RNSG 1542- CONCEPTS OF NURSING PRACTICE II FOR THE ARTICULATING STUDENT
Course Description:
This course provides the articulating student the continuing opportunity to examine the role of the
professional nurse as a provider of patient-centered care, patient safety advocate, member of health
care team, and member of profession nurse and apply systematic problem solving processes and critical
thinking skills; focuses on the utilization of leadership and management skills in the provision of care to
small groups of adult patients and their families in selected settings and competency in knowledge,
judgment, skill, and professional values within a legal/ethical framework.
Prerequisites: RNSG 1515, 1263, 1140, and 1170
Corequisite: 1463
Course Objectives:
Upon completion of the course the student will be able to:
1. Utilize clinical reasoning and the nursing process guided by evidence based practice as a
framework for nursing decisions in meeting the health care needs of small groups of adult
patients and their families.
2. Integrate the etiology, pathophysiology, risk factors, signs and symptoms, complications,
therapeutic interventions for the adult patient and their families.
3. Integrate the four roles of the professional nurse when planning patient-centered care
for small groups of adult patients and their families
4. Develop teaching plans to assist small groups of adult patients and their families in meeting
their needs for health maintenance, promotion, and /or restoration.
5. Integrate legal principles from governing and accrediting agencies and ethical guidelines when
planning patient- centered nursing care for small groups of adult patients and their families
6. Formulate goals and outcomes that promote quality and a risk free, safe environment for all
individuals.
7. Demonstrate competence and safety in the performance of selected nursing skills.
8. Analyze the role of a health care advocate when collaborating with members of the
interdisciplinary health team determining resources that facilitate continuity of care; health
promotion, maintenance, and restoration.
9. Integrate the principles of therapeutic communication that facilitate interactions with patients
and health care members.
10. Integrate use of technology when communicating and managing information to support decision
making to improve care for individuals and their families.
11. Integrate the guidelines and responsibilities associated with delegation of nursing care.
12. Integrate principles of leadership and management utilizing a systematic problem-solving
process and critical thinking skills to plan care for adult patients and their families.
13. Integrate measures that promote the development and practice of professional nursing.
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COURSE CONTENT
Module I- Introduction to Psychiatric Nursing:
1. Theories
2. Clinical Manifestations
- Mental Status Exam
- DSM IV-TR
3. Diagnostic Studies
- Psychological Testing
- Laboratory Tests
- Brain Imaging
4. Planning
- Master Treatment Planning
5. Nursing Diagnoses
6. Interventions
- Roles and Functions of Nurse
- Modalities – group. individual therapy, family therapy, occupational therapy
- Milieu Therapy
- Medication Classifications
7. Ethical/Legal Considerations
- Client Rights
- Confidentiality
- Ethical Decisions
Module 2 – Providing Patient-Centered Care of the Individual with an Anxiety Disorder
1. Generalized Anxiety Disorder
2. Panic Disorder
3. Phobic Disorder
4. Obsessive-Compulsive Disorder
5. Stress Disorders
- Acute Stress Disorder
- Post Traumatic Stress Disorder
6. Anti Anxiety Medications
Module 3 - Providing Patient-Centered Care of the Individual with Major Depression, Bipolar and
Suicidal Behavior:
1. Major Depressive Disorder
2. Bipolar Disorder
3. Depression versus Dementia in the Elderly
4. Suicide
5. Antidepressant Medication
Module 4 – Providing Patient-Centered Care of the Individual with Schizophrenia
1. Theoretical Models
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2. Types of Schizophrenia
- Disorganized
- Catatonic
- Paranoid
- Undifferentiated
- Residual
3. Schizoaffective Disorder
4. Schizophreniform Disorder
5. Positive and Negative Symptoms
6. Antipsychotic Medications
Module 5 – Providing Patient-Centered Care of the Individual with a Personality Disorder
1. Type A
- Paranoid
- Schizoid
- Schizotypal
2. Type B
- Antisocial
- Borderline
- Histrionic
- Narcissistic
3. Type C
- Avoidant
- Dependent
- Obsessive-Compulsive
Module 6 – Providing Patient-Centered Care of the Individual with Chemical Dependency
1. Dependency versus Abuse
2. Intoxication
3. Withdrawal
4. Types of Substances
- Alcoholism
- Opiates
- Barbituates
- Amphetamines
- Cocaine
- Hallucinogens
- Marijuana
- Benzodiazepines
5. Twelve Step Programs
6. Legal/Ethical
- Peer Assistance Programs
Module 7 - Providing Patient-Centered Care of the Individual experiencing Domestic Violence, Sexual
Abuse, or Crisis
1. Precipitating Factors
- Child Abuse
- Elder Abuse
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2.
