Fall 2018

NURS 3204-001 Health Assessment: Theoretical Foundations

All students are responsible for checking their UTHSCSA Livemail account regularly (i.e., daily or several times every week) to obtain Official University Communication regarding their courses, program and student status.

NOTE: Our campus has enabled the CANVAS MOBILE LEARN application. CANVAS tools such as discussions, quizzes or videos May or May NOT function on all mobile devices. This is because mobile devices are available with rapidly changing and different configurations. Hence, students must not depend on only a mobile device to access course materials. Students must have access to a laptop or desktop device to access course materials and complete assignments.

This course is Web Enhanced with WebCT icon
Please be sure to check the Current Computer Requirements

Dear Students,

Welcome to NURS 3204 Health Assessment: Theoretical Foundations. This course focuses on acquiring knowledge and skills to perform a physical assessment across the lifespan of your patient, with an emphasis on the adult and geriatric population. You will learn interviewing and health assessment skills then practice those skills in laboratories and selected settings. One of the most important skills for you to develop as a nurse is how to thoroughly examine your patients to assess their health care needs. I am looking forward to meeting with all of you and to facilitate your learning.

Rozmin Jiwani, Ph.D., RN, ACNS-BC

NURS 3204 - Course Coordinator          

Class Time/Location: Friday, August 24th, from 07:00 to 08:50 am in classroom 3.303 Academic Learning & Teaching Center (AL&TC).

Readings for First Day of Class:  Jarvis (7th Ed), Chapter 9 & 10.

For full calendar and details, please refer to the information posted in Canvas for NURS 3204: Health Assessment and Promotion: Theoretical Foundation

FACULTY CONTACT INFORMATION

Course Coordinator

Dr. Rozmin Jiwani, Ph.D., RN, ACNS-BC

Clinical Assistant Professor

Email: Jiwani@uthscsa.edu

Office#: 2.602

Office Phone: (210) 450-8498 


COURSE DESCRIPTION

This course focuses on the theory and practice of health assessment of individuals and families across the lifespan with emphasis on the adult and geriatric populations.

CREDIT AND TIME ALLOCATION

2 semester hours (2 hours theory)

PREREQUISITES

Corequisites: NURS 3110-Health Assessment: Clinical Application. 

PROGRAM OUTCOMES

At the completion of the baccalaureate program the student will demonstrate the following:

  1. Incorporate knowledge, skills, and attitudes from the liberal arts and sciences in professional nursing education and practice.
  2. Apply knowledge and skills of organizational and systems leadership, quality improvement and patient safety in promoting safe, high-quality care for diverse patients across healthcare systems and environments.
  3. Analyze and apply evidence from research and other information sources as a basis for nursing practice.
  4. Incorporate knowledge and skills in using information systems and a range of patient-care technologies to facilitate delivery of quality patient care.
  5. Advocate for financial and regulatory healthcare policies, processes, and environments that improve the nature and functioning of the healthcare delivery system and nursing practice.
  6. Collaborate and communicate effectively with healthcare professionals to promote positive working relationships, improve patient health outcomes, and deliver quality, safe patient care.
  7. Promote individual and population health by assessing factors that influence individual and population health and apply principles and culturally appropriate health promotion and disease-prevention strategies. Demonstrate consistent application of the core values of the discipline of nursing and the professional standards of moral, ethical, and legal conduct.
  8. Demonstrate consistent application of the core values of the discipline of nursing and the professional standards of moral, ethical, and legal conduct.
  9. Integrate the knowledge, skills, and attitudes expected of baccalaureate prepared nurses by providing professional nursing care to diverse patients and populations across the lifespan, healthcare settings, and healthcare environments.

COURSE OUTCOMES

  1. Identify age related, cultural, and situational factors affecting health assessment integrating knowledge derived from liberal education. (Essential I, IX)
  2. Describe the components of a complete health history. (Essential VI, VII, IX)
  3. Identify principles and techniques of skilled interviewing. (Essential VII, IX)
  4. Describe the components of a family assessment and genogram. (Essential VII, IX)
  5. Describe the components and process of physical examination. (Essential IX)
  6. Differentiate normal and abnormal physical examination findings. (Essential IX)
  7. Identify topics for health promotion. (Essential VI, VII, IX)

CLINICAL OUTCOMES

N/A

GRADING SCALE FOR UNDERGRADUATE COURSES

A = 4 points (90-100)
B = 3 points (80-89)
C = 2 points (75-79)
D = 1 point (66-74)
F = 0 points (65 or below)

CRITERIA FOR EVALUATION / GRADES

Exam 1

20%

Exam 2

20%

Exam 3

20%

Final Exam

20%

Quizzes (NO Make-up)

10%

Health Promotion Group Presentations

10%

Total

100%


Students must achieve a minimum course grade of 75% inclusive of exams, quizzes, and assignments to successfully pass the NURS3204 Health Assessment: Theoretical Foundations Course. 
Students are expected to take exams when scheduled.    

