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Syllabus
Unit One
Unit Two
Unit 3
Unit Four
Unit Five
Unit Six

Appendix
 

Clinical

SKILLS CHECKLISTS FOR LAB
The checklists for the skills in the following units are found in your textbooks as noted on the syllabus
or in your Self Directed Learning Packet.

Unit 1. Nursing History Form for use with Case Studies
         Validation Skills
         Vital Signs, Positioning, Transferring, Restraints,
         Body Substance Isolation,  Universal Precautions
Unit 2.Teaching Self Breast Exam
        Teaching Testicular Self Exam
Personal Health Habit History
Cultural Lab Assignment
Unit 3. none
Unit 4. Assessment of Major Body Systems
        Basic Physical Exam
Unit 5. none
Unit 6. Oral Medications
           Topical Medications

SELF DIRECTED LEARNING PACKETS
  To help you prepare for lab, the skills have been organized into self directed learning 
packets.  The SDLPs are in the lab portion of the syllabus.There is also a video showing you 
exactly how you will be tested for  many of the skills in NUR 103.  You are to purchase this video for $5 from the nursing office.  You will recieve your money back when you return the video at the end of the course. 
You are required to complete the Preparation for Lab portion of each SDLP by the date it is listed on the lab schedule.  See the schedule for your lab section in the syllabus.
Nursing  History Form for use with Case Studies

Name__________________________     Age ____            Sex_________ 
Marital Status___________________      Race____________________ 
Occupation_____________________      Religion_________________ 
Place of Employment________________________________________ 
Education______________________ 
 

Health History 
Check the problems that you presently have or have had. 
_____ Anemia 
_____ Bronchitis or Pneumonia 
_____ Cancer 
_____ Liver disease 
_____ Diabetes 
_____ Emphysema 
_____ Heart disease 
_____ High Blood  pressure 
_____ High cholesterol 
_____ Obesity ( more than 20 # overweight)

           In the past year have you had: 
   Yes              No 
______        _______  chest pain on exertion relieved by rest? 
______        _______  shortness of breath lying down that 
                                    was relieved by sitting up? 
______        _______  unexplained weight loss of more than 10 
                                    pounds? 
______        _______  unexplained bleeding? 

List medications that you take on a daily basis: 
Child- immunizations up to date? 
 
 
 
 

List any surgeries that you have had: 
 

Family History 
Check problems that apply to your blood relatives. 
___ Cancer                                           ___ High blood 
                                                                     pressure 
___ Diabetes                                         ___ Stroke 
___ Heart disease                                 ___ Tuberculosis 

Social History 
List immediate family members, age, & general health status: 
 
 
 
 
 

Functional Health Pattern Assessment 
1. Health perception & Health Management 
How has your general health been? 

Describe the most important things you do to stay healthy: 
 

Do you... 
Y    N   have yearly dental examinations? 
Y    N   have your eyes checked regularly? 
Y    N   examine your breast for signs of cancer monthly? 
Y    N   conduct monthly testicular self examinations? (Male) 
Y    N   smoke? 
Y   N    avoid sun tanning and wear a sunblock? 
Y    N   know and understand safe sex precautions? 
Y    N   know the 7 signs of cancer (CAUTION)? 
Y    N   wear seat belts? 

2. Nutritional and metabolic pattern 
Are you on a special diet of any type? ____________________________________________ 

Describe a typical daily diet: 
BREAKFAST                                                                  LUNCH 
 
 
 

DINNER                                                                          SNACKS 
 
 
 
 

Do you... 
Y   N   limit intake of high cholesterol foods and saturated fats? 
Y   N   eat a high (20-30 grams) fiber diet? 
Y   N   eat at least one uncooked fruit or vegetable per day? 
Y   N   limit intake of refined sugar (desserts, junk foods)? 
Y   N   drink 3 or less cups of coffee per day? 
Y   N   drink 5 or less soft drinks per week? 
Y   N   drink no more than one alcoholic beverage per day? 
Y   N   have at least 3 servings of calcium rich food/drink per day? (Milk, cheese, yogurt, etc) 
 
 

3. Elimination pattern 

Y  N   Have you had a change in your bowel or bladder habits recently? 
           If yes, describe: 

How often do you use laxatives? 
 

