When seeking to identify a patient’s health condition, advanced practice nurses can use a
diverse selection of diagnostic tests and assessment tools; however, different factors affect the
validity and reliability of the results produced by these tests or tools. Nurses must be aware of
these factors in order to select the most appropriate test or tool and to accurately interpret the
results.
Not only do these diagnostic tests affect adults, body measurements can provide a general
picture of whether a child is receiving adequate nutrition or is at risk for health issues. These
data, however, are just one aspect to be considered. Lifestyle, family history, and culture— among other factors—are also relevant. That said, gathering and communicating this information
can be a delicate process.
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For this Assignment, you will consider the validity and reliability of different assessment tools and
diagnostic tests. You will explore issues such as sensitivity, specificity, and positive and negative
predictive values. You will also consider examples of children with various weight issues. You will
explore how you could effectively gather information and encourage parents and caregivers to be
proactive about their children’s health and weight.
To Prepare
Review this week’s Learning Resources and consider factors that impact the validity and
reliability of various assessment tools and diagnostic tests. You also will review examples of
pediatric patients and their families as it relates to BMI.
By Day 1 of this week, you will be assigned to one of the following Assignment options by your
Instructor: Adult Assessment Tools or Diagnostic Tests (option 1), or Child Health Case (Option
2). Note: Please see the “Course Announcements” section of the classroom for your
assignments from your Instructor.
Search the University Library and credible sources for resources explaining the tool or test you
were assigned. What is its purpose, how is it conducted, and what information does it gather?
Also, as you search the University library and credible sources, consider what the literature
discusses regarding the validity, reliability, sensitivity, specificity, predictive values, ethical
dilemmas, and controversies related to the test or tool.
If you are assigned Assignment Option 2 (Child), consider what health issues and risks may be
relevant to the child in the health example.
Based on the risks you identified, consider what further information you would need to gain a full
understanding of the child’s health. Think about how you could gather this information in a
sensitive fashion.
Consider how you could encourage parents or caregivers to be proactive toward the child’s
health.
The Assignment
Assignment (3–4 pages, not including title and reference pages):
Assignment Option 1: Adult Assessment Tools or Diagnostic Tests:
Include the following:
A description of how the assessment tool or diagnostic test you were assigned is used in
healthcare.
What is its purpose?
How is it conducted?
What information does it gather?
Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA
formatting.
Assignment Option 2: Child Health Case:
Include the following:
An explanation of the health issues and risks that are relevant to the child you were assigned.
Describe additional information you would need in order to further assess his or her weightrelated health.
Identify and describe any risks and consider what further information you would need to gain a
full understanding of the child’s health. Think about how you could gather this information in a
sensitive fashion.
Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific
questions you would ask about the child to gather more information.
Provide at least two strategies you could employ to encourage the parents or caregivers to be
proactive about their child’s health and weight.

Paper will be 6 pages and will discuss the pathophysiologic process of a chosen disease, which
is COPD
Written assignments must be typed using American Psychological Association APA for the
format, in-text citations, and references.
Rubric:
Underlying pathophysiological process 25%
Presenting signs, symptoms, and diagnostic abnormalities 25%
Current research as it relates to you or to your interest in topic 25%
Role of social determinants of health in disease process 15%
APA format 10%
See the attached PowerPoint presentation

Policy, Politics, and Global Health Trends
7007.1.1 : Organization and Financing Healthcare
The graduate analyzes the organization of healthcare delivery and financing systems in the
United States and other nations.
7007.1.2 : Policy Process
The graduate analyzes the historical, economic, and political factors that affect healthcare policy
development and the impact of those policies on healthcare cost, quality, and access.
7007.1.3 : Effects of Legal and Regulatory Policies
The graduate analyzes the effect of major legal and regulatory policies on nursing practice,
healthcare delivery, and health outcomes for individual, families, and communities.
7007.1.4 : Ethical Theories Applied to Nurses’ Policy Positions
The graduate analyzes the values that drive policies.
7007.1.5 : Advocate for Policies That Improve the Health of the Public and the Profession of
Nursing
The graduate analyzes strategies that healthcare advocates use to affect policies with the goal of
improving the public health and the profession of nursing.
Introduction
For this assessment, you will be required to develop and thoroughly analyze a public policy in
order to advocate for one that improves the health of the public and/or the nursing profession globally (local, state, national, or international). To do this, you will reflect on several aspects of
being a policy maker within the nursing position. A few things to consider are:
• Why did you select the health or nursing profession policy issue?
