SCHOOL OF NURSING
COURSE OUTLINE
Level II Course Title: Adult Health Nursing II
Catalog No.: NUR240
Credits: 8
Lecture & Clinical
Students Graduating 5/10 DAY
Revised 6/06, 12/06, 7/07, 8/07, 6/16/08,12/08, 6/09, 11/09
TABLE OF CONTENTS
PAGE
COURSE DESCRIPTION .............................................................................................................................1
PRE-REQUISITE ..........................................................................................................................................1
CO-REQUISITE ............................................................................................................................................1
PURPOSE: .....................................................................................................................................................1
TIME ALLOTMENT: ...................................................................................................................................1
CREDIT HOURS ...........................................................................................................................................1
PROGRESSION OF CORE COMPONENTS IN THE NURSING PROGRAM .........................................2
NUR 240 COURSE OBJECTIVES ...............................................................................................................4
TOPICAL COURSE OUTLINE ....................................................................................................................5
TEACHING METHODS & TOOLS .............................................................................................................6
REQUIRED ASSIGNMENTS ......................................................................................................................6
EVALUATION METHODS .........................................................................................................................6
EXAMINATIONS .........................................................................................................................................6
FINAL GRADING ........................................................................................................................................7
DOSAGE CALCULATION ASSESSMENT ...............................................................................................7
ACADEMIC INTEGRITY ............................................................................................................................7
DOSAGE CALCULATION ASSESSMENT ...............................................................................................7
ACADEMIC INTEGRITY ............................................................................................................................7
REQUIRED TEXTBOOKS ...........................................................................................................................9
RECOMMENDED TEXTBOOKS ..............................................................................................................10
ATTENDANCE POLICY ...........................................................................................................................10
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COURSE DESCRIPTION: NUR 240 – NURSING II
Nursing process is utilized in the study of adult health, incorporating responses and adaptation to stress
continued from NR 33. Adaptation and stress management is promoted for adults who manifest their stress
in acute and chronic physical illnesses and clients with multiple health problems. Experiences to integrate
nursing theory and skills include clinical experiences in health settings.
PRE-REQUISITE:
NUR124 or NUR 133/NUR136
CO-REQUISITE:
BY 44 & PC 60
PURPOSE:
To assist the student to explore the effects of stress on human needs and the related nursing implications.
Emphasis will be placed on utilizing the nursing process to assist individuals with acute and chronic
conditions to re-establish a state of homeostasis and relative level of wellness. Preventative and
rehabilitative factors will be integrated throughout each unit. Related nutritional, pharmacological,
psychological and cultural/spiritual aspects will be considered. Community agencies will be utilized to
correlate theory and practice. Application of management skills will be developed in the clinical area.
TIME ALLOTMENT:
Lecture__________5 hours weekly
Clinical__________9 hours weekly
CREDIT HOURS: 8 Credits
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PROGRESSION OF CORE COMPONENTS IN THE NURSING PROGRAM
Professional
Behavior
Level II
Communication
Level II
 Adhere to standards of professional practice.
 Demonstrate accountability for personal actions and delegated actions.
 Practice nursing within legal, ethical and regulatory frameworks.
 Utilize and incorporate resources for life long learning.
▪ Initiate actions that facilitate empowerment for the nursing profession
 Demonstrate leadership in the nursing role.
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Assessment
Level II
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Clinical Decision
Making
Level II
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Caring
Interventions
Level II
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Teaching and
Learning
Level II
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▪
Collaboration
Level II
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Identify similarities and differences on a position and support their position with current
nursing literature.
Apply advanced techniques of therapeutic communication with clients, significant others
and members of the health care team.
Employ group dynamic strategies when communicating with team members.
Demonstrate increasing ability to communicate relevant, accurate and complete
information for groups of clients verbally and in written documentation.
Analyze health status of acutely ill clients/groups of clients with multiple health problems.
Demonstrate advanced skill in completing a health history.
Integrate prior knowledge in assessing the effects of stressors on clients, families and
communities.
Prioritize responses to actual or potential health problems and to nursing interventions.
Analyze dysfunctional health patterns and stressors of the individual, family and the
community.
