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NURS 5101/6101/7101 Syllabus

Course Syllabus

NURS 5101/6101/7101 - Advanced Health Assessment

3 Credit Hours

Course Information

Course Description:

The focus of this course is on the development of advance health assessment skills.  Emphasis is on the application of acquired diagnostic reasoning skills in the presence of abnormal findings uncovered during physical examination of individuals across the lifespan.

Course Outcomes:

Course Objectives:

At the completion of this course the student will be able to:

  1. Demonstrate knowledge of the elements of a comprehensive physical assessment, which include a complete functional assessment, health history, and physical examination.
  2. Demonstrate knowledge of advanced physical assessment techniques and diagnostic procedures indicated for common problems encountered in primary care.
  3. Analyze data from the history, physical examination, and diagnostic procedures to differentiate normal from abnormal findings with an individual's cultural, ethnic, and developmental context.
  4. Interpret underlying pathophysiology for selected abnormal findings. 
  5. Synthesize the findings from the health history, physical examination, and the appropriate diagnostic tests to formulate differential diagnosis. 
Prerequisites & Co-requisites:

 Admission to the TN eCampus MSN program.  Corequisite:  NURS 5102

Course Topics:
  • Diagnostic Reasoning in Advanced Nursing Practice
  • Interviewing and the Health History
  • Assessing Problems related to the
  • Skin, Hair, and Nails
  • Head and Neck
  • Thorax and Lungs
  • Breasts and Axillae
  • Cardiovascular System
  • Abdomen
  • Musculoskeletal System
  • Neurological System
  • Male Genitourinary System
  • Female Genitourinary System Textbooks
Specific Course Requirements:

This is a 3 credit hour course that is completely on-line. Students are expected to be prepared and to participate in all on-line assignments. 

Textbooks, Supplementary Materials, Hardware and Software Requirements

Required Textbooks:

Please visit the Virtual Bookstore to obtain textbook information for this course. Move your cursor over the "Books" link in the navigation bar and select "Textbooks & Course Materials." Select your Program, Term, Department, and Course; then select "Submit."

Supplementary Materials:

None.

Hardware and Software Requirements:

Minimum hardware requirements can be found here.

Minimum software requirements can be found here.

Common applications you might need:

Web Resources:

Purdue OWL Online Writing Lab (for APA, MLA, or Chicago style)

The Writing Center Online Writer's Handbook

Student Resources:
  • Technical support information can be found on the TN eCampus Help Desk page.
  • Smarthinking virtual tutoring is available FREE of charge. to access Smarthinking, visit the course homepage and select Smarthinking under Course Resources. You also view sample sessions to see what Smarthinking offers and how it works.
  • Information on other student issues or concerns can be located on the TN eCampus Student Resources page.

Instructor Information

Please see "Instructor Information" in the Getting Started Module for instructor contact information, virtual office hours, and other communication information. You can expect to receive a response from the instructor within 24-48 hours unless notified of extenuating circumstances.

Participation, Assessments, & Grading

Testing Procedures:

Examinations



All course examinations/quizzes are mandatory. Computerized testing is used for all examinations and quizzes in this course. Questions include multiple-choice format and multiple answer options. All test items will assess the student's ability to apply and analyze knowledge learned in this course. All responses measure the student's judgment in discriminating among plausible answers to select the one best answer.

Quizzes



All quizzes in this course will be conducted online (off campus). The quizzes may contain questions that are multiple choice, matching, or short answer. Students missing a test for any reason must contact the course faculty by phone (NO EMAIL OR TEXT MESSAGING) at least one hour prior to the schedule quiz and/or examination. All quizzes are considered to be “closed book” quizzes and examinations. Your textbook or other resources should not be used while testing. 

You must make a C (77%) or better in order to pass this course. If a D or F is made in EITHER NURS 5101 or NURS 5102, both courses must be retaken together and passed to progress in the program.
NOTE: ETSU does not recognize a grade of “D”. All “D” Grades will automatically be converted to an “F” once received at ETSU.

EXTENUATING CIRCUMSTANCES- In case of extenuating circumstances, the instructor must be notified by e-mail at least 8 hours PRIOR to the scheduled examination, quiz, or assignment. The instructor must give approval for any extenuating circumstance. Failure to follow faculty notification requirements will result in an automatic zero for that assignment and/or examination with no possibility to receive any points. Faculty reserves the right to assign alternate make-up assignments, tests, or examinations for those who provide prior notification and are approved by course faculty to submit late work due to extenuating circumstances.

