Health & Physical Assessment in Nursing, 4th edition

Published by Pearson (March 13, 2019) © 2020

  • Cynthia Fenske
  • Katherine Dollan Watkins
  • Tina Saunders
  • Donita D'Amico
  • Colleen Barbarito

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For courses covering health assessment.

All the health assessment skills a nurse needs to know

Health & Physical Assessment in Nursing provides step-by-step training in holistic health assessments that consider the diversity of patients and care settings. Geared toward pre-licensure nursing students, the text focuses on the most-used assessment skills but, in a final section, covers advanced assessment skills, distinguishing it from competing texts.

The 4th Edition adds three new chapters covering the assessment of pediatric and older patients, plus another new chapter on best practices for documenting both subjective and objective data. Evidence-based practice was added to each chapter to either support or debunk current practices.

Hallmark features of this title

Evidence-based practice

  • A series of demo videos shows the nurse completing various system assessments, as well as full head-to-toe exams across care settings.
  • Step-by-step demonstrations of physical assessment techniques are presented in physical assessment chapters.

Data collection methods

  • Focused interview questions help students gather subjective data during patient interviews.
  • Special Considerations boxes discuss issues to consider when collecting patient data.

Learning resources

  • Application Through Critical Thinking case studies prompt students to apply clinical reasoning to patient scenarios.
  • Hundreds of photos and illustrations show how to perform techniques. Certain images support recognition of abnormal findings, diseases and conditions.

New and updated features of this title

A focus on documentation and research

  • NEW: A new Chapter 6, Documenting Your Findings, provides core principles for accurate documentation, while distinguishing documentation methods for subjective vs. objective data.
  • NEW: Boxes summarizing the findings of recent studies have been added throughout the text. They reinforce evidence-based practice information critical for student success and nursing excellence.

New tools for skill development

  • NEW: Components of medical terminology were integrated into this edition. Prefixes, suffixes and root words found in the chapter now appear at the start of most chapters.
  • NEW: Step-by-step instructions for advanced but less common skills appear in Appendix C.

New chapters covering the lifespan

  • NEW: A new Chapter 26, Newborns, Infants, Children and Adolescents, focuses on assessing pediatric populations and shows changes in practice as children age.
  • NEW: A new Chapter 27, Older Adults, presents assessment techniques and considerations for the older adult patient. Abnormal conditions of the aging process are identified.

Highlights of the DIGITAL UPDATE for MyLab Nursing (available for Fall 2024 classes)

Instructors, contact your sales rep to ensure you have the most recent version of the course.

  • NEW: Five new Next Gen NCLEX® case studies were added (Health Promotion, Performing Vital Signs on a Child, Interpersonal Violence, Skin Cancer and Breast Cancer). They prepare students to assess, diagnose, plan, implement and evaluate patient care based on current testing standards. Auto-graded case-based questions mimic those on the Next Gen NCLEX exam.
  • UPDATED: An updated layout for 10 Decision-Making Cases improves the efficacy of these exercises. The cases offer practice analyzing patient data and making important care decisions.
  • UPDATED: Currency updates to clinical practices reflect the latest research, guidelines and best practices in health assessment, ensuring students are applying up-to-date treatment guidelines.
  • EXPANDED: New Test Bank items assess students on working with patients with disabilities. The test bank was updated to align with the 2021 AACN Essentials domains and competencies.

Features of MyLab Nursing for the 4th Edition; published 2019

  • Dynamic Study Modules pose a handful of questions and then respond to each student’s progress in real time. Learners deepen their grasp of concepts as they go.
  • Practice tests with more than 1,000 NCLEX-style questions, organized by chapter, prepare students for success on the NCLEX-RN® exam.
  • Pearson+ eTextbook lets students choose how they learn best. Part of your MyLab course, Pearson+ merges easy-to-use eTextbooks with study tools.

UNIT I: FOUNDATIONS OF HEALTH ASSESSMENT

  1. Health Assessment
  2. Health and Wellness
  3. Cultural and Spiritual Considerations
  4. Health Disparities

UNIT II: TECHNIQUES FOR HEALTH ASSESSMENT

  1. Interviewing and Health History: Subjective Data
  2. Documentation
  3. Physical Assessment Techniques and Equipment
  4. General Survey and Physical Exam: Objective Data
  5. Pain Assessment
  6. Nutritional Assessment
  7. Psychosocial Health, Substance Use, and Violence Assessment

UNIT III: PHYSICAL ASSESSMENT

  1. Skin, Hair, and Nails
  2. Head, Neck, and Related Lymphatics
  3. Eyes
  4. Ears, Nose, Mouth, and Throat
  5. Lungs and Thorax
  6. Breasts and Axillae
  7. Cardiovascular System
  8. Peripheral Vascular System
  9. Abdomen
  10. Male Genitourinary System
  11. Female Genitourinary System
  12. Musculoskeletal System
  13. Neurologic System