Group Presentation: The criteria for the group presentations are explained in Canvas.

Activities/Assignments/Pre-readings: Completing required readings, pre-class activities, class objectives, and post assignments help the student prepare for success.      

CELL PHONE POLICY

TESTING POLICY

  1. Examination items are the proprietary intellectual property of the university and are not to be shared by students. Sharing of exam items by students is considered cheating and is subject to disciplinary action. There are no legal test item banks available to students in the SON other than those provided with the ATI NCLEX –RN exam preparation materials.
  2. Exams are required.
  3. Students are expected to take examinations at the scheduled time.
  4. The student must notify the course coordinator prior to the scheduled exam time if they are unable to take the exam as scheduled.  Failure to make this notification in advance will result in a "zero" for that examination.
  5. If the excuse is accepted as reasonable and necessary, arrangements will be made for a make-up examination.
  6. Exam content is based on course, class, and clinical objectives.  Included are all required readings, lecture and discussion, related material in the course packet, media presented in or required for class, material handed out, and material on Canvas.
  7. Students should follow the School of Nursing dress code during exams. 
  8. Students must leave all food and drink, books, purses, and backpacks in an area designated by exam proctors.  If available, students are encouraged to leave personal items in lockers.  No hats, caps or head coverings may be worn during exams, with the exception of those required for religious purposes.
  9. When entering the classroom for an exam, students will show their School of Nursing badge to the proctor.  Proctors will ensure only the students eligible to take the exam receive access to the test and take the exam in an approved testing location.  During the exam, students will wear their badge on the upper chest area.
  10. Calculators, scratch paper and pencils are provided by the School of Nursing for exams.  Proctors will distribute the scratch paper after students have initiated the exam.
  11. If students arrive late, no extra time to complete the exam will be given.
  12. Each student is responsible for making sure that he or she has completed the exam before the exam is turned in to a proctor.  Under no circumstances will a student be allowed to retrieve his or her exam materials after turning them in to the test proctor.
  13. Students will be given the opportunity to review exams.  

GRADING POLICY GUIDELINES:

  1. To pass the course, a student must have a weighted average of 75% on all graded activities.
  2. Students must make a "C" (75) or higher in all nursing courses to progress in the program.

 ROUNDING POLICY:

The final grade will be calculated to two decimal places and rounded mathematically as follows:

CLASSROOM ATTENDANCE

Attendance in class is an expectation of each student.

WRITTEN ASSIGNMENTS

  1. If written assignments are made in a course they are required.
  2. Students are expected to submit written work on the scheduled date and time.
  3. The student must notify the course coordinator prior to the scheduled due date and time if they are unable to submit the written work as scheduled. Failure to make this notification in advance will result in a "zero" for that written work.
  4. If the excuse is accepted as reasonable and necessary, arrangements will be made for an alternative due date and time.
  5. Each student is responsible for making sure that he or she has completed the written work prior to submission.
  6. Late work will be accepted with consequences as outlined per course syllabi.

APA GUIDELINES

The APA Publication Manual 6th edition is required for use in all nursing school programs. 

Assessment Technologies Institute®, LLC (ATI) RN CONTENT MASTERY SERIES®

UTHSCSA School of Nursing utilizes the ATI RN Content Mastery Series®, RN Comprehensive Predictor® practice and proctored exams, and the ATI Virtual "greenlight" program to assist students in preparing for the NCLEX-RN® exam. Through practice and proctored examinations, students are able to assess their own knowledge and receive feedback and direction for content review throughout the program of study.

The proctored exams are administered in specific courses in both undergraduate tracks.


