GREAT BASIN COLLEGE
ASSOCIATE OF APPLIED SICENCE NURSING PROGRAM
NURS 158
Spring 2010
NURSING PROCESS THROUGHOUT THE LIFESPAN II
COURSE SYLLABUS
5 CREDITS (3 theory (45 hours) credits and 2 Clinical (90 hours) credits)
I.
GENERAL INFORMATION
A.
Catalog Description: Emphasis is on meeting bio-psychosocial needs of
patients throughout the lifespan with common, well-defined health
problems utilizing the nursing process. Three credits theory, two credits
clinical. Offered Spring semester only. Prerequisites: Admission to the
Nursing Program.
B.
Instructors Theory and Clinical:
Sharon Sutherland RN, MSN
753-2017(Office)
934-2336(Cell)
sharons@gwmail.gbcnv.edu
C.
Office Hours:
Tuesday 8:30-11:30 AM 1:00-2:00 PM
Thursday 8:30-9:30 AM or by appointment
D.
Schedule:
Theory
Classroom: Thursday 9:30 AM-12:15 PM
Dates:
January 24th, 2011 to May 20th, 2011
Clinical: Monday, Wednesday, Friday and Saturday as indicated on
clinical schedule.
II.
REQUIRED TEXTS:

Lewis, S.L. , Heitkemper, M.M., Dirksen, S.R. , O’Brien, P.G. &
Bucher, L. (2007). Medical- surgical nursing: Assessment and
management of clinical problems. (7th ed.) St. Louis, MO:Mosby.

O’Brien, P.G., Lewis, S.L. , Heitkemper, M.M., Dirksen, S.R. , &
Bucher, L. (2007). Study Guide:Medical- surgical nursing: Assessment
and management of clinical problems. (7th ed.) St. Louis, MO: Mosby.

Perry, S., Hockenberry, M., Lowdermilk, D., & Wilson, D. (2010)
Maternal Child Nursing Care. (4th ed.) Maryland Heights, MO:
Mosby.
**Please plan on using the Drug book, Lab & Diagnostic book, and Nursing
Diagnosis Book. You also may find it helpful to use your Fundamentals and
Pharmacology books as references.
III.
REQUIRED VIDEOS:
 The following videos are available as a link through Web Campus
 Expert Drug Therapy Series
o Heart Failure and Pulmonary Edema
o Hypertension
o Diabetes Mellitus
o Infection
 Pathophysiology for Nurses Series
o Heart Failure and Pulmonary Edema
o Hypertension
o Diabetes Mellitus
And others within individual assignments as indicated.
IV.
ATTENDANCE POLICY:
Students are expected to attend all classroom, lab, and clinical hours.
(See Student Handbook)
V.
METHOD OF INSTRUCTION:
Lecture, discussion, demonstration, small group work, videos, selected reference
readings, written assignments, computer assisted learning programs, nursing lab
activities, simulations and clinical instruction will be utilized. Each module after
the first module will incorporate inquiry-based learning and will be worth a total
of 46 points per module.
VI.
THEORY EVALUATION:
Evaluation of student progress will be the successful completion of the course
outcomes this will be evaluated by the completion of 14 modules. The 1st module
will be evaluated by class activities and a multiple choice exam. Each module
after the first module will be evaluated based on the following:
1. Initial Impressions- 2 points
2, In class participation –6 points
3. Assignment – 9 points
4. Reporting – 3 points
5. Multiple choice exam – 25 points (40 questions each exam)
The final exam will be a multiple choice exam worth 56 points
Questions will be based on utilization of critical thinking skills and application of
knowledge acquired in this, as well as previous courses. Each exam will be open
on Thursday after class until 11:00 PM and must be taken individually on any
computer through Web Campus.
See the Outcome and Assessment area at the end of the syllabus for further
specific information.
VII.
CLINICAL EVALUATION:
Clinical evaluation is done mutually by student and instructor throughout the
semester and in a summative evaluation at the end of the clinical rotation. The
Daily Clinical Evaluation forms will be used. Actual clinical performance and
written assignments will be used to determine clinical competency and the ability
to generalize and transfer theory outcomes to the clinical settings. Safe clinical
practice and demonstration of personal and associate degree nursing practice
attributes at the third semester level are mandatory for progression in the
program.
*See the Outcome and Assessment area at the end of the syllabus for further
specific information.
VIII. GRADING POLICY AND CRITERIA FOR NURS 257:
Course grade will be based on a percentage of total possible points according to
the following scale:
1000 -940
939-900
899-870
869-840
839-800
799-770
=
=
=
=
=
=
A
AB+
B
BC+
769-760
759-700
699-670
669-640
639-600
Below 600
= C (needed to pass)
= C=D+
=D
= D=F
The classroom course work must be completed on time and with a 76% or better
to pass the course. All clinical rotation paperwork must be completed on time and
with either a Pass or an average of 76% or better to pass the course. Late theory
and clinical assignments will be worth 50% of the actual grade. If an assignment
is more than one week late, a zero will be given for the assignment but submission
of the assignment is still required. Classroom exams and assignments will account
for 70% of the total grade and clinical grades will account for 30% of the grade.
Theory 70%=700 points
14 Modules - (46 points each) = 644 points
Final Exam = 56 points
Clinical 30% = 300 points
4 Med/Surg Packets = 220 Points (55 points X 4 packets)
Post Clinical Discussions= 20 points (5 points x 4)
1 Clinical Leadership Rotation = 10 Points
4 Simulations= 40 Points (10 points x 4)
1 School Nurse Assignment =5 Points
1 VA Telehealth Assignment= 5 Points
IX.
