Coppin State University

College of Health Professionals

Helene Fuld School of Nursing

NURS 217 Health Assessment

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 Coppin State University
College of Health Professions
Helen Fuld School of Nursing

NURS 217 HEALTH ASSESSMENT

Course Number: NURS 217

Course Title: Health Assessment

Course Credits: (3) Hours

Class Meeting: Traditional: Thursday 9am-10:50am (001) and 1:00pm-2:50pm (002)

RN-BSN: Thursday 6 pm to 7:50 pm
Accelerated: Monday/Wednesday 9:00am-11:50am
** Clinical Laboratory as scheduled**

Clinical Meeting: As scheduled totaling 45 hours

Clock Hours: 2 hours of theory weekly, 3 hour for laboratory/clinical practice

Faculty: Janay Taylor, MSN ; CRNP Office 426 S (410) 951 –3978 email: jjones@coppin.edu (team leader)
Ericka Smith, MSN; RN Office 426 T (410) 951-4216 email: ebrice@coppin.edu

Office Hours : See door schedule or by appointment

Note: All official communications between students and the University must be via Coppin email addresses. Communications
received from students from non-Coppin email addresses will not be recognized.

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REQUIRED TEXTS:

D’Amico, D & Barbarita, C. (2010). Health & Physical Assessment in Nursing (2nd edition). Pearson 2012. Boston.

D’Amico, D, Barbarita, C., Carcich, G.,Matthew, L., Application Manual for Health & Physical Assessment in Nursing. 2nd edition.
Pearson 2012. Boston.

D’Amico, D & Barbarita, C.Clinical Pocket Guide Health & Physical Assessment in Nursing. 2nd Edition Pearson 2012. Boston.

American Psychological Association. (2006). Publication Manual of the American Psychological Association. (6 ed.). Washington,
DC: Author. 6th 2nd Printing

I. COURSE DESCRIPTION:

Prerequisites: Level 1 courses and Bio 203

Lecture and laboratory practice, open to all students admitted to nursing. This course will provide theoretical and laboratory experience
opportunities for students to implement assessment strategies which determine the health status of culturally diverse clients and the
maintenance of structural, personal, and social integrity throughout the lifespan.

II. COURSE OBJECTIVES:

The curriculum is designed so that students acquire and demonstrate graduate-level proficiency in general education and essential skills. The
course objectives for this course will assess each student’s proficiency in the following competencies:
1. Oral and written communication
2. Scientific and quantitative reasoning
3. Critical analysis and reasoning
4. Technological competency
5. Information literacy

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Upon successful completion of this course, the student will:

1. Apply knowledge from the natural, social, and behavioral nursing sciences and humanities to conserve energy and integrities
for individuals across the lifespan.(Level II, Essential I)
2. Apply critical thinking and clinical reasoning in the delivery of nursing care for clients (Level II, Essential III)
3. Demonstrate effective communication skills to establish a nurse-client relationship during the health assessment process.
(Level II, Essential VI)
4. Identify relevant healthcare policies that influence the health assessment. (Level II, Essential III, V).
5. Identify the need to collaborate with other members of the multidisciplinary healthcare team to improve the management of
diverse clients in a variety of settings. (Level 2, Essential VI).
6. Identify health assessment data to generate a problem list that reflects the client’s ability/ inability to conserve energy and
maintain the structural, personal, and social integrity. (Level II, Essential IX).
7. Discuss professional conduct for performing an assessment. (Level II, Essential VIII).
8. Assess health promotion and disease prevention strategies to improve health outcomes. (Level II, Essential VII)
9. Discuss the impact of the energy, structural, social and personal integrity in health care. (Level II, Essential I).
10. Demonstrate the use of the nursing process and assessment using the Helene Fuld School of Nursing Conceptual Model (Levine
Conservation Model) in a variety of healthcare settings in the care of culturally diverse clients across the lifespan. (Level II, Essential
VII, VIII and IX)

III. COURSE OUTLINE:

Unit I. Framework of Health Assessment

Unit II: Scientific Basis for Nursing Practice
Unit III: Assessment of Energy
Unit IV: Assessment of Structural Integrity
Unit V: Assessment of Personal Integrity
Unit VI: Assessment of Social Integrity
Unit VII: Health Assessment across the Life Span
Unit VIII: Comprehensive Health Assessment

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IV. CLINICAL/Laboratory Practice Objectives:

Completion of the following clinical objectives is fundamental to the student’s achievement of course objectives. Recommendation:
Students must pass clinical in order to pass the course.

1. Use appropriate techniques of therapeutic communication while assessing the client.

2. Conduct an assessment of selected clients using techniques of interviewing, inspection, palpation, percussion and auscultation.
3. Discuss the findings of the complete health history.
4.. Perform a complete health history and physical examination.
5. Document health history, assessment and health teaching.
7. Demonstrate professional conduct while performing an assessment.
8. Demonstrates effective oral and written communication.