Utilize evidence-based practice in order to formulate clinical decisions.
Perform effective and preventative nursing measures to facilitate health promotion and
maintenance in clients and groups.
Synthesize understanding of cultural and spiritual differences and developmental needs
when caring for individual and family in order to provide sensitive, holistic nursing care.
Develop teaching plans to assist individuals and groups to promote health and manage
acute and chronic health problems.
Identify learning needs of the individual and family and modify interventions according to
developmental level.
Utilize teaching and learning concepts in leadership/management in assigned setting.
Collaborate with peers and multidisciplinary team members to deliver cost effective,
quality care to individuals, families and communities.
Convey mutual respect, trust, support and utilization of each discipline's role and
contributions to health care.
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Managing Care
Level II
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Apply principles of effective motivation.
Utilize key concepts underlying effective delegation.
Demonstrate leadership management skills when working with the multidisciplinary health
team members to deliver care to groups of clients.
Apply strategies of change theory with the health care team.
Employ techniques that can be used in evaluating the work of others.
Utilize conflict resolution skills.
Assess visionary skills and identify a plan to become more innovative.
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NUR 240 COURSE OBJECTIVES:
PROFESSIONAL BEHAVIORS
1. Demonstrate accountability for own ethical behavior and for delegated actions.
2. Apply advances in knowledge from the sciences and humanities in the care of clients.
3. Practice within the framework of the New York State Practice Act and the American Nurse’s Association
Code of Ethics.
4. Assume responsibility for self-improvement and use resources for life-long learning for self and others.
5. Develop an awareness of information technologies that impact on the delivery of health care.
6. Promote and assure the individual’s rights in a defined health care setting.
COMMUNICATION
7. Advocate for clients and families by effectively communicating with members of the multidisciplinary
health team.
ASSESSMENT
8. Integrate prior knowledge to analyze and prioritize individual and community needs, to promote health
and manage acute and chronic health problems.
9. Demonstrate advanced skills in completing a health history.
CLINICAL DECISION MAKING
10. Utilize critical thinking and evidence based practice to analyze clients, families and community stressors
and response to stressors in order to support clinical decision-making.
11. Utilize information technology to meet care needs and to assist clients to use self-management skills.
12. Use evidence based outcome criteria to measure effectiveness of care in the acute and chronically ill
adult client with multiple health problems.
CARING INTERVENTIONS
13. Demonstrate empathy and caring with the ability to apply and reflect on one’s own application of the
principles of interpersonal communications with clients, families, peers and other health team members
in a diverse population.
14. Integrate cultural considerations when planning care for individuals and families from diverse cultures.
15. Promote adaptation to the effects of stressors on acute and chronically ill clients with multiple health
problems.
TEACHING AND LEARNING
16. Integrate prior knowledge to identify, analyze and prioritize individual and community needs in order to
develop teaching plans to assist clients, families and communities to promote health and manage acute
and chronic health problems.
17. Demonstrate leadership management skills when working with the multidisciplinary health team to deliver
care to groups of clients.
COLLABORATION
18. Identify the social responsibilities of meeting the needs of acute and chronically ill clients with multiple
health problems and the community services available to them.
19. Collaborate with peers and other multidisciplinary team members to deliver cost effective quality care to
individuals, groups and communities.
20. Develop an interdisciplinary plan of care that conveys mutual respect, trust and support.
MANAGING CARE
21. Demonstrate leadership management skills when working with the multidisciplinary health team to
deliver care to groups of clients.
Revised 4/04, 8/04,6/09dp
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TOPICAL COURSE OUTLINE
Nursing Management of Clients with Stressors that require Home Care
Nursing Management of Clients with Stressors that affect Cardiac and Peripheral Vascular Function
Nursing Management of Clients with Stressors that affect Respiratory Function
Nursing Management of Clients with Stressors that affect Hematological Function
Nursing Management of Clients with Stressors that affect Musculoskeletal Function
Nursing Management of Clients with Stressors that affect Endocrine Function
Nursing Management of Clients with Stressors that affect Gastrointestinal and Hepatobiliary Function
Nursing Management of Clients with Stressors that affect Urinary and Renal Function
Nursing Management of Clients with Stressors that affect Male and Female Reproductive Organ Function
Nursing Management of Clients with Stressors that affect Neurological Function
Nursing Management of Clients with Stressors resulting from Disasters (Includes Burns and Shock States)
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STUDENTS ARE RESPONSIBLE TO REFER TO AND ADHERE TO THE POLICIES AS
WRITTEN IN THE COLLEGE CATALOG AND THE NURSING STUDENT HANDBOOK
TEACHING METHODS & TOOLS:
1.
