DE LA SALLE LIPA

COLLEGE OF NURSING

HEALTH ASSESSMENT

Evaluation Performance in
HEART & NEUROLOGICAL ASSESSMENT

Name:________________________________ Year & Section:__________ Rating:_______

GENERAL OBJECTIVES:
Given actual or simulated situations/conditions, the students will be able to differentiate
normal from abnormal findings and utilize concepts, principles, techniques and appropriate
assessment tools in the assessment of individual client with varying age group and
development.

SPECIFIC OBJECTIVES:
1. To distinguish the specific landmarks that guides the appropriate assessment.
2. To plan with the client the proper preparation for the assessment including the position
and materials needed.
3. To implement the proper and correct techniques in neurological assessment.
4. To summarize the findings.

LEGEND:

Unit Weight Verbal Interpretation

Able to function independently and correctly without
0.8 EXCELLENT guidance and supervision observing principles at all
times.
Able to function with minimal supervision from the
0.6 VERY instructor and observes underlying principles and
SATISFACTORY theories of nursing.
Able to function but needs close supervision from the
0.5 SATISFACTORY instructor.
NEEDS Requires close supervision but shows potential for
0.2 IMPROVEMENT improvement.
Unable to function and needs repeated specific and
0 POOR detailed guidance or direction.

I. Knowledge – 30% (QUIZ)

II. SKILLS – 20%

0.8 0.6 0.5 0.2 0 Remarks
1. Wash hands
2. Discuss the purpose of assessment
3. Ensure privacy and confidentiality.
4. Prepare the environment
5. Prepare the necessary materials needed.
NEUROLOGICAL ASSESSMENT
6. Test for reflex using percussion hammer, comparing one side of
the body with the other to evaluate symmetry of the response.
a. biceps reflex
b. triceps reflex
c. branchioradialis reflex
d. patellar reflex
e. Achilles reflex
f. plantar (babinski reflex)
Motor Function Assessment
7. The patient performs the following to be assessed by the nurse.
a. Walking gait
b. Romberg’s test
8. Continuation…
c. Standing on one foot with eyes closed
d. Heel toe walking
e. Toe or heel walking
9. Fine Motor Test for Upper Extremities
a. Finger to nose test
b. Alternating Supination and Pronation of Hands on Knees
10. c. Finger to nose and to the Nurse’s fingers
b. Fingers to fingers
c. Finger to thumb (same hand)
11. Perform the heel to shin test
12. Toe or ball of foot to the nurse’s finger
13. Compare the light sensation to dull and sharp sensation
14.Assess the pain sensation to dull and sharp sensation
15. Assess the temperature sensation of the areas of the body
16. Tactile Discrimination
a. One and Two point discrimination
b. Stereognosis
c. Extinct Phenomenon
17. Document the pertinent findings.
18. Wash hands.

III. Attitude 30% 6 4 2 0 Remarks

1. Performs procedure with ease and confidence
2. Shows effort to improve his/her performance.
3. Approaches the client positively and clear when giving instructions.
4. Wear prescribed uniform neatly and completely + good grooming.
5. Systematic in doing the procedure.
COMMENTS:

Strengths:

Weaknesses:

CONFORME: EVALUATED BY:

__________________________________ KENNETH MYRO D. GARCIA, RN, MAN

Signature over Printed Name
Student Clinical Instructor