3.
4.
5.
6.
Responses to Abuse and Violence
Cycle of Abuse/ Domestic Violence
Cues Signaling Possible Abuse
Rape and Sexual Assault Management
Legal/Ethical
- Reporting
Module 8 – Providing Patient-Centered Care of the Child/Adolescent experiencing Psychiatric and
Eating Disorders
1. Disruptive Disorders
- Attention Deficit Hyperactivity Disorder
- Oppositional Defiant Disorder
- Conduct Disorder
2. Developmental Disorders
- Pervasive Developmental Disorders
- Asperger’s Disorder
- Mental Retardation
- Autism
3. Tic Disorders
- Motor Tics
- Phonic Tics
- Tourettes’s Syndrome
4. Eating Disroders
- Bulimia
- Anorexia
Module 9 – Providing Patient-Centered Care of the Individual in Shock
1. Types of Shock
- Hypovolemic
- Distributive
- Cardiogenic
2. Complications
- Disseminated Intravascular Coagulation (DIC)
- Acute Respiratory Distress Syndrome (ARDS)
- Systemic Inflammatory Responses (SIRS)
- Multiple Organ Dysfunction Syndrome (MODS)
3. Interventions
- Arterial Lines
- Pressure Monitoring
Module 10 – Providing Patient-Centered Care of the Individual with a Cardiovascular Disorder
Myocardial Infarction:
Dysrhythmias:
1. Supraventricular
2. Ventricular
3. Atrioventricular Conduction Blocks
Heart Failure:
1. Right Sided versus Left Sided Heart Failure
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2. Forward versus Backward Heart Failure
3. Systolic versus Diastolic Heart Failure
4. Biventricular Heart Failure
Inflammatory Heart Disease:
1. Endocarditis
2. Myocarditis
3. Pericarditis
- Cardiac Tamponade
Valvular Disorders:
1. Stenosis versus Regurgitation
2. Types of Valve Disorders
- Mitral
- Aortic
- Pulmonic
- Tricuspid
3. Associated Interventions
Hematologic Disorders:
1. Disorders of Red Blood Cells
- Anemias – nutritional, blood loss, hemolytic
- Polycythemia
2. Disorders of Platelets
- Thrombocytopenia
3. Disorders of White Blood Cells
- Lymphomas – Hodgkin’s and non-Hodgkin’s
- Multiple Myeloma
- Interventions – bone marrow transplant,
Module 11 – Providing Patient-Centered Care of the Individual with a Gastrointestinal Disorder
Hepatitis and Cirrhosis:
1. Types of Hepatitis
- Type A, B, C, D, E, F, Chemical
2. Cirrhosis
3. Complications of Cirrhosis
- Portal Hypertension
- Ascites
- Esophageal Varices
- Encephalopathy
4. Liver Cancer
Module 12 – Providing Patient-Centered Care of the Individual with a Neurological Disorder
Introduction to Neurological Nursing:
Head Injury:
1. Concussion
2. Hematoma
3. Hemorrhage
4. Post Head Trauma Syndrome
5. Brainstem Herniation
Cerebral Vascular Accident:
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1. Hemorrhagic
Brain and Cord Tumors:
1. Primary
2. Secondary
3. Malignant
4. Benign
5. Increased Intracranial Pressure
Spinal Cord Truama:
1. Central Cord Syndrome
2. Anterior Spinal Cord Syndrome
3. Brown-Sequard Syndrome
4. Complete versus Incomplete Cord Involvement
5. Spinal Shock
6. Neurogenic Shock
Neuromuscular Disorders:
1. Multiple Sclerosis
2. Parkinsonism
3. Myasthenia Gravis
4. Guillain-Barre
5. Amylotrophic Lateral Sclerosis-DEFINE ONLY
6. Trigeminal Neuralgia DEFINE ONLY
7. Bell’s Palsy DEFINE ONLY
8.