In order for a student to take the course related proctored exam, students will take the non-proctored (Practice A and B) tests individually, as often as they wish with a minimum of a 24 hour wait period between attempts. The student should engage in a minimum of one hour focused review on missed topics and/or identify three critical points to remember. Achievement of a 90% or higher individual score is required prior to taking the proctored test. Students may be required to show documentation by submitting a printed copy of the individual student transcript to the faculty prior to testing. Non-proctored tests are pass/fail.


To strengthen the review method, if students did not achieve a 90% or greater on the practice exam, students should understand the rationales for each distracter. It is recommended that students review 5-15 questions at a time with ample time given to review each of the rationales. When the student logs in again, the exam will continue from where the student had stopped previously.


Content Mastery Exams will comprise 15% of the total course grade. The following provides guidelines for inclusion of the CME in the course grade.


                   Content Mastery Examinations Requirements


Level

 1st ATI Exam  (15% of Course Points)

2nd ATI Exam      (15% of Course Points)

3

100% of points  

85% of points

2

90% of points

80% of points    

1

*0% of points, develop focused review** and must retake exam

0% of points

Less than Level 1

*0% of points, develop focused review** and must retake exam

0% of points

*Level 1 and below: An individualized student success plan will be developed and implemented in conjunction with faculty to help student attain content mastery.

* Focused review consists of printing out the specific proctored “report” and using either the available ATI templates or a plain piece of paper to handwrite all of the missed items under “Topics to Review” and label each missed item with the topic descriptors. This handwritten remediation will be stapled with the student’s proctored “report”. 

The RN Comprehensive Predictor will be given in Nurs 4420 (traditional BSN program) or Nurs 4423 accelerated BSN program).


SCHOLASTIC DISHONESTY

Students are expected to be above reproach in all scholastic activities. Students who engage in scholastic dishonesty are subject to disciplinary penalties, including the possibility of failure in the course and dismissal from the university. "Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, and submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts." Regents Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22.

ADA ACCOMMODATIONS

Any student seeking reasonable accommodations through the Americans with Disabilities Act (ADA) should contact either the Associate Dean for Admissions and Student Services within the first week of the semester or schedule a meeting with the UTHSCSA ADA Compliance Office so that appropriate accommodations may be arranged. A request for accommodations (Form ADA-100: http://uthscsa.edu/eeo/form100-Faculty-student-resident.pdf) must be completed and submitted to the Executive Director of the ADA Compliance Office before accommodations can be provided. Additional information can be provided in the Student Success Center, Room 1.118 or through the ADA Compliance Office website: http://uthscsa.edu/eeo/request.asp.

REQUIRED TEXT / REFERENCE

Jarvis,C. (2016). Physical Examination and Health Assessment textbook (7th Ed), ISBN:978-1455728107

OR

Jarvis,C. (2016). Physical Examination and Health Assessment textbook (7th Ed) [E-reader Version], ISBN:978-0323265324

**Students have the option of purchasing books electronically or as hard copies.Information regarding the use of e-books will be provided at the new student orientation.  The Jarvis text is available as an electronic book. ***




RECOMMENDED (OPTIONAL) TEXT / REFERENCE

American Psychological Association (2010), Publication Manual of the American Psychological Association (6th Ed). Washington, DC: American Psychological Association. ISBN-13: 978-1433805615

CONTENT OUTLINE

1.       Cultural Competence


2.      General Survey, Measurement, Vital Signs (Pain Assessment)


3.      The Interview & The Complete Health History


4.      Skin, Hair, and Nails Assessment


5.       Head, Face, Neck, Including Regional Lymphatics


6.      Eyes, Ears, Nose, Mouth, and Throat Assessment


7.       Thorax and Lungs Assessment


8.      Cardiovascular and Peripheral Vascular Assessment


9.      Abdominal Assessment


10.    Male and Female Genitourinary and Breast exam


11.     Musculoskeletal Assessment


12.    Nervous System and Mental Status Assessment


13.    Review of head-to-toe physical exam

CALENDAR - 1st Day Only

Please check the schedule for recent updates on Class Dates & Room.


    Class Time/Location: 

    Friday, August 24th

    from 07:00 to 08:50

    in 3.303 AL&TC

    Readings for First Day of Class:  

     Jarvis (7th Ed), Chapter 9 & 10  

    For full calendar and details, please refer to the information posted in Canvas for NURS 3204: Health Assessment and Promotion: Theoretical Foundations


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