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Course:
MISSISSIPPI COLLEGE SCHOOL OF NURSING
NUR 327 - Nursing II
Course Overview
NUR 327, Nursing
Credit:
7 semester hours (105 contact hours)
Placement in curriculum:
Semester 2
Prerequisite: NUR 341, NUR 343, NUR 344, NUR 345, NUR 353
Faculty:
Tamara Ford, MSN, RN, (Coordinator)
Lynn Buckalew, MSN, RN
Debbie Goodwin, MSN, RN
Sandy Robinson, MSN, RN
Grace Clark, DNS, APRN, BC (Part-Time)
Catalog description: Includes knowledge necessary to utilize the nursing process with clients experiencing
acute and chronic alterations in human functioning.
Course description: Builds on previous concepts, processes and skills necessary for the practice of
professional nursing. This course focuses on utilizing the nursing process with persons experiencing acute and
chronic alteration in human functioning. The emphasis is on individuals, families and groups within the health
care setting. Particular focus is on individual adults and children experiencing alteration in human functioning,
the childbearing family, and individual and group processes related to mental health
Course objectives:
1.
Identify legal and ethical concepts that apply to caring for patients throughout the lifespan.
2.
Integrate knowledge from humanities, natural, behavioral and computer sciences and previous nursing
courses as the basis for providing nursing care to patients.
3.
Incorporate knowledge of human functioning and health alterations commonly experienced by patients.
4.
Employ the nursing process as a framework for critical thinking related to the diverse patient
populations experiencing common recurring, well-defined alterations in health.
5.
Employ the nursing process as a framework for critical thinking related to the diverse patient
populations during the childbearing process.
6.
Employ the nursing process as a framework for critical thinking related to the diverse patient
populations experiencing psycho-social-cultural functioning.
7.
Analyze the communication process utilizing the principles of therapeutic communication with diverse
patient populations.
8.
Identify community and global resources available to assist diverse patient populations to attain,
maintain or regain an optimum level of health.
9.
Relate how nursing research influences evidence-based nursing practice.
10.
Relate the concept of spiritual distress to Christian caring in nursing.
Content outline:
II.
III.
IV.
V.
VI.
VII.
Page#
Health ………………………………………………………………………………………… 6, 7
A.
Acute versus chronic illness
B.
Psycho-social adaptation to chronic illness
C.
Nursing considerations when dealing with a chronic illness
Professionalism ……………………………………………………………………………….. 8, 9
A.
Overview of mental health nursing
B.
Overview of family nursing/maternal-newborn nursing
C.
Overview of Perioperative Nursing
D.
Accountability/Responsibility - Self-awareness
Communication: Therapeutic communication ……………………………………………….. 10
Client systems
A.
Family dynamics ……………………………………………………………………… 11
B.
Group dynamics ………………………………………………………………………. 12
Spirituality ………………………………………………………………………………… 13, 14
Categories of Human Functioning
A.
Protective Functioning
1.
Nursing management of the client with common communicable diseases … 15, 16
2.
Nursing management of the client with immune response disorders………….. 17
3.
Nursing management of the client with changes in skin integrity…………….. 18
B.
Comfort/Rest/Activity/Mobility
1.
Nursing management of the client experiencing pain ……………………… 19, 20
a.
Acute pain
b.
Chronic pain
2.
Nursing management of the client with alterations in activity and mobility…..21, 22
a.
Congenital disorders
b.
Orthopedic injuries
c.
Arthritis
d.
Degenerative bone disease
C.
Fluid/Gas Transport
1.
Nursing management of the client with common
electrolyte and fluid imbalances ……………………………………………… 23, 24
2.
Nursing management of the client with alterations in blood pressure…………25, 26
a.
Hypotension (shock)
b.
Hypertension
3.
Nursing management of the client with alterations in acid/base balance………
27
4.
Nursing management of the client in the perioperative period……………… 28, 29
5.
Nursing management of the client experiencing upper respiratory disorders….
30
6.
Nursing management of the client experiencing lower respiratory disorders… 31, 32
a.
Acute disorders
b.
Chronic disorders
c.
Pharmacology
D.
Nutrition
1.
Nursing management of the client with metabolic disorders
a.
Diabetes mellitus ……………………………………………………… 33, 34
2.
E.
F.
G.
Nursing management of the client with congenital malformations
of the upper GI tract…………………………………………………………….. 35
a.
TE fistulas
b.
Cleft lip/palate
c.
Pyloric stenosis
d.
Reflux
3.
Alterations in the upper GI tract……………………………………………… 36, 37
Elimination
1.
Nursing management of the client with disorders of the urinary tract…………38, 39
a.
Urinary tract infections
b.
Obstructive disorders
c.
Congenital defects
Growth and Development
1.
Effects of illness and hospitalization on the client………………………………. 40
2.
Maintenance of health in the intrapartal period……………………………… 41, 42
3.
Maintenance of health in the postpartal period…………………………………43, 44
4.
Maintenance of health in the normal newborn…………………………………… 45
5.
Alterations in the reproductive system………………………………………… 46, 47
a.
