NEW YORK CITY COLLEGE OF TECHNOLOGY
The City University of New York
Department of Nursing
Associate in Applied Science Program
Spring 2023
NUR 2210
CARING FOR CLIENTS WITH CHRONIC ALTERATIONS IN HUMAN NEEDS
Prof. Rita Debonis, RN - MSNEd
Assistant Professor
NUR 2210 D474 and D485
Dr. Heather Gibson, PhD, RN
Associate Professor
NUR 2210 D483
Course Coordinator
1
Table of Contents
Faculty Contact Information .........................................................................3
Course Outline .............................................................................................3
Course Description.........................................................................................4
Course Objectives ........................................................................................4-6
Teaching Methodology ..................................................................................6
Methods of Evaluation ...................................................................................7
Academic Integrity Standards ........................................................................8
Attendance and Lateness..............................................................................8
Course Content Focus ..................................................................................8
Topical Outline/Readings & Assignment .......................................................9 - 15
Group Activities ............................................................................................15-16
Additional Policies .......................................................................................17-18
Important Dates this Semester .................................................................... 19
2
New York City College of Technology of the City University of New York
Department of Nursing
Associate in Applied Science
Course Syllabus
NUR 2210 CARING FOR CLIENTS WITH CHRONIC ALTERATIONS IN HUMAN
NEEDS
Faculty Contact Information:
Prof. Rita DeBonis, MSN, RN
Email: rdebonis@citytech.cuny.edu
Office Location: Main Office
Office Hours: Fridays, 11:30 am- 1:00 pm, and by appointment only
Phone number: 718-260-5660
Dr. Heather Gibson, PhD, RN
Email: hgibson@citytech.cuny.edu
Office Location: Main Off
Office Hours: By appointment and as posted.
Phone number: 718-260-5660
Course Outline
Course Code & Title:
NUR 2210 Caring for Clients with Chronic Alterations in Human Needs
Class Hours:
3 class hours & 6 clinical hours per week
Credits:
5 Credits
Prerequisites:
NUR 2110
NUR 2130
Required Texts:
Ricci, Kyle and Carman (2020). Maternity and Pediatric Nursing, (4th ed).
(Includes CoursePoint+) Wolters Kluwer.
Smeltzer, S. & Bare, B. (2022). Brunner and Suddarth’s Textbook of
Medical-Surgical Nursing (15thed.). Philadelphia: Lippincott, Williams &
Wilkins. 9781975186777 with Prep U
3
Required E-Books:
Lippincott’s Nursing Drug Guide Mobile/Desktop Bundle.
Manual of Lab Diagnostic Tests Mobile/Desktop Bundle
Course Description
In this course, the student continues to use the framework of Watson’s Caring Model to meet the
needs of clients in various age groups with chronic alterations in nutrition, bowel elimination, urinary
elimination, sensory/motor functioning, oxygenation, tissue perfusion, and immune responses. Focus
is on the application of the nursing process to manage the care of clients and groups of clients in
acute care, long-term care, and community health settings.
Course Objectives
1. Incorporate knowledge and skills from the communication arts, information technology, social and
biological sciences and previous nursing courses in caring for clients in all age groups with chronic
alterations in human needs.
General Education Learning Goal: KNOWLEDGE/Develop knowledge from a range of
disciplinary perspectives, and hone the ability to deepen and continue learning.
2. Evaluate caring behaviors in the safe management of clients of all ages with chronic health
problems in community, long-term and acute care settings.
General Education Learning Goal: SKILLS/Acquire and use the tools needed for
communication, inquiry, analysis, and productive work
3. Integrate the nursing process using a creative problem-solving approach to provide clientcentered care to culturally diverse clients with chronic alterations in human needs.
General Education Learning Goal: INTERGRATION/ Work productively within and across
disciplines.
4. Incorporate evidence-based practice using critical thinking in decision-making situations for clients
with chronic alterations in human needs.
4
General Education Learning Goal: SKILLS/Acquire and use the tools needed for
communication, inquiry, analysis, and productive.
5. Integrate concepts of effective communication when interacting with clients, families, significant
others and health care providers.
General Education Learning Goal: SKILLS/Acquire and use the tools needed for
communication, inquiry, analysis, and productive work.
