NRS-434VN Health Assessment Course
NRS-434VN
Health Assessment Course Syllabus
Version 13.1
Health Assessment
Course Code Type Duration Credit Hours
NRS-434VN v Credit Based 35 Days 3.0
:13.1
Course Description
This course focuses on methods of health history taking, physical examination skills, documentation, and health promotion strategies. The course emphasizes the individual as the client, health patterns across the lifespan, community resources, and the teaching learning process.
Pre-Requisites
None
Co-Requisites
None
NRS-434VN
Course Materials
You will be automatically registered on the Shadow Health website via your LoudCloud credentials. However, you will need to accept the privacy policy to proceed to your course. Once in the course section, complete the Shadow Health Orientation in Topic 1. Follow the instructions for each subsequent assignment accordingly.
Each Digital Clinical Experience will have an accompanying interview guide that provides an outline of the experience’s components and requirements. When collapsed, the interview guide will appear directly above the question box. Clicking on the teal plus sign will expand the guide and allow navigation through the data points required for the assignment, while also providing a means of tracking your progress through the experience. All Shadow Health assignments may be re-opened and re-attempted.
If you have any questions or encounter any technical issues throughout the term, please visit the Shadow Health Learner Support page at http://support.shadowhealth.com, contact Shadow Health customer support at 1-800-860-3241, or e-mail the Learner Support team directly at [email protected].
Students will have access to Shadow Health as long as they are enrolled in their program at Grand Canyon University.
Video Introduction to Shadow Health
Description:
Select “Health Assessment DCE” to watch the corresponding orientation video, located on the Shadow Health website. The Shadow Health integration functions optimally in the Chrome browser.
Shadow Health at Grand Canyon University
Description:
Refer to “Shadow Health at Grand Canyon University” for assistance in navigating around the Shadow Health platform. Use this resource as necessary to assist with your assignments.
Loom
Description:
Utilize Loom to complete the topic assignments as directed.
Topic 1: The Health Assessment of Infants
Description
Objectives:
Apply evidence-based practice to health promotion for
Examine environmental factors that increase risk to infant
Propose health promotion strategies for the
Study Materials
Description:
Read Chapter 1 in Health Assessment: Foundations for Effective Practice. Use the Appendix as needed to complete your assignments.
Unit III: Systems Assessment and Management of Disorders
Description:
Read “Unit III: Systems Assessment and Management of Disorders,” in the online eBook, Comprehensive Neonatal Nursing Care (5th ed.), edited by Kenner and Lott (2013), available through the GCU Library.
WHO Growth Standards Are Recommended for Use in the U.S. for Infants and Children 0 to 2 Years of Age
Description:
Review “WHO Growth Standards Are Recommended for Use in the U.S. for Infants and Children 0 to 2 Years of Age” (2010), located on the Centers for Disease Control and Prevention (CDC) website.
GCU Library Tutorial
Description:
View the GCU Library tutorial.
Optional: Breastfeeding
Description:
For additional information, the following is recommended:
“Breastfeeding,” located on the National Women’s Health Information Center website. Familiarize yourself with the reasons why breastfeeding is important and the resources that are available for patients.
Optional: Family History Resources
Description:
For additional information, the following is recommended:
“Family History Resources,” located on the Centers for Disease Control and Prevention (CDC) website.
Optional: Never Shake a Baby Educational Video
Description:
For additional information, the following is recommended:
“Never Shake a Baby Educational Video,” by warrenman4u (2008), located on the YouTube website. In particular, familiarize yourself with prevention of abuse.
Optional: 14 Diseases You Almost Forgot About Thanks to Vaccines
Description:
For additional information, the following is recommended:
Tasks
The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.
Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.
In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored.
Include the following in your presentation:
Describe the selected environmental Explain how the environmental factor you selected can potentially affect the health or safety of infants.
Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of
Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of
Offer examples, interventions, and suggestions from evidence-based At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each
Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.
Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Topic 1 DQ 1
Description:
Describe the effect of extremely low birth weight babies on the family and community. Consider short-term and long-term impacts, socioeconomic implications, the need for ongoing care, and comorbidities associated with prematurity. Explain how disparities relative to ethnic and cultural groups may contribute to low birth weight babies.
Identify one support service within your community to assist with preterm infants and their families and explain how the service adequately addresses the needs of the community, or a population in your community. Provide the link to the resource in your post.
Topic 1 DQ 2
Description:
Consider the following patient scenario:
A mother comes in with 9-month-old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart), weighs 6.75kg (5th percentile per CDC growth chart), and has a head circumference of 43cm (25th percentile per CDC growth chart).
