Family Health Assessment

Course Details

Course Number: NURS 3212  Fall 2014

Location: Dillard College of Business Administration

Classroom Number: 101

Course Attachments


MSU Faculty Member
Linda Treitler   
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Submission Format Policy


Midwestern State University

NURS 3212 Family Health Assessment



Linda Treitler, MSN, RN, Assistant Professor, Course Coordinator    (940) 397-8921                      

Office:  Bridwell Hall, #328


Melody Chandler, MSN, RN, Director of Regional Simulation Center

Regional Simulation Center (940)764-8410

917 Midwestern Parkway


Lecture each Monday: 1-3 pm, Clinical Prep 3-4 pm, Dillard 101

Individual clinical labs at Simulation Center

Pre-Requisites: BIOL 1134 & 1234; NURS 3203 (may be taken concurrently)


Course Description: The focus of this course is on the assessment of the holistic person as an individual, and as a member of families, groups, communities, and society.  The role of the nurse in health promotion throughout the life cycles is explored by identifying normal and abnormal findings.  Emphasis will be placed on acquiring skills to record client histories, perform physical assessments, and communicate specific findings.

Credit Hours: Three (3) credit hours: Two lecture and three clinical hours per week.

AACN Essentials: For further information regarding the coded AACN Essentials identified for each Course Objective, refer to the BSN Handbook.

Differentiated Essential Competencies:  Differentiated Essential Competencies of the Texas State Board of Nursing include the categories of (I) Member of the Profession, (II) Provider of Patient-Centered Care, (III) Patient Safety Advocacy, and (IV) Member of the Health Care Team.  For further information on DECs refer to   For further information regarding the competencies identified for each Course Objective, refer to the BSN Handbook.


Course Objectives

AACN Essentials


Upon completion of this course the student should be able to:

1.Utilize the assessment phase of health of persons and families throughout the life cycle.

III.C-1, 2, 3


I: A, B

II: A, B, D, G

2.Identify factors and research related to health promotion and screening for persons throughout the life cycle

IV.A-1,2; .B-4


I: A, B

II: A, B, C, E

3.Identify norms and deviations in health status.


I: A

II: B, C, D

4.Utilize verbal, non-verbal, and written communication skills for obtaining and documenting assessment data

III.B-1, 6

I: A

II: B, E

5.Develop a personal strategy for performing a head-to-toe physical assessment

V.A-1, C-2

I: A

II: A, B


Learning Experiences: The lecture hours are supplemented with an EVOLVE online course packet.  Theory: lecture, case studies, quizzes, required readings, required readings with written responsive essays, and written critique of a research article; online learning activities include audiovisuals, required quizzes, and test review. 

Clinical: Lab includes practice with supervision in the Simulation Center, return demonstration for evaluation, and supervised and independent hands-on practice of assessment skills on a variety of clients throughout the life cycle.  Clinical experiences are mandatory. Missing a clinical lab constitutes a failure, therefore all absences must be made up.  A maximum of two (2) labs may be made up, or a total of 4 hours (if Monday lab hour is missed).  In case of an emergency, students must notify the Simulation Center of the absence, and request a time to make up the lab later in the same week.  The Sim Center will determine if and when they have space and staff to accommodate the request.  One make-up clinical lab day will be available during the week before Practicum (see schedule.) 


Required Textbooks and Equipment:

Jarvis, C. (2012). Physical Examination & Health Assessment, 6th Ed.  St. Louis: Elsevier.  ISBN: 978-1-4377-0151-7

Jarvis, C. (2012).  Physical Examination & Health Assessment, Student Lab Manual, 6th Ed.  St. Louis: Elsevier.  ISBN: 978-1-4377-1445-6

Jarvis, C. (2012).  Health Assessment Online for Physical Examination and Health Assessment (User guide and Access Code) 6th Ed.  ISBN: 978-1-4377-1444-9.

This online source complements the Physical Examination and Health Assessment, 6th Edition.  Integrates video clips, animations, audio clips, anatomic overlays, interactive exercises, and NCLEX-style review questions into self-paced learning modules.  Access to the online supplement is mandatory for assignments, including graded on-line quizzes.

Chabner,   . (   ).  Medical Terminology: A Short Course,  (6th ed.). St. Louis: Elsevier.

A medical dictionary - any of the following will do:

Tabers Medical Dictionary (22nd ed.).




Lab Course Pack available at the MSU bookstore.

HESI e-pack is mandatory and will be used throughout the nursing course of study at MSU.  Available at the MSU bookstore.

Assessment Bag (sphygmomanometer, stethoscope, percussion hammer, penlight) available at MSU bookstore.