Completion of the course objectives is fundamental to the student's achievement of course objectives. The laboratory will be
evaluated though the use of the Evaluation Tool for the course and laboratory skills checklist. Refer to the Evaluation Tool.

V. Modes of Instruction
1. Lecture and discussion
2. Lab/Clinical Practicum (30 hours)
3. Lab/Clinical practice and skills demonstrations
4. Audiovisual Aides, CDs and/or DVDs,
5. Computer Assisted Instruction Programs
6. Faculty generated study guides
7. Tegrity Learning System
8. Blackboard on-line course sit
9. ATI Resources including modules related to assessments
10. Hyperlinked internet resources and external links
11. Workbook Assignments(s)
12. Simulation

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VI. MODES OF ASSESSMENT:

Examinations 75% (5 exams 15%)

Comprehensive Final Examination 25%
Clinical/Laboratory Practicum: Midterm and Final……………….. Pass/Fail

CLINICAL/LABATORY GRADE:

Students must achieve a clinical/laboratory rating of 2.5 on a 4.0 scale to pass the clinical/laboratory portion of the course. Thirty (30)
clinical hours will be completed as assigned. Clinical evaluation tools will be utilized for each system as well as the comprehensive
physical examination. This score signifies satisfactory achievement of clinical objectives.

Students must pass the theory and lab/clinical portion to pass the course.

VIII. EXAMINATION REVIEW:

Faculty will make every effort to return test scores to students and review examinations within one week.

IX. SPECIAL EQUIPMENT REQUIRED:

1. Current CSU Identification Badge
2. Name Badge with Name and Highest Credentials (RN-BSN Students Only)
3. Lab coats, white scrubs and white shoes
4. Stethoscope with diaphragm and bell*
5. BP cuff*
6. Penlight*
7. Watch with sweep second hand or that counts seconds
8. Measuring tape that gives both inches and centimeters *
9. Percussion hammer
10. Pen with black ink
11. Pocket note pad
* Starred item may be purchased in a kit from School of Nursing

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X. COURSE POLICIES

University-wide Policies: All University-wide Policies will be in effect

Please plan to review information related to Student Code of Conduct regarding intimidation, cheating, awareness of other student’s
behavior, plagiarism and professional behavior for students.

Electronic Messaging

Effective May 12, 2006, Coppin State University’s electronic messaging system is an official means of communication, i.e., Microsoft
Office Outlook. Therefore, all University employees and students must use Coppin’s electronic messaging system when
communicating information electronically. This policy is intended to ensure the most efficient use of the University’s electronic
messaging system and the compliance with FERPA and other confidential/information security regulations.

Refer to the Nursing Student Handbook and University Policies-Select policies have been listed

Attendance – Class/clinical-Attendance is mandatory. Electronic notification and written documentation is required for all missed
classes.
Assignments-All assignments must be submitted by the due date and time.
Professional Attire
Online Testing
Academic Progression
Honor Code
Academic Integrity/Student Code of Conduct

1. Attendance: Attendance: Class attendance is MANDATORY. Students are expected to arrive for class ON-TIME. Class is
scheduled a posted. Anyone arriving for class after the start will have to sit on the side of the classroom nearest the door. Anyone not
arriving on time for class will be held responsible for obtaining content missed. Students are expected to be in attendance. Attendance
will be taken.

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When an absence is required due to an emergency, the student must notify faculty within 24 hours. Attendance records will
be maintained for each class and forwarded to the Office of the Vice President for Academic Affairs in keeping with university
policy. The Coppin State University Attendance Policy will be enforced. Based on that policy, unexcused absences totaling
more than four (4) hours of lecture during the semester may result in a grade of “F”. An attendance roster will be circulated
at the beginning of class. Clinical attendance is mandatory.

2. Class Room Conduct: The use of mobile devices during class is prohibited. Students are not permitted to make out-going phone
calls in class. Only cellular phones with etiquette-mode for in-coming calls will be allowed. No mobile devices may be used during an
examination for any reasons including calculations. Student tape recording of classes is permitted. Refrain from side bar discussions.

3. Examinations: Exams will be given via a face-to-face and/or computerized format. Students are required to take the examination as
scheduled. The student must ensure adherence to the Student Code of Conduct at all times during the administration of assessments.
Communication with anyone other than the designated proctor is prohibited. Electronic communication, cellular communication, text
messaging, the use of alternate websites, navigating or use of alternate drives is prohibited during the testing time. After the
assessment is completed, students are not to discuss the assessment with other students. Various types of test items will be used to
include multiple choice, multiple-multiples, calculations and subjective responses.

