National AmericanUniversity
Course Syllabus
Quarter: Spring 2014
Course Title: Holistic Nursing Care in Acute Illness I
Course ID: NS3360
Credit Hours: 7
Prerequisites: none
Faculty:
Name: Lori Baldrige, RN, BSN, MSN
Phone: 952-356-3693
Email: lbaldrige@national.edu
Office Hours: TBD
Skills Lab Faculty:
Name: Jessie Daniels, RN, MA
Phone: 952-356-3689
Email: jdaniels@national.edu
Office Hours: TBD
Class Time:
Theory: Wednesday: 1000-1200, 1300-1500.
Seminar: Tuesday: 0900-1100
Lab: Group A: Tuesday 1200-1600
Group B: Thursday 0900-1300
Course Description:
This course focuses on the foundational concepts, principles and techniques of beginning and
intermediate psychomotor skills necessary to provide holistic and culturally congruent nursing
care for clients in the acute, sub-acute and long-term care setting in order to promote physical
restoration, maintenance or independence. Emphasis is placed on the management and
adaptation of clients with acute illness or exacerbations of chronic illness. Students will learn to
provide physical nursing care, and to perform delegated medical treatments.
Text Books:
Book Title
Contemporary Psychiatric
Mental Health Nursing
Fundamentals of Nursing Text and Clinical
Edition Author
3rd.
Kneisl &
ed.
Trigoboff
Potter, Perry,
8th ed.
Stockert & Hall
Date Publisher
ISBN
2013 Pearson
9780132557771
2013 Elsevier
9780323091800
Companion Package
HESI Case Study: Complete
RN Collection 2012, 2 year
version
Medical-Surgical Nursing Two-Volume Text and
Study Guide Package:
9th ed.
Assessment and
Management of Clinical
Problems
Nursing 2014 Drug
Handbook with Web
34th
Toolkit (do not purchase if
ed.
you already own a prior
edition)
Nursing Diagnosis
Handbook: An Evidence- 10th
Based Guide to Planning
ed.
Care
Publication Manual of the
American Psychological
6th ed.
Association
Fundamentals of Nursing Study Guide.. - to
8th edi
Accompany Potter
Davis's Comprehensive
handook of Lab and
5th edi
Diagnostic Tests with
Nursing Implications
Clinical Simulations for
12th
Nursing Education: Learner
ed.
Volume
Calculation of Drug
9th edi
Dosages: A work text
HESI
2011 Elsevier
9781455727063
Lewis, Dirsdon,
Heitkemper,
Bucher, &
Camera
2013 Elsevier
9780323294577
Lippincott
2014 Lippincott
9781451186352
Ackley
2014 Mosby/Elsevier
9780323085496
American
Psychological
Association
Ochs & Potter,
Perry, Stockert,
Hall
American
2010 Psychological
Association
9781433805615
2013 Elsevier
9780323084697
Leeuwn,
Poelhuis- Leth, & 2012 FA Davis
Bladh
9780803636644
Gasper & Dillion 2012 FA Davis
9780803621800
Ogden &
Fluharty
9780323077538
2011 Elsevier
Textbook and Study Materials Guidelines:
Prior to each nursing course, it is the student’s responsibility to purchase all required textbooks
including study guides, workbooks, and case studies, etc. It is highly recommended that students
retain all textbooks and study materials until completion of the nursing clinical core, as most of
the materials are used in multiple quarters throughout the nursing program.
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The edition of the textbooks and study materials on each cohort’s textbook list will be utilized
throughout the nursing program. Re-entry nursing students may be required to purchase current
textbook editions consistent with the re-entry cohort.
System Assessment:
System Research Requirements:
Objectives of the Course:
Upon successful completion of this course, the student will be able to:
1. Demonstrate theoretical principles and ability to perform safe, effective and
efficient psychomotor skills.
Knowledge and skills leading to mastery of this competency
a. Explain the interrelationships among theory, practice, and research.
b. Integrate theories and concepts from liberal education into nursing practice.
c. Determine the application of psychomotor skills for the efficient, safe, and
compassionate delivery of client care.
d. Maintain optimum level of pain relief, oxygenation, patency of airway, administration
of intravenous therapy, and integrity of medical supplies and equipment.
e. Promote respiratory, circulatory, cardiopulmonary, gastrointestinal, genitourinary,
integument, and musculoskeletal functioning.
f. Promote the nutrition and fluid balance, elimination, physical activity, restoration or
maintenance of physical independence, physical comfort, rest and sleep, and personal
hygiene of the client.
2. Acquire knowledge that promotes the safe delivery of prescribed medications.
Knowledge and skills leading to mastery of this competency;
a. Establish a foundational understanding of the medication administration process.
b. Identify sources of information necessary to administer prescribed medication,
including compatibility and interactions among prescribed medications and
complementary substances.
c. Determine the safe range of the dosage prescribed.
d. Calculate dosage necessary to administer prescribed medications.
e. Determine the appropriateness of the route for administration of prescribed medication.
f. Demonstrate the ability to prepare and administer prescribed medication.
g. Determine the effectiveness of the prescribed medication.
h. Demonstrate the ability to follow procedure for working with controlled substances.
3. Explain the purposes, rationales, and indications for various nursing actions.
Knowledge and skills leading to mastery of this competency;
a. Incorporate a model of critical thinking when making clinical judgments and decisions.
b. Cite nursing and associated literature that supports the nursing action.
c. Deliver compassionate, client-centered, evidence-based care that respects client and
family preferences.