Watch with second hand

Maroon scrubs with sleeve patch.  Maroon scrub jacket and patch, if a jacket is needed.  Other jackets or sweaters are not allowed during clinical.

White or Black shoes (plain, i.e. – no bright colored shoestrings or designs).

Name tag.  State law requires health care providers to wear identification with name and role at all times when providing care.  Jeana in the school of nursing office will take care of ordering these for the class.


Evaluation  Students must successfully complete the following course and clinical components to pass:


4 Unit Exams (15% each)                                          60

Comprehensive (HESI) Final Exam                          20

Home work and in-class assignments                   10

Written History and Physical Assessment              05

Jarvis Online Quizzes                                                  05


Total                                                                           100%


Clinical Practicum:                                                      Pass/Fail

            Clinical attendance and participation

            Final Physical Assessment Check-off


Final course average of 74% or greater, and a “Pass” on the Clinical Practicum, are required in order to pass the course.  MSU does not round grades in this or any nursing course. 



Grading Scale





65-73 …………..D

64 and below...…F


Unit Exams will cover learning objectives outlined in the unit(s) of study.


  • Students must turn in three (3) blank scantrons (for future exams) the day of the first exam
  • Students must provide their own number 2 pencils and erasers.
  • Exams 1-4 consist of 50 multiple choice questions, and 90 minutes are allowed to take the exam.
  • The comprehensive final exam is a “netbook” exam, consists of 55 questions, and two hours are allowed to take the exam.
  • Missing an exam: If a student must miss an exam for any reason the instructor is to be notified by phone or email at least two (2) hours before the scheduled exam.  If notification is not given, the student will receive a zero on the exam. 
  • Make-up exams: Students are responsible for scheduling a make-up exam as soon as possible.  Make-up exams are different from the original exam, and may include multiple choice, essay, short answer, true/false, and/or matching questions.
  • Students must arrive at the testing area by the start of class time.  Students late for an exam may not be allowed to test, at the discretion of the instructor, and must arrange to take a make-up exam.  This rule is necessary because the class is so large that a student coming in late disturbs those who have already begun the test.
  • No materials may be kept in the testing area except for pencils and an eraser.  Backpacks, purses, etc. must be left at the front of the room during testing
  • All cell phones must be turned off and left at the front of the room.
  • No caps are allowed during testing: they must be removed and left at the front of the room.

Written History and Physical  Students will submit a written comprehensive history and physical exam, done on a person of their choice, and due on the day of Exam #4.  The outline for the assignment and a grading rubric can be found on D2L; more information will be given during the semester.  It is worth 5% of the final grade.

EVOLVE Online Quizzes  Online quiz assignments are listed on the course schedule. These quizzes consist of ten questions each, and will assist the student to practice the information and terminology in each chapter. EVOLVE quizzes must be taken during the time frame as posted on the schedule, as quizzes will NOT be reopened for any reason.  Plan ahead to avoid possible last-minute technical difficulties with internet service. Twenty-nine quizzes are available, and comprise 5% of the final grade.

Clinical Log  Students are required to keep a notebook to save the clinical evaluation forms completed in the simulation lab as well as the practice nurses notes completed during clinical lab experiences.  These notebooks will be requested at midterm and at the end of the semester for evaluation.  This assignment is part of the pass/fail clinical grade.

Clinical Practicum     The final clinical practicum is a demonstration of a systematic assessment performed in a 30-minute time period.  Students may bring a one-sided 5X8 note care to the final practicum to use as a tool during testing.  Should a student fail to earn a passing grade on the initial attempt of the practicum, he or she may retest with two faculty extenders.  Retesting is usually the next day or as Lab scheduling permits.  Two testers may be present to evaluate at any time during practicum testing for the purposes of assessing inter-rater reliability.  Any time two testers observe a practicum, the score will be based on the average of the two grades.  Further information about the practicum will be provided during clinical throughout the semester.  Students that have failed the didactic portion of the course so they cannot possibly make a passing grade will NOT be eligible to take the clinical practicum.

Vital Signs Assessment  Learners will be assessed on a simulation manikin on the performance and evaluation of vital signs using a clinical scenario.  This scenario is considered to be a formative evaluation to assist faculty with course preparation, however, competency in measuring and assessing vital signs must be demonstrated to pass the course.

Failure Policy  Students are expected to pass both clinical and classroom components of the course.  Failure in either clinical performance or theory components will result in failure of the course.  A clinical failure is recorded as an F on the grade sheets for both clinical and the classroom grade, regardless of the percentage grade.

