Advanced Health Assessment

Course Details

Course Number: NURS 5112  Spring 2014

Course Attachments

NURS 5112 Advamced Health Assessment  NURS 5112 Advanced Heatlh Assessment 2014-20140211-122601.doc


A Manual of Laboratory & Diagnostic Tests 8th Ed  ISBN: 9780781771948

Advanced Assessment: Interpreting Findings and For  ISBN: 13:978-0-8036-2172-5

Color Atlas and Synopsis of Clinical Dermatology   ISBN: 9780071599757

Mosby's Guide to Physical Examination, 7th ed.  ISBN: 978-0-323-09002-5

MSU Faculty Member
Annie Nunneley   
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Course Objectives

Course Description:


Provides students with the opportunity to refine and augment comprehensive health assessment knowledge and skills in individuals, families, aggregates, communities, and society (IFACS) across the lifespan. Emphasis is on the ability to distinguish pathological changes from normal variants.


Prerequisites: Undergraduate Health Assessment Course (Clinical practice as a Registered Nurse is also recommended)


Credits: 3 (2-1) Two (2) seminar hours & four (4) clinical hours per week


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

AACN Essentials

NONPF Domains


1. Integrate principles of biological, social, and psychological sciences in the comprehensive health assessment (history, physical examination, developmental and diagnostic study) of individuals, families, and groups across the life span;

VII: 1, 2

VIII: 1-6

I: 7, 10, 11

III: 1

I: M

2. Incorporate findings from the current professional literature into the continuous improvement of both comprehensive and focused health assessments;

I: 1, 2, 5, 6

IX: 3

IV: 1, 12

VI: 1-3


3. Analyze data obtained in comprehensive or focused health assessments in order to differentiate normal, normal variant, and pathological findings across the life span;

VIII: 7, 8

IX: 1, 2, 4

I: 12-15

I: K. M

4. Synthesize data obtained in a comprehensive or focused health assessment in a systematic oral and written report;

I: 6

IX: 5

I: 17, 18, 24

I: M

5. Evaluate data obtained in a comprehensive or focused health assessment within relevant cultural and socio-economic contexts.

VI: 2, 3, 5


IIC: 3, 4

VII: 1, 2, 4, 6

I: M







Course Expectations

Learning Experiences:


1. D2L Modular Learning Experiences and Assignments

2. Comprehensive Health Histories and Physical Assessments (Four)

3. Soap Notes (4)

4. Integration/Application Exercises

5. Course Discussion Boards (Two)

6 Clinical Lab Experiences with return demonstrations

7. Proctored Examinations (Two)

8. Final Practicum


Desire 2 Learn Based Modular Learning Experiences and Assignments:


The primary purpose of web based videos and assignments are to assist the student in learning to perform a comprehensive history and physical examination. Physical examination skills are learned primarily through the web based videos/assignments and the experiences obtained in clinical labs and return demonstrations. Students success is dependent on practice time with physical examination skills and exam techniques.


Comprehensive Health Histories and Physical Assessments:


Comprehensive health history assignments should be completed utilizing interviews and data obtained from patients from a voluntary group of friends or family. These are not to be emailed, but submitted placed in the appropriately labeled dropbox in D2L. Students will complete (4) four comprehensive health assessments;

1. Pediatric well child check

2. Adult well male

3. Adult annual well woman

4.Geriatric/psychiatric acute or chronic 

Please make sure your name is part of the document title. For example: Smithpedih&p.doc

Attach grade rubric within your document at the end after your APA References



SOAP Notes: note is a clinically oriented “condensed” version of a comprehensive health history focused on a specific patient problem. You will be required to submit (4) four SOAP notes utilizing exam findings and data obtained from a voluntary group of friends or family.  These should center around a complaint or problem that you address. They may be completed in any order. These are not to be emailed, but submitted placed in the appropriately labeled dropbox in D2L.

  1. Pediatric – acute
  2. (2) Adult – acute
  3. Geriatric – acute > 65 years
  4. Please make sure your name is part of the document title. For example: Smithpedisoap.doc
  5. Attach grade rubric within your document at the end after your APA References




Course Discussion Boards:


Each student is responsible for responding to the discussion topics posted by faculty on D2L discussion board.  The purpose of this discussion is to take the place of classroom discussion.  Each student should respond to the topic and provide evidence to support your decision as appropriate.  You should post your discussion 4-6 days prior to the due date to allow time for discussion to occur.  Students should comment on the postings of 2 other students.  Discussion due dates are listed on the course schedule. Discussions are graded by a rubric and are pass/fail.


Clinical Experiences/Laboratory settings


The clinical experience will include 64 hours of hands-on experience. These hours can be accumulated in the optional lab days assigned in the course schedule and/or clinical practice time logged in the clinical log. Clinical Advisors will be assigned on D2L.  You must log 64 hours of practice time and/or lab time to include the required return demonstrations and final practicum. There is no limit on the number of volunteers that you examine as long as you complete the required number of comprehensive health histories and SOAP notes. Attending a scheduled lab is highly recommended but not required.  You may also set dates with your clinical advisor for one on one or study group dates.  This can be done in person or on-line.

Scheduled labs dates will take place on Saturdays to allow those who work during the week the opportunity to attend. They will all start at 10am and will be held at the MSU SIMS Lab. 917 Midwestern Parkway Wichita Falls, TX 76308. The dates are as follows: February 15th, March 1st, April 5th and April 19th.


