Comprehensive Physical Assessment

Baccalaureate Generalist- Comprehensive Physical Assessment

Description: The baccalaureate-graduate nurse cares for patients, including individuals,

families, groups, communities, and populations across the lifespan and across the continuum

of healthcare environments, perform comprehensive and focused developmental and physical

assessments.

Course Competencies: 1) Perform assessments of individuals throughout the lifespan and

include spiritual, social, cultural, psychological and physical components. 3) Analyze data to

determine risk potential for individuals. 4) Synthesize assessment findings using the Digital

Clinical Experience (DCE) and in written format using standardized terminology. 5)

Demonstrate effective communication with individuals, families and interdisciplinary team

members.

QSEN Competencies: 1) Patient-Centered Care 3) Evidenced-Based Practice

BSN Essential IX

Area Gold

Mastery

Silver

Proficient

Bronze

Acceptable

Acceptable

Mastery not

Demonstrated

Digital Clinical

Experience

Score

Fully discusses

Clinical

Experience score

results and how it

relates to your

clinical practice

Describes

Clinical

Experience score

results and how

it relates to your

clinical practice

Superficially

discusses

Clinical

Experience score

results and how

it relates to your

clinical practice

Does not use

appropriate

developmental

approaches.

Student

Performance

Index

Fully discusses

results from the

Performance

Index and how

score results and

how it relates to

your clinical

practice

Describes results

from the

Performance

Index and how

score results and

how it relates to

your clinical

practice

Superficially

discusses results

from the

Performance

Index and how

score results and

how it relates to

your clinical

practice

Does not use

appropriate

physical

assessment

skills.

Subjective Data

Collection

Fully discusses

results from the

Subjective Data

Collection and

how score results

and how it relates

to your clinical

practice

Describes results

from the

Subjective Data

Collection and

how score

results and how

it relates to your

clinical practice

Superficially

discusses results

from the

Subjective Data

Collection and

how score

results and how

it relates to your

clinical practice

Does not use

appropriate

physical

assessment

skills.

Objective Data

Collection

Fully discusses

results from the

Objective Data

Collection and

how score results

Describes results

from the

Objective Data

Collection and

how score

Superficially

discusses results

from the

Objective Data

Collection and

Does not use

appropriate

physical

assessment

skills.

and how it relates

to your clinical

practice

results and how

it relates to your

clinical practice

how score

results and how

it relates to your

clinical practice

Care Plan Fully discusses a

care plan that

contains one

NANDA DX with

three NICs and

three NICs

Describes care

plan that

contains one

NANDA DX

with three NICs

and three NICs

Superficially

discusses a care

plan. Does not

use NANDA,

NIC, and NOC

Does not use

appropriate

physical

assessment

skills.

Time:

Interaction with

Patient

Post-exam

activities

Fully discusses

the time spent

and what

changes you

would make

and/or how can

the time be

better spent?

Describes the

time spent and

what changes

you would make

and/or how can

the time be

better spent?

Superficially

discusses the

time spent and

what changes

you would make

and/or how can

the time be

better spent?

Does not use

appropriate

physical

assessment

skills.

Self-reflection

Fully discusses a

self-reflection

from the

Comprehensive

Experience

exercise. How did

the experience

relate to your

clinical practice

describes a self-

reflection from

the

Comprehensive

Experience

exercise. How

did the

experience relate

to your clinical

practice

Superficially

discusses a self-

reflection from

the

Comprehensive

Experience

exercise. How

did the

experience relate

to your clinical

practice

Does not provide

a detailed

reflection of the

comprehensive

Experience

exercise

APA, Grammar,

Spelling, and

Punctuation

No errors in

APA, Spelling,

and Punctuation.

One to three

errors in APA,

Spelling, and

Punctuation.

Four to six

errors in APA,

Spelling, and

Punctuation.

Seven or more

errors in APA,

Spelling, and

Punctuation.

References Provides two or

more references.

Provides two

references.

Provides one

references.

Provides no

references.