Lamar State College - Port Arthur

House Bill 2504

Spring 2016 Course Syllabus

RNSG-1300-73 - Health Assessment Lifespan

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Faculty Information
SemesterSpring 2016
InstructorMacNeill, Shirley Beth
Phone(409) 984-6365
Allied Health
Chair:Sheila Trahan
Phone:(409) 984-6239
Hours:M-F 0800-1000 by appointment (may be online)
Building:Allied Health (AH)
MyLamarPA Be sure to check your campus E-mail and Course Homepage using MyLamarPA campus web portal ( When you’ve logged in, click the email icon in the upper right-hand corner to check email, or click on the “My Courses” tab to get to your Course Homepage. Click the link to your course and review the information presented. It is important that you check your email and Course Homepage regularly. You can also access your grades, transcripts, and determine who your academic advisor is by using MyLamarPA.
Course Information
Course Number11536
Course Description Development of skills and techniques required for comprehensive nursing health assessment of clients across the lifespan:?pediatric, adult and geriatric. Includes assessment of patients’ health promotion and maintenance, illness and injury prevention and restoration, and application of the nursing process within a legal/ethical framework
Course Prerequisites BIOL 2401 (143) and BIOL 2401 (144) Human Anatomy and physiology.
Required Textbooks Jarvis, C. (2016). Physical examination & health assessment. (7th ed.). St. Louis: Elsevier.
ISBN: 9781455728107 * Requires online access code for online course components

Shadow Health. (2016). Digital Clinical Experience (DCE) (Version 4.0) [Software]. Available from

*This is an integrated curriculum, which means that all books are used beginning with the first semester throughout other courses.
•    Students must have access to a PC laptop or desktop with:
o    Ready access to a PC or Macintosh laptop or desktop with:
o    Windows Vista or 7; or MacOSX 10.7.5 or later
o    Latest version of Mozilla FireFox, Google Chrome browser, and/or Internet Explorer 9
o    Standard browser plug-ins: Adobe Flash, Adobe Acrobat Reader, Apple Quicktime, Java
o    Computer hardware less than three years old with working webcam and microphone
•    Students must have High Speed Internet Connection:
o    Wired DSL or Cable Broadband access
o    Wireless or Wireless Mobile Broadband connections are not recommended for use during testing but may be used during course browsing
•    Mobile Devices and the Blackboard Mobile App
o    Students cannot complete a course using only a mobile device or the Blackboard Mobile App
o    Blackboard does not support browsers on mobile devices (iOS or Android)
•    Students must have access to Microsoft Office 2010 or higher.
•    Students must have access and use of a scanner
Attendance Policy Research has shown a cause and effect relationship between attendance and college success. Policies for this course are described below:
• Students cannot meet the objectives of the course without completing course assignments. Students put at risk their success in the course if they miss any assignment deadlines.
• It is the student’s responsibility to notify the instructor if they are unable to meet an assignment deadline.
• A student who is absent from course activities for more than three (3) days may be dropped from the program by the Program Director.

Course Grading Scale 90-100 = A 80-89 = B 75-79 = C 60-74 = D Below 59 = F
Determination of Final Grade A final course grade of 75% is necessary for the student to pass this course. The final course grade is calculated as follows:
Exam 1 = 20%, Exam 2 = 20%, Lab grade = 30% and Final Exam = 30%.

Lab grade (30% of final course grade) Includes: 1. Online Jarvis course lab Multiple-Choice Review quizzes (hosted on Evolve course website) are mandatory assignments and will be averaged and counted as 15% of your lab grade. 2. Shadow Health assignments count as 60% of lab grade. 3. Integrated Physical Assessment counts as 25% of lab grade provided 75% or higher is attained on this final assessment.

Jarvis Online Course Quizzes: All assigned online chapter quizzes must be properly completed in the Evolve-Elsevier online course to receive credit. These assignments will count as 15% of the Lab grade average.

