Fall 2021

NURS 6254-01 FNP Dx & Mgmt Concepts & Theory 3

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/.

Welcome to NURS 6254. This semester will build upon content from the prerequisite courses Diagnosis and Management 1 & 2, Advanced Health Assessment, Pathophysiology,  and the Special Population Pediatric Pharmacology courses. We will meet on Mondays from 1300 to 1500 in room 1.229.  Please set up your free Texas Health Steps account at https://www.txhealthsteps.com/


Susan M. McDonald, PhD, APRN, CPNP-PC

Associate Professor-Clinical

E-Mail:  mcdonaldsm@uthscsa.edu

Office Phone:210-567-0159

Office Room:2.518

OfficeHours: Listed in Starfish

Office of Faculty Excellence



This course provides the theoretical foundations for the competencies of the Family Nurse Practitioner (FNP) in health promotion, diagnosis and management in the primary healthcare setting for the pediatric patient and family.  Problem-based and self-directed learning strategies are used to formulate differential diagnoses and develop evidence-based treatment plans for chronic and acute conditions affecting pediatric patients from birth to adolescence.  Collaboration with interprofessional teams is examined as well as legal and ethical principles informing quality family-centered healthcare.


Credit hour allocation: 2 semester credit hours
Clock hour allocation: 30 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
NURS 6453 FNP Diagnosis and Management: Concepts and Theory 1
NURS 6454 FNP Diagnosis and Management: Concepts and Theory 2

NURS 6457 FNP Diagnosis and Management: Clinical Application 1
NURS 6153 FNP Diagnosis and Management: Clinical Seminar 1


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 patient-centered care with emphasis on health promotion, disease prevention, health protection, anticipatory guidance, counseling and interprofessional disease management for pediatric patients from birth to adolescence during developmental transitions and life-style adjustments. (DNP Essentials I, II, VII, VIII; NONPF Competency: Independent Practice 3, 6)

2.  Develop differential diagnoses integrating history and physical exam findings.  (DNP Essentials I, III, VIII; NONPF Competency: Independent Practice 3)

3.  Apply knowledge of growth and development, injury prevention and treatment and diagnosis and management of acute and chronic illnesses to improve health for pediatric patients from birth to adolescence.  (DNP Essentials I, VIII; NONPF Competencies: Scientific Foundation 2, Independent Practice 3)

4.  Integrate traditional, complementary and pharmacologic interventions in the delivery of quality primary care for pediatric patients.  (DNP Essentials II, III, VI; NONPF Competency: Independent Practice 3, 4, 5)

5.  Construct patient-centered plans of care integrating social, developmental, psychological, cultural, explanatory models and spiritual components. (DNP Essentials I, VII, VIII; NONPF Competency: Independent Practice 3, 4, 5)

6.  Utilize evidence-based findings to diagnose and manage acute and chronic health conditions for the pediatric patient.  (DNP Essentials I, III, VI, VIII; NONPF Competencies:  Scientific Foundation 3, Quality 1, Practice Inquiry 6, Independent Practice 8)

7.  Demonstrate core professional values and ethical/legal standards in the implementation of the nurse practitioner role.  (DNP Essentials I, V, VIII; NONPF Competencies: Ethics 1, 2, 3, Independent Practice 1, 2, 8)

8.  Evaluate patient safety, quality indicators, and outcomes improvement in the delivery of quality team-based primary care of pediatric patients.  (DNP Essentials II, III, VI; NONPF Competencies: Quality 1, Practice Inquiry 2, 3, Independent Practice 6)


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)


Percentage of Grade
Module Quizzes
Texas Health Steps Modules



Attendance in class is an expectation of each student.


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.


Laptop computer with Examsoft and Examplify loaded.

DxR Clinician is a cloud-based, highlyinteractive application designed for the purpose of helping students masterpatient assessment and diagnostic-reasoning. The link to register andpay the $75 semester subscription will be sent later.


Free Texas Health Steps account: https://www.txhealthsteps.com/

Richardson, B.. (2020) Pediatric Primary Care (4th edition). Jones & Bartlett Learning. ISBN978-1-284-14942-5

Hollier, A. (2021). Clinical Guidelines in Primary Care (4th edition). Advanced Practice Education Associates. ISBN 978-1-892418-27-2

Hagan, J, Shaw, J. S., &Duncan, P. M.  (Eds.)  (2017). Bright Futures: Guideline Pocket Guide (4th edition). American Academy of Pediatrics ISBN978-1-61002-082-4

Additional required reading: See Canvas Modules


American Pharmacies Association. (2020) Lexicomp Pediatric& Neonatal Dosage Handbook (27th edition). Wolters Kluwer. ISBN978-1-59195-384-5

Bickely, L. (2020). Bate’s Guide to Physical Examinationand History Taking (13th edition). Wolters Kluwer. ISBN 978-1-49639-817-8



1.    Health promotion/health maintenance/disease prevention from birth to adolescence.

2.    Psychiatric, neurobehavioral, and child abuse issues in pediatric primary care

3.    Genetics

4.    Infectious Diseases and Immunizations

5.    Skin Conditions

6.    EENT Conditions

7.    Respiratory Conditions

8.    Neurological Conditions

9.    Musculoskeletal Conditions

10. Hematological Conditions

11. Gastrointestinal Conditions

12. Genitourinary Conditions

13. Endocrine Conditions

This semester willbuild upon content from the prerequisite courses.

CALENDAR - 1st Day Only

Please check the schedule for recent updates on Class Dates & Room.

Class is scheduled for Monday, August 23, from 1300 to 1500. An overview of the course will be presented and we will begin the first topic: Health promotion, health maintenance, and disease prevention. For full calendar and details, please refer to the information posted in Canvas.

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