| Course Number: | NR304 |
|---|---|
| Course Title: | Health Assessment II |
| Credit Hours: | 2 credits |
| Theory Hours: | 1.5 |
| Laboratory Hours: | 0.5 |
| Clinical Hours: | 0 |
| Place in Curriculum | Year 2, Semester 1 |
| Prerequisite: | BIOS-242, BIOS-251, BIOS-252, BIOS-255, BIOS-256, |
| Corequisite: | None |
Syllabus
Overview
Course Description
This course, part two of a two-part course, examines the principles and techniques of nursing assessment, focusing on utilization of assessment findings in clinical decision-making. Participants learn to identify teaching and learning needs from a comprehensive assessment and health history. Professional responsibilities in conducting a comprehensive assessment and documenting assessment findings are addressed. The laboratory component is designed to continue promotion of the cognitive and psychomotor skills necessary to assess the peripheral vascular, abdominal/ gastrointestinal, musculoskeletal, neurological and male and female genitourinary systems (including breast). Practice of assessment techniques occurs through experiential learning.
Textbooks and Resources
Required Textbooks
The following books are required for this course:
Access E-Book
Jarvis, C. (2016). Physical examination and health assessment (7th ed.). St. Louis, MO: Elsevier.
Access E-Book
Jarvis, C. (2016). Laboratory manual for physical examination and health assessment (7th ed.). St. Louis, MO: Elsevier.
Access E-Book
Vallerand, A. H. & Sanoski, C. A. (with Deglin, J. H.). (2014). Davis's drug guide for nurses. (14th ed.). Philadelphia, PA: F.A. Davis.
American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.
Optional Textbooks
The following books are required for this course:
Physical Books and Supplies
To obtain all your books and supplies, visit the online Chamberlain bookstore at https://bookstore.chamberlain.edu/.
eBook Details
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Program Outcomes
The outcomes for the Bachelor of Science in Nursing (BSN) degree program are as follows:
1
Provides individualized comprehensive care based on theories and principles of nursing and related disciplines to individuals, families, aggregates and communities, from entry to the healthcare system through long-term planning.
2
Demonstrates leadership and collaboration with consumers and other healthcare providers in providing care and/or delegating responsibilities for health promotion, illness prevention, health restoration, health maintenance and rehabilitative activities.
3
Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates and communities.
4
Integrates clinical judgment in professional decision making and implementation of the nursing process.
5
Demonstrates responsibility for continued personal and professional development through enrollment in graduate education, continuing education degree programs, professional reading and participation in professional organizations and community service.
6
Implements professional nursing standards by practicing within the legal definitions of nursing practice and acts in accordance with the nursing code of ethics and American Nurses Association (ANA) standards of practice.
7
Practices in established professional roles consistent with entry-level BSN graduates to provide cost-effective, quality healthcare to consumers in structured and unstructured settings.
8
Incorporates evidence-based practice in the provision of professional nursing care to individuals, families, aggregates and communities.
Course Outcomes
Chamberlain College of Nursing courses are built to align course content with specific Course Outcomes (COs). The COs define the learning objectives that the student will be required to comprehend and demonstrate by course completion. Unit outcomes provide further detail to support learner achievement of specific COs and are listed within each unit under the introduction. Whenever possible, a reference will be made from a particular assignment or discussion back to the CO that it emphasizes.
Upon completion of this course, the student will be able to do the following.
1
Explain expected client behaviors while differentiating between normal findings, variations, and abnormalities. (PO 1)
2
Utilize prior knowledge of theories and principles of nursing and related disciplines to integrate clinical judgment in professional decision-making and implementation of nursing process while obtaining a physical assessment. (POs 4 and 8)
3
Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1)
4
Utilize effective communication when performing a health assessment. (PO 3)
5
Demonstrate beginning skill in performing a complete physical examination using the techniques of inspection, palpation, percussion, and auscultation. (PO 2)
6
Identify teaching/learning needs from the health history of an individual. (POs 2 and 5)
7
Explore the professional responsibilities involved in conducting a comprehensive health assessment and providing appropriate documentation. (POs 6 and 7)
Key Concepts
1
Health Histories and Physical Assessments
- Peripheral Vascular System
- Abdominal
- Neurological System
- Musculoskeletal System
- Breast and Reproductive System
- Urinary System
2
SimCare Center Activities
- Head-to-Toe Assessment
- Focused Assessment
Learning Plan
Download and review the NR304 Health Assessment II Learning Plan. This learning plan provides a list of unit outcomes and detailed key topics covered in the course.
