Chapter 2. Patient Assessment

2.14 Summary

Key Takeaways

  • Assessment is a cornerstone of nursing care.
  • Whatever approach nurses take with assessment, it is important to approach assessment methodically and to consider objective and subjective information sources.



Alberta Health Services. (2009). Instructions for administration of minimental state examination (MMSE).  Retrieved

Anderson, B., Nix, N., Norman, B., & McPike, H. D. (2014). An evidence based approach to undergraduate physical assessment practicum course development. Nurse Education in Practice, 14(3), 242-246.

Assessment Skill Checklists. (2014). Checklists from Nursing 1019: Clinical Techniques (BCIT BSN program course).

British Columbia College of Nursing Professionals [BCCNP]. (2018). Scope of Practice for Registered Nurses. Retrieved (2014). Standardized Mini – Mental State Examination (SMMSE). From Cognitive Impairment – Recognition, Diagnosis and Management in Primary Care: Standardized Mini-Mental State Examination. Retrieved

Braden B. &  Bergstrom N. (1989). Clinical utility of the Braden Scale for Predicting Pressure Sore Risk. Decubitus, 2. pp. 44-51. Retrieved

Brodovicz, K., McNaughton et al., (2009). Reliability and Feasibility of Methods to Quantitatively Assess Peripheral Edema. Clincal Medicine and Research. Retrieved

Christensen & Kockrow (1999). Foundations of Nursing (3rd ed.). St. Louis: Mosby. Retrieved

Critical Care Services Ontario. (2014). Guidelines for Basic Adult Neurological Observation.

Davis, C., Chrisman, J., Walden, P.  (2012). To scan or not to scan. Nursing Made Incredibly Easy! 10(4). Pp.53–54. doi: 10.1097/01.NME.0000415016.88696.9d


Hill, D. & Smith, R. (1990). Chapter 30Examination of the Extremities: Pulses, Bruits, and Phlebitis. In Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition. H. Walker & J. Hurst Eds. Boston: butterworths. Retrieved

Jarvis, C., Browne, A. J., MacDonald-Jenkins, J., & Luctkar-Flude, M. (2014). Physical examination and health assessment. Toronto, ON: Elsevier-Saunders.

Lapum, J., Verkuyl, M., Garcia, W., St-Amant, O., Tan, A. (2018). Vital Sign Measurement Across the Lifespan – 1st Canadian edition. Ryerson University. Retrieved

Lloyd H. &  Craig S. (2007). A guide to taking a patient’s history. Nursing Standard, 22(13), pp. 42-28. Retrieved’s_history

Our LadyChildrensHospital Crumlin [OLCHC]. (2016). Epidural Assessment. Retrieved

Pasero, C., (2009). Assessment of Sedation During Opioid Administration for Pain Management. Journal of PeriAnesthesia Nursing, Vol 24, No 3 (June), 2009: pp 186-190. Retrieved

Perry, A., Potter, P., & Ostendorf, W. (2018). Clinical skills and nursing techniques (9th ed.). St Louis, MO: Elsevier-Mosby.

Potter, P., Perry, A., Stockert, P., Hall., Astle, B., Duggleby, W. (2019). Canadian Fundamentals of Nursing. 6th Edition. Milton  Ontario: Elsevier.

RNAO (nd). Nursing Best Practice Guideline: Outline of a mental status examination. Retrieved

Registered Nurses Association of Ontario [RNAO]. (2013). Assessment and management of pain: Best practice guidelines. Retrieved

RNAO (2016). Clinical Best Practice Guideline: Assessment and Management of Pressure Injuries for the Interprofessional Team. Third Edition. Retrieved

Rosdahl, C. B., & Kowalski, M. T. (2007). Textbook of basic nursing. Philadelphia, PA: Lippincott Williams & Wilkins.

Royal Children’s Hospital Melbourne [RCH]. (2015). Assessment of dermatome block. Retrieved

Royal  Children’s Hospital Melbourne [RCH] (2017). Clinical Guidelines Nursing: Assessment. Retrieved

Safer Health Care Now. (2015). Reducing falls and injuries from falls. Retrieved

Stephen, T. C., Skillen, D. L., Day, R. A., & Jensen, S. (2012). Canadian Jensen’s nursing health assessment: A best practice approach. Philadelphia, PA: Wolters Kluwer-Lippincott.

Wilson, S. F., & Giddens, J. F. (2013) Health assessment for nursing practice (5th ed.) St Louis, MO: Mosby.


Icon for the Creative Commons Attribution 4.0 International License

Clinical Procedures for Safer Patient Care Copyright © 2018 by Thompson Rivers University is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.

Share This Book