5/9/2025 8:58:51 AM	NR 75B Course Outline as of Fall 1981	New Course (First Version)
CATALOG INFORMATION
Discipline and Nbr:  NR 75B	Title:  NR OF ADULT PATIENT
Full Title:  Nursing Care of the Adult Patient
Last Reviewed:2/9/2015

Units		Course Hours per Week			Nbr of Weeks	Course Hours Total
Maximum	12.50	Lecture Scheduled	6.00		17.5 max.	Lecture Scheduled	105.00
Minimum	12.50	Lab Scheduled	19.50		17.5 min.	Lab Scheduled	341.25
		Contact DHR	0			Contact DHR	0
		Contact Total	25.50			Contact Total	446.25
		Non-contact DHR	0			Non-contact DHR Total	0

Total Out of Class Hours:  210.00

Total Student Learning Hours: 656.25

Title 5 Category:  AA Degree Applicable
Grading:  Grade Only
Repeatability:  00 - Two Repeats if Grade was D, F, NC, or NP
Also Listed As: 
Formerly: 

Catalog Description:

Concepts relevant to adult & geriatric clients' inability to meet their self-care needs related to acute physical & mental illness are developed. Care of surgical clients, clients with alterations in perfusion, pulmonary function, mobility, metabolism, digestive/eliminative function, thought disorders & substance abuse/dependence is taught. A theoretical basis for nursing skills is established.  The Skills Lab is a simiulated clinical setting wherein nursing skills are demonstrated by faculty and practiced by students under faculty supervision. Students are required to demons- trate competency prior to assignment of skills in the clinical setting. Knowledge and skills acquired in lecture-discussion and skills components are applied in the delivery of nursing care to adult & geriatric clients in hospital & mental health care settings.

Prerequisites/Corequisites:
Enrollment in the ADN program; completion of NR 75A, Psych 1A or 53 or 4, and FD NT 62, all with a grade of "C" or better.

Recommended Preparation:

Limits on Enrollment:

Schedule of Classes Information
Description:

Professional nursing care of acutely ill adult and geriatric medical- surgical and mental health clients.  Includes lecture-discussion, skills lab and clinical components.

(Grade Only)
Prerequisites:Enrollment in the ADN program; completion of NR 75A, Psych 1A or 53 or 4, and FD NT 62, all with a grade of "C" or better.
Recommended:
Limits on Enrollment:
Transfer Credit:CSU;
Repeatability:00 - Two Repeats if Grade was D, F, NC, or NP

ARTICULATION, MAJOR, and CERTIFICATION INFORMATION

Associate Degree:		Effective:		Inactive:
Area:
CSU GE:	Transfer Area			Effective:	Inactive:
IGETC:	Transfer Area			Effective:	Inactive:
CSU Transfer:	Transferable	Effective:	Fall 1981	Inactive:	Fall 2020
UC Transfer:		Effective:		Inactive:
C-ID:

Certificate/Major Applicable: Certificate Applicable Course

COURSE CONTENT

Outcomes and Objectives:
At the conclusion of this course, the student should be able to:

1.  With minimal guidance, collects and records data base for each

   client who has an increasing need for assistance in meeting universal

   self-care and health deviation needs with predictable outcomes.

2.  With guidance, assesses client for manifestations of inability

   to meet universal self-care and health deviation needs related to

   pathophysiology/psychopathology.

3.  With minimal guidance, completes basic assessment tool consistent

   with expected level of achievement.

4.  With minimum guidance is able to identify actual/potential self-care

   deficits and state the deficit in nursing diagnosis terminology.

5.  Given a client with less predictable outcomes, with guidance,

   develops a written plan of care utilizing a knowledge base consistent

   with expected level of achievement and establishes priorities based

   on self-care deficits.

6.  Given a client with less predictable outcomes, with guidance selects

   a nursing system.

7.  Develops written nursing care plan (NCP) consistent with Level II

   NCP format.

8.  With guidance, implements the selected nursing system for 2-3 clients

   with less predictable outcomes consistent with expected level of

   achievement.

9.  With guidance, performs basic nursing skills consistent with

   theoretical knowledge base and audit sheet criteria.

10. Applies principles of safety as identified on safety audit sheet.

11. With less guidance, evaluates the appropriateness of the selected

   nursing system, the effectiveness of the NCP and therapeutic

   interventions at the expected level of achievement.

12. With guidance, assesses client and family's basic self-care needs

   for health teaching based on potential/actual self-care deficits

   consistent with universal self-care and developmental needs.

   Identifies appropriate resources for resolution.

13. With guidance, plans and implements client and family teaching

   needs consistent with expected level of achievement and agency

   policy incorporating basic principles of pathophysiology,

   psychopathology, and developmental and cultural needs.

14. With guidance, evaluates client and family response to teaching

   consistent with expected level of achievement.

15. With guidance, communicates:

     A. In writing on a client's chart, consistent with audit sheet

        criteria.