A student who receives a “D” or “F” on two nursing courses must seek reentry to the nursing program, and will only be readmitted if he or she can complete the program within 36 months of reentry.


Instructor Drop Policy  Students should behave in a professional, respectful manner to classmates, faculty and staff at all times. Behaviors that detract from the learning process will not be tolerated.  Tardiness, conversations with classmates or texting during lecture, and failing to turn off beepers and cell phones will not be tolerated. Children may not be brought to class per University policy.


Students who demonstrate distracting behaviors will be asked to leave the classroom.  If a student demonstrates continuing behaviors that are distracting to his/her classmates, the student may be administratively dropped from the course.


MSU Undergraduate Catalog: Instructor Drop – An instructor may drop a student any time during th semester for excessive absences, for consistently failing to meet class assignments, for an indifferent attitude, or for disruptive conduct.  The instructor must give the student a verbal or written warning prior to being dropped from the class.  An instructor’s drop of a student takes precedence over a student-initiated course drop of a later date.  The instructor will assign a grade of either WF or F throught the 8th week of a long semester, the 6th week of a 10-week summer term, or the 11th class day of a r or 5-week summer term consisting of 20 days.  After these periods the grade will be an F.  The date the instructor drop form is received in the Office of the Registrar is the official drop date.


Student Responsibilities


  1. Lab Requirements:

Students must bring their own lab equipment to assessment lab each week, including a watch for every clinical.  Students must wear appropriate attire – scrubs with nametag.  Females should wear a sports bra or tank top underneath scrubs to allow for examination of the lungs, heart, chest, abdomen, etc.  Shorts should be brought to lab to wear during assessment of pulses, range of motion, reflexes, etc.


  1. Absences from Lab:

Monday clinical Lab Prep time from 3-4, and assigned lab time are part of the program’s clinical hours and attendance is mandatory.  Attendance to the Monday classes will be monitored.  Students who miss any clinical are still responsible for performing the skills, and making up all hours missed.  Students who miss a lab session due to illness or compelling family situations must contact the Instructor (for Monday classes) or the   Simulation Center prior to the absence, and must arrange to attend another section of the lab. A maximum of 4 (four) hours may be made up unless extenuating circumstances exist.


  1. Absence from Practicum:

Students must notify the Simulation Center at least two hours before the scheduled practicum time if they will not be in attendance.  Failure to do so will result in a grade of 0 (zero) for the practicum except under the most emergent conditions.  When proper notification has occurred, the practicum may be rescheduled.


  1. Cheating Policy:

The work of the nursing profession requires members to demonstrate the utmost in trustworthiness and credibility.  Therefore, the BSN program does not condone dishonesty, cheating, collusion, or plagiarism in any form, and considers it a serious offense that may result in being expelled from the nursing program.  “Cheating” means intentionally using or attempting to use unauthorized materials, information, or study aids in any academic exercise; “collusion” means the unauthorized collaboration with another person in preparing work offered for credit; “plagiarism” means intentionally representing the words or ideas of another as one’s own in any academic exercise.  For further information regarding cheating and any subsequent actions that may be taken refer to the policy statement in the BSN Student Handbook.


  1. Intellectual Property:

By enrolling in this course, the student expressly grants MSU a “limited right” to all intellectual property created by the student for the purpose of this course.  The “limited right” shall include but not be limited to the right to reproduce the student’s work product in order to verify originality, and for educational purposes.


  1.  BSN Student Handbook:

Students are responsible for reading and understanding the policies in the BSN Student Handbook (available on the MSU home page).


  1. Americans with Disabilities Act:

Midwestern State University doe not discriminate on the basis of an individual’s disability and complies with section 504 and the Americans with Disabilities Act in its admission, accessibility, and employment of individuals in programs and activities.  MSU provides academic accommodations and auxiliary aids to individuals with disabilities, as defined by law, who are otherwise qualified to meet academic employment requirements.  For assistance call (940) 397-4618 or (940) 397-4515, TDD.


Students must first visit the University Disabilities Coordinator who will notify the instructor regarding accommodations.  Subsequently, see the instructor outside of class prior to the first exam to make arrangements involving special accommodations for exams.


  1. Immunization Requirements:

Students must be current on all required immunizations.  Failure to do so will result in a grade of incomplete and inability to progress in the program.  All immunization documentation is supervised by the Vinson Health Center.  The nursing secretary is available to answer questions related to requirements, including required health insurance.

Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Plagiarism Policy Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception. Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters. We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student. We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed. Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, 397-4140.

Safe Zones Statement The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Writing Proficiency Requirement All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed English 1113 and English 1123 and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at, or call 397-4131.