1
Georgia College & State University
College of Health Sciences
School of Nursing
Integrated Clinical Concepts
Summer 2015
Course Prefix
NRSG 4981
and Number
All nursing courses except NRSG 4780 and NRSG 4980.
Prerequisites
Course Title
Integrated Clinical Concepts
Lecture Hours 1 Lab Hours:
0 Contact Hours:
15 Credit Hours: 1
Online % 100 Face-to Face % 0
Jeanne Sewell, MSN, RN-BC, Associate Professor (Course Coordinator)
Faculty
jeanne.sewell@gcsu.edu
211 Parks Memorial Building
478-445-3928 or (Secretary) 445-5122, Cell 478-454-874
Faculty Office
By appointment
Hours
HESI/Saunders Online Review for the NCLEX-RN Examination (1 Year)
Required
Elsevier Adaptive Quizzing for the NCLEX-RN exam
Learning
Comprehensive Pharmacology Exam (required purchase)
Resources
HESI NCLEX-RN® review manual. Textbook is available at the bookstore
and http://www.hesitest.com/students/selfstudy.asp
Recommended for testing settings:
 Ear plugs
 Stress ball
Optional
for students who prefer textbooks for review:
Optional







Silvestri, L. A. (2013). Saunders Comprehensive Review for the
NCLEX-RN Examination, (6th ed.). ISBN: 978-1455727551
BSN Core textbooks and Nursing Reference Manuals
Kaplan. (2013). NCLEX premier 2014-2015 with 2 practice tests.
Kaplan Publishing. ISBN-13: 978-1618654991
Vitale, B. A. (2013). NCLEX-RN notes: Core review & exam prep
(Davis's Notes) (Spiral-bound) F.A. Davis. ISBN-13: 978-0803629134
Manno, M. S. (2010). Mosby's review cards for the NCLEX-RN
examination (Mosby's Review Cards) Mosby. ISBN- 13: 9780323057424
Nugent, P. M. & Vitale, B. A.(2011). Fundamentals success: A course
review applying critical thinking to test taking, (3rd ed.). F.A. Davis
ISBN-13: 978-0803627796
Henke, G. & Buchholz, S. (2011). Henke's med-math: dosage
calculation, preparation, and administration, (7th ed.). (Book with
CD-ROM) (Paperback) ISBN-13: 978-1608317998
Optional Review: 3-Day Live Review course sponsored by Elsevier
2
Catalog
Description:
Program
Outcomes:
This is a companion course to NRSG 4980, the capstone course in nursing.
Students apply critical thinking, communication, and therapeutic nursing
interventions to decisions about simulated clients to demonstrate readiness for
the mock and actual NCLEX-RN.
1. Use effective situational communication.
2. Incorporate best current evidence with clinical expertise and
client/family preferences and values to maximize health outcomes.
3. Apply principles of leadership, quality improvement, and client safety
to monitor and improve outcomes of nursing care.
4. Demonstrate professional nursing values of altruism, autonomy,
human dignity, integrity and social justice.
5. Provide culturally and spiritually sensitive care to maximize health
outcomes.
6. Apply principles of health promotion, disease and injury prevention to
maximize health outcomes for individuals, families, and communities.
7. Recognize the need for advocacy in financial and regulatory,
legislative, and public policy changes that influence the health care
system.
8. Collaborate with the client/designee and health care team in providing
compassionate and coordinated care across the lifespan.
9. Demonstrate competent use of informatics to support decisionmaking, mitigate error, and improve outcomes.
10. Apply concepts from liberal arts, social, and natural sciences, clinical
reasoning, and nursing science to form the basis for professional
practice.
Course Outcomes Upon completion of this course, the student will:
Program Course Outcomes
Outcomes
All
1. Demonstrate individual
professional accountability by
developing study and testtaking strategies that increase
the probability of success on
the HESI NCLEX simulation
Exam and NCLEX-RN.
2. Apply concepts from the liberal
arts, sciences, and nursing
theory in making competent
and caring nursing decisions in
simulated situations.
Topic Outline

Strategies for Success on the NCLEX-RN
3










Basic care and comfort (3 lessons & exam)
Safety and infection control (4 lessons & exam)
Health promotion and disease prevention (3 lessons & exam)
Mental health concepts (6 lessons & exam
Psychosocial alterations (4 lessons & exam)
Pharmacology and intravenous therapies (5 lessons & exam
Management of care (7 lessons & exam)
Developmental stages and transitions (7 lessons & exam)
Monitoring for health problems (5 lessons & exam)
Physiological health problems (6 lessons & exam)
Teaching/Learni Online review course; class dialogues; talk-aloud problem solving, practice
examinations with review of rationales, review of selected concepts, and
ng Methods
discussion of "stumper" questions, CD-ROM on NCLEX-preparation.
Evaluation of course objectives will be accomplished through multiple
Evaluation
assessment components:
Methods