Shadow Health Assessment Assignments: These are mandatory assignments and the average counts as 60% of your lab grade.
1. Orientation and Conversation Lab are mandatory Pass/Fail assignments.
2. Focused Exams (3) and Concept Lab assignments are mandatory Pass/Fail assignments. Students are allowed more than one attempt and must turn in an attempt of their choice. Information on this option can be reviewed at:
3. Health History and System assignments: Expectation is 60% for overall score and the amount of time spent on each assignment should be a minimum of 45 minutes. Students are allowed more than one attempt and will turn in an attempt of their choice.
4. Comprehensive Assessment assignment: Expectation is 60% for overall score and the amount of time spent on this assignment should be a minimum of 60 minutes. Students are allowed more than one attempt and will turn in the attempt of their choice.

Integrated Physical Assessment: You are required to earn a C or better for this Final lab assignment. The integrated physical assessment is a mandatory assignment and counts as 25% of your lab grade; any grade on this assignment below a C (75%) is considered failing. Failure of this assignment results in failure of the entire course regardless of the grades for other assignments. Your BSN or higher RN Observer (that you choose) is required to complete the appropriate documents and submit a summary of your assessment via email to the faculty listed on the observer form before end of day on the Tuesday of Module 8 (it is your responsibility to follow up and make sure they have done this). If your assignment comments are not available to the faculty by 10 pm on the Tuesday of Module 8 then you may receive a zero for the assignment and will fail the course. You will be required to submit the assignment documents within the course in Module 8.

Point deductions: Late points, up to ten points per day, will be deducted if an assessment assignment is submitted after the date and time due – No Exceptions.

Exams: All exams must be taken. Students will be allocated a specific amount of time for each exam. Students unable to take a scheduled exam due to an extreme emergency must notify the instructor prior to the exam. Students must download and install Respondus LockDown Browser. Exams 1-2 must be taken using the Respondus LockDown Browser. Instructions and link for installation will be provided in the course. The Final Exam must be taken using ProctorU or on campus. There is a testing fee of $25.00 to ProctorU for this service or no charge if taken on campus. More details regarding the proctored exam will be provided in the course.

Examinations are based on course objectives. Course content from the biological and behavioral sciences as well as previous nursing knowledge is included on exams, as appropriate.
Final Exam Date March 9, 2016 - 7:00 AM   Through  March 9, 2016 - 7:00 PM
Major Assignments Module 1
•    Shadow Health DCE Orientation Module
•    Shadow Health Conversation Concept Lab
•    Evidence-Based Assessment - Chapter 1
•    Cultural Competence - Chapter 2
•    The Interview - Chapter 3
•    The Complete Health History - Chapter 4
•    Shadow Health: Health History Assignment (due end of Module 2)
•    Mental Status Assessment - Chapter 5
•    Jarvis Health Assessment online course assignments/quizzes

Module 2
•    Substance Use Assessment - Chapter 6
•    Domestic Violence Assessment - Chapter 7
•    Assessment Techniques and the Clinical Setting - Chapter 8
•    General Survey, Measurement, Vital Signs - Chapter 9
•    Pain Assessment: The Fifth Vital Sign - Chapter 10
•    Nutritional Assessment – Chapter 11
•    Jarvis Health Assessment online course assignments/quizzes

Module 3
•    Skin, Hair, and Nails - Chapter 12
•    Shadow Health: Skin, Hair, and Nails assignment
•    Head, Face, and Neck, Including Regional Lymphatics- Chapter 13
•    Eyes - Chapter 14
•    Ears - Chapter 15
•    Nose, Mouth, and Throat - Chapter 16
•    Shadow Health: HEENT assignment
•    Jarvis Health Assessment online course assignments/quizzes

Module 4
Exam I – Tuesday February 9, 2016 from 0700-1900 (Covers Modules 1, 2 & 3)
•    Breasts and Regional Lymphatics - Chapter 17
•    Thorax and Lungs - Chapter 18
•    Shadow Health: Respiratory Concept Lab
•    Shadow Health: Respiratory assignment
•    Heart and Neck Vessels - Chapter 19
•    Peripheral Vascular and Lymphatic System - Chapter 20
•    Shadow Health: Cardiovascular Concept Lab
•    Shadow Health: Cardiovascular Assignment
•    Jarvis Health Assessment online course assignments/quizzes

