Wound assessment should include the following components: Anatomic location. Nov 21, 2023 · Assessments are an ongoing, essential component of nursing. Always count the apical pulse for 1 full minute. I: Inspect Posterior Surface. Apr 5, 2024 · There are several types of assessments that can be performed: 1. Pain as a nursing diagnosis can be further categorized and defined in various ways: Acute pain. Nurses must keep in mind that the risks of sepsis and the high mortality rate associated with sepsis, severe sepsis, and septic shock. Images. Is the systemetic and continous collection, organization, validation and documentation of data. Four characteristics of sound are assessed by auscultation Techniques of Physical Examination. Recognize and report significant deviations from norms. Jennifer Lapum, PhD, RN, Professor . identifies nursing diagnosis A thorough assessment of the abdomen provides valuable information regarding the function of a patient’s gastrointestinal (GI) and genitourinary (GU) systems. Signs and symptoms. Use them in sequence—unless you're performing an abdominal assessment. 1. Despite this, little is known about the formal assessment discussions taking Nov 21, 2023 · Author Christina Harvey View bio. establishment of a database for nursing intervention. The NPDPs alignment of preferred learning styles with a type of instruction that best fits the educational need could promote learning. 1) Initial nursing assessment. appraisal of health status. Apr 11, 2019 · The holistic assessment and management of pain is important, as pain involves the mind as well as the body, and is activated by a variety of stimuli, including biological, physical, and psychological ( Boore et al, 2016 ). Gather basic equipment: gloves, thermometer, blood pressure cuff, stethoscope, penlight, and watch. This type of assessment has a narrower scope and a shorter time frame than the initial assessment. As healthcare professionals, nurses play a crucial role in providing compassionate, non-judgmental, and patient-centered care to individuals seeking abortion services. Complete Health Assessment A complete health assessment is a detailed examination that typically includes a thorough health history and a comprehensive head-to-toe physical exam. Oct 18, 2022 · Have the patient place the index fingers together so they touch at the first joint down to the nail bed. This article describes features, approaches, and examples of authentic assessment processes in the context of classroom, clinical Nov 11, 2021 · Following assessment of a patient's needs, the next stage is to ‘plan care’ to address the actual and potential problems that have been identified. Type of wound (if known) Degree of tissue damage. diaphoresis. Collects data about a problem that has already been identified. This chapter helps readers to understand the need to choose the appropriate method of assessment to obtain accurate information to inform the care of the service user. Safe During a routine assessment of a patient during inpatient care, a registered nurse typically completes the following musculoskeletal assessments: Assess gait. Chronic pain. , visual analog scale, Numeric Rating Scale, colors, Wong-Baker Instead, it is a report of what the patient feels, thinks, and perceives to be true. 5 points) They administer correctly the prescribed medication (2. Observe range of motion of joints. Assessment An RN uses a systematic, dynamic way to collect and analyze data about a client, the first step in delivering nursing care. Data sources are primary from direct client interaction and secondary from family, records, and other health professionals. Jan 29, 2014 · Second-Level Assessment. Assessing. It is often referred to as a protective device and serves as warning of actual or impending tissue damage. Components of Goals and Desired Outcomes. identification of health problems. The chapter explains the difference between an assessment and a collaborative formulation. May 20, 2024 · The use of the nursing process requires critical thinking which is a vital skill required for nurses in identifying client problems and implementing interventions to promote effective care outcomes. We performed an integrative review of literature published in North America and Europe between 1990 and 2007, to map the state of knowledge and to identify nursing assessment tools/models which are have an associated research or empirical perspective in relation FOUNDATIONS Exam 1 - Chapter 11: Assessing. Pinch -ranging from high to low. A term often used in relation to the assessment of older people with medical needs is comprehensive geriatric assessment (CGA . This chapter explores the concept of health assessment, with particular reference to the nursing process, the use of integrated care pathways and the application of frameworks or models in the collection and organisation of assessment data. Listen carefully, using verbal and nonverbal prompts to encourage the patient to expand on his or her symptoms and the circumstances surrounding them. The initial assessment, also known as triage, helps to determine the nature of the problem and prepares the way for the ensuing assessment stages. Inspect muscles and extremities for size and symmetry. This standard is defined as, “The registered nurse collects pertinent data and information relative to the health care consumer’s health or the situation. It underpins the delivery of care and facilitates the decision-making process. Step 2: Data Analysis and Organization. 