Advanced Health / Physical Assessment – NURS 505
CG • Section 8WK • 11/08/2019 to 04/16/2020 • Modified 06/08/2022
Course Description
This course focuses on comprehensive physical assessment which includes in-depth health history, physical and psychological signs and symptoms, developmental stages, pathophysiologic changes, and psychosocial and cultural characteristics of the individual, family, and community as client. Enhancement of communication and observational skills are emphasized along with the development of sensitive and refined interviewing techniques. Students must obtain a master’s prepared nurse preceptor who will proctor their final exam which is a comprehensive head-to-toe physical assessment.
For information regarding prerequisites for this course, please refer to the Academic Course Catalog.
Rationale
Advanced nursing practice requires refined communication and assessment skills in order to adequately gather pertinent information and employ critical thinking skills in clinical decision-making. The information gathered through interviewing and physical assessment allows the advanced practice nurse to effectively evaluate the patient, develop a care plan, and manage the care of the patient in the hospital, in the home, and in the community.
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 the Course Overview.
Discussions (2)
The student will participate in 2 discussions in this course. For each discussion, the student will submit a thread of at least 500 words with at least 1 citation in current APA format. The student will also submit replies of at least 250 words each to 2 classmates’ threads. These Discussions will utilize the Post First setting.
Measureable Learning Outcomes: 3, 6
Program Learning Outcomes: 3, 10
NLN Nurse Educator Competencies: 6
AACN Essentials of Master’s Education in Nursing: IX.1; IX.4; IX.7
Quiz: Health History Assignment and Form Submissions
After assigned textbook readings and completion of Shadow Health's Health History Tips and Tricks for completing the Health History assignment, the student will access Tina, a standardized digital patient through Shadow Health and collect a comprehensive health history on Tina. Upload results as a .pdf from Lab Pass into the Quiz: Health History Assignment.
Measureable Learning Outcomes: 1
Program Learning Outcomes: 3, 5, 10
NLN Nurse Educator Competencies: 6
AACN Essentials of Master’s Education in Nursing: IX.1; IX.7
Genogram Assignment
Utilizing a pedigree (genogram) website or software program, the student will collect and depict a 3 full generation pedigree (genogram) on an adult friend or family member. The genogram will include cause of death, age of death if known, health conditions, familial and communicable diseases, and a genogram key to symbols used.
Measureable Learning Outcomes: 1
Program Learning Outcomes: 3, 5, 10
NLN Nurse Educator Competencies: 6
AACN Essentials of Master’s Education in Nursing: IX.1; IX.7
Genetics and Genomics Presentation Assignment
The student will create a 15–20-slide PowerPoint presentation (including the title and reference slides) in current APA format. Using the current edition of Essential Genetic and Genomic Competencies for Nurses with Graduate Degrees the student will demonstrate application to a genomic/genetic risk factor or condition. The student must include a minimum of 5 peer-reviewed journal articles written within the past 5 years.
Measureable Learning Outcomes: 8
Program Learning Outcomes: 1, 4, 6, 7, 11, 13, 16
NLN Nurse Educator Competencies: 6
AACN Essentials of Master’s Education in Nursing: IX.13, IX.15
Quiz: Focused Exam and SOAP Assignment
Using Shadow Health Digital Clinical Experience, complete a problem focused exam and SOAP note on a pediatric digital patient. The subjective (S) and objective (O) components must achieve 85% or more on the Digital Clinical Experience. The assessment (A) and plan (P) must also be satisfactorily completed for full credit.
Measureable Learning Outcomes: 3, 4, 5, 7
Program Learning Outcomes: 3, 10
NLN Nurse Educator Competencies: 6
AACN Essentials of Master’s Education in Nursing: IX.1; IX.4; IX.7
Cultural and Spiritual Assessment Assignment
The student will write a 6–8-page paper (excluding the title and reference pages) in current APA format discussing personal cultural identity and awareness, another culture other than one’s own, the role of the nurse in applying the CLAS standards to patient care, and how to conduct a spiritual assessment. The student must include a minimum of 5 peer-reviewed sources written within the past 5 years.
Measureable Learning Outcomes: 7, 9
Program Learning Outcomes: 2, 4, 6, 13, 16
NLN Nurse Educator Competencies: 6
AACN Essentials of Master’s Education in Nursing: VIII.3; IX.4; IX.13
Quiz: Proctored Head-to-Toe Physical Assessment Assignment
From memory, the student will complete an integrated head-to-toe assessment of a consenting adult (18 years of age or older). The exam will consist of a student-narrated video describing and performing the head-to-toe physical assessment. The exam will be filmed and uploaded to the student’s unlisted YouTube account. The student will then upload the populated link to Quiz: Proctored Head-to-Toe Physical Assessment Assignment along with the proctor’s graded rubric. The student must achieve a passing score of B- (168/200) in order to pass the course. Failure to achieve a minimum score of B- on this assignment will result in a final course grade no higher than a C, which will require the course to be retaken.
The video must not exceed 1 hour. This assignment will contain no written components.
The Bloodborne Pathogen form must be signed and on file prior to the head to toe physical assessment being accepted.
Measureable Learning Outcomes: 2
Program Learning Outcomes: 3, 10
NLN Nurse Educator Competencies: 6
AACN Essentials of Master’s Education in Nursing: IX.1; IX.7
Quiz: Single Body System Assignments (8)
Shadow Health provides a virtual clinical simulation designed to improve student assessment skills in a safe learning environment. Students will examine digital patients throughout the course.
A score of 85% is required for the assignment’s points. Because the exams are in-depth, these assignments will often take over an hour to complete, so it is important to plan enough time to complete assignments each week.
You will be asked to upload a Lab Pass (pdf) after completion of each Shadow Health assignment. Your Lab Pass can be generated from the Experience Overview Page after completing your assignment.
Measurable Learning Outcomes: 1, 3, 4, 5
Program Learning Outcomes: 3, 10
NLN Nurse Educator Competencies: 6
AACN Essentials of Master’s Education in Nursing: IX.1
Quizzes (4)
The student will complete 4 quizzes throughout the duration of this course, including week 1, week 3, week 4, and week 7. Each quiz will be open-book/open-notes, containing multiple-choice questions, and have a 2-hour time limit.
Measureable Learning Outcomes: 3
Program Learning Outcomes: 3, 10
NLN Nurse Educator Competencies: 6
AACN Essentials of Master’s Education in Nursing: IX.2; IX.7
