NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video
Students need to find someone over 18 years old who isn’t pregnant to act as a “patient” for a video showing how well they can do certain health checks. The person helping must sign a form allowing their video to be used for the course. Also, the student has to get the right equipment and use it properly. During the video, the student has to explain what they’re doing and what they find. The teacher needs to be able to see and hear everything clearly to grade it. The student can’t use any notes or extra stuff during the video. They have to finish the whole head-to-toe check in 25 minutes or less. Anything longer won’t count towards their grade. To pass, students need to get more than 75%.
Student: Date: Faculty:
Body System Required Exam Technique Possible Points Total Points
General General survey 2
Skin Color, texture, marks, wounds, temperature, skin’s springiness 5
Head & Face -Skull shape, look, hair -Face’s symmetry, scalp, sinuses -Jaw joint -How clear the nose is -Turbinates, the inside of the nose 5
Eyes -Outside of the eye: eyelids, lashes -White part of the eye, conjunctiva -Six ways of looking -How pupils react to light and their size -Using a tool to check the eye: red reflection, retina, blood vessels, optic disk, and macula 8
Ears -Looking at the outside of the ear -Feeling the mastoid bone -Checking the ear canal with a tool: what it looks like and if there’s something blocking it -Hearing: whisper test, Rinne or Weber test 5
Mouth & Throat -Checking teeth, tongue, the thing hanging in the throat, the insides of the cheeks -Saying how big the tonsils are 2
Neck -Feeling the windpipe -Touching the thyroid -Looking for swollen veins in the neck -Listening to the arteries in the neck -Checking lymph nodes in different places on the neck 8
Front of the Chest, Heart, and Lungs -Listening to the lungs in at least 8 places on both sides -Checking how vibrations feel when speaking -Feeling where the heart pumps the strongest -Listening to the heart with two parts of the stethoscope while sitting or lying down 10
Back of the Chest, Lungs, & Kidneys -Listening to the lungs in at least 8 places on both sides -Checking how vibrations feel when speaking -Listening to the lungs when saying certain sounds -Tapping on the chest -Feeling for pain over the kidneys 10
Belly -Looking at the belly -Listening to the belly in all four areas -Pressing lightly and deeply on the belly -Feeling the kidneys, liver, and spleen -Tapping in at least two spots in all four areas -Doing one special belly test (student’s choice) 10
Blood Flow -How fast blood comes back when pressing on the nail -Looking for changes in the nails -Feeling for pulses in different places -Checking for swelling 10
Nervous System -Balance test, feeling, walking -Testing how muscles react when hit -Checking nerves in the head: eyes, eye movement, eye muscles, face, hearing, tongue, throat, throat muscles, feeling, muscles in the neck 10
Muscles and Bones -Looking at the spine, checking for bending -Moving arms and legs to see how far they go -Testing how strong arms and legs are -Doing one special muscle and bone test (student’s choice) 5
Organization, Clarity, & Time -Check is well organized -Giving directions to the “patient” -Keeping the “patient” private -Good quality video -No extra stuff used during the video -Explaining each check and what’s found -Finishing in 30 minutes 10
100 Possible Points Total Points Earned:
Video Recording of Advanced Health Assessment and Diagnosis from Head to Toe
NURS 6512: Advanced Health Assessment and Diagnostic Reasoning
NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video
Student is to have a non-pregnant volunteer 18-years or older to serve as their “patient” for a recorded video demonstrating proficiency in performing select health assessment techniques. The volunteer must sign the Video Release From located in the course. Additionally, the student is to obtain and properly use the necessary equipment required to perform the assessment. The student must verbalize the assessment technique and exam findings. The faculty must be able to clearly see, hear, and evaluate the examination. Techniques must be performed from memory with no use of notes or supplemental materials during recording. Video head-to-toe exam must be complete within 25 minutes and anything beyond this time frame will not be included in grading. *Students must score > 75% to pass this assignment.* NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video
Student: Date: Faculty:
| Body System | Required Exam Technique | Possible Points | Total Points |
| General | General survey | 2 | |
| Skin | Color, texture, lesions, wounds, temperature, turgor | 5 | |
| Head & Face | -Cranium shape, appearance, hair
-Facial symmetry, scalp, sinuses -TMJ -Nasal patency -Turbinates, nasal mucosa |
5 | |
| Eyes | -External eye: eyelids, lashes
-Sclera, conjunctiva -Six cardinal gazes -Pupil light reflex & size –Ophthalmoscopic exam: red reflex, retina, vessels, optic disk and macula |
8 | |
| Ears | -External inspection
-Palpate mastoid process -Otoscope exam: canal appearance or obstruction, TM -Hearing: whisper test, Rinne or Weber test |
5 | |
| Mouth & Pharynx | -Inspect teeth, tongue, uvula, buccal mucosa
-Grade tonsils |
2 | |
| Neck | -Trachea
-Palpate thyroid -Assess for JVD -Auscultate carotid arteries -Lymph nodes: Preauricular, postauricular, occipital, tonsillar, submandibular, submental, anterior, & posterior cervical chain NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video
|
8 | |
| Anterior Thorax, Heart and Lung | -Auscultate lung-minimum of 8 places comparing sides
-Assess tactile fremitus -Assess PMI -Auscultate heart with bell and diaphragm (Identify areas of auscultation) while sitting or lying |
10 | |
| Posterior Thorax, Lungs, & Renal | -Auscultate lung-minimum of 8 places comparing sides
-Assess tactile fremitus -Bronchophony, egophony, or whispered pectoriloquy -Percuss over lung fields -Assess CVA tenderness |
10 | |
| Abdomen | · -Inspect abdomen
· -Auscultate bowel sounds in all 4 quadrants · -Light and deep palpation of abdomen · -Palpate kidneys, liver, & spleen · -Percuss at least two points in all four quadrants · -Perform one specialized abdominal exam test (student’s choice) |
10 | |
| Vascular | -Capillary refill
-Clubbing -Pulses: carotid, brachial, radial, dorsalis pedis, & posterior tibial -Assess for edema |
10 | |
| Neurologic | -Romberg, sensation, gait
–Deep tendon reflexes: brachial, triceps, biceps, patellar -Cranial nerves: II optic III oculomotor IV trochlear V trigeminal VI abducens VII facial VIII vestibulocochlear IX glossopharyngeal X vagus XI accessory XII hypoglossal |
10 | |
| Musculoskeletal | -Inspect spine/scoliosis check
-ROM of upper and lower extremities -Strength test upper and lower extremities · –Perform one specialized MSK exam technique (student’s choice) NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video |
5 | |
| Organization, Quality, & Time | -Exam is well organized
-Provides guidance to the patient -Maintains patient privacy -Quality video production -No supplemental materials used during video -Accurate verbalization of each exam technique & findings -Completed exam in 30 minutes |
10 | |
| 100 Possible Points | Total Points Earned:
|
NUR7580 Advanced Health Assessment and Differential Diagnosis Head-to-Toe Comprehensive Exam Video
