Health Assessment – NURS 210

CG • Section 8WK • 11/08/2019 to 04/16/2020 • Modified 07/28/2020

Course Description

This course focuses on the development of a body systems approach to health assessment of individuals emphasizing normal growth and developmental responses across the lifespan. Content includes an introduction to the knowledge and skills of health assessment through a variety of methodologies in the classroom, opportunities to practice skills in the nursing laboratory and experiences in the clinical settings. Students apply communication techniques in eliciting comprehensive health histories and perform physical examinations in evaluating health status. NURS 210 is offered both as an online course and as an intensive held on the Liberty University Campus.

Prerequisites

NURS 010 (may be taken concurrently) and Nursing Gate 1 with a score of 3

Rationale

The professional nurse is often called upon to make independent decisions regarding the resolution of patient care problems. This course serves as an introduction to patient assessment. Normal physical and developmental processes must be understood in order to recognize abnormal responses.

Measurable Learning Outcomes

Upon successful completion of this course, the student will be able to:

    1. Assess body systems using the four modalities of the physical examination: inspection, palpation, percussion, and auscultation in proper sequence, using proper technique, in order to identify normal and abnormal findings.
    2. Utilize his or her interviewing skills regarding health assessment data collection by employing effective communication, interpretation of objective and subjective data, and appropriate documentation.
    3. Describe how technology has changed the physical assessment process over time.
    4. Demonstrate use of current assessment equipment and assessment verification options.
    5. Summarize legal responsibilities related to the physical assessment, including how to identify and locate appropriate patient referral contacts for issues that arise outside of the nursing scope of practice.
    6. Evaluate the interactions among health, economic, social, and political status, as well as cultural differences, and the impact each one can have on health care.
    7. Integrate an attitude of caring in client/nurse relationships while incorporating behaviors related to a Christian value system in the provision of nursing care.

Course Assignment

Textbook readings and lecture presentations.

Course Requirements Checklist

After reading the Course Syllabus and Student Expectations, the student will complete the related checklist found in Module/Week 1.

Discussion Board Forums (3)

Discussion boards are collaborative learning experiences. Therefore, the student will create a thread in response to the provided prompt for each forum. Each thread must be at least 250 words and demonstrate course-related knowledge. For each thread, the student must support his/her assertions with at least 1 citation in current APA format. In addition to the thread, the student will reply to at least 2 classmates’ threads. Each reply must be at least 150 words. Both replies must reference 1 scholarly source, and at least 1 of the replies must reference textbook readings to support the student’s assertions. Acceptable sources include the course textbook, the Bible, legal sources, and video presentations.

Health History Examination

Prior to completing the Health History Examination, the Pathogens Form must be submitted. The student will complete 1 client physical Health History Examination on an adult age 18 or older (legal consenting age may vary per state). The student will use the provided Health History Examination Form. The Health History Examination is a clinical component for this course. Satisfactory completion with a minimum 70% score on each clinical component is required to earn a passing grade for the course.

Student Assessment Videos (3)

The student will complete 3 Student Assessment Videos (covering 3 stages of the head-to-toe assessment) on a consenting adult age 18 or older. For this assignment students will be required to utilize nursing equipment as listed in the Syllabus and MBS. Credit will not be given for portions requiring special equipment if students fail to use it. Each assessment must be submitted as a single, continuous video without any editing. This is a closed-book/closed-notes assignment. Videos with evidence of notes used during filming will not be accepted for grading. Videos must not exceed 25 minutes. The student will also be required to adhere to the requirements specified in the individual assignment instructions include professional dress and behavior, zero-distractions, and professional terminology. Any students who may require aid for disability assistance will need to contact ODAS for additional support for this assignment and will not be penalized for using necessary aids. The Student Assessment Videos are a clinical component for this course. Satisfactory completion with a minimum 70% score on each clinical component (i.e. the content portion of each video) is required to earn a passing grade for the course.

SOAP Note

The student will complete a SOAP Note based on the face, head, and neck examination. The student will utilize the Soap Note Form to record and submit his/her information. The SOAP note must follow current APA format and include 2 sources, the course textbook and a source for a NANDA-approved nursing diagnoses.

Comprehensive Physical Exam Video

The student will complete a Comprehensive Physical Exam (head-to-toe assessment) on a consenting adult age 18 or older. For this assignment students will be required to utilize nursing equipment as listed in the Syllabus and MBS. Credit will not be given for portions requiring special equipment if students fail to use it. This assessment will be recorded and submitted as a video to the instructor for evaluation. Each Physical Exam must be submitted as a single, continuous video without any editing. The student will be required to adhere to the requirements specified in the individual assignment instructions include professional dress and behavior, zero-distractions, and professional terminology as well as to utilize the specific tools necessary for each assignment. The student can also find the full items listed in the Additional Materials for Learning portion of the Syllabus. This is a closed-book/closed-notes exam with a time limit of 1 hour. Videos with evidence of notes used during filming will not be accepted for grading. Any students who may require aid for disability assistance will need to contact ODAS for additional support for this assignment and will not be penalized for using necessary aids. The Comprehensive Physical Exam is one of the clinical components for this course. Satisfactory completion with a minimum 70% score on each clinical component (the content portion of the Comprehensive Physical Exam Video) is required to earn a passing grade for the course.

Tests (4)

Each test will cover the Reading & Study material for the assigned modules/weeks. Each test will be open-book/open-notes, contain 50 multiple-choice questions, and have a time limit of 2 hours.