Required Uniform Assignments (RUAs)
Required Uniform Assignments (RUAs) are essential elements of assessment that are consistent across the curriculum at Chamberlain College of Nursing. These assessments help measure and track students' progress in meeting the BSN Program Outcomes. Each RUA is course-specific and required in both online and campus courses. Download the Health History and Physical Examination guidelines and grading rubric to begin planning for the successful completion of this assignment.
If you have any questions about the assignment please speak to your instructor.
Course Schedule
| Unit, COs, and Topics | Readings | Assignments |
|---|---|---|
| Unit 1 COs 1, 2, 3, 4, 5, and 6 Peripheral Vascular System and Abdominal Assessment Part I | Jarvis, C. (2016). Physical examination and health assessment (7 th ed.). St. Louis, MO: Elsevier.
| Graded discussion topics SimCare Center activities Standardized Clinical Experience Examination Affirmation HESI RN Case Study |
| Unit 2 COs 1, 2, and 5 Abdominal Assessment Part II | Readings continued from Unit I | Graded discussion topics SimCare Center activities Standardized Clinical Experience HESI RN Case Study |
| Exam #1 (Units 1 & 2) | ||
| Unit 3 COs 1, 2, 3, 4, 5, and 6 Neurological System | Jarvis, C. (2016). Physical examination and health assessment (7 th ed.). St. Louis, MO: Elsevier.
| Graded discussion topics SimCare Center activities Standardized Clinical Experience HESI RN Case Study |
| Unit 4 COs 1, 2, 3, 4, 5, and 6 Musculoskeletal System | Jarvis, C. (2016). Physical examination and health assessment (7 th ed.). St. Louis, MO: Elsevier.
| Graded You Decide discussion topic SimCare Center activities Standardized Clinical Experience HESI RN Case Study |
| Exam #2 (Units 3 & 4) | ||
| Unit 5 COs 1, 2, 3, 4, 5, and 6 Reproductive System, Including Breast and Lymphatics | Jarvis, C. (2016). Physical examination and health assessment (7 th ed.). St. Louis, MO: Elsevier.
| Graded discussion topics SimCare Center activities Standardized Clinical Experience |
| Unit 6 COs 1, 2, 3, 4, 5, and 6 Urinary System | Readings continued from Unit 5 | Graded discussion topics SimCare Center activities Standardized Clinical Experience Experiental Learning: Head-to-Toe Return Assessment and Documentation |
| Exam #3 (Units 5 & 6) | ||
| Unit 7 COs 4, 5, and 7 Complete Health History & Physical Assessment | Jarvis, C. (2016). Physical examination and health assessment (7 th ed.). St. Louis, MO: Elsevier.
| Graded You Decide discussion topic Health History and Physical Examination (RUA) SimCare Center activities Standardized Clinical Experience |
| Unit 8 All COs All Topics | No new reading assignment | Graded discussion topic SimCare Center activities Standardized Final Exam |
Attendance Policy
Regular attendance and consistent participation within the classroom, lab, and clinical experiences facilitate the achievement of course outcomes set forth in the course syllabi. Students must arrive on time and stay for the duration of the class meeting, lab, and/or clinical experience. Late arrival may result in denied access to the class. Absences and/or tardiness from lecture, pre-clinical, clinical (including pre- and post-conferences), and/or lab experiences (including pre- and debriefing) may prohibit students from completing all components of the nursing course, resulting in course failure.