Module 5
•    Abdomen – Chapter 21
•    Shadow Health: Abdominal Concept Lab
•    Shadow Health: Abdominal assignment
•    Musculoskeletal System – Chapter 22
•    Shadow Health: Musculoskeletal assignment
•    Neurological System – Chapter 23
•    Shadow Health: Neurological assignment
•    Jarvis Health Assessment online course assignments/quizzes

Module 6
•    Male Genitourinary System – Chapter 24
•    Anus, Rectum, and Prostate – Chapter 25
•    Female Genitourinary System – Chapter 26
•    Shadow Health: Focused Exam: Cough
•    Shadow Health: Focused Exam: Chest Pain
•    Shadow Health: Focused Exam: Abdominal Pain
•    Shadow Health: Comprehensive Assessment (due end of Module 7)
•    Jarvis Health Assessment online course assignments/quizzes

Module 7
Exam II – Tuesday March 1, 2016 from 0700-1900 (Covers Modules 4, 5, &6)
•    The Complete Health Assessment: Putting it all Together - Chapter 27
•    Shadow Health: Comprehensive Assessment (began in Module 6)
•    Jarvis Health Assessment online course assignments/quizzes
•    Begin Integrated Physical Assessment Lab

Module 8
•    Jarvis Health Assessment online course assignments/quizzes
•    Submit Integrated Physical Assessment Lab
Final Exam – Wednesday March 9, 2016 Time: 0700-1900 (monitored by ProctorU) or on campus at 0900 (Comprehensive Exam).
Calendar of Lecture Topics and Major Assignment Due Dates Exam I – Tuesday February 9, 2016 from 0700-1900
Exam II – Tuesday March 1, 2016 from 0700-1900
Final Exam – Wednesday March 9, 2016 from 0700-1900 (monitored by ProctorU) or on campus at 0900.
Integrated Physical Assessment: The integrated physical assessment is the culminating assignment for the course and involves completion of a cephalocaudal physical assessment at the end of the course. Written notes, study guides, and materials should not be used during the integrated physical assessment. You will be evaluated based on the integrated physical assessment form criteria. No student written assignment is required to complete the integrated physical assessment. You are expected to complete the assessment in 75 minutes. After 75 minutes, the observer will stop you. You are required to earn a C or better for the integrated physical assessment. Any grade below a C (75%) is considered failing. Further, the integrated physical assessment is a mandatory assignment. Failure of this assignment results in failure of the entire course regardless of the grades for other assignments. Your observer is required to submit their written summary of your assessment via email to the faculty listed on the observer form before 10 pm on the Sunday of Week 7 (it is your responsibility to follow up and make sure they have done this). If your assignment comments are not available to the faculty by 10 pm on the Sunday of Week 7 then you may receive a zero for the assignment and will fail the course.
General Education/Core Curriculum Student Learning Outcomes
Communication skills:Students will demonstrate effective written, oral and visual communication.

Critical Thinking Skills:Students will engage in creative and/or innovative thinking, and/or inquiry, analysis, evaluation, synthesis of information, organizing concepts and constructing solutions.

Empirical and Quantitative Skills:Students will demonstrate applications of scientific and mathematical concepts.

Teamwork:Students will demonstrate the ability to work effectively with others to support a shared purpose or goal and consider different points of view.

Social Responsibility:Students will demonstrate intercultural competency and civic knowledge by engaging effectively in local, regional, national and/or global communities.

Personal Responsibility:Students will demonstrate the ability to connect choices, actions and consequences to ethical decision-making.