02 (95%CI 1. subjective and ii. This examination can offer significant clues related to issues associated with the body’s ability to obtain adequate oxygen to perform daily functions. 5ml/kg/hr or roughly 30 ml per hour. Participating in assessment enables the healthcare professional and the person in distress to identify and prioritise problems, strengths, needs and goals. Ovie Onagbeboma, MBA(c), RN . Critical thinking is a broad term used in nursing that includes “reasoning about clinical issues such as teamwork, collaboration, and streamlining workflow. 4 Basic Techniques of Physical Examination in Nursing. Seven Warning Signs of Cancer: “CAUTION”. I. These phases are briefly explained by describing the roles of the nurse and client during each one. An assessment of the musculoskeletal system includes collecting data regarding the structure and movement of the body, as well the patient’s mobility. The nursing process consists of five steps: assessment, diagnosis, planning, implementation, and evaluation. The three types of lung sounds are bronchial Feb 25, 2017 · Assessment is an essential process within mental health nursing care. Nursing assessment is a significant part of this whole. You can study the definitions, examples, and explanations of the steps, types, sources, principles, and components of nursing assessment. 67 to 29. Click the card to flip 👆. PDF Download. Needed to establish baseline data. Feb 15, 2022 · 4. Strength: grade the strength of the pulse and check the Sep 6, 2016 · Assessment refers to a systematic and continuous process used to measure, document and evaluate the effectiveness of teaching methods, learning processes. Is a systematic, rational method of planning and providing individualized nursing care. In this case, it is gathering information for an initial database. The goal of assessment is to establish a health baseline and identify issues to guide nursing care. 4. Understanding how to properly assess the abdomen and recognizing both normal and abnormal assessment findings will allow the nurse to provide high-quality care to the patient. Authors: Dr. Subjective data may lead nurses to conclude one nursing diagnosis while the objective data may point to a different nursing diagnosis. In this ultimate tutorial and nursing diagnosis list, we’ll walk you through the concepts behind writing nursing diagnosis. If your patient has a Foley catheter, take a peak at their urine output…it should equal 0. Jan 8, 2023 · Provide comfort measures and prevent further injury. g. You’re looking for straw colored urine in the appropriate amount. There are four types of assessments used in nursing: 1) Initial assessment determines the nature of the problem and prepares for further assessment through obtaining medical history, vital signs, and subjective/objective symptoms. Let’s begin by reviewing the anatomy of the Study with Quizlet and memorize flashcards containing terms like 1. The nurse organizes, validates, and documents the assessment data to identify health problems, strengths, and needs to develop an appropriate Terms in this set (36) Nursing Process. Critical Thinking and Clinical Reasoning. The normal range for the respiratory rate of an adult is 12-20 breaths per minute. Inadequacy in respiratory function can have significant implications for Dec 4, 2023 · Pain as a nursing diagnosis is a recognition by nurses that a patient is experiencing discomfort or distress. By Matt Vera BSN, R. Intervenes based on priorities of patient care d. Second level assessment identifies the nature or type of nursing problems the family experiences in the performance of their health tasks with respect to a certain health condition or health problem. Electronic Risk Assessment Tool Scores” (April), it is evident that nurse perception of patient risk is exceedingly greater than the perception of electronic Initial Comprehensive Assessment, Ongoing or Partial Assessment, Focused/Problem-Oriented Assessment, and Emergency Assessment. Short-Term and Long-Term Goals. Step 3: Formulating Your Nursing Diagnoses. Ineffective coping related to pain. Feb 26, 2017 · By implementing formative assessment and evaluating students along the way, constantly providing feedback, nursing instructors can interpret outcomes to meet class-wide or individual learning needs and adjust teaching. There are two types of data collection in nursing. Determines whether outcomes have been achieved, 2. Identify the roles of inspection, palpation, percussion The nursing interview has three basic phases: introductory, working, and summary and closing phases. Education about safe pain management will help prevent undertreatment of pain and the resulting harmful effects. Nursing assessment involves collecting data to understand a patient's health status. In an acute care setting with a new client, a comprehensive health assessment is usually appropriate. 