Clinical Logs:


Each student will be responsible for maintaining a clinical log of clinical hours.  You may log these hours anyway you choose, but certain criteria must be documented.  You must have the date and time of your clinical hours, the initials, sex, and age of the volunteer patients. If you attend the scheduled labs, you will also log that time, and log the time you spend in return demonstrations as well as the final practicum. Your graded SOAPs and Comprehensive health histories should be placed in your clinical log binder. This binder will continue with you through FNP I, II, III.  You will be required to submit your clinical log of times at midterm and final by uploading to D2L.


Proctored Examinations:

There are two proctored examinations.  The proctor forms and instructions are located in the Proctor Exam Module.  The forms must be completed and sent to Stacy Smith via fax or e-mail prior to taking the proctor examination.  Please allow at least 10 days to process these forms.  Failure to do so could cause you to receive a grade of zero on the test. You may not take any books or notes into the testing site. Please see the Proctor Exam Instructions located in the Proctor Exam Module.


Final Practicum:

The student will complete a final comprehensive practicum near the end of the course. Guidelines and procedures for the practicum will posted under the Module Final Practicum. Mastery is expected at 90%. Students earning an 80-89% will be expected to repeat the final practicum.  Grades of 79% or below constitute failure in the course and there will not be an opportunity given for repeat testing. Final practicum can be done in person in the laboratory setting or done virtually with software and hardware determined by the faculty advisor. It is highly recommended that if at all possible you attend the final practicum in person.  If you are scheduled to present your final EBP Presentation, that presents will coordinate with this final practicum, so students only have to be on campus two days that week. The Final Practicum grade will be calculated into the final grade for the course, but if the final practicum grade is 79% or below, the course grade will be recorded as a 79 regardless of any test grades other graded assignments in the course.



Student Responsibilities and Class Requirements

Students are accountable for policies regarding graduate nursing programs and completion of requirements for all graduate students. 


Students are expected to turn in assignments and complete examinations when due. Late assignments or exams will not be graded and will receive a grade of zero, unless prior arrangements are made with faculty. All written work submitted for evaluation is to be the work of the student who submits it. Citations and references are to be used and documented using APA 6th Edition.


Quizzes: Quizzes are time limited, primarily multiple-choice and short answer. The quizzes may be entered only once. Quizzes will be open Sunday at 12 noon until Tuesday at 11:59p during the corresponding weeks on the class calendar. Reference materials may be used; however, collaboration with other students or individuals is strictly prohibited. No “collaboration” is allowed for quizzes or any other assignments. Doing so will result in immediate dismissal from this course.

Grading Standards

Grading Rubric










64 and below




Type of Evaluation

Percentage of Course Grade

Midterm Examination


Final Examination


Unit Quiz


Comprehensive Health Histories (Total of 4)


SOAP Notes


Final Practicum (if <80%, highest grade for course=79%)


Discussion Boards (Total of 2)





Submission Format PolicyNote: 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.

Other Policies

Academic Dishonesty

All students are expected to pursue their scholastic careers with honesty and integrity. Academic dishonesty includes, but is not limited to, cheating on a test or other course work, plagiarism (offering the work of another as one’s own), and the unauthorized collaboration with another person. Students found guilty of dishonesty in their scholastic pursuits are subject to penalties that may include suspension or expulsion from the University.

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



Dropping Courses:

If you wish to drop this course, please note the last drop date for this semester on the MSU Website.  Students being administratively dropped after the drop date will receive an F in the course per MSU drop policy.  If you need to drop the course, please contact your clinical advisor first for this course first.  Then contact the Graduate Coordinator Debra Walker at


American Disability Act (ADA):

Midwestern State University (MSU) does 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 and employment requirements. For assistance call (940) 397-4618 or 397-4515. Please see the instructor outside of class to make any arrangements involving special accommodations.

It is the student’s responsibility to declare any disabilities. After declaration, preferably at the beginning of each semester, the student needs to contact individual instructors to determine any reasonable accommodations that may be required.


Required Textbooks


Mosby's Guide to Physical Examination, 7th Edition  & Video Skills Physical Exam and Health Assessment 2e package
Authors: Henry M. Seidel, Jane W. Ball, Joyce E. Dains, John A. Flynn, Barry S. Solomon & Rosalyn W. Stewart ISBN: 978-0-323-09002-5


A Manual of Laboratory & Diagnostic Tests ( 8th Ed) 2008 Lippincott ISBN: 9780781771948 Authors: Frances Fischbach

Advanced Assessment: Interpreting Findings and Formulating Differential Diagnosis( 2nd Ed) (2011) FA Davis  ISBN: 13:978-0-8036-2172-5 Authors: Mary Jo Goolsby and Laurie Grubbs

Wolff, K. & R. Johnson, (2009). Color Atlas and Synopsis of Clinical Dermatology (6th Ed). McGraw-Hill    ISBN: 9780071599757

Pediatric Physical Examination – An Illustrated Handbook - $ 60.00


Highly Recommended Equipment

The following tools must be available in the student’s clinical setting. If not, the student is expected to purchase or borrow their own set:

Basic Diagnostic Kit (reflex hammer, tuning fork, pen light) Advanced Diagnostic Kit (otoscope, ophthalmoscope).  It is imperative that student become proficient at using the otoscope and opthalmoscope.


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.