Spring 2021

NURS 6421-01 PNP-PC Diagnosis and Management: Concepts and Theory 1

All students are responsible for checking their UTHSCSA Livemail account regularly (i.e., daily or several times every week) to obtain Official University Communication regarding their courses, program and student status.

Students are expected to follow all policies related to COVID-19 found on the university webpage: https://wp.uthscsa.edu/coronavirus/.


Kathryn Parke DNP, APRN, CPNP-PC Associate Professor/Clinical

E-mail: parkek@uthscsa.edu

Office 2.344

Office phone number 210-567-5662

Office Hours: Friday 11 am to 12 noon and by appointment


This course provides the theoretical content for the BSN prepared nurse to acquire the competencies essential to practice nursing at the advanced practice level in the role of the primary care pediatric nurse practitioner (PNP). Case-based and self-directed learning strategies are used to promote student competency in health promotion, health protection, health assessment, and diagnosis and management of illness in the pediatric primary care setting. Additionally, this course emphasizes collaborative partnerships among patients, families, and other members of the health care team to ensure best outcomes for children, their families, and the community.


Credit hour allocation: 4 semester credit hours
Clock hour allocation: 60 clock hours class


NURS 6338 Advanced Pathophysiology
NURS 6302 Advanced Pharmacotherapeutics
NURS 6210 Advanced Health Assessment & Clinical Reasoning
NURS 6110 Advanced Health Assessment & Clinical Reasoning: Clinical Application


Upon completion of the Doctor of Nursing Practice (DNP) Program students will:

  1. Integrate nursing science, ethics, biophysical, psychosocial, analytical, and organizational sources to provide the highest level of specialty nursing practices.
  2. Develop, implement, and evaluate healthcare practices in healthcare systems that ensure quality improvement and patient safety.
  3. Use analytic methods and evidence based practices to improve practice outcomes and the practice environment.
  4. Implement and evaluate ethical healthcare information systems and patient care technology to improve the quality of patient health outcomes and care systems.
  5. Advocate for healthcare practices that advance social justice, equity, and ethical policies within all healthcare arenas.
  6. Employ interprofessional collaborative teams to improve patient and population health outcomes and healthcare delivery systems.
  7. Lead the integration and institutionalization of (evidence based) clinical prevention and population based health guidelines.
  8. Use clinical judgment, systems thinking, accountability, and specialized knowledge to design, deliver, and evaluate evidence based, culturally proficient care to improve patient, population, and health systems outcomes.


1.  Apply theoretical concepts of social and behavioral determinants of health, genomics, health promotion, disease prevention, health protection, anticipatory guidance, motivational interviewing, disease management, and palliative care to patients and families during developmental transitions and life-style adjustments. (DNP Essentials I, VI, VII, VIII; NONPF Competencies: Scientific Foundation 1-4, Health Delivery System 1-7, Independent Practice 1-8)
2.  Demonstrate competence in age appropriate, comprehensive, advanced physical, mental, and developmental assessment across the pediatric lifespan. (DNP Essentials I, VIII; NONPF Competencies: Scientific Foundation 2, Independent Practice 3)
3.  Integrate history and physical examination and diagnostic and screening data and incorporate pathophysiology of acute and chronic diseases from birth through adolescence to develop appropriate differential diagnoses and initiate appropriate customized interventions. (DNP Essentials I, III, VIII; NONPF Competencies: Scientific Foundation 1,3, Independent Practice 3, 4)
4.  Integrate traditional and complementary pharmacological interventions into the treatment and management of illness. (DNP Essentials I, VIII; NONPF Competencies: Scientific Foundation 1, 3, Independent Practice 2, 3, 4, 5, 8)
5.  Integrate social, cultural, explanatory models, and spiritual components in patient-centered plans of care. (DNP Essentials I, VIII; NONPF Competencies: Scientific Foundation 3, Independent Practice 3, 4, 5)
6.  Demonstrate core professional values and ethical/legal standards in the implementation of the nurse practitioner role. (DNP Essentials I, V, VII; NONPF Competencies: Ethics 1, 2, 3, Independent Practice 1, 2, 8)
7.  Integrate evidence-based care in pediatric health prevention and diagnosis and management of illness from birth through adolescence. (DNP Essentials I, VIII; NONPF Competencies: Scientific Foundation 3, Quality 1, Practice Inquiry 6, Independent Practice 8)

8.  Examine patient safety, quality indicators, outcome improvement in the delivery of quality primary care to patients. (DNP Essentials I, III; NONPF Competency: Quality 1)


A = 4 points (90-100)
B = 3 points (80-89)
C = 2 points (75-79)
D = 1 point (66-74)
F = 0 points (65 or below)



Weighting Percent of Final Grade

Due Date & Time

Exams x 2

 Mid-term and Final Exam

60 points

Mid-term 30

Final 30

Posted on course calendar

Module Quizzes

10 points (total)

Due dates for module quizzes posted on course calendar

Classroom Quizzes 

10 points (total)

Quizzes will be given every class day

Health Assessment Assignment

10 points

Posted on course calendar

Pediatric Health Promotion Project

10 points

Posted on course calendar


100 points


Attendance in class is an expectation of each student.


