NURSING CARE PLAN RUBRIC NAME: COURSE: ________DATE: ________________ CLIENT INITIALS: CLIENT DISEASE/DISORDER: _____________________ 2 1 4 3 Criteria (Approaching (Does Not Meet Weight (Exceeds Expectations) Expectations) Expectations) Expectations) History of Present explained in detail explained in some explained in limited details limited with □HPI □HPI □HPI □HPI with accurate and detail with moderate detail with marginal poor understanding of chief Illness, Physical Assessment, & understanding of chief understanding of chief understanding of complaint and presenting Diagnostic complaint and presenting complaint and presenting complaint and presenting signs/symptoms does not signs/symptoms supported signs/symptoms somewhat signs/symptoms vaguely support medical diagnosis, procedures by physical assessment; supported by physical supported by physical assessments □Identifies Identifies 5-6 key assessment; assessment; parameters not relevant to □ assessments parameters Identifies 3-4 key Identifies 1-2 key medical diagnoses, no □ □ relevant to medical assessments parameters assessments parameters references cited. diagnoses with APA relevant to medical relevant to medical references. diagnosis with references. diagnosis, no references cited. Past Medical & medical history medical history medical history past medical history □Past □Past □Past □No Surgical detailed with full with partial explanation of given with minimal given without explanation; explanation of identified preexisting explanation of identified no preexisting medical Pathophysiology for each medical diagnoses& preexisting medical diagnosis identified or diagnosis & accurate details explanation accurate with diagnoses & few details explanations inaccurate with specific detail related some detail related to the related to the client’s and not related to the to the client’s history and client’s history and history and symptoms client’s history and symptoms. symptoms. without references. symptoms without references cited. cited references. □APA □References
NURSING CARE PLAN RUBRIC NAME: COURSE: ________DATE: ________________ CLIENT INITIALS: CLIENT DISEASE/DISORDER: _____________________ Criteria 4 (Exceeds Expectations) 3 Expectations) 2 (Approaching Expectations) 1 (Does Not Meet Expectations) Weight History of Present Illness, Physical Assessment, & Diagnostic procedures □HPI explained in detail with accurate and understanding of chief complaint and presenting signs/symptoms supported by physical assessment; □ Identifies 5-6 key assessments parameters relevant to medical diagnoses with APA references. □HPI explained in some detail with moderate understanding of chief complaint and presenting signs/symptoms somewhat supported by physical assessment; □ Identifies 3-4 key assessments parameters relevant to medical diagnosis with references. □HPI explained in limited detail with marginal understanding of complaint and presenting signs/symptoms vaguely supported by physical assessment; □ Identifies 1-2 key assessments parameters relevant to medical diagnosis, no references cited. □HPI details limited with poor understanding of chief complaint and presenting signs/symptoms does not support medical diagnosis, □Identifies assessments parameters not relevant to medical diagnoses, no references cited. Past Medical & Surgical □Past medical history detailed with full explanation of Pathophysiology for each diagnosis & accurate details with specific detail related to the client’s history and symptoms. □APA references cited. □Past medical history with partial explanation of identified preexisting medical diagnoses& explanation accurate with some detail related to the client’s history and symptoms. □References cited □Past medical history given with minimal explanation of identified preexisting medical diagnoses & few details related to the client’s history and symptoms without references. □No past medical history given without explanation; no preexisting medical diagnosis identified or explanations inaccurate and not related to the client’s history and symptoms without references.
Approved%20NUR%20121%20Syllabus_%20NCC%20Meeting%201_20_2012.docx