6. Evaluate health teaching for individuals or groups with chronic alterations in human needs along
the healthillness-healing continuum.
General Education Learning Goal: VALUES, ETHICS, AND RELATIONSHIPS/ Understand and
apply values, ethics and diverse perspectives in personal, professional, civic, and cultural/global
domains
7. Collaborate with the client, family and health care providers in creating a protective, supportive
and/or corrective environment for clients with chronic alterations in human needs.
General Education Learning Goal: VALUES, ETHICS, AND RELATIONSHIPS/ Understand
and apply values, ethics and diverse perspectives in personal, professional, civic, and
cultural/global domains.
8. Apply legal and ethical standards that support the safety, dignity and integrity of clients with
chronic alterations in human needs.
General Education Learning Goal: VALUES, ETHICS, AND RELATIONSHIPS/ Understand
and apply values, ethics and diverse perspectives in personal, professional, civic, and
cultural/global domains.
9. Demonstrate accountability by utilizing quality improvement concepts in managing the nursing
care of clients with chronic alterations in human needs.
General Education Learning Goal: SKILLS/Acquire and use the tools needed for
communication, inquiry, analysis, and productive work
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10. Participate as a client advocate when caring for clients with chronic alterations in human needs.
General Education Learning Goal: SKILLS/Acquire and use the tools needed for
communication, inquiry, analysis, and productive work.
11. Display an active interest in lifelong learning activities and professional organizations at a local,
state, and national level.
General Education Learning Goal: KNOWLEDGE/Develop knowledge from a range of
disciplinary perspectives, and hone the ability to deepen and continue learning.
12. Evaluate participation in community-based service.
General Education Learning Goal: VALUES, ETHICS, AND RELATIONSHIPS/
Understand and apply values, ethics and diverse perspectives in personal, professional,
civic, and cultural/global domains.
Teaching Methodology
For the purposes of this course and to address the multiple learning styles of students, a
variety of methods and strategies will be used to enhance the facilitation of student education.
In addition, the following may be used in both the class and clinical settings:
 In-Person Activities
 Blackboard Collaborative Ultra
 Zoom
 College laboratory
 Journal articles
 Kaplan resources/tutorials
 Lippincott Prep-U
 Lecture/Discussion
 Legal case studies
 Medical/Surgical case studies
 Pre/Post clinical conference
 Group activities
 Use of Internet/Web-based resources
 Individual, group, written and self-study assignments
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Methods of Evaluation
Theory:
Unit Exams (3): 60% of course grade
Comprehensive Final Examination: 35% of course grade
Assignments & activities: 5% of course grade
 Group Activities: (4): 40 points ( worth 1% of course grade)
 Kaplan 2.5% of course grade
 Prep-U 2.5% of course grade
Kaplan – 2% - Focused exams with remediation, Integrated exams plus
remediation, Diagnostic Tests, Sample Tests plus remediation, Question
Trainer. Students must complete all assignments. Students must spend time
in remediation for focused tests, please see chart below. You should spend 1
minute per question for incorrect or difficult concepts on the other Kaplan
exams. Once all assignments are completed on time then the student will be
graded based on their overall score. Failure to complete Kaplan assignments
may result in an incomplete or failure of the course.
Kaplan Focused Review Test scores: 75% or above
Student discretion
70 % - 74%
20 minutes of
remediation
30 minutes of
remediation
40 minutes of
remediation
50 minutes of
remediation
60% - 69%
59% - 50%
49% or below
The Kaplan Diagnostic Test can be taken at home, students should
score at least 65% on this exam. Review the test results and look at
client needs categories. Identify your 3 lowest client need categories
and start to complete Q bank questions in these areas as soon as
possible and remediate all questions.
Prep U – 2% - all Prep U assignments must be completed on time for full
credit at the appropriate level. Failure to complete Kaplan assignments may
result in an incomplete or failure of the course.
Group Assignment – 1% - this assignment will be provided to students during
class or one week prior to class.
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Clinical:
Laboratory: Satisfactory/Unsatisfactory.