2.
3.
4.
5.
6.
7.
8.
Lecture & discussion, case study analysis
Library resources
Audio-visual aids, videos, interactive software
Pre and Post Conference, internet resources
Clinical experiences, assignments
Alternative clinical experience (ACE) Day
Independent lab practice
Reading assignments
REQUIRED ASSIGNMENTS:
Written assignments will include:
Nursing Care Plan (1)/ or Care Map of the Acutely III Adult Client (See Clinical Folder)
Community Teaching Group project (See Clinical Folder)
Home Care Assignment and Community Agency Assignment / or Discharge Plan Paper (See Clinical
Folder)
Medication Administration Project for a Group of Clients (I) (See Clinical Folder)
EVALUATION METHODS
The evaluation is based on clinical performance, and written assignments. Each student will receive a midterm and final evaluation consisting of a written report and a personal interview by the instructor. Clinical
Evaluation Form attached.
1 .Unit exams (4)
2. Assessment Technologies Institute (ATI)
3. Evaluation of clinical performance
4. Written assignments
95%
5% (Adult medical surgical Nursing)
Pass/Fail
Pass/Fail
EXAMINATIONS
Four multiple-choice examinations of approximately 50 questions each will account for 95% of the
grade. Each examination will cover the material presented prior to the exam. Questions will be primarily
client situations, using critical thinking skills and similar to questions that will be on the NCLEX.
An excellent way to review for the examinations is to complete the computer software programs, as
well as doing the “reflective thinking” and “critical thinking” activities in the textbooks.
ATI is a computer review program to be used in addition to your textbook. To obtain partial/full
credit for the 5% of your grade based on ATI you will be required to purchase the programs ahead of time in
the college bookstore. Students are encouraged to take the practice assessments prior to the proctored exam
to enhance their performance. Additional assessment that will not affect your grade but you may be required
to take are: Pharmacology test and a Comprehensive Predictor if you are graduating. Additional details
regarding scheduled times will be announced in class.
All students who receive a score less than 74 on an examination MUST make an appointment to
review their status, study habits and the examination with the faculty within one week following the
examination. At this time, a study contract to work toward improved performance in the course will be
initiated with the student. If the student does not adhere to these guidelines, a statement will be placed in
his/her file by the faculty.
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FINAL GRADING
Final grading in the course will be determined by averaging results on four unit examinations and results of
ATI testing
Exams (average of 4) = 95% plus 5% from ATI testing.
5% for level 3
4.5% for level 2
4 % for level 1
3 % for below level 1
0% for students who are non takers or have not purchased ATI. Reminder it is unethical to take a
test you have not paid for.
There will be one comprehensive makeup exam administered at the end of the semester for one
missed exam. If two unit exams are missed only one makeup exam may be taken. A grade of zero will be
given for the second missed unit exam.
Students must pass theory with a minimum grade of C, and have satisfactory performance in the
clinical component to pass NUR 240.
DOSAGE CALCULATION ASSESSMENT:
Students must obtain a minimum score of 90% on the dosage calculation assessment to remain in the
course. The assessment may be repeated only 1 time, for a total of 2 attempts within the first two
weeks of the course.
ACADEMIC INTEGRITY
Nursing students will be held accountable to the Suffolk County Community College Nursing Program
Policy on Academic Integrity in all phases of the program: classroom, college laboratory and all clinic
settings. (Refer to Nursing Student Handbook, Policy on Academic Integrity and the college catalog).
There will be one comprehensive makeup exam administered at the end of the semester for one
missed exam. If two unit exams are missed only one makeup exam may be taken. A grade of zero will be
given for the second missed unit exam.