4. Missed Exams: If a student is unable to take an exam or quiz on the scheduled date, the faculty member responsible for
administering the exam or quiz must be notified electronically at least 24 hours before the scheduled time of administration. Written
documentation must be provided regarding the reason for the missed examination. For the purposes of this course, an email
notification must be sent to Professor Setlow.

The exam must be taken by the student no later than the next scheduled class day. The decision to give a make-up exam is at the
discretion of the faculty. The format, content, and complexity of the alternate exam is also at the discretion of the faculty. This policy
also applies to the final examination for a course. Failure to follow the policy and procedure will result in a grade of zero for the
examination.

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The grade achieved on the alternate make-up exam or quiz can be no higher than the highest grade achieved by classmates who
took the exam or quiz as scheduled.

5. Clinical/Laboratory Grade: Students must achieve a clinical rating of 2.5 or higher in each criteria to pass the clinical portion of the
course. This score signifies satisfactory achievement of clinical objectives. Students must pass clinical in order to pass the course.

6. Standardized Assessments: All students are required to take standardized assessments developed by a vendor identified by HFSON
faculty and administration. Failure to take these assessments will result in a grade of a zero for the assessment and a grade of“F” in the
course. For the purposes of this course, students will have one (1) opportunity to take the assessment. Refer to the modes of
assessment. The assessment dates will be scheduled by course faculty. The score achieved on the designated assessment will be
converted using the HFSON Proficiency Grading Scale or Composite Scale. Further directions for completing these assessment (s)
shall be provided by the course faculty.

Content Proficiency: A student is required to complete the designated content proficiency module, quizzes and/or test throughout the
semester. These assessments are associated with various areas of course content. A student is required to complete the designated
module or assignment BEFORE the associated unit exam within the course. Each student must present a printed verification that
demonstrates evidence of proficiency at the satisfactory level or above prior to each exam. THIS PRINTED FORM WILL BE
CONSIDERED THE ‘ADMISSION TICKET’ to take the exam. A student must present an Admission Ticket to take the assessment.

7. Web Enhanced Course Support: This course will be taught using the Tegrity Learning System, Blackboard Course Support System
and the Elsevier web site associated with the textbooks of the course. Students are encouraged to frequently visit the Blackboard and
Elsevier websites to gain full benefit of these learning environments.

Students may call the Coppin State University Instructional Technology Help desk at 410-951-3888 if they are experiencing access
problems.

8. Email Protocol: Only CSU student email addresses will be used by faculty and students to communicate. Students are encouraged
to email course related questions, comments or concerns to the faculty throughout the semester. Student email accounts must be open
and accessible throughout the course. Students are encouraged to communicate through the class list serve email system.

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9. Grade reporting: Eagle links is the official grade reporting software of the University. The grade viewed on Eagle links is the
student’s official grade for the course.

10. Standardized Assessments: All students are required to take standardized assessments. Failure to take these assessments will
result in a grade of a zero for the assessment and a grade of a “D” or “F” in the course. For the purposes of this course,
students will have one (1) opportunity to take each the assessment for credit. The assessment dates will be scheduled by course
faculty. Scores achieved on these assessments will be converted using the HFSON Standardized Assessment Grading Scale or
Composite Scale. Further directions for completing these assessments will be given during the first week of the course. There
are no standardized assessments for this course.
HFSON Standardized Assessment Grading Scale

11. Web Enhanced Course Support: This course will be taught using the Tegrity Learning System, Blackboard Course Support
System and the Elsevier web site associated with the textbooks of the course. Students are encouraged to frequently visit the
Blackboard and Elsevier websites to gain full benefit of these learning environments.

Students may call the Coppin State University Instructional Technology Help desk at 410-951-3888 if they are experiencing access
problems.

12. Email Protocol: Only CSU student email addresses will be used by faculty and students to communicate. Students are
encouraged to email course related questions, comments or concerns to the faculty throughout the semester. Student email
accounts must be open and accessible throughout the course. Students are encouraged to communicate through the class list serve
email system.

13. Grade reporting: Eagle links is the official grade reporting software of the University. The grade viewed on Eagle links is the
student’s official grade for the course.

Clinical/Laboratory Attendance/Dress Code

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Lab and clinical attendance are required. Failure to submit the necessary documents as listed in the modes of assessment shall result in
a clinical failure. If the student passes the theory portion of the course, but fails to submit the necessary clinical documents or
complete the required labs/evaluations or examinations this will result in a course failure and laboratory/clinical failure. The student
will be subject to failing the course which will be grounds for academic probation and/or dismissal. Additionally, the student must
receive a Comprehensive Health History and Physical Assessment Evaluation from the Preceptor. Dress Code for Clinical/laboratory
is lab coat white scrubs and white shoes.