RULES - You may NOT solicit assistance from any individual while taking an exam or quiz in this course. You may NOT take any exam or quiz with another student, and you may NOT share test questions or answers with any one.  Make sure that you note quiz and exam dates on the course calendar, which are posted for each assessment.  There are no makeup quizzes or tests in this course.  If you fail to take a quiz or test on the date(s) identified, you will receive a '0' unless extenuating circumstances occur beyond your control.  Please see the procedure for reporting an extenuating circumstance above. You will be allowed only 1 test reset for all quizzes and exams for any technical difficulties.  You will be allowed two attempts for each quiz.  There will only be one attempt for the Mid-Term and Final Exam.

Discussion Board

Discussion Board will open weekly on Monday at 12:01 am and close on Friday at 11:59 pm.  Each student is required to participate in discussion by making three postings a week (an initial post and two responses to a classmates' post).  The initial post is due by Wednesday of each week by 11:59 pm.  The other two posting are due before 11:59 pm on Friday.    

In your discussion, you are required to support your comments by referencing the source where you received your information.  Your initial post must site at least 3 references and your response must site at least 1 reference.

Below is the discussion board rubric for grading:

Discussion Board Critical Elements

Points

Initial Post posted by Wednesday at 11:59 PM of the discussion week

2 points

Responses are posted by Friday at 11:59 PM of the discussion week

1 points

Initial Post contains substantive, accurate, relevant and supported information

2 points

Responses (2) contains, substantive, accurate, relevant and supported information

2 points

At least 3 references are used in the initial post and 1 reference is used in both responses

3 points

Total

10 points

 Only substantive comments will receive credit.  Comments such as "good job", "well done",  " I agree" will not count as a substantive comment.  Below are tips to enhance your discussion.

Discussion Board Tips

  • Review the discussion threads thoroughly before entering the discussion. Be a  lurker then a discussant. 
  • Try to maintain threads by using the "Reply" button rather starting a new topic. 
  • Do not make insulting or inflammatory statements to other members of the discussion group. Be respectful of others' ideas. 
  • Be patient and read the comments of other group members thoroughly before entering your remarks. 
  • Be cooperative with group leaders in completing assigned tasks. 
Grading Procedures:

You will be graded this semester on four categories-quizzes, discussion board, mid-term and the final examination. There will be 6 quizzes, a mid-term, discussion board, and a final exam. The breakdown of how much each item is worth is below.

Grading Scale:

Point Range

Assigned Grade

93-100%

A

85-92%

B

77-84%

C

70-76%

D

under 70%

F

 

Graded Items

Description

Points

6 Quizzes @ 16.7 points each

20%

13 Discussion Boards @ 7.7 points each

25%

Mid-Term Exam

25%

Final Exam

30%

 Total 

 100%

Assignments and Projects:
Class Participation:

All students are expected to actively participate in on-line learning experiences. Each activity posted will be assigned a date by which the student must respond. If the student is unable to fulfill this requirement for any reason, he/she should notify the instructor prior to the due date and make alternative arrangements. Students are required to respond to all activities posted. Student responses must be substantive and reflect critical thought and application of the course material. Students are held to academic standards of writing style and the use of proper grammar, punctuation, and spelling. All sources used must be cited using the Publication Manual of the American Psychological Association (APA format), 6th edition.  

Late Policy:

In clinical practice, you will be expected to meet deadlines in a timely fashion.  Therefore, the practice of submitting assignments in a timely fashion starts here.  The Late Policy is to ensure academic integrity and help develop professionalism in the student.

The Late Policy for all assignments are below:

Quizzes and Exams

There is NO grace period on exams and quizzes.  All quizzes are allotted 30 minutes for completion.  You will be given 75 minutes to complete the Mid-Term exam and 2 hours for completing the final exam.  For every 1 minute you go over the allotted time, 2 points will be deducted from the quiz or exam grade.

Discussion Board

All discussions will begin on Monday at 12:01 AM.  The discussion will close on Friday at 11:59 PM.  The initial post is due Wednesday at 11:59 PM.  There is NO period on posting to discussion board.  Points will be deducted for each day or any portion of a day that the discussion is not posted.

