFair** All sources are cited with frequent APA formatting errors… Includes an incomplete AI template in the appendix… Student work is original– no AI-generated text is presented as student’s own, independent work.<br> <br>**3.47 to >0 ptsPoor** Missing source citations and/or minimal adherence to APA formatting rules… AI template missing… Student work is not original– AI-generated text is presented as student’s own, independent work. | 5 pts |
| This criterion is linked to a Learning OutcomeGrammar, Mechanics, and Punctuation | **5 to >4.46 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**4.46 to >3.96 ptsGood** Uses correct grammar, spelling, and punctuation with few errors.<br> <br>**3.96 to >3.47 ptsFair** Uses correct grammar, spelling, and punctuation with frequent errors.<br> <br>**3.47 to >0 ptsPoor** Post contains frequent errors in grammar, spelling, and punctuation that interfere with comprehension. | 5 pts |
Total Points: 100