UNIT IV: SPECIALIZED ASSESSMENT

  1. Pregnant Woman
  2. Infants, Children, and Adolescents
  3. Older Adult
  4. Complete Health Assessment

APPENDICES

  1. Standard Precautions for All Patient Care
  2. Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings
  3. Advanced Assessment Techniques

About our authors

Cynthia Fenske, DNP, RN, CNE, is Campus Dean for Nursing and an associate professor at Concordia University Ann Arbor in Ann Arbor, Michigan. Dr. Fenske graduated with a BSN from Valparaiso University and an MS in medical-surgical nursing from the University of Michigan. She earned her Doctor of Nursing Practice degree from Oakland University in Rochester Hills, Michigan. She was a faculty member at the University of Michigan for 32 years prior to leaving to start a nursing program at Concordia University Ann Arbor. In the classroom her teaching responsibilities include physical assessment, medical-surgical nursing and fundamentals; in the laboratory setting she teaches physical assessment, nursing skills and simulation. Dr. Fenske has published articles on the use of simulation and innovative teaching strategies to assess and enhance learning. She is a faculty advocate, consultant and trainer for Pearson’s virtual community, The Neighborhood 2.0. Her research includes strategies to improve the development of clinical judgment and interprofessional teamwork skills through the use of simulation. Dr. Fenske is a member of Sigma Theta Tau International Honor Society of Nursing and the State of Michigan State Board of Nursing.

Katherine Watkins, DNP, RN, CPNP-PC, CNE, is a clinical professor and Doctor of Nursing Practice Program Coordinator at Northern Arizona University in Flagstaff, Arizona. Dr. Watkins earned her MSN as a pediatric nurse practitioner at Yale University, her post-master’s certificate in nursing education at the University of Alaska Anchorage (UAA) and her DNP from Northern Arizona University. Kate earned dual bachelor’s degrees in architecture and geography and spent many years as a successful graphic designer and illustrator before coming to professional nursing and nursing education. After earning an MSN, she moved to Alaska and practiced as a pediatric primary care nurse practitioner and began teaching nursing full time at UAA. Kate has taught a variety of courses at all levels and delivery formats in nursing education, with a particular focus on teaching nursing assessment at the pre-licensure and advanced levels. Dr. Watkins is a certified nurse educator, and she practices part time as a primary care pediatric nurse practitioner in rural northern Arizona. She volunteers as a manuscript reviewer for Journal of Pediatric Health Care, and on TeamPEDS of the National Association of Pediatric Nurse Practitioners.

Tina Saunders PhD, RN, CNE, GCNS-BC, earned a baccalaureate degree in nursing from Youngstown State University and a master’s degree in nursing as an Adult Clinical Nurse Specialist with a specialization in gerontology from Kent State University. She earned a Doctor of Philosophy in Nursing from Kent State University. Tina has been a faculty member of the College of Nursing at Kent State University since 2006. She is the coordinator for the MSN Nurse Educator concentration and teaches in the BSN and RN-to-BSN programs, as well as in the Adult-Gerontology Clinical Nurse Specialist and Nurse Educator MSN program concentrations. Her clinical practice experience includes long-term care and critical care step-down nursing.

Mrs. Saunders has published articles in Orthopaedic Nursing and the Journal of Gerontological Nursing and has authored online RN-BSN health assessment and capstone courses for Pearson. She serves on several committees, on task forces and in leadership positions within Kent State University at the College of Nursing. She is a member of the Delta Xi chapter of Sigma Theta Tau International, National League for Nursing, Northeast Ohio Clinical Nurse Specialists and National Association of Clinical Nurse Specialists. In addition, she serves on the editorial review board for the Online Journal of Issues in Nursing (OJIN).

Donita D’Amico, MEd, RN, a diploma nursing school graduate, earned her baccalaureate degree in nursing from William Paterson College. She earned a master’s degree in nursing education at Teachers College, Columbia University, with a specialization in adult health. Ms. D’Amico has been a faculty member at William Paterson University for over 30 years. Her teaching responsibilities include physical assessment, medical-surgical nursing, nursing theory, and fundamentals in the classroom, skills laboratory and clinical settings. Within the university, she is a charter member of the Iota Alpha Chapter of Sigma Theta Tau International. She also serves as a consultant and contributor to local organizations.

Colleen Barbarito, EdD, RN, received a nursing diploma from Orange Memorial Hospital School of Nursing, graduated with a baccalaureate degree from William Paterson College and earned a master’s degree from Seton Hall University, all in New Jersey. She received her Doctor of Education from Teachers College, Columbia University. Dr. Barbarito’s clinical experiences include medical-surgical, critical care and emergency nursing. Dr. Barbarito has been a faculty member at William Paterson University since 1984, where she has taught physical assessment and a variety of clinical laboratory courses for undergraduate nursing students and curriculum development at the graduate level. Dr. Barbarito is a member of Sigma Theta Tau International Honor Society of Nursing and the National League for Nursing.

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