126: Nursing Assessment
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The series is designed to impress upon the student the critical importance of the nursing assessment and includes demonstrations of appropriate examine techniques related to each system. The series begins with a program dedicated to the importance assessment, documentation of findings, and the relationship between assessment and the plan of care. In the following programs, detailed assessments of the various body systems are demonstrated. Included are the key elements of assessment for the particular body system, and discussion of both normal and abnormal findings. These exams provide information to assist the learner in the expansion of an assessment when abnormal findings are encountered. Related anatomical information is provided for each system, and the programs feature real-time patient assessments supported with narration and animated graphics. The final program in the series provides a demonstration of the head-to-toe intake assessment.
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Schools: Basic to mid-level
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Individual program learning objectives
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To preview the programs listed below, click on the clips
in the right column and using your mouse select
the controls. These previews are the property of EMD and are not intended for instructional use. |
126.1 The Key to Quality Patient Care (18min.)
1. Describe the role of the nurse in patient assessment.
2. Explain the concept of assessment as an ongoing process.
3. Differentiate between the three types of nursing assessments. and their uses.
4. List the tools used for an assessment.
5. Discuss the role of intuition in assessment.
6. Differentiate between subjective and objective assessment.
7. Discuss the nurse’s obligations regarding documentation and reporting.
8. Demonstrate an effective end-of-shift report. |
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126.2 The Respiratory System (21 min.)
1.After viewing the program, the learner will be able to do the following:
2. Describe the anatomical structures and function of the respiratory system.
3. Explain the purpose of subjective data gathering.
4. Delineate the subjective data needed regarding the respiratory system.
5. Outline the steps of the respiratory objective assessment.
6. Demonstrate the correct method for respiratory auscultation.
7. Differentiate between the breath sounds. |
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126.3 The Cardiovascular System (36 min.)
1. Describe the structures and function of the lymph and cardiac systems.
2. Trace the flow of blood through the heart and pulmonary system.
3. Outline the cardiac conduction system.
4. Discuss the function of the lymph nodes.
5. Demonstrate an effective subjective assessment of the cardiac and lymph systems.
6. Assess for the presence of a deep vein thrombosis.
7. Demonstrate palpation of lymph nodes.
8. Demonstrate an assessment of the peripheral pulses.
9. Explain the grading systems for both edema and palpable pulses.
10. Demonstrate auscultation of the heart.
11. Describe the different heart sounds and their causes. |
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126.4 The Digestive System (20 min.)
1. Describe the structures and function of the digestive organs.
2. Differentiate between digestion and absorption.
3. Discuss factors which are causing increases in gastrointestinal complaints.
4. Demonstrate abdominal auscultation.
5. Demonstrate abdominal palpation.
6. Outline the proper action if a pulsating abdominal mass is found.
7. List at least five gastrointestinal disorders.
8. Name the four tests currently used to detect colorectal polyps and cancer. |
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126.5 The Musculoskeletal System (24 min.)
1. Describe the structures and functions of the musculoskeletal system.
2. List the types of skeletal joints and their movement.
3. Discuss the importance of pain assessment when performing a musculoskeletal assessment.
4. Delineate the subjective data to be obtained during the musculoskeletal assessment.
5. Demonstrate an objective assessment of the musculoskeletal system. |
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126.6 The Nervous System (38 min.)
1. Describe the structure and function of the nervous system.
2. Differentiate between the various divisions of the nervous system, including central vs. peripheral, somatic vs. autonomic, and sympathetic vs. parasympathetic.
3. Outline the function of a nerve cell.
4. Delineate the subjective data to be obtained during the neurologic assessment.
5. Discuss the relationship of the nervous system with other bodily systems.
6. Demonstrate assessment of cranial nerves, reflexes, and cerebellar function. |
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126.7 The Integumentary System (22 min.)
1. Describe the anatomical structures and function of the integumentary system.
2. Outline the proper technique for assessing the skin.
3. List the criteria for evaluating skin color.
4. Discuss the effects of aging on the skin and hair.
5. Stage a skin ulcer utilizing the standard criteria.
6. Assess skin turgor.
7. Compare and contrast normal and abnormal skin findings. |
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126.8 Head and Neck, Mouth and Throat (16 min.)
1. List common causes of head and neck pain.
2. Locate the normal prominences on the skull.
3. Compare and contrast macrocephaly and microcephaly.
4. Relate alterations in facial appearance and expression to health problems.
5. Perform a visual assessment of the oral cavity.
6. Name disorders indicated by various abnormal breath odors.
7. Describe the physical changes indicating thrush, herpes simplex, and methamphetamine abuse.
8. Compare and contrast tonsillitis and epiglottitis. |
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126.9 Eyes, Ears, Nose (18 min.)
1. Assist a patient to describe any vision difficulties.
2. Visually evaluate the external structures of the eye, ears and nose.
3. Perform a basic vision screening.
4. List seven indicators that a patient is having hearing difficulties.
5. Perform a basic hearing screening using the whisper test.
6. Palpate the facial sinuses.
7. Inspect the inside of the nares using an otoscope with a nasal speculum.
8. List observable nasal indicators of cocaine abuse.
9. Describe visible indicators of methamphetamine abuse.
10. Differentiate between normal and abnormal findings related to the eyes, ears, and nose. |
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126.10 The Male Genitourinary System (18 min.)
1. Describe the physical structures of the kidney and male genitourinary tract.
2. List foods and other substances that can alter the color of urine.
3. Perform a breast exam by palpation.
4. Perform a visual assessment of the male genitalia.
5. Compare and contrast hypospadias and epispadias.
6. Name the visual indicators of phimosis, HPV infection, hydrocele, spermatocele, and varicocele.
7. Provide effective patient teaching regarding reproductive self-care. |
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126.11 The Female Genitourinary System (17 min.)
1. Describe the external and internal structures of the female genitalia and the breasts.
2. Recite the current guidelines for frequency of mammograms.
3. Take a menstrual and obstetrical history.
4. Explain the increased frequency of UTIs in women as compared to men.
5. Perform a manual breast exam.
6. Assess for signs of physical abuse.
7. Provide effective patient teaching regarding reproductive self-care. |
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126.12 Head-to-Toe Assessment (17 min.)
1. Develop a plan for an admission assessment.
2. Create a supportive environment for the patient.
3. Provide for patient privacy.
4. Effectively use a penlight for enhanced visualization of skin and the oral cavity.
5. Utilize the skills of visualization and palpation effectively. |
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