Students must pass theory with a minimum grade of C, and have satisfactory performance in the
clinical component to pass NUR 240.
DOSAGE CALCULATION ASSESSMENT:
Students must obtain a minimum score of 90% on the dosage calculation assessment to remain in the
course. The assessment may be repeated only 1 time, for a total of 2 attempts within the first two
weeks of the course.
ACADEMIC INTEGRITY
Nursing students will be held accountable to the Suffolk County Community College Nursing Program
Policy on Academic Integrity in all phases of the program: classroom, college laboratory and all clinic
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settings. (Refer to Nursing Student Handbook, Policy on Academic Integrity and the college catalog).
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REQUIRED TEXTBOOKS:
1) Ignatavicius, D. & Workman, L. (2010). Medical surgical nursing: Critical thinking for
collaborative care. (6th ed.). Philadelphia: Saunders. * ISBN (single volume: (978-1-4160-3762-0);
double volume: (978-1-4160-4903-6)
2) Ackley, B. & Ladwig, G. (2008). Nursing diagnosis handbook: A guide to planning care. (8th ed.).
St. Louis: Mosby. * ISBN (0-323-03664-3)
3) Deglin, J. & Vallerand A. (2008). Davis’s drug guide for nurses (11th ed.). Philadelphia: FA Davis.
*(or equivalent) ISBN 9780803619128
4) Ellis, J., & Hartley, C. (2005). Managing and coordinating nursing care. (4th ed.). New York:
Lippincott-Raven. * ISBN (0–7817-41068)
5) Pickar, G. (2007). Dosage calculation: A ratio-proportion approach (2nd ed.). Albany NY:
Delmar. ISBN (1–4180-1563-6)
6) Smith, S., Duell, D., & Martin, B. (2007). Clinical nursing skills-basic to advanced skills (7th ed.).
New Jersey: Prentice Hall. * ISBN (0-1322-4355-5)
7) Lilley, L., Harrington, S., & Snyder, J. (2007). Pharmacology and the nursing process. (5th ed.).
New York: Mosby. ISBN 9780323044868
8) Required Assessment Technology Institute (ATI) Materials*:
ATI (2007). Content mastery series: Adult Medical Surgical RN.7.2 Overland Park, KS: ATI
ATI (2007) Content mastery series: Pharmacology for Nursing 4.1
ATI materials are available from the college bookstore or online through the Assessment
Technology Institute Website.
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RECOMMENDED TEXTBOOKS
1) Dudek, S. (2006). Nutrition essentials for nursing practice (5th ed.). New York: Lippincott-Raven.
* ISBN (0-7817–5382)
2) Fischbach, F. & Dunning, M. (2008). A manual of laboratory and diagnostic tests (8th ed.).
Philadelphia: Lippincott.
ISBN (9780781771948)
3) Ignatavicius, D., Snyder, J. & Kerby, L. (2006). Critical thinking study guide for medical surgical
nursing. (5th ed.). Philadelphia: Saunders. ISBN *(0-7216-06148)
4) Thomas, C. (2009). Taber’s medical dictionary (21th ed.). Philadelphia: F.A. Davis. * ISBN (9780803615595)
Or Mosby’s medical, nursing and allied health dictionary (8th ed.). (2008). St. Louis, MO: Elsevier.
ISBN 9780323049375
ATTENDANCE POLICY
(Please refer to college policy on attendance)
Applicable to all nursing courses:
1. Students are expected to attend ALL nursing classes in order to meet all objectives of the course. Pre
and post conferences are an integral aspect of the clinical experience and students are required to
participate in this experience.
2. Students are expected to be ready to begin all nursing classes at the appointed time and to remain in
class until class is ended.
3. A pattern of lateness, leaving class early and/or absence in lecture, laboratory or the clinical setting will
negatively affect your grade. Excessive absence or lateness may lead to failure in the course.
4. In the rare event of an extreme emergency that requires the student to be late or absent, students will be
expected to notify the clinical agency. Call at least one hour prior to the beginning of the clinical
experience.
a) Leave your message, being sure to state:
- your name and phone number
- your school
- the hospital unit to which you are assigned
- the clinical instructor's name
b) Obtain the name of the person taking the message, when possible.
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