4. Activity and Exercise pattern 
Do you feel that you have sufficient energy for desired and required activities? 
 

Describe your daily pattern of activity including leisure time activities: 
 
 

Do you exercise?  Type    Frequency 

Do you... 
Y   N   take the stairs rather than an elevator? 
Y   N   participate in any aerobic activity or sport at least 3 times a week for 30 minutes? 
Y   N   do stretches and warm-up exercises before strenuous exercise? 
Y   N   think that your height has decreased since menopause (older females only)? 

5. Sleep and rest pattern 
Describe your sleep pattern (time that you go to bed and time that you wake up, naps, etc) 

Y   N   Do you generally feel rested and ready for daily activities after sleeping? 

6. Cognitive and perception pattern 

Do you...
Y   N   have any difficulty hearing? 
Y   N   have any difficulty seeing? 
Y   N   have any changes in memory? 
What is the easiest way for you to learn new things?(reading, listening, etc) 

7. Self perception and self concept/ role & relationship patterns 
How would you describe yourself? 
 
 
 

Do you find it easy or difficult to communicate with others? 

Do you enjoy being with family and friends?  What social groups do you belong to? 
8. Coping and Stress Tolerance pattern 
How many times per week do you generally feel tense or stressed? 

What causes stress for you? Have there been any big changes in your life recently? 

Are you able to say no without feeling guilty? 

How do you cope with stress? 
 
 
 

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Basic Physical Exam 

Completed Basic Physical Exam: 

General Survey 
(  ) Assessed level of consciousness as either 
      a. Alert 
      b. Responds to verbal stimuli 
      c. Responds to painful stimuli 
      d. Unresponsive 
(  ) Assessed degree of orientation as either 
      a. oriented times 3 (person, place, time) 
      b. oriented times 2 (person, place) 
      c. oriented times 1 (person) 
      d. disoriented times 3 
(  ) Described general appearance including body movements and stature, nutritional status, and manner of speech. 

Measurements and Vital Signs 

(  ) measured height and weight and compared to ideal weight 
(  ) measured blood pressure* 
(  ) counted radial pulse and described rhythm* 
(  ) graded strength of pedal pulse from 0 to 4 
(  ) counted respiratory rate and described rhythm and depth* 
(  ) measured temperature* 
* do not need to retest these skills if student is proficient 

Skin, Hair, and Nails 

(  ) Described skin color 
(  ) Assessed skin turgor over forehead and sternum 
(  ) Graded pedal edema from 0 to 4 
(  ) Timed capillary refill in finger nail beds 
(  ) Described hair color thickness, and texture 
(  ) Described any lesions, scars, bruises that are present 
 
 
 
 

Head & Neck 
(  ) Assessed visual acuity as either 
      a. can read 
      b. can recognize faces 
      c. blind 
(  ) Assessed if pupils are equal and their reaction to light 
(  ) Assessed extra ocular eye movement 
(  ) Assessed hearing as either 
       a. able to hear whispered word 
       b. must speak loudly 
       c. deaf 
(  )  Assessed sense of smell as either 
       a. intact 
       b. diminished 
(  ) Assessed sensation of face 
(  ) Assessed symmetry of smile and shoulder shrug 
(  ) Inspected mouth for lesions, discharge, areas of irritation, bleeding, missing or loose teeth, swollen gums 

Abdomen 

(  ) Assessed for abdominal distention and bowel sounds 

Extremities 

(  ) Assessed joints for strength, range of motion, and presence of joint swelling or pain 
     shoulders, elbows, wrists, fingers, hips, knees, ankles 

*criteria for grading muscle strength: 
No evidence of contractility = 0 
Evidence of slight contractility = 1 
Complete ROM with gravity eliminated = 2 
Complete ROM with gravity = 3 
Complete ROM with some resistance = 4 
Complete ROM with  full resistance =  5 

(  ) Assessed extremities for numbness 
(  ) Assessed for Homan's sign 
 

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Cultural Laboratory Assignment for Unit II

 Option 1- Video: 
Community Health Nursing- Culture in the Community 

Directions: View the video and answer the following questions.  Submit it to your lab instructor no later than the last lab day in NUR 103. 