Module 13 – Providing Patient-Centered Care of the Individual with a Sensory Disorder
1. Disorders of the Eye
- Extraocular – infections, trauma, alteration in tears
- Intraocular – cataracts, retinal detachment, diabetic retinopathy, glaucoma, macular
degeneration, enucleation
2. Disorders of the Ear
- External – trauma, external otitis, cerumen and foreign bodies
- Middle and Mastoid – tympanic membrane problems, serous otitis media,
otosclerosis
- Inner – Meniere’s, Labrynthitis, Acoustic Neuroma
- Loss – conductive, sensorineural, presbycusis
Module 14 – Providing Patient-Centered Care of the Individual with an Endocrine Disorder
Introduction to Endocrine Disorders:
Pituitary Disorders:
1. Acromegaly and Giantism
2. Dwarfism and Panhypopituitarism
3. SIADH
4. Diabetes Insipidus
Adrenal Disorders:
1. Cushings
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2. Addison’s
3. Pheochromocytoma
Thyroid and Parathyroid Disorders:
1. Hyperthyroidism/ Hypothyroidism
2. HypoparathyroidismHyperparathyroidism
Module 15 – Providing Patient-Centered Care of the Individual with a Musculoskeletal Disorder
Trauma, Fractures and Amputations:
1. Types of Muscular Skeletal Injuries
- Skeletal fractures, dislocations and subluxations, sprains and strains, amputations
2. Bone Healing
3. Complications of Fractures
- Osteomyelitis
- Fat Emboli
4. Interventions
- Casts
- Traction
- Internal and External Fixation
- Bone Stimulators
Arthritis and SLE:
1. Osteoarthritis
2. Rheumatoid Arthritis
3. SLE
4. Interventions
- Joint Replacement
- Medication – steroids, anti immunologic, DMARDS, NSAIDS
Metabolic Bone Disorders:
1. Osteoporosis
2. Osteomyelitis
3. Gout
Module 16 - Providing Patient-Centered Care to the Individual during Bioterrorism/Disaster Nursing:
1. Role of the Nurse
2. Elements of Preparedness
3. Types of Agents
- Infectious – anthrax, smallpox, botulism, plague, viral hemorrhagic fever
- Pulmonary agents
- Vesicant agents
- Nerve agents
4. Acute Radiation Syndrome
5. Triage
6. Psychological Responses to Disaster
Management Modules
Delegation, Supervision, and Effective Communication:
1. Accountability
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2.
3.
4.
5.
Five Rights of Delegation
Guidelines for Delegation
Legal Implications of Delegation
Communication
- Confrontation
- Negotiation
Leadership and Change:
1. Management Styles
2. Forms of Power
3. Leadership Styles
4. Change Mechanisms
Decision Making:
1. Decision Making Process
2. Critical Thinking
3. Participative Methods
Working in Organizations:
1. Organizational Structure and Function
2. Responsibility, Authority and Accountability
3. Policies, Procedures and Job Descriptions
4. Nursing Care Delivery Systems
Employee Management:
1. Progressive Discipline
2. Coaching
3. Documentation
Evaluation and Feedback:
1. Positive and Negative Feedback
2. Peer Evaluation
3. Performance Evaluation
Quality Care:
1. Standards for Evaluating Care
2. Role of Benchmarks
3. Data Gathering
4. Approaches to Quality Management
5. Risk Management
Staff Development:
1. Teaching/Learning Principles
2. Adult Learners
3. Learning Styles
4. Developing Teaching Plans
Career Management:
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1. Career Mapping
2. Job versus Career
3. Resumes
Initial Licensure:
1. Texas Occupations Code
2. Nursing Licensure Compact
3. Continuing Education Requirements
4. Criteria for Initial Licensure Application by Examination
5. Guidelines for Employment
6.
Success Factors on NCLEX Exam
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