= 1000 total points
PROCALC EXAM:
 The Pro Calc exam must be completed with a grade of 100% by March
31, 2011 at 4 P.M.
 If you are not successful in achieving 100% after 3 tests, you will be
referred to the Academic Success Center for remediation
 After completion of remediation you are eligible to take 2 more tests
 If you are still not successful you may complete remediation one more
time and take a final 6th exam after this remediation. If the 6th exam in not
completed at 100%you have failed the course and will meet with the
instructor and program director.
X.
ACADEMIC HONESTY:
Great Basin College considers academic honesty one of its highest values. A student who
obtains academic credit for work that is not the product of his or her own effort is being
dishonest and undermining the academic integrity of the college. Students are expected
to be the sole authors of their work. Use of another’s ideas must be accompanied by
specific citation and reference. In addition, a learner may not submit the same work for
credit in more than one course. The disciplinary consequences of plagiarism and other
forms of academic dishonest include non-acceptance of work submitted, a failing grade
in the course, and/or or other disciplinary action as outlined in Great Basin College’s
Student Conduct Policy.
XI.
ACCOMMODATIONS FOR DISABILITIES:
Great Basin College is committed to providing equal educational opportunities to
qualified students with disabilities in accordance with state and federal laws and
regulations, including the Americans with Disabilities Act of 1990 and Section 504 of the
Rehabilitation Act of 1973. A qualified student must furnish current verification of
disability. The Director of Services for Students with Disabilities (Julie G. Byrnes) will
assist qualified students with disabilities in securing the appropriate and reasonable
accommodations, auxiliary aids and services. For more information or further assistance,
please call 775.753.2271.
XII.
ATTENDANCE POLICY
See the GBC Associate Degree Nursing Handbook
GREAT BASIN COLLEGE
ASSOCIATE OF APPLIED SCIENCE IN NURSING PROGRAM
The following essential skills and critical behaviors are key constructs that are derived
from GBC’s conceptual framework. They provide the theoretical underpinnings for all
nursing action and roles in the associate degree nursing program.
ESSENTIAL SKILLS
ES 1-COMMUNICATION ABILITIES
The ability to effectively employ therapeutic communication techniques and
appropriate interpersonal relationship skills during interactions with faculty,
individuals, family members, health care team members, peers and supervisors. The
use of information and technology to communicate, manage knowledge, mitigate
error and support decision making.
ES 2-CRITICAL THINKING
A reasoned, interactive and reflective process focused on deciding what to believe or do.
 The ability to identify and challenge assumptions.
 The ability to explore and imagine alternatives.
The ability to make judgments based on evidence (fact), rather than conjecture
(guesswork).
ES 3-EVIDENCE-BASED PRATICE
An informed approach to one’s practice that uses problem-solving methods
that integrate best research evidence, reflection, client preference and values,
and clinical expertise.
ES-4 CULTURAL COMPETENCE
The provision of nursing care that meets the individual’s valued life patterns
and set of meanings.
CRITICAL BEHAVIORS
CB 1-ACCOUNTABILITY
Being answerable to self, individual, organization and/or profession for something one
has done
 Exercises judgment when undertaking assigned tasks
 Applies knowledge when undertaking assigned tasks
 Accepts responsibility for actions
 Is able to answer the following questions in relation to nursing care provided:
 Why was this done?
 How did I come to the decision to do this?
 What makes this the most effective course of action?
CB 2-COLLABORATION
Intentional act of professionals working together toward a common goal.
 Treats others with mutual respect
 Identifies potential areas where conflict might arise and works toward
reducing/eliminating its occurrence.
 Works cooperatively and interdependently with all members/levels
of health care team.
CB 3-SELF-LEADERSHIP
The ability to regulate, manage, direct and/or control one’s own behavior.
 Continually identifies strengths and weaknesses in relation to one’s
knowledge, performance, behavior and attitude.
 Sets realistic goals for self.
 Recognizes internal/external factors which contribute to and/or reduce stress
levels.
CB 4-SAFETY
A priority in the provision of nursing care for individuals and includes protecting
individuals from physical and emotional injury through ongoing assessment and
elimination of safety hazards.
CB 5- CARING INTERVENTIONS
Nursing behaviors and actions that assist individuals in meeting their health care needs.
Caring behaviors are nurturing, protective, compassionate, and person centered.
PROGRAM AND LEVEL OUTCOMES
NURS 158
NURSING PROCESS THROUGHOUT THE LIFESPAN II
ADN PROGRAM
OUTCOMES
NURS 158
EXPECTED LEVEL OUTCOMES
As a Provider of Care:
As a Provider of Care:
The student will
demonstrate caring and
critical thinking skills by
assisting the individual,
family or group to identify
and meet basic health needs
in a wide variety of settings
across the continuum of
care. The student will assist
in the coordination of costeffective quality care using
a culturally competent,
collaborative and
interdisciplinary approach.
1. Plan appropriate patient care utilizing data from a
variety of sources.
2. Involve individuals, families and groups in selecting
therapeutic nursing interventions.
3. Select verbal and non-verbal means of communication
that are effective and appropriate with individuals, families
and groups.
4. Make appropriate choices in delivering nursing care
based on knowledge of culture, growth and development,
and lifespan.
As a Teacher, the student
will provide individual,
family, or group-based
education in a variety of
settings to promote,
maintain, and restore health
from birth through death.
The student will promote a
caring environment in
which culturally appropriate
learning activities and
effective use of resources
and current technology
exist.