Male disorders
b.
Female disorders
c.
Maladaptive sexual response
6.
Aging……………………………………………………………………………… 48
a.
Family considerations
b.
Assessing nursing care needs
Psychosocial/Cultural
1.
Nursing management of the client experiencing severe anxiety with impaired
coping….. ……………………………………………………………………… 49
a.
Anxiety disorders
b.
Somatoform disorders
c.
Dissociative disorders
2.
Nursing management of mental and emotional disorders in children and
adolescents ……………………………………………………………………… 50
3.
Nursing management of the client experiencing mood disorders………………. 51
a.
Depression
b.
Bipolar disorders
c.
Schizoaffective disorder
4.
Nursing management of the client experiencing chronic mental illness………… 52
5.
Nursing management of the client experiencing cognitive impairment disorders. 53
a.
Amnestic Disorder
b.
Dementia
c.
Delirium
Teaching Strategies: Lecture, discussion, case studies, self directed activities, small group work, audio-visuals
Evaluation Methodologies: Unit Tests & Final Exam
TEXTS PURCHASED IN SEMESTER II:
Required Texts:
Gahart, B., & Nazareno, A. (latest edition) Intravenous medications. St. Louis: Mosby.
Hockenberry, M.J., Wilson D., Winkelstein, M.L. & Kline, N.E. (latest edition) Wong’s nursing care of infants
and children. (latest ed.). St. Louis: Mosby.
O’Brien, M.E. (latest edition). Spirituality in nursing: Standing on holy ground. Boston: Jones and Bartlett.
Rentfro, A. & McCampbell, L. (latest edition). Study guide to Whaley & Wong's nursing care of infants and
children. St. Louis: Mosby.
Stanhope, M.& Knollmeuller, R. (latest edition). Handbook of community-based and home health nursing
practice. St. Louis: Mosby.
Townsend, M. (latest edition). Psychiatric mental health nursing: Concepts of care in evidence-based practice
(latest ed.). Philadelphia: F.A. Davis.
Optional Text:
McCance, K., & Huether, S. (latest edition). Pathophysiology: The biological basis for disease in adults and
children. (latest ed.) St. Louis: Mosby.
TEXTS PURCHASED IN SEMESTER I:
Required Texts:
Abrams, A.C. (latest edition). Clinical drug therapy (latest edition). Philadelphia: Lippincott.
Corbett, J.V. (latest edition) Laboratory tests and diagnostic procedures: With nursing diagnosis, (latest ed.).
Stamford, CT: Appleton & Lange.
Curren, A., & Mundy, L. (latest edition). Math for meds. San Diego: W.I. Publications.
Deglin, J. H. & Villerand, A. H. (current edition) Davis’s drug guide for nurses (latest edition)
Philadelphia: F.A. Davis (ISBN 0-8036-0938-8 pbk)
London, M.L., Ladewig, P.W., & Olds, S.B. (latest edition) Maternal newborn nursing workbook (latest ed.).
Upper Saddle River, NJ: Prentice Hall Heath.
Olds, S.B., London, M.L., & Ladewig, P.W. (latest edition). Maternal newborn nursing (latest ed.).Upper
Saddle River, NJ: Prentice Hall Heath.
Smeltzer, S.C., Bare, B.G., Hinkle, J.L., & Cheever, K.H. (2008). Textbook of medical-surgical nursing. (11th
ed.). Philadelphia: Lippincott. (beginning Spring 2009).
Taylor, C. et al (2008). Fundamental of nursing: The art and science of nursing care (6th ed.). (beginning
Spring 2009).
Taber’s medical dictionary (latest edition). Philadelphia: F.A. Davis. ISBN 0-8036-0655-9
Weber, J., & Kelly, J. (latest edition). Health assessment in nursing. Philadelphia: Lippincott.
Academic Honesty
Mississippi college students are expected to be scrupulously honest. Dishonesty, such as cheating or plagiarism,
or furnishing false information, including forgery, alteration or misuse of University documents, records or
identification, will be regarded as a serious offense subject to severe penalty, including but not limited to, loss
of credit and possible dismissal. See the Mississippi College Student Handbook or University Policy 2.19 for
specific information regarding penalties associated with dishonest behavior at Mississippi College. Copies of
the Mississippi College Student Handbook are available in the Office of Student Affairs, Nelson 212. Copies of
the university policies are available on the Mississippi College web site. (Source: Mississippi College
Undergraduate Catalog)
Disabilities Act of 1990
In accordance with Section 504 of the Rehabilitation Act of 1973, Mississippi College does not discriminate on
the basis of handicap in admission or access to, or treatment or employment in, its programs and activities. If
students need special accommodations due to learning, physical, psychological, or other disabilities, they should
direct their inquiries to Director of the Counseling and Testing Center, Mississippi College, Lowery, Room 101,
Telephone: 601.925.3353. For more information including student appeals, see the Mississippi College Student
Handbook, Students with Disabilities section. (Source: Mississippi College Undergraduate Catalog.)
Progression & Dismissal Policy: See Policy 2:04.