1. Explain the difference in the following terms and give an example of each of them: 
 culture 

 ethnic group 

 race 
 
 
 
 
 
 
 

2. Fill out the following table: 
 
 

	Typical Family Structure	Particular Health Concerns	Cultural Practices
Hispanic	.	.	.
African-American	.	.	.
Filipino	.	.	.
Chinese-American	.	.	.

3. Explain how you would deal with each of the following situations: 
A. You are making a home visit to a new Hispanic mother.  You note that she is binding the baby's abdomen over the umbilical cord.  You are afraid that this might promote infection. 
 
 
 
 
 
 
 
 
 
 
 

B.  You are a nurse in a pediatric clinic.  The Chinese parents that you are interviewing give their child a liquid that they believe is very important.  You are afraid that it contains lead that could harm the child. 
 
 
 
 
 
 
 
 
 
 

C. You are a nurse working in a mammography office.  An American Indian woman has been referred to you, but when you explain the test, she refuses to take off her blouse. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Laboratory Assignment for Unit II
 Option 2- Videos- Tanscultural Perspectives in Nursing 
      A. Assessment & Nursing Care 
      B. Communication 

Directions: View the videos and answer the following questions.  Submit it to your lab instructor no later than the last lab day in NUR 103. 

1. Different cultures have different susceptibilities to illnesses.  Give one example of each of the following areas: 
 a. Environment 

 b. Genetic 

 c. Combination of environment and genetics 

2. Define the following normal variations: 
 a. Mongolian spots 

 b. Keloids 

3. What are some suggestions for assessing color changes in the skin of people with dark skin? 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

4. Complete the following table: 
 

	Nonverbal  Communication	Verbal  Communication	Public vs  Private
US population  in general	.	.	.
Native American  Indian	.	xxx	.
Oriental/  Asian	.	.	.
Latino	.	.	.
African-  American	xxx	.	.

5. Explain how you would deal with each of the following situations: 
A. A client of yours who is Asian is recovering from major surgery.  Every time you ask her if she is in pain she says no.  You feel like she needs to take a pain medication. 
 
 
 
 
 

B. An American Indian is admitted to the emergency room with lowe abdominal pain.  You suspect a bladder infection, but when you ask her about her urination, she looks away and doesn't answer. 
 
 

Laboratory Assignment for Unit II
 Option 3- Internet Site
Directions: Go the web site“The Providers Guide to Quality and Culture” and answer the following questions.  Submit it to your lab instructor no later than the last lab day in NUR 103.
Go to the following web site 
http://erc.msh.org/mainpage.cfm?file=1.0.htm&module=provider&language=English&ggroup=&mgroup

1. Click on  "Getting Started"
2. Define cultural competence:
 
 
 
 

3. Click on  "Cultural Groups"
· Click on "Common Health Problems in Selected Minority, Ethnic, and Cultural Groups" 
4. Fill out the first column of the table on the following page by summarizing the content of the web site.

4. Click on "Common Beliefs and Practices" 
5. Fill out the second column of the table on the following page by summarizing the content of the web site
6. Click on  "Patient Provider Interaction"
     Click on  "Clinical Exchanges"
       Click on  :  "Immigrant Healthcare" then  " Video"

7. Watch the video presentation and answer the following question: Do you think the doctor’s care of this patient was a good example of cultural competence?  Why or why not?

8. Explain how you would deal with each of the following situations:
A. You are making a home visit to a new Hispanic mother.  You note that she is binding the baby’s abdomen over the umbilical cord.  You are afraid that this might promote infection.
 
 
 
 
 
 
 
 
 
 
 

B.  You are a nurse in a pediatric clinic.  The Chinese parents that you are interviewing give their child a liquid that they believe is very important.  You are afraid that it contains lead that could harm the child.
 
 
 
 
 
 
 
 
 
 

C. You are a nurse working in a mammography office.  An American Indian woman has been referred to you, but when you explain the test, she refuses to take off her blouse.
 
 
 

Cultural Group	Common Health Problems	Common Beliefs & Practices
Hispanics/Latinos
African Americans
Asians
Eastern Europeans

 

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