Course:
To pass this course, a student must achieve a minimum grade of 75% (C)
in theory and a Satisfactory grade in clinical. All online assignments must
be completed satisfactorily and submitted on time. In addition, The
Associate in Applied Science Degree in Nursing Program’s affiliation with
Kaplan Program is a contractual agreement to provide the individual
student with a basic remediation program at a minimum student cost
each semester. This program will support the Associate Degree in Nursing
student’s educational needs and Preparation for the NCLEX exam.
Students are required to participate in the NCLEX preparation program
which includes the Kaplan Exit Exam and NCLEX Live Review. Also,
proof of having completed six (6) hours of community service is to be
submitted by the 12th week of the semester.
Please refer to the Student Handbook for complete information regarding the policy on
EVALUATION/GRADING.
Grading Policy for all Courses Designated with the Prefix NUR
Grade
A
AB+
B
BC+
C
D
F
Definition
93–100%
90- 92.9%
87- 89.9%
83- 86.9%
80- 82.9%
77- 79.9%
75- 76.9%
60 -74.9%
Below 60
Quality Points (Index)
4.0
3.7
3.3
3.0
2.7
2.3
2.0
1.0
0.0
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Academic Integrity Standards
New York City College of Technology Policy on Academic Integrity
Students and all others who work with information, ideas, texts, images, music, inventions, and
other intellectual property owe their audience and sources accuracy and honesty in using,
crediting, and citing sources. As a community of intellectual and professional workers, the
College recognizes its responsibility for providing instruction in information literacy and
academic integrity, offering models of good practice, and responding vigilantly and
appropriately to infractions of academic integrity. Accordingly, academic dishonesty is
prohibited in The City University of New York and at New York City College of Technology and
is punishable by penalties, including failing grades, suspension, and expulsion.
Cheating/Plagiarism/Unfair Advantage
The Department of Nursing at New York City College of Technology views cheating,
plagiarism, and gaining unfair advantage as serious offenses. Students suspected of cheating,
plagiarizing or gaining unfair advantage may receive a zero for the assignment or examination
and will be subject to further disciplinary action by the College. For more information, refer to
the New York City College of Technology Policy on Academic Integrity.
Attendance and Lateness
Class: One absence puts the student at risk for failing the course. Two lateness’ will constitute an
absence. Lateness is 5 minutes or more after class start time. More than one absence is considered
overcut and can result in course failure. The Department of Nursing Examination Policy regarding
attendance and lateness for testing is reviewed on page 13 and is available in the Nursing Student
Handbook
Clinical/lab: More than one absence or two lateness in the clinical is considered overcut and results
in clinical failure. The clinical component of the course must be satisfactorily fulfilled, or course failure
will ensue. In case of personal emergency, please let the Clinical Instructor know via City Tech email
ASAP or within 24 hours of an absence.
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Course Content Focus
Emphasis in this course is on restoration of function for growth and survival. Each topic will include
examples of psychosocial/cultural issues; legal/ethical responsibilities; pertinent health teaching and
accountability in the care of clients with chronic alterations.
Topical Outline/Readings and Assignments
Date/Class
Week 1
1/27/2023
Topic
Course overview & safe
nursing practice
Professional nursing
Issues
Delegation
Advance directives
Organ donation
Intro to Chronic Disease
Required readings,
supplements, &
assignments
Read:
 Brunner: Ch 1 & 7
 Article: “Research:
The Path to
Enlightenment”
 Article “End-of-life
decisions.”
 Handout: “Scope
of Practice”
Kaplan, Prep U and other
activities
Required:
Kaplan Management of Care
A NGN Focused
Kaplan Channel Webinar –
Delegation on NCLEX
(delegation, lab tests, legal
issues, management)
Read/Listen:
Professor’s PowerPoint Prep U: Chap 1 and 7
presentation
Recommended:
Kaplan -Mgmt of Care B and
C NGN Focused
Week 2
2/3/2023
Bowel
Elimination/Nutrition
Morbid Obesity
Irritable Bowel Syndrome
Celiac Disease
Malabsorption Syndrome
Diverticular Disease
Hepatic Cirrhosis
Inflammatory Bowel
Disease:
• Crohn’s Disease
• Ulcerative Colitis
Read:
 Brunner – Chap.
41, 42, 43
 Handout: “Diet
Types & Pharm
Notes”
Required: Kaplan
Diagnostic Test – can be
taken at home – needs 65%
due on 2/2/23 - remediate
Required: Kaplan GI A NGN
Focused 2/2/23
Read/Listen:
Required: Prep U - Chap.