NCLEX simulation module tests
Highest HESI Predictability Model (HPM) raw score earned on the
Pharmacology HESI exam
Highest HESI Predictability Model (HPM) raw score earned on the
HESI NCLEX simulation exam
Students are expected to achieve the recommended of 900 or better score on
the NCLEX-RN simulation (HESI) exam as a component of the overall
course grade. Two attempts to achieve the target score are provided.
Grading
Policy: The senior exit assessment as required by Georgia College (GC) to
assess the major will be given in NRSG 4981 and calculated as a component
of the overall course grade.
Grading is based upon the total score for completion of course work, the
Pharmacology HESI exam and the HESI NCLEX simulation exam using the
following criteria:
Online Course Module Test Points = 20%
Pharm HESI score = 20% (highest score - 2 attempts possible)
HESI NCLEX simulation score = 60% (highest score - 2 attempts possible)
Final
Course
Grade
A
B
C
D
Required
Number of
Points
≥950
900-949
850-899
800-849
4
F
<800
First Scenario
The first scenario (see Figure 1 - Option A or B): Student passed the 1st
HESI exit with a score ≥900 but does not have enough points to pass the
course. The student can retake the Pharmacology HESI OR remediate taking
the Fundamentals, Med-Surg and HESI Exit V2. The highest score(s) on the
Pharmacology and/or Exit exam is used to calculate the final course grade.
Figure 1 - First Scenario
Second Scenario
The second scenario (see Figure 2 - Option B only): Student did not
score ≥850 on the first HESI exit exam (may or may not have a total score of
850 in the course to pass). The student would select Option B. The student
must remediate taking the Fundamentals and Med-Surg specialty exams, and
taking a second HESI Exit exam. The student would also have the option of
retaking the Pharmacology exam. The highest scores for the Pharmacology
and HESI exit exams is used to calculate the final course grade.
5
Figure 2: Second Scenario
Pharmacology HESI Exam Retake
Retake of the Pharmacology HESI exam is optional for all students.
HESI Exit Exam Retake
Retake of the HESI Exit Exam is optional for all students.
Exam Times
Students may arrange for an approved proctor for the HESI Pharmacology
and HESI NCLEX simulation exams. Testing arrangements will be made by
the nursing faculty for the exams.
Prior to mid-semester, you will receive feedback on your academic
performance in this course.
Course Policies
All policies in the current Georgia College & State University (GCSU)
Undergraduate Catalog and the Undergraduate Nursing Student Handbook are
applicable. Please consult web site for handbook at the following sites:
http://www.gcsu.edu/registrar/catalog.htm and
http://www.gcsu.edu/nursing/bs/admission.htm. In addition to these
University and School policies, students are expected to comply with the
following course policies:
All students must regularly check bobcats email and D2L to receive official
communication from university faculty and staff.
6
All students must have an activated Bobcat identification card. The Bobcat
card is required to use all library services, including the computer lab for
testing.
Rounding Policy: Rounding for this course will occur only with the final
average grade for the course. There will be no rounding of exam grades or
other written assignments during the semester. If the final course average to
the nearest tenth is 0.5 or more, the final course grade will be rounded up to
the next whole number (i.e. 88.5 would be rounded to 89) (i.e. 88. 45 would
not be rounded).



All students must regularly check Bobcats email to receive official
communication from university faculty and staff.
All students must have an activated Bobcat identification card. The
Bobcat card is required to use all library services, including the
computer lab for testing.
Rounding Policy: Rounding for this course will occur only with the
final average grade for the course. There will be no rounding of exam
grades or other written assignments during the semester. If the final
course average to the nearest tenth is 0.5 or more, the final course
grade will be rounded up to the next whole number (i.e. 88.5 would be
rounded to 89) (i.e. 88.45 would not be rounded).
Clinical Facilities No clinical facilities are used for this course.
Technology
Requirements
Academic
Honesty
The minimum technology requirements:
http://www.gcsu.edu/technology/campustech/recommendations.htm
The integrity of students and their written and oral work is a critical
component of the academic process. The submission of another’s work as
one’s own is plagiarism and will be dealt with using the procedures outlined
in the GC Catalog. Remember that allowing another student to copy one’s
own work violates standards of academic integrity.
See the student Honor Code at the website below:
http://www.gcsu.edu/studentlife/handbook/code.htm
Religious
Observance
Students are permitted to miss class in observance of religious holidays and
other activities observed by a religious group of which the student is a
member without academic penalty. Exercising of one’s rights under this
policy is subject to the GC Honor Code. Students who miss class in
observance of a religious holiday or event are required to make up the
coursework missed as a result from the absence. The nature of the make-up
7
assignments and the deadline for completion of such assignments are at the
sole discretion of the instructor. Failure to follow the prescribed procedures
voids all student rights under this policy.
The full policy and prescribed procedures are found at:
http://gcsu.smartcatalogiq.com/en/Policy-Manual/Policy-Manual/AcademicAffairs/Academic-Policies-Procedures-and-Resources/Academic-PoliciesMiscellaneous/Student-Absence-Policy
Fire Drill
Procedure
Request for
Disability
Modifications:
Fire drills will be conducted annually. In the event of a fire alarm, students
will exit the building in a quick and orderly manner through the nearest
hallway exit. Learn the floor plan and exits of the building. Do not use
elevators. If you encounter heavy smoke, crawl on the floor so as to gain fresh
air. Assist disabled persons and others if possible without endangering your
own life. Assemble for a head count on the front lawn of main campus or
other designated assembly area.
For more information on other emergencies, please visit
http://www.gcsu.edu/publicsafety/emergency_management.htm
If you have a disability as described by the Americans with Disabilities Act
(ADA) and the Rehabilitation Act of 1973, Section 504, you may be eligible
to receive accommodations to assist in programmatic and physical
accessibility. Disability Services, a unit of the GCSU Office of Institutional
Equity and Diversity, can assist you in formulating a reasonable
accommodation plan and in providing support in developing appropriate
accommodations to ensure equal access to all GCSU programs and facilities.
Course requirements will not be waived, but accommodations may assist you
in meeting the requirements. For documentation requirements and for
additional information, we recommend that you contact Disability Services
located in Maxwell Student Union at 478-445-5931 or 478-445-4233.
Any student requiring instructional modifications due to a documented
disability should make an appointment to meet with the course coordinator
within in the first week of classes. An official letter from GCSU documenting
the disability is expected in order to receive accommodations.
Student Opinion Near the end of the semester, you will be asked to complete an online survey.
Survey Statement Your responses are valued because they give important feedback to
8
instructors to help improve student learning. All responses are completely
confidential and your name is not stored with your responses in any way