As a Manager of Care, the
student will work
collaboratively with all
members of the health care
team to achieve a costeffective, quality care that is
customer focused and in
keeping with the
organizational goals and
mission of the settings in
which that care is provided.
.
As a Teacher
5. Modifies the environment to utilize all teaching
opportunities for the benefit of the patient.
6. Identifies teaching needs.
7. Measures learning of individuals, families and groups
and self in all teaching interactions.
As a Manager of Care
8. Determines the role of the nurse in the delivery of care
in a variety of health care settings.
9. Formulates collaborative plans of care that are patient
focused and reflect the organizations goals and mission.
As a Future Member of
the Profession, the student
will be accountable for the
ethical, legal, and
professional responsibilities
related to nursing practice.
As a Future Member of the Profession
As an Advocate for
Others, the student will
promote a climate in which
individuals, families, or
groups may act in their own
interest, including accessing
available resources, and
intervenes when they are
unable to act in their own
interest.
As an Advocate
10. Explains the ethical, legal and professional role and the
responsibilities of the Associate Degree Nurse within a
variety of health care settings.
11. Demonstrates accountability for self as a student and
future member of the profession.
12. Serves as an advocate to promote active participation
by individuals, families and groups and intervenes when
they are unable to act in their own interest.
Course Outline
Dates
Modules
Reading in Lewis
Test Dates
01/27/11
Module 1
Chapter 3- Culturally Competent Care
Chapter 6 -Older Adult
Introduction to Inquiry Based Learning
Clinical Forms- bring a copy of all assignments for
clinical to class
01/27/11
by 11:00 PM
02/03/11
Module 2
Chapter- 17-Fluids,Electrolytes, and Acid-Base
Imbalances
02/03/11
by 11:00 PM
02/10/11
Module 3
Chapter 40- Nutritional Problems
Chapter 42- Obesity
Maternal Child Nursing Care Chapter 40 pages: 11181119
02/10/11
by 11:00 PM
02/17/11
Module 4
Chapter 62-Musculoskeletal System
Chapter 63- Musculoskeletal Trauma and Orthopedic
Surgery
Maternal Child Nursing Care Chapter 54 pages: 16761691
02/17/11
by 11:00 PM
02/24/11
Module 5
Chapter 26- Respiratory System
Chapter 27- Upper Respiratory Problems
Maternal Child Nursing Care Chapter 46 pages: 13031318
02/24/11
by 11:00 PM
03/03/11
Module 6
Chapter 28- Lower Respiratory Problems
Maternal Child Nursing Care Chapter 46 pages: 13211326
03/03/11
by 11:00 PM
03/10/11
Module 7
Chapter 32- Cardiovascular System
Chapter 33- Hypertension
Maternal Child Nursing Care Chapter 48 pages: 14791481
03/10/11
by 11:00 PM
03/17/11
Module 8
Chapter 35- Heart Failure
Maternal Child Nursing Care Chapter 48 pages: 14531464
03/17/11
by 11:00 PM
03/24/11
Spring Break
03/31/11
Module 9
Chapter 38- Vascular Disorders
03/31/11
by 11:00 PM
04/07/11
Module 10
Chapter 48- Endocrine System
04/07/11
by 11:00 PM
04/14/11
Module 11
Chapter 49- Diabetes Mellitus
Maternal Child Nursing Care Chapter 52 pages: 16161630
04/14/11
by 11:00 PM
04/21/11
Module 12
Chapter 39- Gastrointestinal System
Chapter 42- Upper Gastrointestinal System
Maternal Child Nursing Care Chapter 47 pages: 16161630
0 by 11:00
PM 4/21/11
04/28/11
Module 13
Chapter 45- Urinary System
Chapter 46- Renal and Urological Problems
Maternal Child Nursing Care Chapter 50 pages: 15301540
04/28/11
by 11:00 PM
05/05/11
Module 14
Chapter 56- Nervous System
Chapter 59- Chronic Neurological Problems
Maternal Child Nursing Care Chapter 55 pages: 17331735
05/05/11
by 11:00 PM
05/12/11
Review
05/16/11
Final Exam- Web Campus
LEARNER OUTCOMES AND MEASUREMENT
Module 1: Culture and Older Adult
Theory Readings & Study Guide Assignments: Medical-Surgical Content
● Lewis, et al.: Chapter 3- Culturally Competent Care
● O’Brien, et al: (Lewis Study Guide) Chapter 3- Culturally Competent Care
●Lewis, et al.: Chapter- 6 “Older Adult”
●O’Brien, et al: (Lewis Study Guide) Chapter- 6 “Older Adult”
Assessment, Measurement, & Evaluation of Learner Outcomes:
Test Module I
Learning Outcomes:
Medical-Surgical Content:
1. Define the terms culture, values, subculture, acculturation, assimilation, ethnicity,
race, stereotyping, ethnocentrism, cultural imposition, transcultural nursing, cultural
competency, folk healer, and culture-bound syndrome.
2. Describe the potential effects of immigration on an individual’s health.
3. Explain aspects of culture and ethnicity that may affect a person’s physical and
psychologic health.
4. Describe strategies for successfully communicating with a person who speaks a
language that the nurse does not understand.
5. Identify physiologic and psychologic aspects of culture and ethnicity to consider
when providing nursing care.
8:00AM11:30 PM
6. Identify ways that the nurse’s own cultural background may influence nursing care
when working with patients from different cultural and ethnic groups.
7. Identify strategies for incorporating cultural information in the nursing process when
providing care for patients from different cultural and ethnic groups.