5: Types of health assessment If you want to learn about the nursing assessment process, Quizlet can help you with flashcards that cover the key concepts, terms, and skills. com is the BEST place to learn nursing. Completes a comprehensive database b. Inspect for wounds, deformities, discolorations, etc. Please review Table 14. As such, assessment forms an integral The musculoskeletal system gives us the ability to move. Authentic assessment is an approach to evaluation of learning through which students can demonstrate acquired knowledge, skills, and attitudes in the context of real-world or realistic nursing practice activities. Effective patient assessment and care planning are built on these two types of data. The evaluation of the respiratory system includes collecting subjective and objective data through a detailed interview and physical examination of the thorax and lungs. Aug 19, 2023 · Data collection is a component of the Nursing Assessment, which stands as the initial step in the nursing process. Assess muscle strength. 1 of 34. Body build (thin, obese, athletic, medium) Position (lying, sitting, standing, kneeling) Posture (rigid, slumped, slouched, comfortable, threatening) Eye contact (eyes closed, good contact, avoids contact, stares) Dec 28, 2023 · Learn what nursing assessment is, why it is important, and how it is done. Foundation for Care Planning. Collection of subjective data about the client's perception of health of all body parts or systems, past medical history, family history, and lifestyle and health practices. This fosters an interdisciplinary approach to PAIN ASSESSMENT . Assessment is one of the nurse’s primary responsibilities, and this must be done precisely and diligently. Wounds should be assessed and documented at every dressing change. Dec 28, 2018 · Four Types of Assessment for Nursing. Ongoing (Partial) Assessment. A normal pulse rate in an adult is 60-100 bpm. 2) Focused assessment exposes and treats the problem through monitoring vital signs, administering pain treatment, and diagnosing/stabilizing the patient with 13 terms. Assessment is the first step of the nursing process (and the first Standard of Practice set by the American Nurses Association). Age (chronological age and whether person looks this age) Sex, Race. Loudness -ranging from soft to loud. Let’s get started by reviewing the basic anatomy and physiology Screening assessment: collecting data with the aim of detecting the presence of a specific disease. Nursing Process Steps. ”. The next step in the respiratory assessment is to listen. In a normal assessment, you should be able to see a diamond-shaped window between the two nails as indicated in the image. Mar 4, 2024 · Formative Assessments in Nursing. 5 points) They follow properly physician instructions (2. Certified Nursing Assistant (CNA) Median salary: $38,200 per year or $18. Nov 6, 2006 · WHEN YOU PERFORM a physical assessment, you'll use four techniques: inspection, palpation, percussion, and auscultation. Consequently, this calls for high quality supervision, where appropriate assessment strategies are vital to optimize students’ learning, growth, and professional development. Nursing professional development can be enhanced by determining nurses’ preferred learning styles; this knowledge can help ascertain how information is learned and retained (Dickerson, 2017). This helps to prioritise the client's needs and assists in setting person-centred goals. Term. audit or case-based Initial Assessment. Activity intolerance related to pain. Instructor Justine Fritzel View bio. A nursing assessment is a process where a nurse gathers, sorts and analyzes a patient’s health information using evidence informed tools to learn more about a patient’s overall health, symptoms and concerns. Identifies pertinent nursing diagnoses c. It includes gathering subjective information from the patient and objective data through examination. Adaptive questioning. 3 . 5)). Study with Quizlet and memorize flashcards containing terms like initial assessment, focused assessment, emergency assessment and more. just eyeball the container. [1] Review the competencies for the Assessment Standard of Practice for Apr 23, 2024 · In order of nursing level, starting with the lowest and going to the highest, here are the different types of nurses and their salaries: 1. Objective nursing data, on the other hand, is based upon facts, not feelings or opinions. Michelle Hughes, MEd, RN, Professor . 2 14. This type of assessment may be performed by registered nurses for patients admitted to the hospital or Regardless of the terms used, the focused assessment is “an appraisal of an individual’s status and situation at hand, contributing to comprehensive assessment by the RN, supporting ongoing data collection and deciding who needs to be informed of the information and when to inform. Step 5: Establishing Client Goals and Desired Outcomes. In reading “Identifying Hospitalized Patients at Risk for Harm: A Comparison of Nurse Perceptions vs. atypical symptoms such as nausea, weakness, change in mentation, heartburn, or frequent belching. As per Table 5. They are; i. Initial Assessment: first entry into a healthcare facility - purpose: establish a complete database for problem identification and care planning. In