Department ______Nursing_________________________ Date __October 22, 2008______
Refer to Regulation 3-4, Policy for Changing the Curriculum , for complete information on submitting proposals for curricular changes.
_____N488____________
Course No.
__NCLEX Preparation
Course Title
________________ ___ 2 ____
Credits
This proposal is for a(n) __X_ Undergraduate Course
Applies to: __X_ Major
_____ Required
______ Minor
_____ Required
_____ Elective __X_ Elective
______ Graduate Course
______ University Studies* ______ Not for USP
Prerequisites N423 Role Development 3
Grading method ______ Grade only _ P/NC only _XX__ Grade and P/NC Option
Frequency of offering ____fall and/or spring (in the pool of nursing upper division electives)_______________
*For University Studies Program course approval, the form Proposal for University Studies Courses must also be completed and submitted according to the instructions on that form.
Provide the following information:
A. Course Description
1.
Catalog description.
The National Council Licensure examination for Registered Nurses (NCLEX-RN) is administered to graduates of nursing schools. The NCLEX-RN tests the knowledge, skills, and abilities necessary for entry-level safe and effective nursing practice. Nursing care of individuals, families, and populations across the life span will be emphasized. This elective nursing course focuses on strengthening critical thinking skills and confidence with content necessary for NCLEX success.
Students will be able to focus and customize their study based on identified areas of strength and weakness. Content review books and weekly critical thinking exercises will support student learning. Learning exercises will provide immediate feedback so that students can refocus their study plan.
2.
Course outline of the major topics and subtopics (minimum of two-level outline).
Overview of Content
All content categories reflect client needs across the life span in a variety of settings. The nurse is expected to apply the fundamental principles of clinical decision making and critical thinking to nursing practice. The NCLEX test plan makes the assumption that the nurse integrates concepts from the following bodies’ of knowledge: a.
Social sciences (psychology and sociology) b.
Biological sciences (anatomy, physiology, biology, microbiology) c.
Physical sciences (chemistry and physics)
In addition, the following concepts are utilized throughout the four major client needs categories and subcategories of the NCLEX test plan: a.
Nursing process b.
Caring c.
Communication and documentation d.
Teaching and learning
I. Safe Effective Care Environment
The nurse promotes achievement of client outcomes by providing and directing nursing care that enhances the care delivery setting in order to protect clients, family/significant others and other health care personnel.
1.
Management of Care – providing and directing nursing care that enhances the care delivery setting to protect clients, family/significant others and health care personnel.
Related content includes:
A.
Advance Directives
B.
Advocacy
C.
Case Management
D.
Client Rights

E.
Collaboration with Multidisciplinary Team
F.
Concepts of Management
G.
Confidentiality
H.
Consultation
I.
Continuity of Care
J.
Delegation
K.
Establishing Priorities
L.
Ethical Practice
M.
Informed Consent
N.
Information Technology
O.
Legal Rights and Responsibilities
P.
Performance Improvement (Quality Assurance)
Q.
Referrals
R.
Resource Management
S.
Staff Education
T.
Supervision
2. Safety and Infection Control – protecting clients, family/significant others and health care
personnel from health and environmental hazards.
Related content includes:
A.
Accident Prevention
B.
Disaster Planning
C.
Emergency Response Plan
D.
Ergonomic Principles
E.
Error Prevention
F.
Handling Hazardous and Infectious Materials
G.
Home Safety
H.
Injury Prevention
I.
Medical and Surgical Asepsis
J.
Reporting of Incident/Event/ Irregular Occurrence/Variance
K.
Safe Use of Equipment
L.
Security Plan
M.
Standard/Transmission-Based/Other
N.
Precautions
O.
Use of Restraints/Safety Devices
II. Health Promotion and Maintenance
The nurse provides and directs nursing care of the client and family/significant others that incorporate the knowledge of expected growth and development principles, prevention and/or early detection of health problems, and strategies to achieve optimal health.
Related content includes:
A.
Aging Process
B.
Ante/Intra/Postpartum and Newborn Care
C.
Developmental Stages and Transitions
D.
Disease Prevention
E.
Expected Body Image Changes
F.
Family Planning
G.
Family Systems
H.
Growth and Development
I.
Health Promotion Programs
J.
Health Screening
K.
High Risk Behaviors
L.
Human Sexuality
M.
Immunizations
N.
Lifestyle Choices
O.
Principles of Teaching/Learning
P.
Self-Care
Q.
Techniques of Physical Assessment
III. Psychosocial Integrity
The nurse provides and directs nursing care that promotes and supports the emotional, mental and social well-being of the client and