d. Explore phenomena in nursing that relates to the human response to illness.
4. Acquire knowledge from the behavioral, biological and physical sciences necessary
to provide simple to intermediate level nursing actions.
Knowledge and skills leading to mastery of this competency;
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a. Synthesize theories and concepts from liberal education to build an understanding of
the human experience
b. Identify sources of information necessary to deliver nursing actions to clients and
families who are experiencing illness.
c. Incorporate theories of aging when providing care for gerontologic clients.
d. Explore the Patterns of Knowing.
5. Document pertinent, accurate and complete client care information.
Knowledge and skills leading to mastery of this competency;
a. Incorporate a standardized terminology in a care environment that reflects nursing’s
unique contribution to patient outcomes.
b. Examine information and electronic medical record systems used to document client
information.
c. Explain the use of CIS systems to document interventions related to achieving nurse
sensitive outcomes.
6. Demonstrate advancing knowledge and skill in implementing the nursing process in
client care and critical thinking activities.
Knowledge and skills leading to mastery of this competency;
a. Articulate the components of the nursing process: Assessment, diagnosis, outcome
identification, planning, implementation, and evaluation.
b. Relate the six components of the nursing process to the nurse’s clinical reasoning.
c. Discuss the significance of nursing diagnosis for nursing practice.
d. Differentiate between a medical and nursing diagnosis.
e. Discuss the categorization of nursing diagnosis by functional health patterns.
f. Explore the four types of diagnostic statements: Actual, risk, possible, and wellness.
g. Explain the purposes of outcome identification and planning.
h. Explore Nursing Outcomes Classifications and Nursing Intervention Classification.
i. Explain the purposes of implementation and evaluation.
j. Explain activities the nurse carries out to effectively use the nursing process.
7. Explore the stress, anxiety, coping and adaptation of the client and family.
Knowledge and skills leading to mastery of this competency;
a. Investigate the concepts of stress, anxiety, coping and adaptation. b. Evaluate person
environment factors that contribute to the experience of stress and anxiety.
c. Examine the importance of cognitive appraisal in experiencing stress.
d. Determine strategies to manage stress and illness.
e. Determine when problem-focused and emotion-focused coping should be used.
f. Categorize pharmacological therapies used to treat anxiety disorders.
g. Summarize adaptation in terms of health, psychological well-being, and social function
Academic Integrity Policy:
Please refer to the NAU undergraduate catalog (http://www.national.edu/programs/academiccatalog) and the SON student handbook (http://www.national.edu/school-nursing/nursinghandbook).
Attendance Policy:
Page 4 of 10
Please refer to the NAU undergraduate catalog (http://www.national.edu/programs/academiccatalog) and the SON student handbook (http://www.national.edu/school-nursing/nursinghandbook).
Teaching/Learning Strategies:
Individual and group work
Critical thinking exercises
Audiovisuals
Demonstrations/lab performance
Lecture
Case Studies
Note that effective winter 2013-2014, faculty assess student knowledge through NCLEX-style
questions for a minimum of 80% of the course grade.
Assessment Methods:
Theory Unit Exams
 NCLEX-style questions
 Dosage Calculations
Skills Exams
Written/submitted assignments
Skills Validation/ Lab Performance
Simulation
Case Studies – NCLEX style questions
Effective spring 2014, the SON will implement the following guidelines:
One or more proctored ATI exams will be administered at designated times during the quarter.
Please refer to the course calendar for details. Students who achieve the benchmark of Level 2
proficiency or better on the first attempt of the applicable exam will receive points toward the
course final examination score, not to exceed a total score of 100%. Point values will be
awarded based on the following criteria:
Level 3 proficiency – 5 points
Level 2 proficiency – 3 points
Level 1 proficiency or below – 0 points
For courses in which multiple ATI exams are given, point values will be awarded for the first
attempt of each applicable exam and applied to the course final exam (not to exceed a total score
of 100%). Points will not be awarded for the Critical Thinking: Entrance, Critical Thinking:
Exit, or RN Comprehensive Predictor exams.
Grading Scale:
A= 94-100%
B= 86-93%
C= 78-85%
D= 66-77%
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F= 65%- below
***PLEASE NOTE: The course letter grade will be the grade achieved in the theory
component. The lab/seminar component of the course will be pass/fail. The
theory component and laboratory component must each be passed at 78%.
Failure to achieve a passing grade in a theory or clinical course will result in the failure of the
associated theory or clinical course.
For nursing courses that contain theory and lab portions, or theory, clinical, and/or
preceptorship portions: Failure to achieve a passing grade in the theory portion of the course,
and a “P” or “S” in the associated lab, clinical, and/or preceptorship portions, will result in a
failing grade of “F” for the course, in which case the student will be required to repeat the entire
course.
Theory Content:
This content outline is a guide and is subject to change.
Week
Week 1