order to effectively determine a diagnosis and treatment for a patient, nurses make four assessments: initial, focused, time-lapsed and emergency. A Jun 16, 2018 · This needs to be conducted by the whole multidisciplinary team so that the skills of each team member can contribute to building a picture of the patient’s needs. Hypoxemia (low blood levels of oxygen) or hypercapnia (high blood levels of carbon dioxide) can cause a decreased level of consciousness, irritability, anxiousness, restlessness, or confusion. Perform an eye and ear assessment, including visual acuity, extraocular motion, and hearing acuity. Nociceptive pain is associated with damage to non-neural tissue and involves the stimulation of nociceptors (pain receptors attached to sensory neurones). Aug 3, 2011 · High income nations are currently exhibiting increasing ethno-cultural diversity which may present challenges for nursing practice. It is composed of bones, muscles, joints, tendons, ligaments, and cartilage that support the body, allow movement, and protect vital organs. Nurses make decisions while providing patient care by using critical thinking and clinical reasoning. Objective data is also assessed. Inspect the spine. Obtain the respiratory rate over a full minute. The innovative organization presents in-depth assessment information Feb 2, 2019 · Updated on April 29, 2024. [12] When completing an integumentary assessment, it is important to distinguish between expected and unexpected assessment findings. Jun 2, 2016 · Assessment #4: Urine Output. A provider must address a patient’s general medical condition when determining their level of accomplishing functional capabilities that otherwise ensure independent In this chapter, we refer to four types including: primary survey; focused assessment; head-to-toe (abbreviated version); and complete health assessment. For example, the LPN/LVN assigned to a set of patients The common thread uniting different types of nurses who work in varied areas is the nursing process—the essential core of practice for the registered nurse to deliver holistic, patient-focused care. Lack of or inadequate knowledge NURSING. Aug 28, 2023 · The initial nursing assessment, the first step in the five steps of the nursing process, involves the systematic and continuous collection of data; sorting, analyzing, and organizing that data; and the documentation and communication of the data collected. 2. Jul 5, 2023 · 7 nursing assessment tools (With descriptions of each) Nurses use various tools and techniques to provide patient care and keep themselves safe. 5 points) They call a physician (2. APRNs encompass multiple areas of nursing, including nurse practitioner (NP), clinical nurse specialist (CNS), nurse anesthetist (CRNA), and certified nurse midwife (CNM). Step 1: Data Collection or Assessment. ” [1] Using critical thinking means that nurses take extra steps to maintain patient safety Inspection of a patient’s head, neck, and oral cavity is part of the routine daily assessment performed by a registered nurse (RN) during inpatient care. focus on the patient during the interview. Document actions and observations. It explores the tools available to assist with the assessment of pain and provides an introduction to some of the management strategies that can be used to manage pain. objective data. 3. 1 / 5. Inability to recognize the presence of the condition or problem due to: A. It involves inspecting and palpating the skin and its appendages to identify any abnormalities. 3: Assessment. 2 to review common expected and unexpected integumentary findings. Some of the barriers to effective pain About this Title. Learning Objectives. Jun 16, 2022 · Introduction According to EU standards, 50% of the bachelor education program in nursing should take place in clinical learning environments. A skin assessment is a valuable clinical tool, as the skin as the largest organ often mirrors underlying health conditions and offers a) Initial assessment Objective: Contrast various frameworks used for nursing assessment. A head-to-toe assessment is a comprehensive nursing assessment that involves a thorough examination of a patient’s physical and psychosocial status. The key MI signs and symptoms include: chest pain (with or without radiation to jaw, neck, arm) shortness of breath. Apr 30, 2024 · Abortion is a complex and sensitive topic that lies at the intersection of healthcare, ethics, and women’s rights. Nov 22, 2019 · A variety of assessment methods, which are used both formatively and summatively, has been developed and validated, including tools of direct observation (e. Definition. Wound edges and periwound skin. and identification of the learning needs A focused respiratory system assessment includes collecting subjective data about the patient’s history of smoking, collecting the patient’s and patient’s family’s history of pulmonary disease, and asking the patient about any signs and symptoms of pulmonary disease, such as cough and shortness of breath. Jun 26, 2023 · Assessment of ADLs is an important aspect of routine patient assessment and assists healthcare providers in assessing the patient’s status, plan, and intervene appropriately. Using the diaphragm of the stethoscope, you’ll listen to your patient’s lungs in a Z pattern both posterior and anterior. For some patients, the pain they experience can be short-lived and easy to treat, but for others, it can cause significant Jan 26, 2023 · The IASP divides pain into three categories (Box 1). Table 1. Also referred to as guided questioning, adaptive questioning helps you encourage a patient to fully Jul 3, 2011 · The main types of assessment include initial comprehensive, ongoing, focused, emergency, and time-lapsed. 