SRJC Course Outlines

3/30/2023 11:33:58 PMNR 75B Course Outline as of Fall 2009

Changed Course

Discipline and Nbr:  NR 75BTitle:  NURSING CARE OF ADULT  
Full Title:  Nursing Care of the Adult/Older Adult/Psychiatric Client
Last Reviewed:2/9/2015

UnitsCourse Hours per Week Nbr of WeeksCourse Hours Total
Maximum12.00Lecture Scheduled6.0017.5 max.Lecture Scheduled105.00
Minimum12.00Lab Scheduled017.5 min.Lab Scheduled0
 Contact DHR18.00 Contact DHR315.00
 Contact Total24.00 Contact Total420.00
 Non-contact DHR0 Non-contact DHR Total0

 Total Out of Class Hours:  210.00Total Student Learning Hours: 630.00 

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

Catalog Description:
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Concepts and nursing practice in the care of medical/surgical, elder, and psychiatric clients are presented.  The emphasis is on acute medical/surgical and psychiatric illnesses relevant to the adult and elder client within Orem's self care framework.  Knowledge and skills acquired in lecture-discussion and in the simulated skills laboratory are applied in medical/surgical and psychiatric clinical settings.

Course completion of NR 75A or NR 75.1A

Recommended Preparation:

Limits on Enrollment:
Enrollment in the Associate Degree Nursing program.

Schedule of Classes Information
Description: Untitled document
Professional nursing care of acutely ill adult/older adult medical/surgical and mental health clients. Includes lecture, discussion, skills lab, and clinical components.
(Grade Only)

Prerequisites:Course completion of NR 75A or NR 75.1A
Limits on Enrollment:Enrollment in the Associate Degree Nursing program.
Transfer Credit:CSU;
Repeatability:00 - Two Repeats if Grade was D, F, NC, or NP


Associate Degree:Effective:Inactive:
CSU GE:Transfer Area Effective:Inactive:
IGETC:Transfer Area Effective:Inactive:
CSU Transfer:TransferableEffective:Fall 1981Inactive:Fall 2020
UC Transfer:Effective:Inactive:

Certificate/Major Applicable: Both Certificate and Major Applicable


Outcomes and Objectives:
At the conclusion of this course, the student should be able to:
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Upon completion of this course students will be able to:
1.  Discuss the Health Deviation Self-Care Requisites, Universal
   Self-Care Requisites, and Developmental Self-Care Requisites of the
   adult and older adult medical-surgical patient and the patient with
   selected oxygenation, nutrition, elimination, fluid and electrolytes,
   protection, rest and activity, interaction and regulation deficits.
2.  Describe appropriate nursing systems, nursing diagnoses, and
   interventions to be used with each identified deficit and be able to
   plan and evaluate the nursing care required.
3.  Describe the pathophysiology and behavioral patterns of selected
   psychiatric illnesses and substance abuse that interfere with the
   client's ability to meet the universal self-care needs.
4.  Use problem solving and facilitative communication skills to conduct
   an interview with the patient to assess self-care requisites, self-
   care deficits, self-care abilities, and promote relief of symptoms.
5.  Describe community resources that may be utilized to meet patients'
6.  Describe use of psychotropic agents for psychopathology.
7.  Implement nursing systems for 1-2 clients per day using the plan of
   care consistent with theory and clinical objectives.
8.  Ethically perform basic nursing skills consistent with theoretical
   knowledge base, audit sheet criteria, agency policy, state law and
   cultural considerations.
9.  Describe the pathophysiology and behavior patterns of selected
   psychiatric illnesses as they relate to older adults.
10. Perform a nursing assessment of one to two persons in the acute
   rehabilitation setting.
11. Collect and record database for each client who have a need for
   assistance in meeting their universal self-care and health deviation
12. Assess client for manifestations of inability to meet universal
   self-care and health deviation needs.
13. Complete basic assessment for each category of clients consistent
   with expected level of achievement.
14. Identify actual/potential self-care deficits and state the deficit
   in nursing diagnosis terminology.
15. Develop a written plan of nursing care incorporating current
   knowledge basis.
16. Select a nursing system appropriate for assigned client.
17. Implement the selected nursing system for 1-2 clients.
18. Demonstrate basic nursing skills consistent with theoretical
   Knowledge base and competency-based criteria.
19. Evaluate the effectiveness of therapeutic interventions.
20. Assess client and family's basic self-care needs for health teaching
   based on potential/actual self-care deficits and universal self-care
   and developmental needs.
21. Develop a teaching plan based on assessed needs.
22. Implement the developed teaching plan.
23. Evaluate client and family response to teaching.
24. Communicate:
   a.  in writing on a client's chart.
   b.  effectively with assigned clients and health care team members
       using problem solving, goal-directed communications skills.
   c.  pertinent information to client, family, and health care team
       members within the agency.
   d.  client status during and at end of shift.
25. Identify one's own educational needs and seek appropriate learning
26. Demonstrate behaviors consistent with school and health care agency
27. Utilize self-care concepts as they relate to universal self-care,
   developmental, cultural and spiritual needs.
28. Perform psychomotor skills at a level consistent with safe,
   competent performance in the clinical setting.
29. Demonstrate therapeutic communication skills consistent with safe,
   competent performance in clinical settings.