8. List the major biologic theories of aging.
9. Describe the needs of special populations of older adults.
10. Describe nursing interventions to assist chronically ill older adults.
11. Describe common problems of older adults related to hospitalization and acute illness
and the role of the nurse in assisting them with selected care problems.
12. Describe challenges and concerns related to the caregiving role.
13. Identify care alternatives to meet patient-specific needs of older adults.
14. Identify the legal and ethical issues related to older adults.
15.
Identify the role of the nurse in health screening and promotion and disease prevention for
older adults.
Lab/Clinical Outcomes:

Successful completion and check-off of required skills lab. This includes:
o
o
o
o
o



NG Tubes
Care of Ortho Patient
Chest Tubes
CCP
IV Therapy
Appropriately care for the older adult patient or a patient from a different culture
in the acute care setting or simulation.
Provide education in the outpatient setting or simulation to older adults or a
patient from a different culture.
Provide education to the pediatric patient in the school setting or simulation.
Module 2: Fluids, Electrolytes, and Acid-Base Imbalances
Theory Readings & Study Guide Assignments: Medical-Surgical Content
 Lewis, et al.: Chapter- 17-Fluids,Electrolytes, and Acid-Base Imbalances
 O’Brien, et al: (Lewis Study Guide) Chapter- 17-Fluids,Electrolytes, and AcidBase Imbalances
Assessment, Measurement, & Evaluation of Learner Outcomes:
 Test Module II
Learning Outcomes:
Medical-Surgical Content:
1. Describe the composition of the major body fluid compartments.
2. Define the following processes involved in the regulation of movement of
water and electrolytes between the body fluid compartments: diffusion, osmosis,
filtration, hydrostatic pressure, oncotic pressure, and osmotic pressure.
3. Describe the etiology, laboratory diagnostic findings, clinical manifestations,
and nursing and collaborative management of the following disorders:
a. Extracellular fluid volume imbalances: fluid volume deficit and fluid
volume excess
b. Sodium imbalances: hypernatremia and hyponatremia
c. Potassium imbalances: hyperkalemia and hypokalemia
d. Magnesium imbalances: hypermagnesemia and hypomagnesemia
e. Calcium imbalances: hypercalcemia and hypocalcemia
f. Phosphate imbalances: hyperphosphatemia and hypophosphatemia
g. Zinc imbalances
4. Identify the processes to maintain acid-base balance.
5. Discuss the etiology, laboratory diagnostic findings, clinical manifestations,
and nursing and collaborative management of the following acid-base imbalances:
metabolic acidosis, metabolic alkalosis, respiratory acidosis, and respiratory
alkalosis.
6. Describe the composition and indications of common intravenous fluid
solutions.
Lab/Clinical Outcomes:
1.
Appropriately care for medical-surgical and pediatric patients with fluid,
electrolyte, or acid-base imbalances in the acute care setting or simulation.
Module 3: Nutritional Problems and Obesity
Theory Readings & Study Guide Assignments: Medical-Surgical Content
● Lewis, et al.: Chapter 40- Nutritional Problems and Chapter 42- Obesity
 O’Brien, et al: (Lewis Study Guide) Chapter 40- Nutritional Problems and
Chapter 42- Obesity
 Maternal Child Nursing Care Chapter 40 pages: 1118-1119
Assessment, Measurement, & Evaluation of Learner Outcomes:
 Test Module 3
Learning Outcomes:
Medical-Surgical Content:
1.
2.
3.
4.
5.
6.
Describe the essential components of a nutritionally good diet and their importance to
health.
Describe possible adverse interactions between drugs and various foods.
Describe the common etiologic factors, clinical manifestations, and management of
malnutrition.
Explain the indications for use, complications, and nursing management of tube
feedings.
Describe the types of feeding tubes and related nursing management.
Define the indications, complications, and nursing management related to the use of
parenteral nutrition.
7.
8.
Compare the etiologic factors, clinical manifestations, and nursing management of
eating disorders
Discuss the etiologies and collaborative care of obesity.
9. Describe the classification systems for determining a person’s body size.
10. Explain the health risks associated with obesity.
11. Discuss nutritional therapy and exercise plans for the obese patient.
12. Describe the different bariatric surgical procedures used to treat obesity.
13. Describe the nursing management related to conservative and surgical therapies for
obesity.
14. Describe the etiology, clinical manifestations, and nursing and collaborative management
of metabolic syndrome.
Lab/Clinical Outcomes:
Appropriately care for medical-surgical patients with nutritional and obesity
problems in the acute care setting or simulation.
2. Appropriately care for pediatric patient with nutritional and obesity problems in
the school, the acute care setting or simulation.
1.
Module 4: Musculoskeletal System, Trauma and Orthopedic Surgery
Theory Readings & Study Guide Assignments: Medical-Surgical Content
 Lewis, et al.: Chapter: 62 “Musculoskeletal System”
 O’Brien, et al: (Lewis Study Guide) Chapter: 62 “Musculoskeletal System”
 Lewis, et al.: Chapter: 63 “Musculoskeletal Trauma and Orthopedic Surgery”
 O’Brien, et al: (Lewis Study Guide) Chapter: 63 “Musculoskeletal Trauma and
Orthopedic Surgery”
 Maternal Child Nursing Care Chapter 54 pages: 1676-1691
Assessment, Measurement, & Evaluation of Learner Outcomes:
 Test Module 4
Learning Outcomes:
Medical-Surgical Content:
1.
2.
3.
4.
5.
6.
7.
8.
9.
Describe the gross anatomic and microscopic composition of bone.
Explain the classification system of joints and movements at synovial joints.