XI. AMERICAN DISABILITY ACT STATEMENT

AMERICAN DISABILITY ACT STATEMENT:

Coppin State University supports all students in their academic endeavors. Should you need academic accommodations because of a
disability, please contact Ms. Darlene Hill, campus Disability Support Services Program (DSSP) counselor to register for reasonable
accommodations. Ms. Hill is located in the Health and Human Services Building, Room 223 and may be reached at 410.951.6087. If
already registered with DSSP, please provide DSSP accommodation forms to the professor immediately to describe what
accommodations you are requesting.

XII. WRITING STANDARDS

The Academic Resource Center is available for assistance with writing assignments.
Refer to Criteria for written paper and projects in the Nursing Handbook.

XIII. PLAGIARISM POLICY:

Assignments (oral & written) that a student submits for any course is to be his/her original work. Any violation of this rule
constitutes plagiarism. Plagiarism includes any form of cheating on examinations, tests, quizzes and any unacknowledged
and/or undocumented use of another's writing or ideas published or unpublished, including copying or rewording
information found on the internet. A student who plagiarizes will receive a failing grade for the particular assignment.
Repurposed work will not be allowed. Students are advised to ask faculty members if repurposed work is allowed. Faculty
members shall use an electronic surveillance system such as Turnitin Work submitted with a Similarity Index of thirty (30)

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 percent or higher shall receive a grade of zero. Failure to use the Turnitin surveillance system shall also result in a grade of a
zero.
Additional sanctions could also be imposed. Student may receive grade of “F” for the course, referred to CSU student judiciary board,
dismissed from the School of Nursing/or the University.

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 Content Learning Experience
Behavioral Objectives
Identify knowledge from the Unit 1: Framework of Health Reading assignments in Text: Health & Physical
humanities, natural and behavioral Assessment Assessment in Nursing
sciences as a foundation of safe, 1. Purpose of health
client centered nursing practice. assessment D’Amico and Barbarito
2. Definitions of Health Chapter 1 Health Assessment
Apply knowledge from the 3. Health History Chapter 2 Wellness and Health Promotion
humanities, natural, and 4. Tools of Assessment, Chapter 4 Cultural considerations
behavioral sciences as a Inspection, P 66 to 75
foundation for safe, client centered auscultation Chapter 10 The influence of cultural Nurse-Client
nursing practice. Palpation and communications p 158-159
Percussion Chapter 6
Demonstrate basic tools of 5. Documentation Basic techniques of physical assessment p 92-100
assessment. a. Subjective Chapter 10
b. Objective Health History 160-165
State the influence of Healthy c. Assessment Chapter 1 Health Assessment
People 2020 on health d. Plan P2-3
assessment, health promotion, and 6. Healthy People 2020 Lab Practice and Sign off of satisfactory mastery of
disease prevention. tools of assessment.

Health & Physical Assessment in Nursing Work book

Assignments
P 2 Crossword Puzzle for Key Terms
P 3 Defining Health
Page 4 Healthy People 2020
Page 5 Health History and Data, documentation and
Charting

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Behavioral Objective Content Learning Activities
Identify knowledge from the Unit II: Scientific Basis for Reading assignments in Test: Health & Physical
humanities, natural and behavioral Nursing Practice Assessment in Nursing
sciences as a foundation of safe, 1. Infection Prevention and D’Amico and Barbarito
client centered nursing practice. Control Chapter 7 General Survey
a. Nature of Infection P 105- 118
Apply knowledge from the b. The Infectious
humanities, natural, and Process Resource: CDC Guidelines for infection control
behavioral sciences as a c. The nursing process
foundation for safe, client centered infection control Appendix C
nursing practice. d. Asepsis
e. Nosocomial Infections ATI Skills Module in Infection Control must be
Demonstrate basic tools of f. Hand washing completed.
assessment. g. Gloving
Lab Practice and Sign off of satisfactory mastery of
State the influence of Healthy Hand washing and gloving
People 2020 on health
assessment, health promotion, and
disease prevention.

Identify when to take vital signs.

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Identify and demonstrate the
appropriate techniques while
obtaining vital signs.

