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NURS405 Health Assessment and Advanced Nursing Practice

Enables the registered nurse to demonstrate health assessment knowledge and skills to meet the competencies required for advancing nursing practice. A period of mentored practice will integrate physical, psychosocial assessment and pathophysiology in the nurse’s specialty area.

NURS 405 is based around the competencies of advanced nursing practice (Nursing Council New Zealand):

  • Advanced nursing practice
  • Ethics and law, communication and documentation
  • Health technology and information retrieval
  • Health assessment

Paper title Health Assessment and Advanced Nursing Practice
Paper code NURS405
Subject Nursing
EFTS 0.2500
Points 30 points
Teaching period First Semester
Domestic Tuition Fees (NZD) $2,641.00
International Tuition Fees (NZD) $9,490.00

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NURX 405
Limited to
MHealSc, PGCertHealSc, PGDipHealSc
The applicant will
  • Have registration as a nurse from a three-year programme or course, congruent with the Health Practitioners Competence Assurance (HPCA) Act 2003
  • Hold a current Practising Certificate
  • Have access to a clinical supervisor for 50 hours
Teaching staff
Convenor: Raewyn Lesa
Paper Structure
This paper considers advanced health assessment across the life span, focusing specifically on:
  • Obtaining a health history
  • Formulation of differential diagnoses
  • Development of a plan of management
Teaching Arrangements
Four study blocks: One 3-day block, two 2-day blocks and a 1-day objective structured clinical examination (OSCE). Attendance at all study block courses is compulsory.
Bickley, L. S. (2017). Bates' Guide to Physical Examination and History Taking (12th ed.). Philadelphia: Lippincott Williams & Wilkins.

Students may use an earlier edition provided it is not more than five years old.
Graduate Attributes Emphasised
Lifelong learning, Scholarship, Communication, Critical thinking, Cultural understanding, Ethics, Information literacy, Self-motivation.
View more information about Otago's graduate attributes.
Learning Outcomes
The registered nurse students who successfully complete the paper will
  1. Develop and incorporate the theory of reflective practice in the process of demonstrating advancing nursing practice
  2. Integrate knowledge and skills for advanced health assessment, including anatomy, physiology and pathophysiology, in nursing practice
  3. Apply sound critical thinking and clinical decision making to health assessment that is informed by current evidence
  4. Identify appropriate diagnostic tests and investigations, interpret results and determine action
  5. Utilise knowledge to determine differential diagnoses, including health promotion diagnoses, based on assessment data
  6. Articulate the congruence of health assessment skills and knowledge for the participant's individual nursing framework and specific area of nursing practice
  7. Demonstrate application of the principles of cultural safety in nursing practice in alignment with the policies of the Nursing Council of New Zealand and the University's commitment to the Treaty of Waitangi

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First Semester

Teaching method
This paper is taught through Distance Learning
Learning management system