Describe the types and structure of muscle tissue.
Describe the functions of cartilage, muscles, ligaments, tendons, fascia, and bursae.
Describe age-related changes in the musculoskeletal system and differences in
assessment findings.
Identify the significant subjective and objective data related to the musculoskeletal
system that should be obtained from a patient.
Describe the appropriate techniques used in the physical assessment of the
musculoskeletal system.
Differentiate normal from abnormal findings of a physical assessment of the
musculoskeletal system.
Describe the purpose, significance of results, and nursing responsibilities related to
diagnostic studies of the musculoskeletal system.
10. Explain the etiology, pathophysiology, clinical manifestations, and collaborative care of
soft tissue injuries, including strains, sprains, dislocations, subluxations, bursitis,
repetitive strain injury, carpal tunnel syndrome, rotator cuff injury, meniscus injury, and
muscle spasms.
11. Describe the sequential events involved in fracture healing.
12. Differentiate among closed reduction, cast immobilization, open reduction, and traction
regarding purpose, complications, and nursing management.
13. Describe the neurovascular assessment of an injured extremity.
14. Explain common complications associated with a fracture and fracture healing.
15. Describe the collaborative care and nursing management of patients with specific
fractures.
16. Describe the indications for and collaborative care and nursing management of the
patient with an amputation.
17. Describe the types of joint replacement surgery associated with arthritis and connective
tissue diseases.
18. Identify the preoperative and postoperative management of the patient having joint
replacement surgery
Lab/Clinical Outcomes:
Appropriately care for medical-surgical and pediatric patients in the inpatient
acute care setting or simulation with musculoskeletal problems.
2. Appropriately care for pediatric patients with musculoskeletal problems in the
school setting and the acute care setting.
1.
Module 5: Respiratory System, and Upper Respiratory Problems
Theory Readings & Study Guide Assignments:Medical-Surgical Content
 Lewis, et al.: Chapter: 26 “Respiratory System”
 O’Brien, et al: (Lewis Study Guide) Chapter: 26 “Respiratory System”
 Lewis, et al.: Chapter: 27 “Upper Respiratory Problems”
 O’Brien, et al: (Lewis Study Guide) Chapter: 27 “Upper Respiratory Problems”
 Maternal Child Nursing Care Chapter 46 pages: 1303-1318
Assessment, Measurement, & Evaluation of Learner Outcomes:
 Test Module 5
Learning Outcomes:
Medical-Surgical Content:
1. Describe the structures and functions of the upper respiratory tract, the lower respiratory
tract, and the chest wall.
2. Describe the process that initiates and controls inspiration and expiration.
3. Describe the process of gas diffusion within the lungs.
4. Identify the respiratory defense mechanisms.
5. Describe the significance of arterial blood gas values and the oxyhemoglobin dissociation
curve in relation to respiratory function.
6. Identify the signs and symptoms of inadequate oxygenation and the implications of these
findings.
7. Describe age-related changes in the respiratory system and differences in assessment
findings.
8. Identify the significant subjective and objective assessment data related to the respiratory
system that should be obtained from a patient.
9. Describe the techniques used in physical assessment of the respiratory system.
10. Differentiate normal from common abnormal findings in a physical assessment of the
respiratory system.
11. Describe the purpose, significance of results, and nursing responsibilities related to
diagnostic studies of the respiratory system.
12. Describe the clinical manifestations and nursing management of problems of the nose.
13. Describe the clinical manifestations and nursing management of problems of the
paranasal sinuses.
14. Describe the clinical manifestations and nursing management of problems of the pharynx
and larynx and ears.
15. Discuss the nursing management of the patient who requires a tracheostomy.
16. Identify the steps involved in performing tracheostomy care and suctioning an airway.
17. Describe the risk factors and warning symptoms associated with head and neck cancer.
18. Discuss the nursing management of the patient with a laryngectomy.
19. Describe the methods used in voice restoration for the patient with temporary or
permanent loss of speech
Lab/Clinical Outcomes:
Appropriately care for medical-surgical and pediatric patients in the acute care setting or
simulation with upper respiratory problems.
Appropriately care for the pediatric patient with upper respiratory problems in the school
setting or the acute care setting.
Module 6: Lower Respiratory Problems
Theory Readings & Study Guide Assignments: Medical-Surgical Content
 Lewis, et al.: Chapter: 28 “Lower Respiratory Problems”
● O’Brien, et al: (Lewis Study Guide) Chapter: 28 “Lower Respiratory Problems
 Maternal Child Nursing Care Chapter 46 pages: 1321-1326
Assessment, Measurement, & Evaluation of Learner Outcomes:
 Test Module 5
Learning Outcomes:
1. Describe the pathophysiology, types, clinical manifestations, and collaborative care of
pneumonia and bronchiolitis.
2. Explain the nursing management of the patient with pneumonia.
3. Describe the pathogenesis, classification, clinical manifestations, complications,
diagnostic abnormalities, and nursing and collaborative management of tuberculosis.
4. Identify the causes, clinical manifestations, and nursing and collaborative management
of pulmonary fungal infections.
5. Explain the pathophysiology, clinical manifestations, and nursing and collaborative
management of lung abscesses.
6. Identify the causative factors, clinical features, and management of environmental lung
diseases.
7. Describe the causes, risk factors, pathogenesis, clinical manifestations, and nursing and
collaborative management of lung cancer.
8. Identify the mechanisms involved and the clinical manifestations of pneumothorax,
fractured ribs, and flail chest.