2. Vital Signs Work Book Assignment

Discuss physiological changes I. Pulse/ Pulse Oximetry: P 61 Classification of observations
associated with vital signs. a. factors affecting Routes for measuring temperature
List factors that affect heart rate. b. pulse rhythm and P62 Pulse locations. Respirations
amplitude P63 Blood Pressure
Locate various pulse sites. c. methods P64 Factors that affect Vital Signs Lab Practice and
d. equipment Sign off of satisfactory mastery hand washing,
Demonstrate competency in e. pulse sites gloving, TPR, BP, Hgt, WT, and examination of
measuring pulse rates at various lymph glands.
sites. II. Temperature
a. factors Affecting ATI Skills Module for Vital Signs must be completed
Describe nursing measures that b. methods before you may be tested and assigned off for this
promote heat loss and heat c. circadian rhythm skill.
conservation. d. nursing Lab Practice and Sign off of satisfactory mastery of
assessment obtaining vital signs
Accurately assess tympanic, oral, nursing diagnosis
rectal and axillary temperatures.
III. Respirations
Discuss physiological changes a. rate
associated with fever. b. depth
c. rhythm
Describe the role of thermogensis d. factors affecting
e. method
Define respiration, rate, depth, f. nursing
and rhythm. assessment
g. Audible sounds
State factors that affect with respirations
respiration.

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Demonstrate competency in IV. Blood Pressure Chapter 7
measuring respirations. a. definition P 119 Box
b. regulation Chapter 8
Identify audible respiratory c. variation P121-123
sounds. d. factors affecting
e. hypertension ATI Module for Pain Management must be completed
f. hypotension before you may be tested and assigned off for this
g. Korotkoff skill.
sounds
h. Sites for
assessing
i. Ultrasound

V. Height/Weight

VI. Pain

Behavioral Objective
Identify when to take vital signs.
Identify and demonstrate the
appropriate techniques while
obtaining vital signs
Discuss physiological changes
associated with vital signs.
List factors that affect heart rate.
Unit III:
A. Assessment of Energy
1. Balancing energy input
and output to avoid excessive
fatigue.
2. Body movement and
positioning.
Reading assignments in Test: Health & Physical
Assessment in Nursing
D’Amico and Barbarito p. Chapter 1 p. 11-12
Chapter 2p. 30-31 Chart
Work Book Assignment
P. 18- 19

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 3. Meeting personal hygiene Lab Practice and Sign off of satisfactory mastery of
Locate various pulse sites. needs. performing health assessment with little trauma and
fatigue to client.
Demonstrate competency in
measuring pulse rates at various
sites.

Describe nursing measures that

promote heat loss and heat
conservation.

Accurately assess tympanic, oral,

rectal and axillary temperatures.

Discuss physiological changes

associated with fever.

Describe the role of thermogensis

Define respiration, rate, depth,

and rhythm.
State factors that affect respiration
Demonstrate competency in
measuring
Respiration.
Identify audible respiratory
sounds.
Demonstrate an accurate Unit IV: Assessment of Reading assignments in Text: Health & Physical
examination of the Cardiovascular Structural Integrity Assessment in Nursing
system D’Amico and Barbarito
Discuss the four heart sounds and Chapter 17 Cardiovascular System
identify the location of S1, S2, p. 425-452.
S3, S4

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Demonstrate an accurate
examination of the Respiratory
System.
Assessments and Activities
Health & Physical Assessment in Nursing Workbook
P 145-148p 150-152
Anatonomy and Physiology Review
P168
Assessment Sequence of Blood through Heart P 168
Assessment Techniques P 170 and
A. Cardiovascular System
Assessment Findings 171
A & P Review
Pericardium
Lab Practice and Sign off of satisfactory mastery of
Heart
assessment of Cardiac
Heart Wall
System
Heart Chamber
and
Valves
Heart Sounds
B. Respiratory System Reading assignments in Text: Health & Physical
I. Lower Respiratory Tract Assessment in Nursing
a. Trachea D’Amico and Barbarito
b. Bronchi Chapter 15 Respiratory System
c. Lungs p 347 – 383
d. Thoracic cycle
e. Respiratory cycle Assessments and Activities
f. Landmarks Health & Physical Assessment in Nursing Workbook
D’Amico and Barbarito
p. 146-148
p. 149

Lab Practice and Sign off of satisfactory mastery of

Identifies and assesses client’s
functional abilities.
C. Neurosensory System
1.Mental Assessment
2. Assess for Orientation
and cognition
examination of the respiratory System
Reading assignments in Text: Health & Physical
Assessment in Nursing
D’Amico and Barbarito
Chapter 24 Neurological

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 P 729-742, 724, and 776
3. Assess for suicidal ideation
or plan Assessments and Activities
Health & Physical Assessment in Nursing Workbook
4. Cranial Nerves D’Amico and Barbarito
5. Motor P
6. Sensory
7. Coordination Lab Practice and Sign off of satisfactory mastery of
8.Reflexes Neurosensory system
9. Mobility
a. Autonomous
b. Assisted
Demonstrates accurate assessment D. HEENT Reading assignments in Text: Health & Physical
of HEENT system and lymph 1. Head Assessment in Nursing
nodes 2. Eyes D’Amico and Barbarito
3. Ear Chapter 12 Head, Neck, and Related Lymphatics
4. Nose P 235- 248
5. Throat Chapter 13 Eye
6 Lymphatics 263 -276
7. Immune Function Chapter 14 Ear, Nose Mouth and Throat p 305- 320
Lab Practice and Sign off of satisfactory mastery of
HEENT System