Attendance is tracked for all eight weeks of the session on a course-by-course basis and is recorded daily based on academic events. An academic event for onsite courses is defined by attending scheduled class meetings. An academic event for online courses is defined by submitting a class assignment, participating in threaded discussions, or completing quizzes and exams. An academic event for blended courses is defined by attendance in the onsite component or by submitting a class assignment, participating in threaded discussions or completing quizzes and exams in the online component.
Laboratory Class and Clinical Experiences
Lab time is utilized to practice and master skills to meet criteria that demonstrate completion of course outcomes. Students must complete all required lab, clinical and pre-clinical experiences in order to satisfy the clinical hours for each course. Demonstration of nursing skills and/or required competencies must be performed satisfactorily to pass the lab component of the course (see Skills Checklist for criteria).
In cases of emergency or severe illness, equivalent learning opportunities for absences may be offered, at the discretion of the faculty member and contingent upon availability of resources. Make- up experiences are not guaranteed and supporting documentation may be required. Students must notify the instructor and clinical agency in a manner specified by the instructor within the requested time frame. Students who are not in the appropriate attire and/or are not prepared for clinical practice may be dismissed from the clinical setting.
Due Dates for Assignments and Exams
Unless otherwise specified, the following applies.
- Access to the course begins on Sunday at 12:01 a.m. (MT) during preview week.
- All completed assignments are to be submitted to the Dropbox on or before Friday by 5:00 p.m. Mountain Time (MT) or as specified by your faculty.
- All quizzes and exams, if applicable in your course, are offered at specific times.
- Campus Courses: Campus faculty will share the date, time, and location with students at the beginning of each session.
- Online Courses: Online faculty will share online exam schedule with students during preview week in a course announcement. Students should refer to the posted announcement for the specific dates and times for their exam schedule.
Note: In Unit 8 the assignments will be due by Wednesday at 11:59 p.m. MT.
If you are taking this course on campus, a course calendar includes detailed information related to activities and due dates may be available for downloading from Doc Sharing. Please check with your instructor for more information.
If you are taking this course online, Please be advised that you may be required to take your tests on the campus in a proctored environment. Your campus will post the date, time and location of exams. If testing will take place online, the online faculty will share the exam schedule with students during preview week in a course announcement. Students should refer to the posted announcement for the specific dates and times for their exam schedule.
Assignment Values and Letter Grades
All course assignments and examinations must be completed in order to pass the course.
The maximum score in this class is 1,000 points. The categories, which contribute to your final grade, are weighted as follows.
| Assignment | Points | Weighting |
|---|---|---|
| Examinations* | ||
| Exam 1 | 240 | 24% |
| Exam 2 | 240 | 24% |
| Exam 3 | 220 | 22% |
| Standardized Final Exam | 100 | 10% |
| *Must achieve an average of 76% to pass the course | ||
| Assignments | ||
| Graded discussion topics (10 points each discussion topic each week) | 110 | 11% |
| You Decide discussion topics (Units 4 and 7, 20 points each) | 40 | 4% |
| Required Uniform Assignment (RUA) | 50 | 5% |
| SimCare® Center (Lab) Activities | Satisfactory/Unsatisfactory | 0% |
| Head-to-Toe Return Demonstration | Satisfactory/Unsatisfactory | 0% |
| SimCare® Documentation | Complete/Incomplete | 0% |
| Total Points | 1,000 | 100% |
| Letter Grade | Points | Percentage |
|---|---|---|
| A | 940–1,000 | 94% to 100% |
| A- | 920–939 | 92% to 93% |
| B+ | 890–919 | 89% to 91% |
| B | 860–889 | 86% to 88% |
| B- | 840–859 | 84% to 85% |
| C+ | 810–839 | 81% to 83% |
| C | 760–809 | 76% to 80% |
| F | 759 and below | 75% and below |
Teaching/Learning Methods
Examples include, but are not limited to
- assignments;
- case studies;
- discussion;
- experiential learning
- group assignments;
- lectures; and
- multimedia presentations.