Topics and Scope
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I.  Basic concepts in the nursing care, in the selection of diagnosis,
nursing systems, and communication about the adult medical-surgical and
geriatric client
   with the following altered functions:
   A.  Cardiovascular
   B.  Acid-base balance.
   C.  Glucose metabolism
   D.  Respiratory
   E.  Musculoskeletal
   F.  Gastrointestinal
   G.  Vision
II.  Skill competencies
   A.  Ostomy management
   B.  Intravenous therapy
   C.  Respiratory assessment and therapy
   D.  Nasogastric tube; insertion, maintenance and removal
   E.  Urinary catheterization
   F.  Orthopedic devices and treatments
   G.  Intradermal injections
III.  Nursing care of the psychiatric client
   A.  The role of the nurse in the psychiatric setting
   B.  Personality disorders
   C.  Self-destructive behavior
   D.  Suicide
   E.  Thought disorders
   F.  Substance abuse
   G.  Dementia and delirium
   H.  Anxiety disorders and somatoform disorders
   I.  Disturbances of mood/affect
   J.  Psychiatric disorders of childhood and adolescence
   K.  Victims of abuse and violence
   L.  Group process

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1.  Clinical practice in hospitals.  Students must meet minimum problem
   solving skills and practice to pass this course.  Passing is a C
   grade at 75%.
2.  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.
3.  Written nursing care plans, 2 - 5 plans per semester.
4.  Completion of assessment tool, approximately 30 per semester.
5.  Viewing selected media in the Health Learning Resource Center.
6.  Present patient situations for discussion in post clinical
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, 3 pages.
10. Written clinical paper on psychiatric day care treatment, 3 pages.
11. Written clinical paper on surgical client, 5 pages.
12. Written clinical paper on Alcoholics Anonymous, 1-2 pages.
13. Reading prior to skills demonstration 15-50 pages per week.
14. Practice skills under faculty supervision in simulated clinical
15. Provide safe and competent nursing care to 1 - 2 clients
16. Four mid-term exams

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
5 - 10%
Term papers, Reports, care plans, clinical papers
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.Problem Solving
5 - 15%
Clinical patient care
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.Skill Demonstrations
10 - 15%
Care of patients in clinical settings
Exams: All forms of formal testing, other than skill performance exams.Exams
60 - 75%
Multiple choice, Matching items
Other: Includes any assessment tools that do not logically fit into the above categories.Other Category
0 - 0%

Representative Textbooks and Materials:
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- California BRN (2006) California Board of Registered Nursing Practice
 Act - Rules and regulations and California Statues related to registered
- Potter, P.A. & Perry (2006) Fundamentals of Nursing w/Companion Virtual
 Hospital 6th ed., Chicago: Mosby.
- Potter, P.A. & Perry (2006). Clinical Nursing Skills and Techniques
 w/CD-Roms, 7th ed. Chicago: Mosby
- Phillips, L. (2005). Manual of IV Therapeutics, 4th ed. F.A. Davis
- Kee, Joyce (2005). Laboratory and Diagnostic tests with Nursing
 Implications, 7th ed. New Jersey: Prentice Hall.
- Eliopoulos, C. (2004) Gerontological Nursing, 6th ed. Philadelphia:
 J.B. Lippincott.
- Varcarolis, E.M. (2006). Foundations of Psychiatric Mental Health
 Nursing, 5th ed. Philadelphia: Saunders.
- Lewis, S.M., Heitkemper, M.M., & Dirksen, S.R. (2004) Medical Surgical
 Nursing, 6th ed. Chicago: Mosby.
- Jarvis, C. (2004) Physical Examination & Health Assessment, 4th ed.
 St. Louis: Saunders.
- McKenry & Salern (2006). Pharmacology in Nursing, 22nd ed. Chicago:
- Varcaralis, E.M. (2006). The Manual of Psychiatric Nursing Care Plans,
 3rd ed. Saunders
- Deglin & Vallerand (2006). Davis's Drug Guide for Nurses. F.A. Davis.
- McCance & Huether (2006). Pathophysiology - The Biolgic Basis for
 Disease in Adults and Children, 5th ed. Chicago: Mosby.

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