Assessments and Activities

Health & Physical Assessment in Nursing Workbook
D’Amico and Barbarito
Head, Neck and Related Lymphatics
P-116, 117, 118, 122
EYE
P12-127, 128,129
Ear, Nose, Mouth, and Throat
p. 136-138 p. 140 Assessment Findings

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Demonstrates accurate assessment
of abdomen
Recognize the role of the skin,
lymphatic, and immune systems
in maintain homeostasis
Demonstrate an accurate
assessment of the skin, hair, nails
and available lymph glands.
Describe the techniques required
for the assessment of the
musculosketal system.
Discuss the objectives related to
overall health in the
musculosketal system as
presented in Healthy People 2020
E. Abdomen Reading assignments in Text: Health & Physical
1. Alimentary canal Assessment in Nursing
2. Esophagus D’Amico and Barbarito
3. Stomach Chapter 19 Abdomen
4. Small intestines Discuss the role of elimination in maintaining
5.Large intestines structure P 509-527
6. Liver
7. Gallbladder Health & Physical Assessment in Nursing
8. Pancreas D’Amico and Barbarito
Workbook assignment /activities
P 188-191
G. Skin, Hair and Nails Reading assignments in Text: Health & Physical
1. Skin and glands Assessment in Nursing
2. Hair D’Amico and Barbarito
3. Nails Chapter11,Skin, Hair and Nails
4. Special considerations p. 180- 196
Activities /Assignment in
Health & Physical Assessment in Nursing
D’Amico and Barbarito
Workbook
p.103-109
H Musculosketal System Reading assignments in Text: Health & Physical
1. Bones Assessment in Nursing
2. Skeletal Muscles D’Amico and Barbarito
3. Joints Chapter 23 p 666-689
Activities /Assignment in
Health & Physical Assessment in Nursing
D’Amico and Barbarito
Workbook
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 P225-230
Describe the techniques required I Female Reproductive Reading assignments in Text: Health & Physical
for the assessment of the female Health Assessment in Nursing
reproductive system. 1. Sexual Health D’Amico and Barbarito.
history Chapter 22Female Reproductive System p 623- 639
Demonstrate obtaining a health 2. Menstrual Chapter16 Breast and Axillae
history related to the Female 3. Breast Health P 395-407 p. 420
Reproductive System 4. Gynecological
5. Obstetrical D’Amico and Barbarito
Demonstrate teaching breast self 6. Health History Chapter 23 p 666-689
examination. 7. Health Habits
8. Family Activities /Assignment in
History Health & Physical Assessment in Nursing
D’Amico and Barbarito
Workbook p.217-220
J. Male Reproductive Health Reading assignments in Test: Health & Physical
Describe the techniques required Assessment in Nursing
for the assessment of the male 1. Sexual health D’Amico and Barbarito
reproductive system. history Chapter 21 Male Reproductive System
2. Erectile P 580-619
Demonstrate obtaining a health Dysfunction
history related to the Male 3. Health History
Reproductive System 4. Health Habits
Activities /Assignment in
Health & Physical Assessment in Nursing
Discuss the sexual health B Role Development D’Amico and Barbarito
assessment. 1. Social Workbook P204-210
2. Genetics
Complete a reproductive health 3. Culture
history and physical assessment. 4. Situational

Discuss how to assess role

function.

