LYCEUM-NORTHWESTERN UNIVERSITY

COLLEGE OF NURSING
NCM 101
HEALTH ASSESSMENT

Student’s Name: ___________________________ Date: __________________

Patient’s Name: _________________________ Seat #: _________________
Year & Section: __________

Score criteria:
2 - Done with accuracy and competently
1 – Done with inaccuracies
0– Not done

COMPETENCIES 2 1 0
PREPARATION
1. Wash hands and dry thoroughly.
2. Identify the client using two identifiers, compare
identifiers with the client`s record or chart
3. Gather needed materials
4. Assess the client's understanding of the procedure and
determine if the client understood how to perform the
test
5. Ensure the testing area is clear of obstacles
6. Have the individual remove their shoes to improve
sensory input from the feet.
INSTRUCTION
7. Position the client (standing, sitting, or supine).
8. Explain that they should maintain this position for a
specific time.
PERFORMANCE
a. Tandem Balance
b. Romberg Test
c. Phalen’s Sign Test
d. Tinel’s Sign Test
e. Archilles Reflex and
Patellar Reflex
f. Heel to Shin Test
g. Babinski Reflex
h. Ballottement Test
i. Glasgow Coma Scale
j. Blumberg Sign
k. Rovsing’s Sign
l. Psoas Sign
m. Obturator Sign
n. Murphy’s Sign
 OBSERVATION
8. The safety of the client is maintained at all times during
the procedure.
9. Determine the differences of each test
10. Knows the rationale of the test performed
INTERPRETATION
11. Differentiate normal from abnormal findings
DOCUMENTATION
12. Record the individual's performance during the tests,
noting any relevant observations or abnormalities

Remarks:
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Clinical Instructor: ________________________

Grade: ____________________