9. Describe the purpose, methods, and nursing responsibilities related to chest tubes.
10. Explain the types of chest surgery and appropriate preoperative and postoperative care.
11. Compare and contrast extrapulmonary and intrapulmonary restrictive lung disorders in
terms of causes, clinical manifestations, and collaborative management.
12. Describe the pathophysiology, clinical manifestations, and management of pulmonary
embolism, pulmonary hypertension, and cor pulmonale.
13. Discuss the use of lung transplantation as a treatment for pulmonary disorders.
Lab/Clinical Outcomes:
Appropriately care for medical-surgical and pediatric patients in the acute care setting or
simulation with lower respiratory problems.
Appropriately care for the pediatric patient with lower respiratory problems in the school
setting.
Module 7: Cardiovascular System and Hypertension
Theory Readings & Study Guide Assignments:Medical-Surgical Content




●
Lewis, et al.: Chapter: 32 “Cardiovascular System”
O’Brien, et al: (Lewis Study Guide) Chapter: 32 “Cardiovascular System”
Lewis, et al.: Chapter: 33 “Hypertension”
O’Brien, et al: (Lewis Study Guide) Chapter: 33 “Hypertension”
Maternal Child Nursing Care Chapter 48 pages: 1479-1481
Assessment, Measurement, & Evaluation of Learner Outcomes:
 Test Module 7
Learning Outcomes:
Medical-Surgical Content:
1. Describe the anatomic location and function of the following cardiac structures:
pericardial layers, atria, ventricles, semilunar valves, and atrioventricular valves.
2. Describe coronary circulation and the areas of heart muscle supplied by the major
coronary arteries.
3. Explain the normal sequence of events involved in the conduction pathway of the heart.
4. Describe the structure and function of arteries, veins, capillaries, and endothelium.
5. Define blood pressure and the mechanisms involved in its regulation.
6. Identify the waveforms and the associated cardiac events represented on a normal
electrocardiogram.
7. Identify the significant subjective and objective assessment data related to the
cardiovascular system that should be obtained from a patient.
8. Describe the appropriate techniques used in the physical assessment of the
cardiovascular system.
9. Differentiate normal from common abnormal findings of a physical assessment of the
cardiovascular system.
10. Describe the age-related changes of the cardiovascular system and differences in
assessment findings.
11. Describe the purpose, significance of results, and nursing responsibilities of diagnostic
studies of the cardiovascular system.
12. Describe the mechanisms involved in the regulation of blood pressure.
13.
14.
15.
16.
Identify the pathophysiologic mechanisms associated with primary hypertension.
Describe the clinical manifestations and complications of hypertension.
Describe strategies for the prevention of primary hypertension.
Describe the collaborative care for hypertension, including drug therapy and lifestyle
modifications.
17. Discuss the collaborative care of the older adult patient with hypertension.
18. Describe the nursing management of the patient with hypertension, emphasizing patient
education.
19. Describe the clinical manifestations and collaborative care of hypertensive crisis.
Lab/Clinical Outcomes:
Appropriately care for medical-surgical patients in the acute care setting or simulation
with cardiovascular problems.
Module 8: Heart Failure
Theory Readings & Study Guide Assignments:Medical-Surgical Content
 Lewis, et al.: Chapter: 35 “Heart Failure”
 O’Brien, et al: (Lewis Study Guide) Chapter: 35 “Heart Failure”
 Maternal Child Nursing Care Chapter 48 pages: 1453-1464
Assessment, Measurement, & Evaluation of Learner Outcomes:
 Test Module 8
Learning Outcomes:
Medical-Surgical Content:
1. Compare the pathophysiology of systolic and diastolic ventricular failure.
2. Discuss the compensatory mechanisms involved in heart failure.
3. Describe the nursing and collaborative management of the patient with acute
decompensated heart failure and pulmonary edema.
4. Describe the collaborative care and nursing management, including drug and nutritional
therapy, of the patient with chronic heart failure.
5. Describe the indications for cardiac transplantation and the nursing management of
cardiac transplant recipients.
Lab/Clinical Outcomes:
Appropriately care for medical-surgical patients in the inpatient acute care setting or
simulation with cardiovascular problems.
Module 9: Vascular Disorders
Theory Readings & Study Guide Assignments: Medical-Surgical Content
 Lewis, et al.: Chapter: 38 “Vascular Disorders”
 O’Brien, et al: (Lewis Study Guide) Chapter: 38 “Vascular Disorders”
Assessment, Measurement, & Evaluation of Learner Outcomes:
 Test Module 9
Learning Outcomes:
1. Describe the etiology and pathophysiology of peripheral arterial disease.
2. Identify the major risk factors associated with peripheral arterial disease.
3. Describe the pathophysiology, clinical manifestations, and collaborative care of aortic
aneurysms.
4. Discuss the perioperative nursing care of a patient having an aortic aneurysm repair.
5. Describe the pathophysiology, clinical manifestations, and collaborative care of aortic
dissection.
6. Discuss the clinical manifestations, collaborative care, and surgical management of
peripheral arterial disease of the lower extremities.
7. Discuss the nursing management of the patient with acute arterial insufficiency affecting
the lower extremities.
8. Differentiate the pathophysiology, clinical manifestations, and collaborative care of
thromboangiitis obliterans (Buerger’s disease) and Raynaud’s phenomenon.
9. Identify the risk factors predisposing to the development of superficial thrombophlebitis
and deep vein thrombosis.
10. Differentiate between the clinical characteristics of superficial thrombophlebitis and deep
vein thrombosis.
11. Describe the collaborative care and nursing management of the patient with venous
thrombosis, including superficial thrombophlebitis and deep vein thrombosis.