• How does this issue affect nursing practice, healthcare delivery, and health outcomes for
individual, families, and/or communities?
• What are the values and the ethical positions that underpin your perspectives?
• What are the criteria you will use to evaluate the success (outcomes) of your proposed policy
change?
By using both a top-down and a bottom-up approach, you will analyze and bring the nursing
perspective to policy makers and stakeholders. Identifying the values and ethical perspectives
that underpin your position, you will develop criteria to evaluate the success of your work. This
will lead to a created a policy brief that can be sent to decision makers and created a plan to
work with an organization/community to promote policy change at the local level.
To guide you to your conclusion, using nursing research to support your position is vital. This
should include principles of community-based participatory research (CBPR).
Requirements
Your submission must be your original work. No more than a combined total of 30% of the
submission and no more than a 10% match to any one individual source can be directly quoted
or closely paraphrased from sources, even if cited correctly. An originality report is provided  when you submit your task that can be used as a guide.
Professional Communications is a required aspect to pass this task. Completion of a spell check
and grammar check prior to submitting your final work is strongly recommended.
You must use the rubric to direct the creation of your submission because it provides detailed
criteria that will be used to evaluate your work. Each requirement below may be evaluated by
more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions
of the course.
Note: Your submission may take the form of an essay, multimedia presentation, etc. Be sure to
cover each prompt in sufficient detail and support no matter what form you use.
A. Prepare your reflection essay (suggested length of no more than of 3 pages) of the values and
ethics of a public policy issue by doing the following:
1. Analyze a health or nursing profession public policy issue that impacts a group of people and
requires a policy change.
a. Discuss why you selected this public policy issue.
Note: If you select a local policy, be sure your discussion reflects how the policy will affect more
than a single unit, department, or organization.
b. Discuss the relevance of the public policy issue to the health or the nursing profession, using
two pieces of academically appropriate literature from the last five years.
c. Describe the financial impact of the public policy on an organization or on a community.
2. Analyze how your values impact your position on the public policy issue.
a. Discuss the ethical principle (e.g., autonomy, beneficence, non-maleficence, justice) or theory
that underpins your perspective.
B. Develop a policy brief (suggested length of no more than 6 pages) for the public policy issue
discussed in part A in which you do the following:
1. Identify the decision maker (name and title) who will receive the policy brief.
a. Explain why the public policy issue requires the decision maker’s attention, using relevant
nursing research from the last five years to support your position.
2. Discuss the main challenges of addressing the selected public policy issue.
3. Discuss the primary options and/or interventions for the decision maker, including why they
are tangible.
4. Propose a persuasive course of action for the decision maker, including ways to avoid the
challenges identified in part B2.
5. Discuss how you will evaluate the success of your policy brief (top-down approach).
C. Create a plan (suggested length of no more than 3 pages) for working with an organization or
a community to address the public policy issue analyzed in part A by doing the following:
1. Identify an organization or community that has expressed interest in your selected health or nursing profession public policy issue.
a. Summarize evidence supporting why the organization or community has expressed interest in
the selected public policy issue.
2. Identify three CBPR principles you could use to work with the organization or community to
address a policy change for the public policy issue.
a. Explain how you could approach and collaborate with the organization or community.
b. Discuss how the goal of the community or organization aligns with your goal for the selected
public policy issue.
c. Discuss the action steps that need to be taken to achieve your goal from part C2b.
d. Discuss the possible roles/responsibilities of the community or organization members,
including problem-solving and capacity-building roles.
e. Discuss key elements of developing a collaborative evaluation plan, using CBPR principles.
f. Discuss how you will evaluate the success of your community or organization plan (bottom-up
approach).
D. Analyze (suggested length of 1 page) the strengths and challenges of the top-down and
bottom-up approaches in achieving policy change(s) to support your selected public policy issue
by doing the following:
1. Discuss the strengths of each approach to implement change for the selected public policy
issue.
2. Discuss the challenges of each approach to implement change for the selected public policy
issue
3. Discuss which approach you would recommend as the most effective to address the selected
public policy issue.
E. When you use sources, include all in-text citations and references in APA format.
Note: When using sources to support ideas and elements in an assessment, the submission
MUST include APA formatted in-text citations with a corresponding reference list for any direct
quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not
been quoted or pa