Course Ground Rules

The following two statements (1., 2.) were derived from the TBR System-wide Student Rules document, released January 2012:

RULES OF THE TENNESSEE BOARD OF REGENTS STATE UNIVERSITY AND COMMUNITY COLLEGE SYSTEM OF TENNESSEE SYSTEMWIDE STUDENT RULES CHAPTER 0240-02-03 STUDENT CONDUCT AND DISCIPLINARY SANCTIONS

Read the document in its entirety here.

1. Standards of Conduct:

  • Students are required to adhere to the same professional, legal and ethical standards of conduct online as on campus. In addition, students should conform to generally accepted standards of "netiquette" while sending e-mail, posting comments to the discussion board, and while participating in other means of communicating online. Specifically, students should refrain from inappropriate and/or offensive language, comments and actions.

2. Review the TN eCampus Academic Integrity/Academic Honesty Policy:

  • In their academic activities, students are expected to maintain high standards of honesty and integrity. Academic dishonesty is prohibited.

Such conduct includes, but is not limited to:

  • an attempt by one or more students to use unauthorized information in the taking of an exam
  • to submit as one's own work, themes, reports, drawings, laboratory notes, computer programs, or other products prepared by another person,
  • or to knowingly assist another student in obtaining or using unauthorized materials.

Plagiarism, cheating, and other forms of academic dishonesty are prohibited.

Students guilty of academic misconduct, either directly or indirectly through participation or assistance, are subject to disciplinary action through the regular procedures of the student’s home institution.  Refer to the student handbook provided by your home institution to review the student conduct policy.

In addition to other possible disciplinary sanctions that may be imposed, the instructor has the authority to assign an "F" or zero for an activity or to assign an "F" for the course.

Other Course Rules:

Students are expected to:

  • Participate in all aspects of the course
  • Communicate with other students
  • Learn how to navigate in Brightspace
  • Keep abreast of course announcements
  • Use the assigned course management (Brightspace) email address rather than a personal email address
  • Address technical problems immediately:
  • Observe course netiquette at all times.

Guidelines for Communications

Email:

  • Always include a subject line.
  • Remember without facial expressions some comments may be taken the wrong way. Be careful in wording your emails. Use of emoticons might be helpful in some cases.
  • Use standard fonts.
  • Do not send large attachments without permission.
  • Special formatting such as centering, audio messages, tables, html, etc. should be avoided unless necessary to complete an assignment or other communication.
  • Respect the privacy of other class members

Discussions:

  • Review the discussion threads thoroughly before entering the discussion. Be a lurker then a discussant.
  • Try to maintain threads by using the "Reply" button rather starting a new topic.
  • Do not make insulting or inflammatory statements to other members of the discussion group. Be respectful of other’s ideas.
  • Be patient and read the comments of other group members thoroughly before entering your remarks.
  • Be cooperative with group leaders in completing assigned tasks.
  • Be positive and constructive in group discussions.
  • Respond in a thoughtful and timely manner.

Library

The Tennessee Virtual Library is available to all students enrolled in TN eCampus programs and courses. Links to library materials (such as electronic journals, databases, interlibrary loans, digital reserves, dictionaries, encyclopedias, maps, and librarian support) and Internet resources needed by learners to complete online assignments and as background reading will be included within the course modules. To access the Virtual Library, go to the course homepage and select the Virtual Library link under Course Resources.

Students with Disabilities

Qualified students with disabilities will be provided reasonable and necessary academic accommodations if determined eligible by the appropriate disability services staff at their home institution. Prior to granting disability accommodations in this course, the instructor must receive written verification of a student's eligibility for specific accommodations from the disability services staff at the home institution. It is the student's responsibility to initiate contact with their home institution's disability services staff and to follow the established procedures for having the accommodation notice sent to the instructor.

Syllabus Changes

The instructor reserves the right to make changes as necessary to this syllabus. If changes are necessitated during the term of the course, the instructor will immediately notify students of such changes both by individual email communication and posting both notification and nature of change(s) on the course bulletin board.

Disclaimer

The information contained in this syllabus is for general information purposes only. While we endeavor to keep this information up-to-date and accurate, there may be some discrepancies between this syllabus and the one found in your online course. The syllabus of record is the one found in your online course. Please make sure you read the syllabus in your course at the beginning of the semester. Questions regarding course content should be directed to your instructor.


Last Revised on April 28, 2017