TEACH FOR NURSES LESSON PLAN
Chapter 8: Assessment Techniques and Safety in the Clinical Setting
CHAPTER OBJECTIVES
1. Describe the use of inspection as a physical examination technique.
2. Describe the use of palpation as a physical examination technique.
3. Relate the parts of the hands to palpation techniques used in assessment.
4. Differentiate between light, deep, and bimanual palpation.
5. Describe the use of percussion as a physical examination technique.
STUDENT RESOURCES
understand
• Textbook Chapter 8
• Sherpath for Medical-Surgical Nursing*
• Animations (Evolve website)
8-2
• Video clips (Evolve)
apply
• Case Studies (Evolve)
• Elsevier Adaptive Quizzing*
synthesize
• SimChart*
• Simulation Learning System*
INSTRUCTOR RESOURCES
before class
• Nursing Curriculum Standards (below)
in class
• PowerPoint Presentations (Evolve)
* Sold separately from textbook.
TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
CULTIVATING YOUR
SENSES
Inspection
Give examples of how your
own personal technical
skills have improved over
time and with experience.
• Activity: Obtain two large foam cups with lids. Fill one with water or sand. Leave the other empty.
Have students percuss the tops of the two cups. Although the sounds are exaggerated, this allows
students to begin to differentiate between the sound heard over an air-filled organ and that heard
over a solid organ. It also allows the instructor to observe the percussion technique of the student.
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TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
Auscultation
Using a volunteer,
demonstrate the location
of organs, the differing
sounds, and the density of
structures. Let students
practice and critique their
process. Discuss the four
components of sound and
vibrations.
Bring in a stethoscope for
demonstration. Ask
students to bring in their
own stethoscope and
sound quality.
8-4
TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
separated, that is
sufficient.
on training.
Explain that in various
settings, there is no
A SAFER ENVIRONMENT
Review the precautions in
Table 8.2, emphasizing the
ease with which nurses
sometimes become
desensitized to the
thought of infection.
• Discussion Topic: Discuss Standard Precautions and infection control methods for the protection of
both the patient and the examiner.
THE CLINICAL SETTING
General Approach
Hands On
they have. Provide input
those feelings.
Reassure students that
experience is the best
teacher and relate some of
your own embarrassing
experiences and how you
dealt with them.
• Activity: Arrange for each student to observe a physical examination performed by an experienced
practitioner.
8-5
TEACHING STRATEGIES
Content Focus
Content Highlights
Learning Activities
The Toddler
The Preschool Child
IN-CLASS/ONLINE CASE STUDY
P.P. is a 32-year-old man who presents to the occupational health clinic for a physical before beginning employment at a local hospital. The
patient is in good health, has no complaints of pain, and exercises on a daily basis. His body mass index is 23.4; the physical exam is
unremarkable; and vital signs are T 97.5, P 68, R 16, and BP 120/60. The patient is to begin work after obtaining physical clearance. Labs and
immunization reports are pending. The nurse is preparing to perform the physical examination.
1. How does the nurse prevent the spread of infection and implement infection control measures?
2. What physical examination techniques should the nurse use for inspection?
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3. What physical examination techniques should the nurse use for palpation?
4. What physical examination techniques should the nurse use for percussion?
5. What physical examination techniques should the nurse use for auscultation?
8-7
NURSING CURRICULUM STANDARDS
QSEN/NLN COMPETENCIES
• Patient-Centered Care/Human Flourishing
o General Approach
NURSING CONCEPTS
The following conceptual themes and specific concepts match those presented in Giddens, J. F. (2017). Concepts for nursing practice (2nd ed.).
St. Louis: Elsevier. The specific exemplars chosen and listed below for each concept have been tailored specifically to correspond to the Jarvis
textbook.
A full Concept-Based Curriculum Map covering the entire book can be found in the “Download by Resource Type” folder on Evolve.
THEME: Nursing Attributes and Roles
BSN ESSENTIALS
• Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety
o A Clean Field
o A Safer Environment
8-8
o General Approach
o Hands On
ANSWERS TO QUESTIONS IN THE STUDY GUIDE
Note: Answers to these questions can be found on Evolve site. Click here.