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Promote disease prevention and
health promotion
Understands the impact of the
clients’ spirituality on their
health.
Define cultural
Describe cultural phenomena that
impact health care
Describe the assessment
consideration for infants,
children, pregnant women and the
elderly.
Identify variations in assessment
of client dependent upon their
place in the lifespan.
Unit V: Assessment of Reading assignments in Text: Health & Physical
Personal Integrity Assessment in Nursing
A. Health Management D’Amico and Barbarito
B. Health Promotion Health Promotion section of each system
C. Health perception
D. Self care Assignment/Activity
Design a brochure to encourage self breast exam.
Unit VI: Assessment of Social Reading assignments in Test: Health & Physical
Integrity Assessment in Nursing
A. Cultural Assessment D’Amico and Barbarito
1, cultural competence Chapter 5 Psychosocial Assessment
2. cultural phenomena P 65-74
that impacts health care p 76 -89
Activities /Assignment
B. Family Design a family Genogram
1. Family Prepare to discuss in class
Assessment
2. Genogram
3. Family
Diagnosis
4 . Role
Relationship
Assessment through the Reading assignments in Text: Health & Physical
Lifespan Assessment in Nursing
D’Amico and Barbarito
A. Newborn Unit 4
B. Pediatrics Chapter 25 Infants, Children, and Adolescents p 778-
C Adolescent 814
D Young Adult Chapter 26 The Pregnant Female
E. Pregnant Client P 818-833
F. The Older Adult Chapter 27
G. Client with The Older Adult
Disabilities
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1. Discuss the parts of the
comprehensive health
history and physical for
children, infants, pregnant
women, adults and the
elderly.
2. Identify the common
health screenings and
examination tools for
completing the assessment
of infants, children,
pregnant women, adults
and the elderly.
Alters physical examination
techniques to accommodate the
needs of special populations.
Integrating learned content into
complete physical assessment
Documentation of history and
physical examination
Health Promotion
Reading assignments in Text: Health & Physical
Assessment in Nursing
D’Amico and Barbarito
Unit 4
Chapter 25 Infants, Children, and Adolescents p 778-
814
Chapter 26 The Pregnant Female
P 818-833
Chapter 27
The Older Adult
P 872-905
Activities /Assignment in
Health & Physical Assessment in Nursing
D’Amico and Barbarito
Practice : Lab/Clinical Experiences
Unit VIII: Comprehensive Reading assignments in Test: Health & Physical
Assessment Assessment in Nursing
Total Physical D’Amico and Barbarito
Assessment Chapter 28
a. obtaining health The complete Health Assessment
history P 910- 917
b. verbalizing health
education Activities /Assignment in
c health prevention and Health & Physical Assessment in Nursing
health promotion D’Amico and Barbarito
p. 276-280
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 Practice : Lab/Clinical Experiences

ATI Module for Physical Assessment of Adult must

be completed before you may be tested and assigned
off for this skill.

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 Coppin State University

College of Health Professions

Helene Fuld School of Nursing

NURS 217 Health Assessment

Clinical Skills Performance Assessment

Purpose: The Clinical Evaluation Tool will be used by the faculty to evaluate each student’s learning outcomes and clinical
performance. It is also used by the faculty to determine if each student has successfully achieved a passing grade in each behavioral
outcome. Clinical evaluation is a collaborative process between the student and the faculty. It is the student’s responsibility to seek
learning opportunities and to review the Clinical Evaluation Tool for the purpose of self-evaluation. It is recommended that the
student frequently review the contents of this tool. A student is required to complete an evaluation at midterm and at the completion
of the course. A student must score a minimum of 2.5 out of 4.0 in all areas.

Instruction for Use: A numerical rating for each element listed shall be evaluated. The rating scale is a range of values from “0” to
“4.0, based on the grading scale. The range of values is defined as follows: Unacceptable; Below Expected; Needs Improvement;
Meets Standard; Above Standard., Exceeds Standard, and Substantially Exceeds Standard. In the comment column, specific

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explanation shall be provided for behaviors that are evaluated with a rating level for less than “Meets Standard”, “Exceeds Standard,
and Substantially Exceeds Standard.

Requirements: HIPAA, Infection Control, and Fire Safety must be completed prior to beginning clinical. This form contains a list of
skills required to be performed to proficiency. To be successful in NURS 217 Health Assessment, a student you must achieve a
proficiency level of 2.5 out of 4.0. Each student must be able to perform the assessment skills and explain the meaning and where
appropriate, the norms for the skills. The student must pass both the theory and clinical portions of this course.

Completion of the following clinical objectives is fundamental to the student’s achievement of course objectives. Students must pass
clinical in order to pass the course.

1. Use appropriate techniques of therapeutic communication while assessing the client.

2. Conduct an assessment of selected clients using techniques of interviewing, inspection, palpation, percussion and auscultation.

3. Discuss the findings of the complete health history.

4. Perform a complete health history and physical examination.

5. Document health history, assessment and health teaching.

6. Demonstrate professional conduct while performing an assessment.

7. Demonstrates effective oral and written communication.

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Grading Scale Description of Ratings Range Points
Equivalent

(<64) Unacceptable: The student’s performance is consistently below work 0- 1.0

expectations, requirements, or standards. Demonstrates inadequate knowledge
and skill. Examples include but not limited to unsafe performance, dishonest
behavior.

(65-69) Below Expected: The student’s performance does not fully meet clinical 1.5
objectives, requirements or standards of practice. Demonstrates very minimal
knowledge and skill on a consistent basis and requires close supervision at all
times.

(70-74) Needs Improvement: The student’s performance does not fully meet clinical 2.0
objectives, requirements or standards of practice. Demonstrates minimal
knowledge and skill on an inconsistent basis. The student is able to perform
some skills independently, not requiring close supervision at all times.