Week 2

Learning Plans
Course Introduction
Perioperative Care
Upper and Lower
Respiratory Problems
Musculoskeletal
Disorders
Learning Activities
Lewis Chapters:
 18: Preoperative Care
 19 Intraoperative Care
 20 Postoperative Care
ATI Adult Medical-Surgical Chapters:
 107:Anesthesia and Moderate
(Conscious) Sedation
 108: Preoperative Nursing Care
 109: Postoperative Nursing Care
Lewis Chapters
 26: (review) Respiratory System
 27: Upper Respiratory Problems
 28: Lower Respiratory Problems
 62: (review) Musculoskeletal System
 63: Musculoskeletal Trauma and
Orthopedic Surgery
ATI Adult Medical-Surgical Chapters:
 20: Airway Management
 21: Oxygen Therapy and Mechanical
Ventilation
 24: Pneumonia
 25: Tuberculosis
 28: Pulmonary Embolism
 78: Musculoskeletal Diagnostic
Procedures
 79: Musculoskeletal Surgical Procedures
Page 6 of 10
Week
Week 3
Learning Plans


Pain Management
Stress and Stress
Management

Exam #1


Introduction to
Hematology and Lab
Interpretation
Blood Transfusions
Fluid and Electrolytes
Acid-Base Balance

Exam #2


Nutritional Problems
Inflammation and Skin
Healing
Integumentary
Disorders
Week 4


Week 5
Week 6

Learning Activities
 80: Amputations
 81: Osteoporosis
 82: Fractures
Lewis Chapters:
 10: Pain
 8: Stress and Stress Management
Perry and Potter Chapters:
 43: Pain Management
ATI Adult Medical-Surgical Chapters:
 4: Pain Management
 105: Pain Management for Clients with
Cancer
ATI Fundamentals Chapters:
 33: Coping
ATI Practice Assessment:
 Targeted Med/Surg: Respiratory
Lewis Chapters:
 30: Hematological System
ATI Adult Medical-Surgical Chapters:
 43: Hematologic Diagnostic Procedures
Lewis Chapters:
 17: Fluid, Electrolyte, and Acid-Base
Imbalances
Perry and Potter Chapters:
 41: Fluid, Electrolyte, and Acid-Base
Balance
ATI Adult Medical-Surgical Chapters:
 48: Fluid Imbalance
 49: Electrolyte Imbalance
 50: Acid-Base Imbalance
ATI Fundamentals Chapters:
 56 Fluid and Electrolyte Imbalances
ATI Practice Assessment:
 Fundamentals
Lewis Chapters:
 13: Inflammation and Wound Healing
 23: (review) Integumentary system
 24: Integumentary Problems
 40: Nutritional Problems
Perry and Potter Chapters:
 48: Skin Integrity and Wound Care
ATI Adult Medical-Surgical Chapters:
 86: Pressure Ulcers, Wounds, and Wound
Management
Page 7 of 10
Week
Learning Plans

Upper and Lower
Gastrointestinal
Problems

Exam #3


Infection Control
Infectious Disease

Renal and Urological
Problems
Liver, Pancreas, and
Biliary Tract Problems
Week 7
Week 8
Week 9

