EDGEWOOD
COLLEGE
DEPARTMENT OF
NURSING
NRS211 –
CARING: NURSING ASSESSMENT &
INTERVENTION
TOPIC OBJECTIVES
STUDY GUIDE: First
Aid
Objectives:
1. Explain the purpose of First Aid.
2. Explain the legal considerations related to First Aid.
3. Describe transmission of blood borne pathogens and necessary disease precautions.
4. Demonstrate the following on a classmate:
a. initial assessment and physical exam (DOTS)
b. history - "sample"
c. first aid for bleeding and shock
d. pressure dressing
e. splint an extremity
f. apply a sling on UE
g. dressing for an impaled object
h. apply roller bandage to ankle or wrist
5. Describe types of burns.
6. Explain first aid for burns.
7. Describe types of wounds.
8. Explain first aid for each type of wound.
9. Complete written exam successfully.
STUDY GUIDE: Communication
& Interview Techniques
Objectives:
1. Describe communication techniques that enhance or diminish data collection.
2. Identify communication strategies that aid in managing awkward periods in an interview.
3. Describe the appropriate use of open, closed and directive questions.
4. Describe the characteristics of each phase of the interview process.
5. Utilize appropriate communication/interview techniques in lab & clinical settings.
STUDY
GUIDE: The Nurse's Role in
Health Assessment
Objectives:
1. Discuss the purpose of nursing assessment.
2. Explain why client expectations are important to include in assessment.
3. Explain the relationship of data collection and data analysis in critical thinking.
4. State the sources of data for a nursing assessment.
5. Discuss the influence of ethics on nursing practice.
6. Describe components of the nursing process.
7. Explain the purpose of the nursing process.
STUDY
GUIDE: General Survey
Objectives:
1. Identify major components of the general survey.
2. Recognize significance of the findings from the general survey.
3. Perform a general survey of an older adult.
4. Describe expected finding derived from the general survey.
5. Record findings obtained from the general survey.
STUDY
GUIDE: Documentation
Objectives:
1. Identify the purposes of health care records.
2. Describe standard guidelines for effective documentation.
3. Discuss legal implications of documentation.
4. Identify ways to maintain confidentiality of records and reports.
STUDY
GUIDE: Vital signs (TPR and BP)
Objectives:
1. Describe the guidelines for assessing vital signs (VS)
2. Explain factors influencing temperature, pulse, respiration & blood pressure.
3. Describe characteristics to observe when assessing pulse and respirations.
4. Describe factors used in the selection of temperature measurement sites.
5. Define blood pressure, hypertension, and hypotension.
6. Describe systolic and diastolic pressures.
7. Accurately assess a client's oral, axillary, and tympanic temperature.
8. Accurately assess a client's radial pulse, respirations, and BP.
STUDY
GUIDE: Interviewing to Obtain a
Health History
Objectives:
1. Explain the purposes of a health history.
2. Distinguish the purposes of comprehensive and focused health assessments.
3. Differentiate a ”nursing-oriented” health history from a “medical” health history.
4. Articulate the scope of the health history.
5. Delineate types of data that are relevant to each section of the health history.
6. Utilize a nursing framework to obtain and record data for the health history.
STUDY
GUIDE: Functional
Objectives:
1. List four reasons to complete a functional assessment on an older adult.
2. Discuss factors to consider when choosing a functional assessment tool.
3. Differentiate between ADL's and IADL's.
4. Demonstrate administration and interpretation of a functional assessment in the lab setting.
5. Perform, interpret and document an IADL's Scale on an older adult in the community.
6. Discuss common myths and misconceptions about the elderly.
7. Explain the benefits of exercise, and the special safety needs.
8. Communicate with an older adult demonstrating respect for the individual, and an understanding of the meaning of aging in our society.
9. Communicate with an older adult demonstrating knowledge of the developmental tasks, and the special communication needs of this age group.
STUDY
GUIDE: Safety Assessment
Objectives:
1. Identify factors that affect safety in the client’s environment.
2. Discuss the specific risks to safety related to developmental age.
3. Discuss methods to reduce physical hazards.
4. Complete a safety assessment on one of your clients (senior or family).
5. Identify client teaching topics to promote safety.
STUDY
GUIDE: Positioning,
Transferring & Body Mechanics
Objectives:
1. Describe comfort and safety measures to implement when positioning and transferring patients.
2. Explain the principles of body mechanics.
3. Describe the techniques for positioning and transferring patients.
4. Demonstrate the following positions with a classmate: Fowler's, semi-Fowler's, side lying.
STUDY GUIDE: Hygiene and Personal Care (Bathing: Care of Skin, Hair & Nails; Feeding; Oral Hygiene; Bed Making)
Objectives:
1. Describe factors that influence personal hygiene practices.
2. Describe the types of bathing techniques used for various physical conditions.
3. Explain safety and comfort measures used when providing hygiene and personal care to clients.
4. Discuss conditions that may put a client at risk for impaired skin integrity.
5. Describe pertinent observations made while providing hygiene and personal care to clients.
6. Explain the importance of skin care to client.
STUDY
GUIDE: Introduction to Physical
Assessment
Objectives:
1. Describe the purpose of the equipment (listed in text) used in physical assessment.
2. Define the terms; inspection, palpation, percussion auscultation, and positioning.
3. Describe the techniques of inspection, palpation, percussion, auscultation, and positioning.
4. Describe nursing activities in preparation for a physical examination.
5. Explain guidelines for documentation of the physical assessment examination.
6. Identify standard abbreviations for common terms used when documenting physical assessment findings.
STUDY
GUIDE: Skin Assessment
Objectives:
1. Identify major components of the physical exam of the skin, hair and nails.
2. Classify characteristics of primary and secondary skin lesions.
3. Describe conditions that affect skin, hair, and nails.
4. Perform an assessment of skin on an adult in the laboratory setting.
5. Record the finding obtained from the skin assessment.
STUDY
GUIDE: Head and Neck Assessment
(including cranial nerves and EENT)
Objectives:
1. Recall anatomy and physiology of the neurological and lymphatic systems, and the head and neck that is pertinent in assessment.
2. Demonstrate proper techniques when performing a systematic head and neck exam.
3. Describe expected findings derived from the head and neck exam.
4. Record findings obtained during the exam.
STUDY
GUIDE: Mental Status Exam
Objectives:
1. Identify components of the mental status exam.
2. Define terms used in the mental status exam.
3. Describe nursing approaches which facilitate the assessment process.
4. Perform a mental status exam in the lab setting.
5. Record the findings obtained from the mental status exam.
STUDY
GUIDE: Respiratory and Breast
Assessment
Objectives:
1. Recall anatomy and physiology of the respiratory system and the breasts/axillae that is pertinent in assessment.
2. Demonstrate appropriate inspection, palpation, auscultation, and positing techniques in examination of the respiratory system.
3. Distinguish between normal and abnormal lung sounds.
4. Discuss actions which maintain client dignity and comfort during the breast exam.
5. Demonstrate appropriate inspection, palpation, and positioning techniques in examination of the breasts and axillae.
6. Describe expected findings derived from examination of the respiratory system and the breast/axillae.
7. Describe characteristics of breast nodules.
8. Record data obtained from the examination.
STUDY
GUIDE: Teaching Learning
Project
Objectives:
1. Assess the learner in terms of growth and development, characteristics, learning styles, motivation to learn, ability to learn, and knowledge deficits.
2. List appropriate objectives in behavioral terms.
3. Organize and present content using teaching methods appropriate to the learner and content.
4. Evaluate his/her teaching using an evaluation technique based on learner objectives.
5. Perform a self-evaluation of the project.
6. Develop a bibliography appropriate for the content and process of the teaching plan (at least two (2) references).
STUDY
GUIDE: Heart and Peripheral
Vascular Assessment
Objectives:
1. Recall anatomy and physiology of the heart and peripheral vascular system that is pertinent in assessment.
2. Relate heart sounds to events in the cardiac cycle.
3. Demonstrate inspection, palpation, and auscultation of the mitral area of the heart.
4. Examine the carotid arteries, jugular veins, and peripheral pulses.
5. Describe expected findings derived from the examination of the heart and peripheral vascular system.
6. Record data obtained from the examination.
STUDY
GUIDE: Abdominal Assessment
Objectives:
1. Recall anatomy and physiology of the abdomen that is pertinent in assessment.
2. Explain rationale for changes in the sequence of assessment techniques during the abdominal exam.
3. Demonstrate appropriate inspection, auscultation, palpation, and positioning techniques used in the examination of the abdomen.
4. Describe expected findings derived from the exam.
5. Record findings obtained during the exam.
STUDY
GUIDE: Musculoskeletal and
Neurological Assessment
Objectives:
1. Recall anatomy and physiology of the musculoskeletal and neuro systems that is pertinent in assessment.
2. Describe range of motion (ROM) of various body joints.
3. Demonstrate appropriate inspection and positing techniques used in the musculoskeletal examination.
4. Describe expected findings derived from the exam.
5. Record findings obtained during the exam.
STUDY
GUIDE: Nutrition
Objectives:
1. Explain the purpose of Healthy People 2000: Nutrition Objectives.
2. Explain the role of nutrition in the prevention of disease: primary, secondary, & tertiary.
3. Discuss the function of essential and nonessential nutrients.
4. Discuss the food guide pyramid and the value in planning meals for healthy nutrition.
5. Explain Recommended Daily Allowances (RDAs).
6. Describe the two levels of nutritional assessment.
7. Interpret the Nutrition Facts on food labels.
8. Discuss the recommendations for personal food safety.
9. Identify the objective and subjective assessment factors utilized to determine a client's nutritional learning needs.
10. Complete nutritional assessment on senior client using Mosby's Nutritrac compute program.