Topic 2: Health Assessment of the Toddler, Preschool, and School-Aged Child
Description
Objectives:
Demonstrate clinical reasoning in conducting a child health
Apply Erikson’s stages of child development to health
Examine factors that increase the vulnerability of a
Compare the physical assessment of a child to that of an
Study Materials
Tasks
This clinical experience is a focused exam. Students must score at the level of “Proficiency” in the Shadow Health Digital Clinical Experience. Students have three opportunities to complete this assignment and score at the Proficiency level. Upon completion, submit the lab pass through the assignment dropbox.
Students successfully scoring within the Proficiency level in the Digital Clinical Experience on the first attempt will earn a grade of 100 points; students successfully scoring at the Proficiency level on the second attempt will earn a grade of 90 points; and students successfully scoring at the Proficiency level on the third attempt will earn a grade of 80 points.
Students who do not pass the performance-based assessment by scoring within the Proficiency level in three attempts will receive a failing grade (68 points).
If Proficiency is not achieved on the first attempt, it is recommended that you review your answers with the correct answers on the Experience Overview page. Review the report by clicking on each tab to the left titled Transcript, Subjective Data Collection, Objective Data Collection, Documentation, and SBAR to compare your work. Reviewing this overview and the course resources may help you improve your score.
Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Developmental Assessment and the School-Aged Child
Description:
The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:
Compare the physical assessments among school-aged Describe how you would modify assessment techniques to match the age and developmental stage of the child.
Choose a child between the ages of 5 and 12 years Identify the age of the child and describe the typical developmental stages of children that age.
Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.
Topic 2 DQ 1
Description:
Child abuse and maltreatment is not limited to a particular age—it can occur in the infant, toddler, preschool, and
school-age years. Choose one of the four age groups and outline the types of abuse most commonly seen among children of that age. Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse.
Topic 2 DQ 2
Description:
Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement.
Week 2 Participation
Topic 3: Health Assessment During the Adolescent and Prenatal Periods
Description
Objectives:
Utilize the nursing process in completing a comprehensive health
Examine factors that contribute to risk-taking behavior in
Discuss support options for adolescents encountering external
Evaluate the issues associated with adolescent
Study Materials
Tasks
Shadow Health: Conversation Concept Lab
Description:
Within the Shadow Health platform, complete the Conversation Concept Lab. The estimated average time to complete this assignment is 40 minutes. Please note, this is an average time. Some students may need longer.
This clinical experience is a conversation concept lab. Students have one opportunity to complete this graded assignment. Upon completion, submit the lab pass through the assignment dropbox. Students will receive full points for successful completion of this assignment. A proficiency score is not provided.
Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Adolescence: Contemporary Issues and Resources
Description:
Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall
well-being. Include the following in your submission:
Describe the contemporary issue and explain what external stressors are associated with this
Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.
Discuss support options for adolescents encountering external Include specific support options for the contemporary issue you presented.
Topic 4: Health Assessment of the Young and Middle-Aged Adult
Description
Objectives:
Discuss strategies to reduce at-risk behavior in
Explore assessment of diverse
Perform and document a comprehensive health
Study Materials
Explore the Substance Abuse page of the eMedicineHealth website. Be sure to read the text section, “Substance Abuse Facts,” by Dryden-Edwards (2015)
911/Emergency Call Taking Audio Recordings
Description:
Listen to the audio of “Lisa,” on the 911/Emergency Call Taking Audio Recordings page of the National Center on Domestic and Sexual Violence website.
Optional: Cardiac Assessment. Cardiac Patient Assessment: Putting the Patient First
Description:
For additional information, the following is recommended:
“Cardiac Assessment. Cardiac Patient Assessment: Putting the Patient First,” by Scott and MacInnes, from the British Journal of Nursing (2006).
Optional: Respiratory Assessment
Description:
For additional information, the following is recommended:
“Respiratory Assessment,” by Simpson, from the British Journal of Nursing (2006).
Optional: The Principles of Neurological Assessment
Description:
For additional information, the following is recommended:
“The Principles of Neurological Assessment,” by Cox, from Practice Nurse (2008).
Optional: A Step-by-Step Guide to Performing a Complete Abdominal Examination
Description:
For additional information, the following is recommended:
“A Step-by-Step Guide to Performing a Complete Abdominal Examination,” by Cox and Stegall, from Gastrointestinal Nursing (2009).
Optional: Performing a Skin Assessment
Description:
For additional information, the following is recommended: “Performing a Skin Assessment,” by Hess, from Nursing (2010).