  1. If written assignments are made in a course they are required.
  2. Students are expected to submit written work on the scheduled date and time.
  3. The student must notify the course coordinator prior to the scheduled due date and time if they are unable to submit the written work as scheduled. Failure to make this notification in advance will result in a "zero" for that written work.
  4. If the excuse is accepted as reasonable and necessary, arrangements will be made for an alternative due date and time.
  5. Each student is responsible for making sure that he or she has completed the written work prior to submission.
  6. Late work will be accepted with consequences as outlined per course syllabi.


The APA Publication Manual 7th edition is required for use in all nursing school programs. 


Students are expected to be above reproach in all scholastic activities. Students who engage in scholastic dishonesty are subject to disciplinary penalties, including the possibility of failure in the course and dismissal from the university. "Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, and submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts." Regents Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22.


Students who are nurses or are preparing to enter the profession of nursing are expected to treat others with respect and compassion. “The principle of respect for persons extends to all individuals with whom the nurse interacts. The nurse maintains compassionate and caring relationships with colleagues and others with a commitment to the fair treatment of individuals, to integrity-preserving compromise and to resolving conflict. This standard of conduct precludes any and all prejudicial actions, any form of harassment or threatening behavior, or disregard for the effects of one’s actions on others” (American Nurses Association Code for Nurses, Interpretive Statement 1.5).

The students, faculty, Department Chairs, Associate Deans, and the Dean of the School of Nursing of the University Texas Health Science Center San Antonio subscribe to the highest standards of conduct. Our aim is professional behavior beyond reproach. Failure to abide by the signed code of professional conduct may lead to suspension and/or permanent dismissal from the UTHSCSA SON. In particular, we subscribe to the provisions of the Code of Ethics for Nurses (http://bit.ly/1mtD5p2) and the following points of conduct.


School of Nursing Netiquette Guidelines for Online Interaction

Netiquette guidelines provide information for behaving properly online, when using email, tweets or texts so that you may successfully communicate your thoughts in a manner that is respectful and avoids misunderstandings with others.


Any student seeking reasonable accommodations through the Americans with Disabilities Act (ADA) should contact either the Associate Dean for Admissions and Student Services within the first week of the semester or schedule a meeting with the UTHSCSA ADA Compliance Office so that appropriate accommodations may be arranged. A request for accommodations (Form ADA-100: http://uthscsa.edu/eeo/form100-Faculty-student-resident.pdf) must be completed and submitted to the Executive Director of the ADA Compliance Office before accommodations can be provided. Additional information can be provided in the Student Success Center, Room 1.118 or through the ADA Compliance Office website: http://uthscsa.edu/eeo/request.asp.


        American Academy of Pediatrics. (2008). Bright Futures. 4th Ed. Elk Grove Village, IL: Author. ISBN-10: 1581102232


        American Psychological Association. (2019).Publication manual of the American Psychological Association. 7th Ed.Washington, DC: Author. ISBN: 9781433832161


        Duderstadt, K.G. (2018). Pediatric physical examination: an illustrated handbook. 3rd Ed. St. Louis,MO: Mosby Elsevier. ISBN: 9780323476508


         Maaks, D. L., Starr, N., Brady, M.,Gaylord, N. M., Driessnack, M., Duderstadt, K. G. (2020). Pediatric primary care. 7th Ed. St. Louis, MO: Elsevier. ISBN: 9780323597159



1.      The role of family and community in the health of children.

2.      Pediatric preventive care schedule, assessments, and screening.

3.      Assessment of the newborn infant.

4.      Perinatal Disorders.

5.      Growth and development,and health promotion in the infant, toddler and pre-school age child.

6.      Nutritional needs of infants and children

7.      Genetic disorders.

8.      Assessment of the eyes, ears, nose, teeth and oropharynx.

9.      Disorders of the eyes, ears, nose, teeth, and oropharynx.

10.  Assessment of the respiratory and cardiovascular system.

11.  Disorders of the cardiovascular system.

12.  Disorders of the respiratory system

13. Pain and Palliative Care

© School of Nursing | The University of Texas Health Science Center at San Antonio external link
Links provided from Health Science Center School of Nursing pages to other websites do not constitute or imply an endorsement of those sites, their content, or products and services associated with those sites.

School of Nursing - UT Health Science Center San Antonio