12. Describe the nursing management of the patient receiving anticoagulation therapy.
13. Discuss the pathophysiology, clinical manifestations, and collaborative and nursing
management of patients with varicose veins, venous insufficiency, or venous leg ulcers
Lab/Clinical Outcomes:
Appropriately care for medical-surgical patients in with peripheral arterial disease in the
acute care setting or simulation
Module 10: Endocrine System
Theory Readings & Study Guide Assignments: Medical-Surgical Content


Lewis, et al.: Chapter: 48 “Endocrine System”
O’Brien, et al: (Lewis Study Guide) Chapter: 48 “Endocrine System”
Assessment, Measurement, & Evaluation of Learner Outcomes:
 Test Module 10
Learning Outcomes:
1. Identify the common characteristics and functions of hormones.
2. Identify the locations of the endocrine glands.
3. Describe the functions of hormones secreted by the pituitary, thyroid, parathyroid, and
adrenal glands and the pancreas.
4. Describe the locations and roles of hormone receptors.
5. Identify the significant subjective and objective assessment data related to the
endocrine system that should be obtained from a patient.
6. Describe the appropriate technique used in the physical assessment of the thyroid
gland.
7. Describe age-related changes in the endocrine system and differences in assessment
findings.
8.
Differentiate normal from common abnormal findings in the assessment of the
endocrine system.
9. Describe the purpose, significance of results, and nursing responsibilities related to
diagnostic studies of the endocrine system.
Lab/Clinical Outcomes:
Appropriately care for medical-surgical and pediatric patients with endocrine problems in
the acute care setting or simulation.
Appropriately care for the pediatric patient with endocrine problems in the school setting.
Module 11: Diabetes Mellitus
Theory Readings & Study Guide Assignments: Medical-Surgical Content



Lewis, et al.: Chapter: 49 “Diabetes Mellitus”
O’Brien, et al: (Lewis Study Guide) Chapter: 49 “Diabetes Mellitus”
Maternal Child Nursing Care Chapter 52 pages: 1616-1630
Assessment, Measurement, & Evaluation of Learner Outcomes:
 Test Module 10
Learning Outcomes:
1. Describe the pathophysiology and clinical manifestations of diabetes mellitus.
2. Describe the differences between type 1 and type 2 diabetes mellitus.
3. Describe the collaborative care of the patient with diabetes mellitus.
4. Describe the role of nutrition and exercise in the management of diabetes mellitus.
5. Describe the nursing management of a patient with newly diagnosed diabetes mellitus.
6. Describe the nursing management of the patient with diabetes mellitus in the
ambulatory and home care settings.
7. Identify the pathophysiology and clinical manifestations of acute and chronic
complications of diabetes mellitus.
8. Explain the collaborative care and nursing management of the patient with acute and
chronic complications of diabetes mellitus.
Lab/Clinical Outcomes:
Appropriately care for medical-surgical and pediatric patients in the acute care setting or
simulation with Type 1 and Type 2 diabetes mellitus.
Appropriately care for the pediatric patient with Type 1 and Type 2 diabetes mellitus in
the school setting or simulation.
Module 12: Gastrointestinal System
Theory Readings & Study Guide Assignments: Medical-Surgical Content





Lewis, et al.: Chapter: 39 “Gastrointestinal System”
O’Brien, et al: (Lewis Study Guide) Chapter: 39 “Gastrointestinal System”
Lewis, et al.: Chapter: 42 “Upper Gastrointestinal System”
O’Brien, et al: (Lewis Study Guide) Chapter: 42 “Upper Gastrointestinal System”
Maternal Child Nursing Care Chapter 47 pages: 1616-1630
Assessment, Measurement, & Evaluation of Learner Outcomes:
 Test Module 9: Available on Webcampus from Thursday April 22nd at 0930 AM
thru Sunday April 25th at 11:30 PM
Learning Outcomes:
Medical-Surgical Content:
1.
2.
3.
4.
5.
6.
7.
8.
9.
Describe the structures and functions of the organs of the gastrointestinal tract.
Describe the structures and functions of the liver, gallbladder, biliary tract, and pancreas.
Explain the processes of ingestion, digestion, absorption, and elimination.
Explain the processes of biliary metabolism, bile production, and bile excretion.
Describe age-related changes in the gastrointestinal system and differences in
assessment findings.
Identify the significant subjective and objective data related to the gastrointestinal system
that should be obtained from a patient.
Describe the appropriate techniques used in the physical assessment of the
gastrointestinal system.
Differentiate normal from common abnormal findings of a physical assessment of the
gastrointestinal system.
Describe the purpose, significance of results, and nursing responsibilities related to
diagnostic studies of the gastrointestinal system. Describe the etiology, complications,
collaborative care, and nursing management of nausea and vomiting.
10. Describe the common etiology, clinical manifestations, collaborative care, and nursing
management of upper gastrointestinal bleeding.
11. Describe the etiology, clinical manifestations, and treatment of common oral
inflammations and infections.
12. Describe the etiology, clinical manifestations, complications, collaborative care, and
nursing management of oral cancer.
13. Explain the types, pathophysiology, clinical manifestations, complications, and
collaborative care, including surgical therapy and nursing management, of
gastroesophageal reflux disease (GERD) and hiatal hernia.
14. Describe the pathophysiology, clinical manifestations, complications, and collaborative
care of esophageal cancer, diverticula, achalasia, and esophageal strictures.
15. Differentiate between acute and chronic gastritis, including the etiology, pathophysiology,
collaborative care, and nursing management.
