I. General Information

1. Course Title:
Professional Nursing Concepts II

2. Course Prefix & Number:
NURS 2540

3. Course Credits and Contact Hours:

Credits: 6

Lecture Hours: 6

Lab Hours: 0

4. Course Description:

The second course in a three-semester sequence which emphasizes use of the nursing process and nursing judgment to assess, plan, and implement nursing interventions to promote safe, quality care and human flourishing for individuals, families and groups experiencing alterations in physiological, psychosocial, sociocultural, spiritual, and developmental integrity. Teaching and learning principles for providing education to prevent, preserve, and restore health and human flourishing are integrated. Content includes caring for clients across the lifespan. This course focuses on the pathophysiology and RN role for the following concepts: Mental Health, Fluid and Electrolytes, Renal and Urinary Tract Function, Cardiovascular, Circulatory and Hematological Function, Normal/Intra/Postpartum and Newborn Care, and High Risk Ante/Intra/Postpartum and Newborn Care.

5. Placement Tests Required:

Accuplacer (specify test):

No placement tests required

Score:

6. Prerequisite Courses:

9. Co-requisite Courses:

There are no corequisites for this course.

II. Transfer and Articulation

III. Course Purpose

1. Program-Applicable Courses – This course is required for the following program(s):

Nursing - Associate in Science Degree

IV. Learning Outcomes

1. College-Wide Outcomes

College-Wide Outcomes/Competencies	Students will be able to:
Demonstrate oral communication skills	Apply concepts of Mental Health as it relates to the diagnosis and treatment of actual or potential health problems of clients and families across the lifespan (Communication Role-Play Activity).
Demonstrate interpersonal communication skills	Apply concepts of nutrition taking into account multiple client factors such as personal preference, laboratory values, health problems, education level, and ability to adhere to prescribed dietary plan (Hunger Games Activity- Renal Unit).
Analyze and follow a sequence of operations	Apply concepts of Cardiovascular, Circulatory and Hematologic Function as it relates to the diagnosis and treatment of actual or potential health problems of clients and families across the lifespan (Reading rhythm strips).

2. Course Specific Outcomes - Students will be able to achieve the following measurable goals upon completion of the course:

• Apply the nursing process to assess, plan, implement, and evaluate holistic, patient-centered care as it relates to the diagnosis and treatment of actual or potential basic health problems of clients and families across the lifespan;
• Prioritize client needs in the development of a plan of care using available resources, referrals, and evidence-based practice standards;
• Discover the teaching and learning process including how to facilitate the acquisition of knowledge, skills, and attitudes promoting a change in behavior and higher level of wellness;
• Apply safety and infection control concepts that protect clients and healthcare personnel from health and environmental hazards in multiple settings;
• Apply strategies to achieve optimal health across the lifespan including health promotion and maintenance concepts that incorporates the knowledge of expected growth and development principles, prevention, and/or early detection of health problems;
• Apply psychosocial integrity concepts that promote and support the emotional, mental, and social well-being of the client experiencing stressful events, as well as clients with acute or chronic mental illness;
• Apply concepts of nutrition taking into account multiple client factors such as personal preference, laboratory values, health problems, education level, and ability to adhere to prescribed dietary plan;
• Apply pharmacological and non-pharmacological therapies as they relate to the management of actual health problems across the lifespan;
• Apply risk reduction concepts to help reduce the likelihood that clients will develop complications or health problems related to existing conditions, treatments, or procedures;
• Choose interventions for deviations from normal lab and diagnostic test values;
• Apply concepts of physiological adaptation including the ability to manage and provide care for clients with acute, chronic, or life-threatening physical health conditions;
• Apply concepts of Mental Health as it relates to the diagnosis and treatment of actual or potential health problems of clients and families across the lifespan;
• Apply concepts of Fluid and Electrolytes as it relates to the diagnosis and treatment of actual or potential health problems of clients and families across the lifespan;
• Apply concepts of Renal and Urinary Tract Function as it relates to the diagnosis and treatment of actual or potential health problems of clients and families across the lifespan;
• Apply concepts of Cardiovascular, Circulatory and Hematologic Function as it relates to the diagnosis and treatment of actual or potential health problems of clients and families across the lifespan;
• Apply concepts of High-Risk Ante/Intra/Postpartum and Newborn Care as it relates to the diagnosis and treatment of actual or potential health problems of clients and families across the lifespan;
• Discuss the concepts of lifespan (pediatrics) as it relates to the diagnosis and treatment of actual or potential health problems of clients and families;
• Discuss concepts of the Musculoskeletal System as it relates to the diagnosis and treatment of actual or potential health problems of clients and families across the lifespan
• Demonstrate responsibility, integrity, professionalism, and accountability within the nursing student role; and
• Relate theory and research-based evidence to develop a foundational knowledge of the art and science of nursing, including concepts related to pathophysiological processes and caring behaviors utilized in the care of patients and families.

V. Topical Outline

Listed below are major areas of content typically covered in this course.