1 Introduction to the Requirements for the RAI The type of health assessment required can depend on the patient’s needs as well as factors such as whether a day shift or night shift nurse is performing it. Modify assessment techniques to reflect variations across the life span. With over 2,000+ clear, concise, and visual lessons, there is something for you! When it comes to pain assessment, there are several methods that healthcare providers use to determine the nature and severity of the pain. Unlike other assessment types, these are generally low-stakes and used to aid in the learning process rather than determine a grade. The initial assessment is going to be much more thorough than the other assessments used by nurses. This type of assessment is typically performed at routine intervals on nursing units like intensive care, stepdown, and med-surg. Appearance. Apr 29, 2024 · Writing a Nursing Care Plan. In most states, they must also pass a national certification examination, such as Types of Nursing Assessments. Initial Comprehensive Assessment. 1, the type of health assessment to be performed is determined based on the context of the situation. 3 When performing a pain assessment, the nurse uses the appropriate organization-approved pain-intensity scale (e. Knowing about these tools can help you understand the role better if you're a nurse or intend to Components of a Mental Status Assessment. The only way to overcome inexperience is to become experienced. Diane MacEachern Aug 9, 2022 · Respiratory Assessment – Auscultation. 5 points) They evaluate the patient’s response to the medical treatment administered (2. Nurses report their findings to doctors and other members of the healthcare team. You can also test your knowledge with interactive quizzes and games. [1] There are also several head and neck conditions that the RN may be the first to notice after a patient is admitted that require notification of the health care provider. The information gleaned from the assessment becomes the building blocks for developing a personalized care plan, addressing each patient’s unique needs and goals. What are the 4 basic types of nursing assessments? 1. Time-Lapsed Assessment: scheduled to compare a patient's ABSTRACT. Successful interview techniques. Apr 1, 2016 · A health assessment is the collection and analysis of data in order to identify the client's problems. Duration -short, medium or long. Safety includes the use of appropriate tools for assessing pain in cognitively intact adults and cognitively impaired adults. listen to the patient attentively. Four types of Assessments. The type of assessment used depends on: (1) the context, and (2) the health care issues and needs of the patient. 4b to review common expected and unexpected integumentary findings. Use of analgesics, particularly opioids, is the foundation of treatment for most types of pain. Wound bed. Formative assessments are used to identify a student’s strengths and weaknesses, allowing for immediate remediation. Complete concentration is essential during a nursing assessment. 6. Components of a Nursing Health History: Biographic data – name, address, age, sex, martial status, occupation, religion. This includes considering the patient’s biological, social, psychological, cultural and spiritual values and beliefs. Dec 4, 2023 · A nursing skin assessment is a foundational and comprehensive examination of a patient’s integumentary system. mini clinical evaluation exercise (mini-CEX) and objective structured assessment of technical skills (OSATS)), multisource feedback, retrospective methods (e. One of the most important parts of nursing education, as well as the health care industry overall, is the group of routine procedures and processes involved Jun 8, 2021 · They apply correctly the adequate oxygen therapy according to nursing assessment (2. Nursing Assessment. This includes medical equipment, outerwear and specific medical tests that can aid patient examinations. Quizlet is a fun and effective way to master One study in 97 surgical inpatients with 15 pressure ulcers, showed, in multivariable analysis, that the subjective nursing assessment of non-blanchable erythema was a significant predictor of pressure ulcers (grade 2-4) according to the European Pressure Ulcer Advisory Panel classification system (OR 7. Define and describe the purpose of four types of nursing assessments. 36 per hour ( BLS) Career outlook: 4% growth from 2023 to 2033. H: History and Head-To-Toe Assessment. Focused (Problem-Oriented) Assessment. APRNs must be registered nurses and hold either a master's degree or a doctorate in nursing. You do a Z pattern to compare right to left at each area of the lungs. 