Optional: Patient Assessment. The Process of Conducting a Physical Assessment: A Nursing Perspective
Description:
For additional information, the following is recommended:
Tasks
Shadow Health: Comprehensive Assessment
Description:
Within the Shadow Health platform, complete the Comprehensive Assessment. The estimated average time to complete this assignment each time is 3 hours. Please note, this is an average time. Some students may need longer.
This clinical experience is a comprehensive exam. Students must score at the level of “Proficiency” in the Shadow Health Digital Clinical Experience. Students have three opportunities to complete this assignment and score at the Proficiency level. Upon completion, submit the lab pass through the assignment dropbox.
Students successfully scoring within the Proficiency level in the Digital Clinical Experience on the first attempt will earn a grade of 150 points; students successfully scoring at the Proficiency level on the second attempt will earn a grade of 135 points; and students successfully scoring at the Proficiency level on the third attempt will earn a grade of 120 points. Students who do not pass the performance-based assessment by scoring within the Proficiency level in three attempts will receive a failing grade (102 points).
If Proficiency is not achieved on the first attempt it is recommended that you review your answers with the correct answers on the Experience Overview page. Review the report by clicking on each tab to the left titled; Transcript, Subjective Data Collection, Objective Data Collection, Documentation, and SBAR to compare your work. Reviewing this overview and course resources may help you improve your score.
Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Topic 4 DQ 1
Description:
You are admitting a 19-year old female college student to the hospital for fevers. Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource.
Topic 4 DQ 2
Description:
Topic 5: Health Assessment of the Older Adult
Description
Objectives:
Describe characteristics of the aging
Examine end-of-life care options in older
Apply use of a focused assessment to an assigned individual
Study Materials
Tasks
Shadow Health: Focused Exam: Abdominal Pain
Description:
Within the Shadow Health platform, complete the Focused Exam: Abdominal Pain. The estimated average time to complete this assignment is 1 hour and 25 minutes. Please note, this is an average time. Some students may need longer.
This clinical experience is a focused exam. Students have one opportunity to complete this assignment and score at the Proficiency level. Upon completion, submit the lab pass through the assignment dropbox.
Students successfully scoring within the Proficiency level in the Digital Clinical Experience will earn a grade of 100 points. Students who do not pass the performance-based assessment and scoring within the Proficiency level will receive a failing grade (68 points).
Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Benchmark – Human Experience Across the Health-Illness Continuum
Description:
Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:
Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for
Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human
Reflect on your overall state of Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, ).
Grade Scale
Final Grade Column
Letter Grade GPA Value Minimum (%) Maximum (%)
A 4.0 95.0 100.0
A- 3.7 92.0 94.99
B+ 3.3 90.0 91.99
B 3.0 87.0 89.99
B- 2.7 84.0 86.99
C+ 2.3 80.0 83.99
C 2.0 76.0 79.99
D 1.0 72.0 75.99
F 0.0 0.02 71.99
I 0.0 0.0 0.01
Grade Categories
Assignments (%) Points Percentile
Developmental Assessment and the School-Aged Child 110.0 —
Adolescence: Contemporary Issues and Resources 110.0 —
Shadow Health: Conversation Concept Lab 20.0 —
Benchmark – Human Experience Across the Health-Illness Continuum
130.0
—
Shadow Health: Focused Exam: Cough Results 100.0 —
Shadow Health: Digital Clinical Experience Orientation 20.0 —
Shadow Health: Comprehensive Assessment 150.0 —
Environmental Factors and Health Promotion Presentation: Accident Prevention and Safety Promotion for Parents and Caregivers of Infants
80.0
—
Shadow Health: Focused Exam: Abdominal Pain 100.0 —
Discussion Question (%) Points Percentile
Topic 2 DQ 1 8.0 —
Topic 5 DQ 2 8.0 —
Topic 3 DQ 1 8.0 —
Topic 3 DQ 2 8.0 —
Topic 1 DQ 1 8.0 —
Topic 1 DQ 2 8.0 —
Topic 5 DQ 1 8.0 —
Topic 4 DQ 2 8.0 —
Topic 2 DQ 2 8.0 —
Topic 4 DQ 1 8.0 —
Participation (%) Points Percentile
Week 1 Participation 20.0 —
Participation (%) Points Percentile
Week 4 Participation 20.0 —
Participation (%) Points Percentile
Week 2 Participation 20.0 —
Participation (%) Points Percentile
Week 3 Participation 20.0 —
Participation (%) Points Percentile
Week 5 Participation 20.0
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