1. Lecture Sessions

1. Fluid and Electrolytes
• Review of anatomy and physiology of fluid and electrolytes, including life span differentiation
• Nursing assessment of fluid and electrolytes, normal and abnormal findings
• Risk factors and etiology of specific fluid and electrolytes diseases
• Pathophysiology, diagnosis, and signs and symptoms of specific fluid and electrolyte diseases
• Nursing and medical management of specific fluid and electrolyte diseases
• Medications used for fluid and electrolyte disease, their classification, therapeutic effect, dose and side effects
• Disease prevention and maintenance of fluid and electrolytes
2. Renal and Urinary Tract System  
• Review of anatomy and physiology of renal and urinary system, including life span differentiation
• Nursing assessment of renal and urinary system, normal and abnormal findings
• Risk factors and etiology of specific renal and urinary diseases
• Pathophysiology, diagnosis, and signs and symptoms of specific renal and urinary diseases
• Nursing and medical management of specific renal and urinary diseases
• Medications used for renal and urinary disease, their classification, therapeutic effect, dose and side effects
• Disease Prevention and maintenance of renal and urinary system
3. Cardiovascular, Circulatory and Hematological Function
• Review of anatomy and physiology of cardiac system, including life span differentiation
• Nursing assessment of cardiac system, normal and abnormal findings
• Risk factors and etiology of specific cardiac diseases
• Pathophysiology, diagnosis, and signs and symptoms of specific cardiac diseases
• Nursing and medical management of specific cardiac diseases
• Medications used for cardiac disease, their classification, therapeutic effect, dose and side effects
• Disease Prevention and maintenance of cardiac system
4. Obstetrics, High Risk OB
• Nursing assessment of a pregnant woman, abnormal findings
• Risk factors and etiologies behind specific obstetrical diagnoses/emergencies
• Pathophysiology, and signs and symptoms of specific obstetrical diagnoses/emergencies
• Nursing and medical management of specific obstetrical disease
• Medications used for obstetrical care, their classification, therapeutic effect, dose and side effects
5. Newborn Care, High Risk
• Nursing assessment of a newborn, abnormal finding
• Risk factors and etiologies behind specific newborn diagnoses
• Pathophysiology, and signs and symptoms of specific newborn diagnoses
• Nursing and medical management of specific newborn disease
• Medications used for newborn care, their classification, therapeutic effect, dose and side effects
6. Mental Health 
• Review of anatomy and physiology of mental illnesses, including organic changes of the brain
• Nursing assessment of a client’s mental health, including normal and abnormal findings
• Risk factors and etiology of specific mental illnesses
• Pathophysiology, diagnosis, and signs and symptoms of specific mental illnesses
• Nursing and medical management of specific mental illnesses
• Medications used for mental illnesses and mood stabilization, including their classification, therapeutic effect, dose and side effects
• Disease prevention of mental illness and maintenance of mental health
7. Musculoskeletal System
• Age related changes
• Effects of immobility
• Normal vs abnormal assessment findings
• Diagnostic tests including imaging procedures, bone densitometry, bone scan, arthroscopy, arthrocentesis, electromyography, biopsy, and various laboratory studies
• Phases of bone healing
• Body mechanics
• Fractures: etiology, risk factors, pathophysiological changes, clinical manifestations, nursing interventions, and medical management
• Use of assistive devices/crutch walking/casts including individualized teaching plans
• Types of traction and nursing care
• Fracture complications: infection, compartment syndrome, venous thrombosis, pulmonary embolism, fat embolism, and avascular necrosis. 
• Osteoarthritis: etiology, risk factors, pathophysiological changes, clinical manifestations, nursing interventions, and medical management including total knee and total hip surgical intervention.
• Osteomyelitis: etiology, risk factors, pathophysiological changes, clinical manifestations, nursing interventions, and medical management
• Amputation: preoperative and postoperative care
• Osteoporosis: etiology, risk factors, pathophysiological changes, clinical manifestations, nursing interventions, and medical management
• Dietary teaching for bone health
• Medications related to the musculoskeletal system
8. Pediatrics
• Traditional and nontraditional families
• Healthy vs dysfunctional families
• Religious and cultural beliefs
• Parenting styles
• Communicating with children and families
• Communicating with special needs children
• Growth and development
• Piaget’s Theory of Cognitive Development, Freud’s Theory of Psychosexual Development, Erickson’s Psychosocial Theory and Kohlberg’s Theory of Moral Development
• Denver Developmental Screening Test
• Role of play
• Immunizations
• Primary, secondary, tertiary measure of prevention
• Community resources
• Growth and development in the infant, toddler, preschooler, school age, and adolescent child
• Health promotion specific to infants including immunizations, feeding, food allergies, teething, and lead exposure
• Health promotion specific to toddlers and preschoolers including toilet training, temper tantrums, sibling rivalry, stuttering, daycare/preschool and preparing for school
• Health promotion specific to the school-age child including: (a) adjustment to school, (b) self-care and (c) obesity, exercise and activity
• Psychosexual growth and development and exercise/activity in the adolescent
• Emergency care for children
• Nurse’s role in CPR, shock, trauma, ingestions and poisonings, environmental emergencies, submersion injuries, heat related injuries and dental emergencies
• Settings of care for the ill child
• Stressors, fear of the unknown, and regression associated with hospitalization and illness,
• Effects of chronic illness on child and family
• Holistic care involved for a child with a chronic illness including caring for the parents, education, communication, grief and support, cultural and religious beliefs, referrals, schooling, the nurse as liaison and caring for the siblings
• Infectious disease: modes of transmission, pathophysiology, clinical manifestations, complications, and nursing management
• Etiology, incidence, manifestations, diagnostic evaluation, and   management of children with attention deficit/hyperactivity disorder
• Etiology, manifestations and therapeutic management of substance abuse
• Etiology, incidence, manifestations of child abuse and shaken infant syndrome, Munchausen Syndrome by proxy and mandated reporting
• Diagnostic tests for intellectual and developmental disorders
• Pathophysiology, etiology, clinical manifestation, nursing interventions and medical management of children with intellectual and developmental disorders, including Down’s Syndrome, Fragile X Syndrome, Fetal Alcohol Syndrome, and Autism