(75) Meets Standard: The student’s meets clinical objectives, requirements, or 2.5
standards of practice. The student demonstrates adequate knowledge and skill
to perform in a competent manner.

(80-84) Above Standard: The student’s meets clinical objectives, requirements, or 3.0
standards of practice. The student demonstrates is fully sufficient and
demonstrates knowledge and skill to perform in an independent and competent
manner, requiring minimal guidance to perform behavior and objective.

(85-89) Exceeds Standards: The student’s performance consistently meets, but 3.5
regularly exceeds clinical objectives, requirements, or standards of practice.
The student is able to share knowledge with peers, functioning as an adequate
resource.

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(90>) Substantially Exceeds: This rating is reserved for the highest level of clinical 4.0
performance. The performance substantially and consistently exceeds clinical
objectives, requirements, or standards of practice. The student makes an
achievement during the clinical experience. Identifies problems and solutions
that can improve nursing practice.

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 0 1.0 1.5 2.0 2.5 3.0 3.5 4.0
1. Use appropriate techniques of therapeutic
communication while assessing the client.

Mid-term

Final

2. Conduct an assessment of selected clients

using techniques of interviewing, inspection,
palpation, percussion and auscultation.

3. Discuss the findings of the complete health

history.
4. Perform a complete health history and
physical examination.

5. Document health history, assessment and

health teaching.

6. Demonstrate professional conduct while

performing an assessment.

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 7. Demonstrates effective oral and written
communication.

Skills/System 0 1.0 1.5 2.0 2.5 3.0 3.5 4.0

General:
Obtaining Height
Weight
Calculate BMI
Vital Signs: T,P,R, BP
Temperature: oral
tympanic
rectal
Axillary
Pulses
Verbalize normal ranges of pulses. Locate and
demonstrate how to assess the pulses listed below.
Apical
Brachial
Carotid
Femoral
Posterior Tibialasis
Dorsal Pedis

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Respirations
Verbalize normal range
Demonstrate counting
Pulse Oximetry
Verbalize normal range and significance of abnormal
ranges
Pain Assessment
Demonstrate assessment
History
Obtaining a client’s history using effective
communication.
General
Focused
Documenting a client’s history
Demonstrate the SOAP format
Demonstrate the Narrative format
Perform the assessment of the head, neck, and related
lymphatics. Assess the relevant lymph nodes and
muscles of the Head and Neck.
ENT
Assessment of eyes
Discuss and demonstrate:
PERRLA
EOMI
Cover/Uncover Test
Snellen Chart
Rosenbaum
Assessment of Ear
External Ear
Inspect and palpate the helix, tragus, and the lobule

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Middle Ear
Demonstrate use of the otoscope
Visualize the tympanic membrane.
Assessment of the Nose
Inspect and palpate the bone and cartilage of the
external ear
Assessment of the Nose
Inspect nasal passages, each individually
Assessment of the sinuses
Frontal, maxillary, and Ethnoid
Inspect, palpate and percuss.

Assessment of the mouth and throat

Inspect

Assessment of the Respiratory System and Thorax

Assessment of the Cardiovascular System.
Identification of S1, S2 and abnormal sounds. Must
identify cardiac landmarks.
Assessment of peripheral vascular system

Assessment of Breast
Demonstrate examination of breast while identifying
areas. Use of the Simulation or Task Trainer.
Assessment of the Abdomen.
Identify landmarks that guide assessments.
Explain mapping.
Describe the variations of techniques required for
assessment of abdomen.

Assessment of Urinary System

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Identify landmarks for examination of urinary system
Describe the techniques required for the examination
of the urinary system.
Demonstrate the assessment of the urinary tract
system.

Assessment of Male Reproductive System

Describe the techniques needed for assessment of the
male reproductive system.
Demonstrate the assessment of the male reproductive
system.
Assessment of Female Reproductive System
Describe techniques required for assessment of
female reproductive system.

Assessment of skin, hair, and nails.

Assessment of Musculosketal System. Performance

of ROM as appropriate to assess the system.
Assessment of the Neurological System:
LOC, Mental Health
Cranial Nerves I-XII
Motor
Peripheral functioning
Sensation
Coordination
Teaching
Breast Self Exam
Testicular Self Exam
Healthy Lifestyle
Professional Behavior
Dress
Professional conduct

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 Punctuality
Prepared with appropriate equipment

Appropriate communication using the terminology

and language

Reporting using SBAR

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MID-TERM Evaluation

Student Self-evaluation:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Faculty Evaluation:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Student Signature_________________________________________ Date___________________

Faculty Signature _________________________________________ Date __________________

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FINAL Evaluation

Student Self-evaluation:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Faculty Evaluation: _____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Student Signature_________________________________________ Date___________________

Faculty Signature _________________________________________ Date __________________

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