16. Compare and contrast gastric and duodenal ulcers, including etiology and
pathophysiology, clinical manifestations, complications, collaborative care, and nursing
management.
17. Describe the clinical manifestations, collaborative care, and nursing management of
stomach cancer.
18. Identify the common types of food poisoning and nursing responsibilities related to food
poisoning
Lab/Clinical Outcomes:
Appropriately care for medical-surgical and pediatric patients in the acute care setting or
simulation with gastrointestinal problems.
Appropriately care for pediatric patients in the school settingwith gastrointestinal
problems.
Module 13: Urinary System and Renal and Urological Problems
Theory Readings & Study Guide Assignments:
Medical-Surgical Content





Lewis, et al.: Chapter: 45 “Urinary System”
O’Brien, et al: (Lewis Study Guide) Chapter: 45 “Urinary System”
Lewis, et al.: Chapter: 46 “Renal and Urological Problems”
O’Brien, et al: (Lewis Study Guide) Chapter: 46 “Renal and Urological
Problems”
Maternal Child Nursing Care Chapter 50 pages: 1530-1540
Assessment, Measurement, & Evaluation of Learner Outcomes:
 Test Module 11
Learning Outcomes:
Medical-Surgical Content:
1. Describe the anatomic location and functions of the kidneys, ureters, bladder, and
urethra.
2. Explain the physiologic events involved in the formation and passage of urine from
glomerular filtration to voiding.
3. Identify the significant subjective and objective data related to the urinary system that
should be obtained from a patient.
4. Describe age-related changes in the urinary system and differences in assessment
findings.
5. Describe the appropriate techniques used in the physical assessment of the urinary
system.
6. Differentiate normal from common abnormal findings of a physical assessment of the
urinary system.
7. Describe the purpose, significance of results, and nursing responsibilities related to
diagnostic studies of the urinary system.
8. Describe the normal physical and chemical characteristics of urine.
9.
Describe the pathophysiology, clinical manifestations, collaborative care, and drug
therapy of cystitis, urethritis, and pyelonephritis.
10. Explain the nursing management of urinary tract infections.
11. Describe the immunologic mechanisms involved in glomerulonephritis.
12. Explain the clinical manifestations and nursing and collaborative management of acute
poststreptococcal glomerulonephritis, Goodpasture syndrome, and chronic
glomerulonephritis.
13. Describe the common causes, clinical manifestations, collaborative care, and nursing
management of nephrotic syndrome.
14. Compare and contrast the etiology, clinical manifestations, collaborative care, and
nursing management of various types of urinary calculi.
15. Explain the common causes and management of renal trauma, renal vascular problems,
and hereditary renal problems.
16. Describe the mechanisms of renal involvement in metabolic and connective tissue
disorders.
17. Describe the clinical manifestations and collaborative care of kidney cancer and bladder
cancer.
18. Describe the common causes and management of bladder dysfunctions, particularly
urinary incontinence and urinary retention.
19. Differentiate among ureteral, suprapubic, nephrostomy, urethral, and external catheters
with regard to indications for use and nursing responsibilities.
20. Explain the nursing management of the patient undergoing nephrectomy or urinary
diversion surgery.
Lab/Clinical Outcomes:
Appropriately care for medical-surgical patients in the inpatient acute care setting
Module 14: Nervous System
Theory Readings & Study Guide Assignments:
Medical-Surgical Content





Lewis, et al.: Chapter: 56 “Nervous System”
O’Brien, et al: (Lewis Study Guide) Chapter: 56 “Nervous System”
Lewis, et al.: Chapter: 59 “Chronic Neurological Problems”
O’Brien, et al: (Lewis Study Guide) Chapter: 59 “Chronic Neurological
Problems”
Maternal Child Nursing Care Chapter 55 pages: 1733-1735
Assessment, Measurement, & Evaluation of Learner Outcomes:
 Test Module 14
Learning Outcomes:
Medical-Surgical Content:
1. Describe the functions of neurons and neuroglia.
2. Explain the electrochemical aspects of nerve impulse transmission.
3. Explain the anatomic location and functions of the cerebrum, brainstem, cerebellum,
spinal cord, peripheral nerves, and cerebrospinal fluid.
4. Identify the major arteries supplying the brain.
5. Describe the functions of the 12 cranial nerves.
6. Compare the functions of the two divisions of the autonomic nervous system.
7. Describe age-related changes in the neurologic system and differences in assessment
findings.
8. Identify the significant subjective and objective data related to the nervous system that
should be obtained from a patient.
9. Describe the techniques used in the physical assessment of the nervous system.
10. Differentiate normal from common abnormal findings of a physical assessment of the
nervous system.
11. Describe the purpose, significance of results, and nursing responsibilities related to
diagnostic studies of the nervous system.
12. Compare and contrast tension-type, migraine, and cluster headaches in terms of etiology,
clinical manifestations, collaborative care, and nursing management.
13. Describe the etiology, clinical manifestations, diagnostic studies, collaborative care, and
nursing management of seizure disorders, multiple sclerosis, Parkinson's disease, and
myasthenia gravis.
14. Describe the clinical manifestations and nursing and collaborative management of
restless legs syndrome, amyotrophic lateral sclerosis, and Huntington's disease.
15. Explain the potential impact of chronic neurologic disease on physical and psychologic
well-being.
16. Outline the major goals of treatment for the patient with a chronic, progressive neurologic
disease.
Lab/Clinical Outcomes:
Appropriately care for medical-surgical patients in the inpatient acute care setting