family/significant others experiencing stressful events, as well as clients with acute or chronic mental illness.
Related content includes:
A.
Abuse/Neglect
B.
Behavioral Interventions
C.
Chemical and other Dependencies
D.
Coping Mechanisms
E.
Crisis Intervention
F.
Cultural Diversity
G.
End of Life Care
H.
Family Dynamics
I.
Grief and Loss
J.
Mental Health Concepts
K.
Psychopathology
L.
Religious and Spiritual Influences on Health
M.
Sensory/Perceptual Alterations
N.
Situational Role Changes
O.
Stress Management
P.
Support Systems
Q.
Therapeutic Communications
R.
Therapeutic Environment
S.
Unexpected Body Image Change
IV. Physiological Integrity
The nurse promotes physical health and wellness by providing care and comfort, reducing client risk potential and managing health alterations.
1.
Basic Care and Comfort – providing comfort and assistance in the performance of activities of daily living.
Related content includes:
A.
Assistive Devices
B.
Complementary and Alternative Therapies
C.
Elimination
D.
Mobility/Immobility
E.
Non-Pharmacological Comfort Interventions
F.
Nutrition and Oral Hydration
G.
Palliative/Comfort Care
H.
Personal Hygiene
I.
Rest and Sleep
2.
Pharmacological and Parenteral Therapies – providing care related to the administration of medications and parenteral therapies.
Related content includes:
A.
Adverse Effects/ Contraindications and Side Effects
B.
Blood and Blood Products
C.
Central Venous Access Devices
D.
Dosage Calculation
E.
Expected Outcomes/Effects
F.
Medication Administration
G.
Parenteral/Intravenous Therapy
H.
Pharmacological Agents/Actions
I.
Pharmacological Interactions
J.
Pharmacological Pain Management
K.
Total Parenteral Nutrition
3.
Reduction of Risk Potential – reducing the likelihood that clients will develop complications or health problems related to existing conditions, treatments or procedures.
Related content includes:
A.
Diagnostic Tests
B.
Laboratory Values

C.
Monitoring Conscious Sedation
D.
Potential for Alterations in Body Systems
E.
Potential for Complications of Diagnostic Tests/Treatments/ Procedures
F.
Potential for Complications from Surgical Procedures and Health Alterations
G.
System Specific Assessments
H.
Therapeutic Procedures
I.
Vital Signs
4.
Physiological Adaptation – managing and providing care for clients with acute, chronic or life threatening physical health conditions.
Related content includes:
A.
Alterations in Body Systems
B.
Fluid and Electrolyte Imbalances
C.
Hemodynamics
D.
Illness Management
E.
Infectious Diseases
F.
Medical Emergencies
G.
Pathophysiology
H.
Radiation Therapy
I.
Unexpected Response to Therapies
National Council of State Boards of Nursing (2006). Effective April 2007 - NCLEX-RN Examination: Test Plan for the National
Council Licensure Examination for Registered Nurses. Chicago, IL. Retrieved April, 2008 from https://www.ncsbn.org/index.htm
3.a Instructional delivery methods utilized: (Please check all that apply).
Lecture: Auditorium ITV XX Online
Lecture: Classroom
Other: (Please indicate)
Service Learning Travel Study
Web Enhanced
Laboratory
Web Supplemented
Internship/Practicum
XX
3.b. MnSCU Course media codes: (Please check all that apply).
None:
1. Satellite
2. CD Rom a.
b.
3. Internet
4. ITV Sending XX
6. Independent Study
7. Taped
9. Web Enhanced
10. Web Supplemented
XX
5. Broadcast TV 8. ITV Receiving XX
Course requirements (papers, lab work, projects, etc.) and means of evaluation. a.
Completion of weekly post-tests b.
Attendance and class participation c.
Case studies d.
Grading Scale i.
92-100 = A ii.
83-91 = B iii.
74-82 = C iv.
65-73 = D v.
< 65 = F a.
Course materials (textbook(s), articles, etc.).
Students may select from a variety of NCLEX-RN books i.
Assessment Technologies Institute “Virtual ATI” (recommended) ii.
Silvestri, L. A. (2008). Comprehensive Review for the NCLEX – RN examination (4 th ed.).
Saunders Elsevier. (recommended) iii.
Billings, D. M. (2008). Lippincott’s Q & A review for NCLEX-RN (4 th ed.). Lippincott
Williams & Wilkins. (Optional) iv.
D. F. Saxton, Pelikan, P. K. (2007). Mosby’s review questions for the NCLEX-RN examination (6 th ed.) Mosby Elsevier. (optional)
6. Assessment of Outcomes
Learning Outcomes:
1.
Integrate evidence, clinical judgment, and patient preferences in planning, implementing, and evaluating outcomes of care.
2.
Promote factors that create a culture of safety and caring. This includes advocating for high quality and safe patient care as a member of the interprofessional team.
3.
Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across the lifespan, and in all health care settings.
4.
Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, and patient preferences.
5.
Direct and manage nursing care that enhances the care delivery setting.
Assessment of Outcomes:

1.
Weekly post-test
2.
ATI comprehensive predictor exam analysis/feedback
7. List of references. a. American Association of Colleges of Nursing (August, 2008). Revision of the essentials of baccalaureate education for
professional nursing practice. Retrieved September, 2008, from https://www.ncsbn.org/index.htm
b. National Council of State Boards of Nursing (NCSBN) (April, 2007). NCLEX-RN Examination Test plan for registered nurses.
B. Rationale
1. Statement of the major focus and objectives of the course.
This nursing elective is intended to strengthening critical thinking skills and confidence in content necessary for NCLEX success. It provides an opportunity for nursing students to review essential content and skills, as well as assist the student to identify areas of strength and weakness to focus and customize study for NCLEX-RN testing. This course reinforces content taught within the nursing curriculum. It provides a forum for concentrated review and critical thinking exercises as students prepare for licensure examination following graduation. This course especially benefits the student who lacks confidence in passing NCLEX-RN.
Learning Outcomes:
1.
Integrate evidence, clinical judgment, and patient preferences in planning, implementing, and evaluating outcomes of care.
2.
Promote factors that create a culture of safety and caring. This includes advocating for high quality and safe patient care as a member of the interprofessional team.
3.
Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health-illness continuum, across the lifespan, and in all health care settings.
4.
Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, and patient preferences.
5.
Direct and manage nursing care that enhances the care delivery setting.
2. Specify how this new course contributes to the departmental curriculum.
This course adds to the current pool of upper division nursing electives. Nursing majors are required to have 5 semester hours of upper-division electives (300- and 400-level courses).
3. Indicate any course(s) which may be dropped if this course is approved.
NONE
C. Impact of this Course on other Departments, Programs, Majors, or Minors
1. Does this course increase or decrease the total credits required by a major or minor of any other department? If so, which department(s)? NO. This course does not duplicate content, but rather offer a forum for concentrated review and assessment of areas of strengths and weaknesses for NCLEX-RN success.
2. Attach letter(s) of understanding from impacted department(s). NONE
Definitions:
01-Satellite:
02- CD Rom:
03- Internet: Predominately = where all, or nearly all, course activity occurs in an online environment. One to two activities may occur faceto-face in a classroom, with the maximum being two activities.
04 – ITV Sending: a course in which students are in the classroom with the instructor, other students join via interactive television technology from other geographically separate locations
05 – Broadcast TV:
06 – Independent Study: a course in which the teacher develops specialized curriculum for the student(s) based on department guidelines in the University course catalog
07 – Taped: a course in which the teacher records the lessons for playback at a later date
08 – ITV Receiving: a course in which students are not in the classroom with the teacher, other students join via interactive television technology from other geographically separate locations
09 – Web Enhanced- Limited Seat Time: For a course in which students are geographically separate from the teacher and other students for a majority of required activities. However, some on-site attendance is required. The course includes synchronous and/or asynchronous instruction.
10 – Web Supplemented- No Reduced Seat Time: For a course utilizing the web for instructional activities. Use of this code may assist your college/university in tracking courses for “smart classrooms” and/or facility usage.
Attach a Financial and Staffing Data Sheet .
Attach an Approval Form with appropriate signatures .
Department Contact Person for this Proposal:

______________________________________________
Name (please print)
___2361_____ __cmnosek@winona.edu__________
Phone e-mail address
[Revised 7/5/07]