Program Student Learning Outcomes The Upward Mobility Nursing Program provides educational experiences that offer opportunities for the student to:
PSLO ALPHA: Reading skills - Demonstrates comprehension of content-area reading material.
PSLO 1. Practices within the legal, ethical and regulatory standards for the professional nurse.
PSLO 2. Uses a systematic problem-solving process to provide individualized, evidence-based nursing care and coordinate care for a limited number of patients who have complex needs in various health care settings.
PSLO 3. Employs an approach to nursing practice that promotes safety for patients, significant others, self, and members of the healthcare team.
PSLO 4. Collaborates with members of the interdisciplinary health care team to provide optimum, evidence-based, and safe care to patients.
Course Student Learning Outcomes In accordance with the mission of Lamar State College - Port Arthur, this course encourages the student to develop the particular skills, knowledge, and attitudes needed for success in the field of Associate Degree Nursing. Upon completion of RNSG 1300, the student will have the opportunity to:
1. Demonstrate techniques utilized in the health assessment of individuals across the lifespan.
2. Perform systematic physical assessment using appropriate equipment and techniques for all body systems
3. Utilize cognitive and psychomotor skills in assessing clients' physiologic health and psychosocial status.
4. Document findings utilizing appropriate terminology and legal/ethical format.
5. Identify legal and ethical standards related to health assessment.
6. Identifies all main ideas, supporting details, and vocabulary in reading material; demonstrates a full understanding of the reading.
Academic Honesty Academic honesty is expected from all students, and dishonesty in any form will not be tolerated. Please consult the LSC-PA policies (Section IX, subsection A, in the Faculty Handbook) for consequences of academic dishonesty.
Facility Policies
  • No food or tobacco products are allowed in the classroom.

  • Only students enrolled in the course are allowed in the classroom, except by special instructor permission.

  • Electronic devices (including but not restricted to cell phones, MP3 players, and laptop computers) shall not be used during examinations unless specifically allowed by the instructor.

  • Use of electronic devices during normal class hours distracts other students, disrupts the class, and wastes valuable time. Instructors have an obligation to reduce such disruptions.

  • Turn your cellphones to vibrate when you enter the classroom.

  • According to the Lamar State College policy unauthorized use of college computer account(s), computer data files, and/or computer facilities, is considered a breach of conduct, and is not in keeping with the educational aims, purposes, and philosophy of the college and subjects student(s) to disciplinary action.

    No cell phones should be visible during testing or while completing lab assignments.

  • Additional classroom policies include:

    • The following behaviors will result in the student being asked to cease the action, lose five (5) points on the next exam, and/or leave the classroom or labs: using cell phones, talking while the instructor is giving instructions or during class discussions/presentations; or displaying a rude or negative attitude/behavior to the instructor or other students.

Additional Information Grades are not discussed over the phone or by personal email. If you would like to discuss your grades please make an appointment and come to my office. If you are unable to come to my office you may email me from your Lamar State College - Port Arthur email account and other arrangements may be made. As a reminder, your grades are available in your BlackBoard course.
Important Information
ADA Considerations The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Special Populations Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6241.
Copyright Violations Some material in this course may be copyrighted. They may be used only for instructional purposes this semester, by students enrolled in this course. These materials are being used fairly and legally. No one may distribute or share these copyrighted materials in any medium or format with anyone outside this class, including publishing essays with copyrighted material, uploading copyrighted material to Facebook or YouTube, or painting or performing copyrighted material for public display.

Copyright violation is not the same thing as plagiarism. Plagiarism is intellectual dishonesty. Offenses of plagiarism result in lower grades or failing scores, and professors and the college strictly enforce plagiarism rules. There is never any acceptable use of plagiarism. Copyright violation is a legal offense, punishable by large fines and penalties.

Copyrighted material can be used if permission from the material’s creator is obtained, or if its use meets the standards of fair use in an educational setting. For example, a student can quote a line from Shakespeare’s Hamlet in a report without violating copyright but still be guilty of plagiarism if the quotation is not properly documented.

If you are in doubt about what material can be freely used, ask your professor or contact the Dean of Library Services, at (409) 984-6216.
Assessment Statement Assessment is a process by which LSCPA can help you learn better and gauge the level of progress you have made to attain knowledge, skills, beliefs, and values. It also helps your professors understand how to improve teaching and testing methods in your classes, and it helps each department understand and improve degree and certificate programs.

Periodically LSC-PA will collect assessment data for research and reporting purposes, including statistical data and sometimes copies of your work. Be assured that all material the college uses for assessment purposes will be kept confidential. To ensure anonymity, your name will be removed from any material we use for assessment purposes, including video-recorded performances, speeches, and projects.

If you object to allowing LSC-PA to use your material for assessment purposes, submit a letter stating so to your professor by the 12th class day. You will still be required to participate in whatever assessments are being done; we just won’t use your data.