2 for an explanation of the types of percussion sounds heard including resonance, hyperresonance, tympany, dullness, and flatness. Find out the four types of nursing assessments based on timing and purpose, and the steps involved in data collection, organization, validation, and documentation. stella_bouvier. 1 . N. Reason for visit/Chief complaint – primary reason Older adults may also be less able to sense touch, pressure, vibration, heat, and cold. ST changes of 1 mm or more. 5 points) Mar 30, 2022 · Older adults may also be less able to sense touch, pressure, vibration, heat, and cold. During these types of assessments, instructors use results to identify gaps and adjust teaching to help students reach learning initial- developed by the nurse who performs the nursing history and physical- addressed each problem and priorities- identifies goal and related nursing care planning in nursing process ongoing- carried out by any nurse who interacts with patient- keeps plan up to date. Understanding the diverse reasons for seeking abortion, the Apr 20, 2021 · Head-to-Toe Nursing Assessment. Again, I’m not saying you need to measure it each time you go in the room…. Which action indicates the nurse is in the first phase? a. Nursing assessments are typically classified as either a Complete Health Assessment or a Problem-Focused Assessment. [12] When completing an integumentary assessment it is important to distinguish between expected and unexpected assessment findings. In focus assessments, nurse determine whether the A comprehensive pain assessment elicits the patient’s subjective report of pain, including the sensory, psychologic, cultural, and emotional experiences of pain. 9 for the expected location of percussion sounds and Table 1. Components may include obtaining a patient's medical history or putting him Purpose of nursing physical assessment. 2 . Palpation and percussion can alter bowel sounds, so you'd inspect, auscultate, percuss, then palpate an abdomen. 3 Assessment. Nursing assessment is crucial for several pivotal reasons: 1. Step 4: Setting Priorities. The nurse is using critical thinking skills during the first phase of the nursing process. Quality -gurgling or swishing. 2) Problem-focused assessment. Rationale: The nurse performs various types of assessments depending on the nature of the situation. Know which type of assessment you need to perform. 1 / 31. Planned care will change as a patient's needs change and as the nurse and/or other health professionals When you assess a pulse point you will be assessing: Rate: count the pulse rate for 30 seconds and multiply by 2 if the pulse rate is regular, OR 1 full minute if the pulse rate is irregular. May 10, 2024 · Nursing Management. Initial Assessment ¶ The initial assessment may sometimes be called triage, and it represents the nurse’s opening questions to help determine the source and nature of the patient’s AJN, American Journal of Nursing: September 2017 - Volume 117 - Issue 9 - p 13. dizziness. Learn what a nursing diagnosis is, its history and evolution, the nursing process, the different types and classifications, and how to write nursing diagnoses correctly. Otherwise pain may be unrecognized or underestimated. The Assessment Standard of Practice established by the American Nurses Association (ANA) states, “The registered nurse collects pertinent data to the health care and information relative to the health care consumer’s health or the situation. This type of pain is one of the four classic manifestations of the inflammatory 20. Inspection As a nurse, you need to become familiar with the expected percussion sounds so that you can identify what is normal and what is abnormal. It describes the key components of an initial mental health assessment. Pros and Cons of Formative Assessments Jun 2, 2012 · Shaells Joshi. Sep 2, 2021 · Nurse assessment: Clinical signs and symptoms. In the Assessment Phase, obtain a Nursing Health History – a structured interview designed to collect specific data and to obtain a detailed health record of a client. Wound size. Praised for its colorful, visually engaging approach, this popular text makes concepts easy to understand and helps you develop the comprehensive knowledge base and expert skills to perform effective health assessments in a variety of healthcare settings. If you don’t, this is an indicator that clubbing is present. 4. 5. This chapter presents the assessment types and instructions for the completion (including timing and scheduling) of the mandated OBRA and Prospective Payment System (PPS) assessments in nursing homes and the mandated PPS assessments in non-critical access hospitals with a swing bed agreement. Introductory Phase After introducing himself to the client, the nurse explains the purpose of the interview, discusses the types of ques- Mar 7, 2024 · It also aims to raise awareness of the skills that nurses require for the assessment and management of an individual patient's pain. 3 Assessing Wounds. Learn about physical examination and health assessment in nursing. Read more. Education requirements: State-approved training program. See Figure 1. Use the mnemonic SAMPLE to obtain health history and do a head-to-toe assessment after. qw tk ex lx gi te hn fe vb it