Spring 2022

NURS 6458-001 FNP Dx & Mgmt: Clinical Application 2

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

Link to Graduate Clinical Experiences and Typhon guidelines: http://nursing.uthscsa.edu/gradclinical/

Dear FNP students, welcome to your second clinical course!

We will meet on January 10th at 8am for Clinical Orientation.
Location TBD.

Clinical hours with your preceptor may begin as early as Tuesday, January 11th as long as the IOR (Intent of Relationship) is signed and the site has been approved by the clinical liaison, Ms. Urshan.


Section 01: Paula Christianson-Silva, DNP, APRN, FNP-BC
Assistant Professor / Clinical
Email: christianson@uthscsa.edu

Section 02: Patricia Simpson, PhD, APRN, ANP-BC
Clinical Assistant Professor
E-mail: simpsonp@uthscsa.edu

Section 03: Angela Diaz, DNP, APRN,FNP-BC
Clinical Assistant Professor
Email: diazAJ@uthscsa.edu

Section 04: Lisa Zerda, DNP, RN, FNP-BC
Clinical Assistant Professor
Email: zerdaL@uthscsa.edu

Section 05: Laura Rooney, DNP, APRN, FNP-BC, FAANP
Adjunct Assistant Professor / Clinical
E-mail: rooneyL@uthscsa.edu

Section 06: Sarah Knoeckel, DNP, RN, FNP-BC
Assistant Professor / Clinical
E-mail: knoeckel@uthscsa.edu
Phone: (210)450-8974

Heidi Worabo, DNP,APRN, FNP-BC, FAANP, Course Coordinator
FNP Track Coordinator
Associate Professor / Clinical
E-mail: worabo@uthscsa.edu
Phone: 210-567-5867


The focus of this clinical course is continued integration of the Family Nurse Practitioner’s (FNP) essential knowledge in health promotion, diagnosis and management of patients and families in the primary healthcare setting across the lifespan. Emphasis is placed on care of patients and families with acute and chronic health problems in collaboration with interprofessional teams using evidence-based and patient-centered strategies.


Credit hour allocation: 4 semester credit hours
Clock hour allocation:
240 clock hours clinical practicum


NURS 6453 FNP Diagnosis and Management: Concepts and Theory 1
NURS 6454 
FNP Diagnosis and Management: Concepts and Theory 2
NURS 6254 
FNP Diagnosis and Management: Concepts and Theory 3
NURS 6457 
FNP Diagnosis and Management: Clinical Application 1
NURS 6153 
FNP Diagnosis and Management: Clinical Seminar 2

NURS 6154 
FNP Diagnosis and Management: Clinical Seminar 2


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.Provide patient-centered primary care with emphasis on health promotion, disease prevention, health protection, anticipatory guidance, counseling, disease management, and palliative care to patients and families during transitions and life-style adjustments as an integral member of the interprofessional team. (DNP Essentials I, III, VI, VII, VIII; NONPF Independent Practice 3, 6)

2.Demonstrate the ability to integrate history, physical exam, laboratory and imaging data with knowledge of the pathophysiology of acute and chronic disease to develop appropriate differential diagnoses and initiate appropriate patient-centered interventions through accurate and clear documentation. (DNP Essentials I, VIII; NONPF Scientific Foundation 2, Independent Practice 3, 4)

3.Analyze evidenced-based guidelines related to patient health, disease management and prevention to impact health outcomes in this diverse population. (DNP Essentials I, III, VII, VIII; NONPF Scientific Foundation 3, Practice Inquiry 6, Independent Practice 8)

4.Construct treatment plans incorporating traditional and complementary pharmacological and non-pharmacological interventions in the treatment and management of health problems across the lifespan. (DNP Essentials I, VIII; NONPF Independent Practice 3, 4, 5)

5.Integrate social, cultural, explanatory models and spiritual components in patient-centered plans of care for patients and families. (DNP Essentials I, VII, VIII; NONPF Independent Practice 3, 4, 5)

6.Appraise legal and ethical principles in decision-making and demonstrate core professional values in the implementation of the nurse practitioner role. (DNP Essentials I, II, V, VIII; NONPF Ethics 1, 2, 3, Independent Practice 1, 2, 8)

7.Create a climate of patient-centered care to include safety, confidentiality, privacy, comfort, emotional support, education, mutual trust and respect. (DNP Essentials II, VIII; NONPF Quality 1, Practice Inquiry 2, 3, Independent Practice 1, 2, 4, 5)

8.Demonstrate progression in self-directed learning, professional development, competence, and leadership as a member of the interprofessional team in providing care for this diverse population. (DNP Essential II, III, V, VI, VII; NONPF Leadership 2, Independent Practice 1, 2, 5, 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)





Evaluation of Student Clinical Performance


~Faculty Evaluation(s): Faculty will complete an evaluation of the student at the clinical site at least once during each semester.  If needed, multiple evaluations may be completed.  Each evaluation will be documented in Typhon and reviewed with the student.


~Preceptor Evaluations: The student’s preceptor will complete a Midterm Evaluation and a Final Evaluation each semester.  The Evaluations will be documented in Typhon and reviewed with the student.  It is the student’s responsibility to initiate the Preceptor Evaluation within Typhon so the Preceptor can fill it out. If the student has 2 preceptors within one semester, each preceptor fills out one evaluation.  A minimum of 2 preceptor evaluations are required each semester.


~Clinical Hours Report: Students to submit a summary of clinical hours at Midterm and Final into the Canvas assignment tab. The summary report is downloaded by the student from Typhon and displays the clinical hours completed and approved by the preceptor.  Clinical hours must total no less than 240 hours.


~Patient Encounters Summary: Students to submit pie graph summary of their patient encounters at Midterm and Final into the Canvas assignment tab. Students must enter every patient they see in the clinical setting within the week of seeing those patients.  Patient encounter entries are approved by the clinical faculty.




The Clinical Faculty will determine the final course grade based upon the successful completion of the required components above. The final course grade is also dependent upon the student abiding by the Clinical Policies and the Professional Code of Conduct of UT Health San Antonio School of Nursing.



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.


Previous course texts and clinical references


*FNP Certification Exam Review Resources: i.e. www.apea.com, www.npcourses.com, www.fhea.com



*Redbook Online

*The Harriet Lane Handbook

*Sanford Guide


240 direct patient care hours

CALENDAR - 1st Day Only

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

January 10th: 8-11:50am

© 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