NUR 570 - Midterm Practicum
Professionalism - answer Introduce yourself clearly and explain each procedure before
performing.
Ensure patient comfort and draping throughout.
Display confidence, cleanliness, and compassion.
Maintain professional attire and demeanor.
Initial Focused Observation/General inspection - answer Say: "I'm beginning with
general inspection. The patient appears well-developed, well-nourished, and in no
apparent distress."
Describe:
Posture is upright, no deformities.
Dress and grooming are appropriate.
Patient is alert and maintains eye contact.
Skin - answer"Skin is warm, dry, intact, and without rashes or lesions. No abnormal
discoloration or scars noted."
"I will continue to monitor skin throughout the exam."
Head and Face -- Categories to assess - answerInspect Skin, Eyes, Ears, Skull (and
describe!)
Palpate Scalp and Hair (and describe!)
Palpate TMJ
Palpate Facial Bones
Palpate Frontal/Maxillary Sinuses
CN V
CN VII
Head and Face
, What to say, and palpating head and scalp - answerSay: "Inspecting the head and face
for symmetry and abnormalities."
"Head is normocephalic, atraumatic.
Facial features are symmetric.
No skin lesions."
::Palpate scalp and hair::
"Scalp is non-tender, hair is clean, evenly distributed."
Head and Face
Palpate TMJ - answer::put hands on patient's jaw-hinges and ask them to open and
close their mouth::
"Temporomandibular joints move smoothly without crepitus."
Head and Face
Palpate facial bones and sinuses - answer::gently tap above eyebrows and below eyes::
ask...
"Do you have any tenderness?"
"Facial bones and frontal/maxillary sinuses are non-tender."
Paranasal sinus picture - answer
Head and Face
CN V - answer"CN V is the Trigeminal Nerve. It's function is sensory to face; motor for
mastication"
::Use a cotton swab or pen, ask patient to close their eyes and let me know when they
feel something/where. Touch their forehead, cheeks, and chin"
::Ask patient to clench teeth::
"Masseter strength is symmetric, CN V is intact"
Head and Face
CN VII - answer"CN VII is the Facial Nerve. Function is motor for facial expression;
sensory for taste on the anterior 2/3 of tongue"
Professionalism - answer Introduce yourself clearly and explain each procedure before
performing.
Ensure patient comfort and draping throughout.
Display confidence, cleanliness, and compassion.
Maintain professional attire and demeanor.
Initial Focused Observation/General inspection - answer Say: "I'm beginning with
general inspection. The patient appears well-developed, well-nourished, and in no
apparent distress."
Describe:
Posture is upright, no deformities.
Dress and grooming are appropriate.
Patient is alert and maintains eye contact.
Skin - answer"Skin is warm, dry, intact, and without rashes or lesions. No abnormal
discoloration or scars noted."
"I will continue to monitor skin throughout the exam."
Head and Face -- Categories to assess - answerInspect Skin, Eyes, Ears, Skull (and
describe!)
Palpate Scalp and Hair (and describe!)
Palpate TMJ
Palpate Facial Bones
Palpate Frontal/Maxillary Sinuses
CN V
CN VII
Head and Face
, What to say, and palpating head and scalp - answerSay: "Inspecting the head and face
for symmetry and abnormalities."
"Head is normocephalic, atraumatic.
Facial features are symmetric.
No skin lesions."
::Palpate scalp and hair::
"Scalp is non-tender, hair is clean, evenly distributed."
Head and Face
Palpate TMJ - answer::put hands on patient's jaw-hinges and ask them to open and
close their mouth::
"Temporomandibular joints move smoothly without crepitus."
Head and Face
Palpate facial bones and sinuses - answer::gently tap above eyebrows and below eyes::
ask...
"Do you have any tenderness?"
"Facial bones and frontal/maxillary sinuses are non-tender."
Paranasal sinus picture - answer
Head and Face
CN V - answer"CN V is the Trigeminal Nerve. It's function is sensory to face; motor for
mastication"
::Use a cotton swab or pen, ask patient to close their eyes and let me know when they
feel something/where. Touch their forehead, cheeks, and chin"
::Ask patient to clench teeth::
"Masseter strength is symmetric, CN V is intact"
Head and Face
CN VII - answer"CN VII is the Facial Nerve. Function is motor for facial expression;
sensory for taste on the anterior 2/3 of tongue"