     B. Effectively with assigned clients and health care team members

        using problem solving, goal-directed communication skills.

     C. Pertinent information to client, family, instructor and health

        team members within the agency ensuring client safety.

     D. Change of shift report.

16. Identifies educational needs and seeks appropriate guidance.

17. With guidance, demonstrates behaviors consistent with school and

   health care agency policies, professional ethics and legal parameters

   consistent with expected level of achievement.

18. With guidance, utilizes self-care concepts as they relate to

   universal self-care needs, developmental, cultural and spiritual

   needs.

19. In the Skills Lab, masters psychomotor skills at level consistent with

   safe, competent performance in the hospital setting.

20. In the Skills Lab, masters therapeutic communication and behavioral

   intervention skills at a level consistent with safe, competent

   performance in hospital and community health care settings.

Topics and Scope

1.  Introduction to Universal Self-Care Deficits.

     A. Altered oxygenation.

     B. Altered nutrition - elimination.

     C. Fluid and electrolyte imbalances.

     D. Altered protection.

     E. Altered rest and activity.

     F. Altered interaction.

     G. Impaired regulation.

2.  The Surgical Client and Universal Self-Care Requisites/Deficits.

3.  Altered Mental Health States.

     A. Schizophrenia.

     B. Substance abuse.

     C. Depression.

     D. Rehabilitation of the chronic psychiatric patient.

4.  Demonstration, Practice, and Competency Demonstration of:

   A. Perioperative care skills

   B. Intravenous therapy

   C. Respiratory assessment and therapy

   D. Nasogastric tube insertion, maintenance and removal

   E. Urinary catheter insertion and maintenance

Assignments:

1.  Preparation for clinical assignments by reviewing patient's chart;

   preparing data base, pathophysiology form, assessment tool and

   researching medications, treatments and skills - approximately

   3-4 hours per week.

2.  Written nursing care plans (4 pages per plan), 5 plans per semester.

   Includes data collection, data analysis, development of plan for

   nursing care with specific interventions and evaluation of

   effectiveness.

3.  Completion of two-page assessment tool, approximately 30 per semester.

4.  Viewing selected videotapes in CHEC, 8-10 per semester.

5.  Viewing selected CAI program in CHEC, 6-8 per semester.

6.  Present patient situations for discussion in post clinical conferences

   (approximately 1 hour presentation per student per semester).

7.  Analysis of patient care situations. In group setting, approximately

   10-12 per semester.

8.  Reading assignments, 70-350 pages per week.

9.  Written clinical paper on substance abuse, one per semester, 3 pages

   per paper.

10. Written clinical paper on psychiatric day care treatment, one per

   semester, 3 pages per paper.

11. Written clinical paper on surgical client, one per semester, 5 pages

   per paper.

12. Written clinical paper on Alcoholics Anonymous, one per semester,

   1-2 pages per paper.

13. Reading prior to skills demonstration 15-50 pages per week.

14. Attend scheduled skills demonstrations.

15. Practice skills under faculty supervision in simulated clinical

   setting.

16. Demonstrate safe and competent skill performance.

Methods of Evaluation/Basis of Grade.

Writing: Assessment tools that demonstrate writing skill and/or require students to select, organize and explain ideas in writing.		Writing 0 - 0%
None
This is a degree applicable course but assessment tools based on writing are not included because problem solving assessments are more appropriate for this course.
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.		Problem Solving 10 - 30%
Exams
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.		Skill Demonstrations 0 - 0%
None
Exams: All forms of formal testing, other than skill performance exams.		Exams 85 - 95%
Multiple choice, Matching items
Other: Includes any assessment tools that do not logically fit into the above categories.		Other Category 0 - 0%
None

Representative Textbooks and Materials:

FUNDAMENTALS OF NURSING by Potter and Perry. Mosby Co. 2d ed. 1993

CLINICAL NURSING SKILLS by S. Smith and D. Duell.  Appleton & Lange.

 1996

LABORATORY AND DIAGNOSTIC TESTS WITH NURSING IMPLICATIONS by J. Kee.

 Appleton and Lange. 1995

PATHOPHYSIOLOGY: THE BIOLOGICAL BASIS FOR DISEASE IN ADULTS AND

 CHILDREN by McCance & Huether. Mosby. 2d ed. 1994

CRITICAL THINKING IN MEDICAL-SURGICAL SETTINGS: A CASE STUDY APPROACH by

 Winningham & Preusser.  Mosby 1996

CRITICAL PATHWAYS FOR COLLBORATIVE NURSING CARE by S. Beyea.

 Addison-Wesley. 1996

PRINCIPLES AND PRACTICE OF PSYCHIATRIC NURSING by Stuart and Sundeen.

 Mosby 1994

MEDICAL-SURGICAL NURSING by LeMone & Beyea. Addison-Wesley. 1996

PHARMACOLOGY IN NURSING by McKenry & Salerno. Mosby 1995

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