Fall 2021

NURS 6224-01 PNP-PC 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/.

NOTE: Our campus has enabled the CANVAS MOBILE LEARN application. CANVAS tools such as discussions, quizzes or videos May or May NOT function on all mobile devices. This is because mobile devices are available with rapidly changing and different configurations. Hence, students must not depend on only a mobile device to access course materials. Students must have access to a laptop or desktop device to access course materials and complete assignments.

This course is Web Enhanced with WebCT icon
Please be sure to check the Current Computer Requirements

No class first day- First module opens


Kathryn Parke, DNP, APRN, CPNP

Associate Professor/Clinical

E-mail: parkek@uthscsa.edu


Office phone number 210-567-5662

Office Hours: By Appointment available in-person and virtually


This course builds on the two prior PNP didactic courses and will further provide the BSN prepared nurse the competencies essential to practice nursing at the advanced practice level in the role of the primary care pediatric nurse practitioner (PNP). This is a hybrid course which means content is provided using a combination of face to face and on-line instruction. 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: 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 6410 PNP-PC Diagnosis and Management: Concepts and Theory 1
NURS 6411 PNP-PC Diagnosis and Management: Concepts and Theory 2

NURS 6424 PNP Diagnosis and Management: Clinical Application 1
NURS 6124 PNP 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 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.  Demonstrate progression in self-directed learning, professional development, competence, and leadership as a member of the interprofessional team in providing care for a diverse pediatric population. (DNP Essential II, III, V, VI, VII; NONPF Competencies: Scientific Foundation 1-4, Health Delivery System 3, 4, 5, 7)

9.  Analyze 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

Exams x 2 Mid-term and Final Exams

60 points

Mid-term 30

Final 30

Module Quizzes

5 points (total)

Classroom Quizzes 

10 points (total)

Student Presentations

20 points

Case Studies X 2



100 points



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.




 American Academy of Pediatrics. (2017). Bright futures pocket guide, 4th Ed. Elk Grove Village, IL: Author. ISBN- 978-1-61002-083-1


American Psychological Association. (2019). Publication manual of the American Psychological Association. 7th Ed. Washington, DC: Author. ISBN: 1433832178


Burns, C., Brady, M., Dunn, A., Starr, N., Blosser, C. (2021). Pediatric primary care. 7thEd. St. Louis, MO: Saunders Elsevier. 978-0323243384


Duderstadt, K.G. (2006). Pediatric physical examination: an illustrated handbook. St. Louis, MO: Mosby Elsevier. ISBN-13: 978-0-323-01904-1



1.     Primary Care Management of Children with Dermatological Conditions

2.     Primary Care Management of Disorders of the Endocrine System

3.     Physical Activity and Sports for Children and Adolescents

4.     Primary Care Management of Children with Musculoskeletal disorders/Sport’s Injuries

5.     Primary Care Management of Children’s Safety and Common Pediatric Injuries and Toxic Exposures  

6.     Primary Care Management of Children with Rheumatic Disorders

7.     Complementary Medicine and Functional Medication in Primary Care

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