What’s the difference between assessment and grades? The grades you get on papers, projects, speeches, and assignments are specific types of focused assessment. LSC-PA’s assessment efforts include class grades, surveys, standardized tests, and other tools.
Privacy Notice Federal privacy laws apply to college students. This means that college employees, including instructors, cannot divulge information to third parties, including parents and legal guardians of students. Even if the students are minors, information about their college work cannot be shared with anyone except in very limited circumstances.

Anyone requesting information about a student should be referred to the Registrar. Instructors will be notified in writing by that Office about what information may be released and to whom.

Please remember that releasing private information about a student, however innocuous it may seem, can be a violation of federal law, with very serious consequences.

Circumstances under which information may be released:

An adult student may submit, to the Registrar, a handwritten, signed note granting permission for release of information. The note must specify what information may be divulged, and it must specify the name of the person to whom the information may be given.

A parent or guardian may be given access to information about a student by providing a copy of a filed tax return that shows that the student was listed as a dependent of that parent or guardian. The tax return must be for last complete tax year. Again, this documentation must be submitted to the Registrar’s Office.

A parent or guardian may be given access to information about a student if the student logs on to and sends an email to the Registrar granting permission. The email must specify what information may be given and the name of the person to whom it may be given.

Co-enrollment students are protected by the same privacy laws as adult students.

The Registrar’s office is located in the Student Center room 303B, and can be reached at (409) 984-6165.

College-Level Perspectives This course helps add to the students’ overall collegiate experience in the following ways:

  • Establishing broad and multiple perspectives on the individual in relationship to the larger society and world in which s/he lives, and to understand the responsibilities of living in a culturally and ethnically diversified world.

  • Stimulating a capacity to discuss and reflect upon individual, political, economic, and social aspects of life in order to understand ways in which to be a responsible member of society.

  • Developing a capacity to use knowledge of how technology and science affect their lives.

  • Developing personal values for ethical behavior.

  • Developing the ability to make aesthetic judgments.

  • Using logical reasoning in problem solving.

  • Integrating knowledge and understand the interrelationships of the scholarly disciplines.

Degree Plan Evaluation A Degree Plan Evaluation will help you determine which classes you need to complete your program.

  1. Sign in to your account.

  2. Click on the “My Services” tab.

  3. Click on the “Student” tab.

  4. Click on Student Records.

  5. Click on Degree Evaluation.

  6. Select the term you are planning on registering for (i.e. Summer I, Summer II, Fall, or Spring)

  7. Verify that the Curriculum Information (your MAJOR) is correct

  8. Click on “Generate New Evaluation” at the bottom of the screen.

  9. Click the radio button next to Program

  10. Click on the Generate Request button.

All of the classes that you have taken that apply to your declared major will be listed on the right. If you have a class that still needs to be completed, a “NO” will be listed on the right next to the required class.

HB 2504 This syllabus is part of LSC-PA’s efforts to comply with Texas House Bill 2504.

Lamar State College - Port Arthur


Lamar State College - Port Arthur, a member of The Texas State University System, is an open-access, comprehensive public two-year college offering quality and affordable instruction leading to associate degrees and a variety of certificates. The College embraces the premise that education is an ongoing process that enhances career potential, broadens intellectual horizons, and enriches life.

Core Values

  • Shared commitment by faculty, staff and administration to a mission characterized by student learning, diversity, and community involvement

  • General education/core curriculum that develops the values and concepts that allow the student to make a meaningful contribution in the workplace or community

  • Academic and technical programs designed to fulfill our commitment to accommodate students with diverse goals and backgrounds, using a variety of delivery methods, on and off campus

  • Technical education programs that provide for the acquisition of the knowledge, skills and behavior necessary for initial and continued employment

  • Student achievement characterized by attainment of individual goals and measured by successful accomplishments and completion of curriculum

  • Co-curricular opportunities that develop social, financial and civic acuity


Lamar State College - Port Arthur operates in the belief that all individuals should be:

  • treated with dignity and respect;

  • afforded equal opportunity to acquire a complete educational experience;

  • given an opportunity to discover and develop their special aptitudes and insights; and,

  • provided an opportunity to equip themselves for a fulfilling life and responsible citizenship in a world characterized by change.

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