Professor’s PowerPoint 41, 42, 43
presentation
Recommended:
10
Kaplan -GI B and C NGN
Focused
Week 3
2/10/2023
& Acute Renal Failure
Chronic Renal Failure
Dialysis (HD & PD)
Kidney Transplant
Read:
 Brunner – Ch 48
Required
Kaplan: Sample Test #1
Kaplan: Take 75 Q-Bank
questions three lowest areas
Read/Listen:
Professor’s PowerPoint from Diagnostic – one sitting
presentation
Kaplan: Renal – Urological
Watch: Video
A NGN – Focused
Class assignment:
Group activity 1
Kaplan: Endocrine A NGN –
Focused
Prep U: Chapter due on Ch
48
Recommended:
Kaplan -Urological and
Endocrine B and C NGN
Focused
2/17/2023
Week 4
Test
Unit 1 Exam
Week 4
Ischemic and
continued Hemorrhagic Stroke
2/17/2023
Content
after Test
10:00
am
Read:
Brunner –62
Handout: “Notes
on Stroke”
Professor’s
PowerPoint
Required Kaplan
-Question Trainer #1
-75 Q Bank questions in one
sitting from your lowest areas
on the diagnostic
- Neurology: – A NGN
Focused
11
Read: Brunner – Ch 8, Required Kaplan:
61 (AD) & 65
- Sample Test #2
- 75 Q Bank questions in
Read/Listen:
one sitting
Professor’s PowerPoint
presentation
Required Prep U
Chapter 8 & 61
Class assignment:
Group activity 2
Recommended:
Week 5
Parkinson’s Disease
2/24/2023 Alzheimer’s Disease
Muscular Dystrophies
Post-polio Syndrome
-
Week 6
3/3/2022
Read: Brunner – Ch
61, 64
Seizure Disorders
Multiple Sclerosis
Myasthenia Gravis
Guillain-Barré Syndrome
Kaplan Neurology: B NGN Focused
D483 – Speak to Dr.
Gibson re: this class
Read/Listen:
Required Kaplan
Professor’s PowerPoint -Question Trainer #2
presentation
-75 Q Bank questions in
one sitting
Required Prep U
-Chap 64
Recommended:
Kaplan Neurology: -C
NGN Focused
Week 7
Cerebral Palsy
3/10/2022 Bell’s Palsy
Trigeminal Neuralgia
Unit 2
Restless Leg Syndrome
ExamTime/Date
to be
approved
10AM
Read:
Content
after
Exam
Read/Listen:
Professor’s PowerPoint
presentation
12
Required Kaplan
Brunner: Ch 64 -Sample Test #3
Ricci-Ch 34 & 44 -75 Q Bank questions in
Article:
one sitting
“Comorbidities,
treatment, and
pathophysiology Required Prep U
in restless leg
-Chap 65
syndrome”
Week 8
Tuberculosis
3/17/2022
Chapter 19
Required Kaplan
-Question Trainer #3
-75 Q Bank questions in
one sitting
Required Prep-U:
Chap 19
Recommended:
Kaplan – Mid-Fidelity
Simulation – COPD
Module 1 &2
Read: Brunner – 20
Required Kaplan
-Sample Test #4 - 50
Read/Listen:
Ques Alternate format
Professor’s PowerPoint - 75 Q Bank questions in
presentation
one sitting
- Respiratory ABC NGN
– Focused
Week 9
Chronic Bronchitis
3/24/2022 Emphysema
Asthma
Cystic Fibrosis
Required Prep-U:
Chap 20
Recommended:
-Kaplan – Mid-Fidelity
Simulation – COPD
Module 3& 4
-Respiratory B & C
NGN – Focused
Class
assignment:
Group activity 3
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Week 10 Adult anemias: Iron, Pernicious,
3/31/2022 Folate
Pediatric Anemia: IronDeficiency
Anemia
Pediatric Blood Disorders: Sickle
Cell
Spring
Anemia & Hemophilia
Break
4/7/23
Read:
Brunner: 29
Ricci: 26
Required Kaplan
- Question Trainer #4
- 75 Q Bank questions
in one sitting
Read/Listen:
- Pediatrics A NGN –
Professor’s PowerPoint
Focused
presentation
Required Prep-U:
- Chap 29
Recommended:
- Kaplan – MidFidelity Simulation –
COPD Module 5
-
Kaplan – Pediatrics
B & C NGN Focused
Week 11 Arteriosclerosis/Atherosclerosiss
4/14/2023 Peripheral Arterial Disease
Venous Insufficiency
Varicose Veins
Leg Ulcers
Peripheral Neuropathy (PN)
Read: Brunner: Ch 29, Required Kaplan
64 (PN)
- New Sample Test #5
– 30 Q – NGN
Read/Listen:
- 75 Q Bank questions
Professor’s PowerPoint
in one sitting
presentation
- Cardiovascular A
NGN – Focused
Required Prep-U:
Ch 29, 64
4/21/2023 Unit 3 Exam
10:00 AM
Content
After
Exam
Week 12
4/21/2023
Required Kaplan
- 75 Q Bank questions
Read:
in one sitting
Brunner: Ch. 24, - Cardiovascular C
25, 26
NGN – Focused
Ricci Ch 41
Required Prep-U:
Ch. 24, 25, 26
Read/Listen:
Professor’s PowerPoint
presentation
Aneurysms
Adult Chronic Heart Failure
Pediatric Heart Failure
Pulmonary Edema
Mitral Valve Disease
Aortic Stenosis
14
Class assignment:
Group Activity 4
Recommended:
Pharmacology A,B,C
NGN Focused
FYI:
Poss. Schedule
Kaplan Review
TBA 4/25, 4/26, 4/27
Week 13 HIV/AIDS
4/28/2023
Brunner Ch. 32
IPE Scheduled
Covid In- Patient
10-11:30am
All Students from all
sections invited as
observers.
Required Kaplan:
75 ques. From Q Bank
questions in one sitting
Required Prep U:
Chapter 32
Week 14
5/5/2023
Required Kaplan:
Read:
Rheumatoid Arthritis
Systemic Lupus Erythematosus
Brunner –35
- Heme-Immune A,B,
Gout
Handout:
“Systemic Lupus
and C NGN –
Erythematosus”
Focused
Case study
- TBA – Kaplan Exit
Read/Listen:
Exam – Proctored
Professor’s PowerPoint
On Campus –
presentation
Graded
15
Required Prep-U:
- Chap 35
5/19/2023
Comprehensive Final Exama 10:00am
(Cumulative)
Required Kaplan:
- TBA – Kaplan Exit
Exam - Proctored
On Campus Graded
(50 questions)



The professor may assign other readings, assignments within the semester to meet the
educational goals of the course.
The professor may conduct an online hybrid session due to scheduling or other issues.
The professor reserves the right to change the date, time and/or location of the
examinations. All students should be prepared to stay for 3 hours on testing days. For example,
be prepared to stay until 1pm for a 10am test.
Group Activities
Groups and activities will be assigned at the start of class (groups are randomly
assigned). There will be four group activities, worth 10 points each for a possible total of
40 points. In order to earn full credit for each group activity, the following criteria must be
met:
1) Must be present and on time for class*
2) Must participate in group work
3) Group must complete the activity in the allotted time and be prepared to present
to the class.
Each group will be expected to appoint the following roles:
 Group Leader: Organize the group and direct group members. Has final say
regarding the group’s answers/responses to the group activity. Does presentation
to the class or may designate other group member(s) to present. Has the
authority to report to professor if a group member did not meet criteria #2.
 Group Recorder: Succinctly and accurately documents the main ideas and
answers/responses of the group. Presents answers/responses to the group for
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final review. Monitors the time to ensure group completes the activity in the
allotted time.
*In the event of an excused absence, individual makeup assignments may be given,
upon request, at the discretion of the professor. However, only a maximum of 5 points
will be granted for individual makeup assignments. Requests for makeup assignments
must be made within 7 days of original group activity date.
In the event of lateness to class, 2 points will be deducted (from the individual’s grade)
for every 15 minutes of lateness.
Additional Policies
The recording and/or screenshot/photos of lectures, activities, examinations, and exam
reviews are not permitted in NUR 2210.