Learning Activities
ATI Nutrition for Nurses Chapters:
 11: Barriers to Adequate Nutrition
 13: Gastrointestinal Disorder
ATI Fundamentals Chapters:
 39: Nutrition and Oral Hydration
 55: Pressure Ulcers, Wounds, and Wound
Management
Lewis Chapters:
 39: (review) Gastrointestinal System
 42: Upper Gastrointestinal Problems
 43: Lower Gastrointestinal Problems
Perry and Potter Chapters:
 46: Bowel Elimination
ATI Adult Medical-Surgical Chapters:
 51: Gastrointestinal Diagnostic
Procedures
 52: Gastrointestinal Therapeutic
Procedures
 53: Esophageal Disorders
 54: Peptic Ulcer Disease
 55: Acute and Chronic Gastritis
 56: Appendicitis
 57: Intestinal Obstruction
 58: Inflammatory Bowel Disease
 59: Colorectal Cancer
ATI Practice Assessment:
 Targeted Med/Surg:Fluid &
Electrolytes
Lewis Chapters:
 15: Infection and HIV infection
Perry and Potter Chapters:
 28: Infection Prevention and Control
ATI Adult Medical-Surgical Chapters:
 106: Bacterial, Viral, Fungal, and
Parasitic Infections
Lewis Chapters:
 45: (review) Urinary System
 46: Renal and Urologic Problems
 44: Liver, Pancreas, and Biliary Tract
Problems
ATI Adult Medical-Surgical Chapters:
 60: Cholecystitis and Cholelithiasis
 61: Pancreatitis and Pancreatic Cancer
 62: Hepatitis and Cirrhosis
Page 8 of 10
Week
Learning Plans

Exam #4

Obesity

Final
Week 10
Week 11
Learning Activities
 64: Renal Diagnostic Procedures
 67: Acute Glomerulonephritis
 69: Infections of the Renal System
 70: Renal Calculi
 71: Voiding Disorders
ATI Practice Assessment:
 Targeted Med/Surg: Gastrointestinal
Lewis Chapters:
 41: Obesity
ATI Practice Assessment:
 Targeted Med/Surg: Renal & Urinary
Course Specific Guidelines:
WRITTEN WORK POLICY FOR THEORY:
See the calendar for due dates of written work
5% of total points will be deducted each day) for any late assignments.
Assignments are due by 2359 on the scheduled due date.
All assignments are to be done in APA format. No handwritten work will be accepted, no
exceptions.
Student Responsibilities:
 Students must adhere to the policies listed in the NAU undergraduate catalog
(http://www.national.edu/programs/academic-catalog), the NAU student handbook
(http://webapps.national.edu/Smart_Catalog/student_handbook/), and the SON student
handbook (http://www.national.edu/school-nursing/nursing-handbook).
 Student must also remain compliant with the policies of the nursing program and the
university.
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Graded Assignments and Exams
Points
Possible
Due Date
5 points
25 points
3/12
3/14
5 points
25 points
3/19
3/21
5 points
3/26
5 points
30 points
25 points
4/2
4/11
4/4
5 points
60 points
25 points
4/9
4/18
4/11
5 points
4/16
5 points
25 points
4/23
4/25
5 points
4/30
5 points
25 points
5/7
5/9
5 points
25 points
5/14
5/16
Assignments 40% of total grade
Lesson Plan 1
 Class Points
 HESI Case Study Perioperative Care
Lesson Plan 2
 Class Points
 HESI Case Study Rheumatoid Arthritis with Joint
Arthroplasty
Lesson Plan 3
 Class Points
Lesson Plan 4
 Class points
 Blood Transfusion Worksheet
 HESI Case Study Pain
Lesson Plan 5
 Class Points
 Fluid & Electrolyte Worksheet
 HESI Case Study Fluid Balance
Lesson Plan 6
 Class Points
Lesson Plan 7
 Class Points
 HESI Case Study Skin Integrity
Lesson Plan 8
 Class Points
Lesson Plan 9
 Class Points
 HESI Case Study Peptic Ulcer Disease
Lesson Plan 10
 Class Points
 HESI Case Study HIV and TB
Simulation
 Pneumonia
 Hip fracture
Assignments
EXAMS 60% of total grade
 Exam 1 ATI Practice Assessment: Respiratory
 Exam 2 ATI Practice Assessment: Fundamentals
 Exam 3 ATI Practice Assessment: Fluid & Electrolytes
 Exam 4 ATI Practice Assessment: Gastrointestinal
 Final ATI Practice Assessment: Renal & Urinary
Exams
*ATI bonus points: Practice tests taken until 100% will earn 3 extra exam
points if completed before exam, 6 extra points for final.
Page 10 of 10
30 points
3/27, 3/28
30 points
5/1, 5/2
375 points
30 points
30 points
30 points
30 points
60 points
180 points
3/26
4/9
4/23
5/7
5/21
Points
Earned