Distribution of course materials (i.e.: PowerPoint slides, handouts, journal articles,
assignments) is not permitted to any other individual within the City Tech Nursing
program or outside of it, without permission from the professor.
This course consists of in-person lectures and in-person, proctored exams at City Tech.
However, depending on the evolution of the COVID-19 pandemic and state/city
guidelines, lectures and exams may be converted to an online environment. Please be
advised that courses within the nursing program may use proctoring/lockdown browser
for exams which may consist of different modalities such as, but not limited to, live
proctoring or video recorded proctoring. Please note that the proctoring tool/lockdown
browser may only be required if the course description or course syllabus noted that one
might be used, allowing the student to make an informed decision about enrolling in that
course. A student cannot be compelled to agree to the terms and conditions of
proctoring solutions procured by the University, Colleges, Programs, and/or those which
may be bundled in with specific textbooks. An incomplete will be provided to the student
in the course, until an alternative assessment is provided. When in doubt, please refer to
the following guidance from our Office of General Counsel regarding this matter.
https://www.cuny.edu/coronavirus/academic-continuity/guidance-on-academiccontinuity-tocampuses/#Remote-Proctoring-Solutions.
Student Absence or Lateness for an Examination
In the event of an absence from an examination, it is the responsibility of the student to
notify the corresponding course faculty within 24 hours. Notification must be made to the
corresponding faculty’s NYCCT email address. A determination at the faculty’s
discretion will then be made whether a makeup examination is warranted. Progression
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on to the next examination cannot occur until a missed makeup examination is
completed. Makeup examinations must be completed prior to the next unit examination.
Five (5) points will be deducted for makeup unit examinations and ten (10) points
will be deducted for the makeup final examination. A grade of zero (0) will be
assigned for any missed makeup examination, not taken at the scheduled time.
A student who is late for an examination will be required to complete the examination in
the remaining examination period, extra time will not be given.
Professional Communication
Nursing students are expected to conduct themselves ethically and with integrity while
communicating with professors, staff, and students in all electronic, oral, visual, and
written forms of communication and adhere to the following:
Email address: Students are required to use their City Tech email address for
all electronic communication related to their studies at City Tech or during any
off-campus clinical assignment.
Email etiquette: Students shall follow basic rules of email etiquette, such as (a)
including a clear and direct subject line, (b) being brief, concise, and clear in the
body of the email, and (c) obeying standard rules of grammar and style; and
avoid being overly familiar. When writing to a professor or senior administrative
official at the college, students must include their name, course and section
number, and follow the basic rules of email etiquette. Language should always be
respectful; if a student has a concern, such as with exams or grades, the
students must make an appointment to meet with the administrator or professor.
This meeting is required to be a calm and respectful interaction, or it can be
terminated at the discretion of the professor.
Americans with Disabilities Act
Any student with a documented disability or history of disability services, seeking
academic adjustments and/or reasonable accommodations will need to contact The
Center for Student Accessibility and meet with staff to establish your adjustments and
reasonable accommodations. The Center for Student Accessibility is in room L-237 and
the phone number is 718 260 5143.
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Important Dates this Semester
No Classes:
Friday, April 7, 2023
(Spring Break)
Reading Day – May 12,
2023 No Class
 Apply for graduation (graduating seniors only): Monday, January 30, 2023 –
Friday March 3, 2023
 Last day to drop course with a “W” grade: Tuesday, May 16, 2023
 NYCCT Finals Week: May 17-23, 2023
 End of Fall Term: Friday, May 26, 2023
 Tentative Commencement Date: Friday June 2, 2023
NYC College of Technology’s Kaplan In-Person NCLEX Review Course
**Attendance is mandatory for graduating seniors**
Dates: TBA (Possibly April 25, 26, and 27, 2023)
Time: 9am-4pm each day
Location: TBA – (Possibly A105)
Agenda:
Day One: Morning Session: 9:00 am - Noon Lunch: Noon - 1:00 pm Afternoon Session: 1:00 pm - 4:00
pm
Day Two: Morning Session: 9:00 am – Noon Lunch: Noon - 1:00 pm Afternoon Session: 1:00 pm 4:00pm
Day Three: Morning Session: 9:00 am - Noon Lunch: Noon - 1:00 pm Afternoon Session: 1:00 pm 4:00 pm
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