NURS 103 - Nursing III: Nursing Care of Patients with Acute Health Problems

9 Credits: (5 lecture, 12 lab)

Course Description
This course provides the necessary knowledge and skill acquisition for the student to effectively manage the nursing care of individuals with common acute medical-surgical disorders and mental health disorders. The focus is on understanding and applying concepts of pathophysiology and evidence-based nursing care. Clinical experiences occur in a variety of settings.

Prerequisite NURS 102, NURS 142, BIOL 132, and PSYC 203. Corequisite NURS 143, ENGL 101, and BIOL 201.

Text
Boyd, M: Lippincott CoursePoint+ for Boyd: Psychiatric Nursing: contemporary practice 7th ed. Wolters Kluwer (Lippincott), 2022.

Cueller, E. Tina, HESI Comprehensive Review for NCLEX-RN Exam, 6th ed., St. Louis: ELSEVIER, 2020.

Frandsen, G., & Pennington, S. Abrams’ clinical drug therapy: Rationales for nursing practice.12th ed. Philadelphia: Wolters Kluwer, Lippincott Course Point Plus, 2021.

Hinkle, J., and Cheever, K. Brunner & Suddarth’s Textbook of Medical-Surgical Nursing, 15th ed., Philadelphia: Wolters Kluwer, Lippincott Course Point Plus, 2022.

Lippincott Williams & Wilkins. Nursing 2022 Drug Handbook. Philadelphia: Wolters Kluwer, Lippincott, 2022

Buchholz, Susan. Henke’s Med-Math: Dosage Calculation, Preparation & Administration. 8th ed. Philadelphia: Wolters Kluwer, Lippincott, 2016

Lynn, Pamela: Skills Checklist for Taylor’s Clinical Nursing Skills, 5th ed., Philadelphia: Wolters Kluwer, 2019

Taylor, C., Lynn, p., & Barlett, J. (2019). Fundamentals of Nursing: The Art and Science of Person-Centered Care (9th ed.). Philadelphia: Wolters Kluwer.

Electronic Resources for NURS 103:

DocuCare by Lippincott
CoursePoint+ by Lippincott
V-Sim by Lippincott
HESI RN Patient Reviews with RN Case Studies and Practice Test by HESI

Objectives
The student will be able to:

A. Analyze the relationship of professional behaviors to ethical and legal guidelines in acute care and psychiatric settings.

B. Provide nursing interventions in acute care and psychiatric settings in a culturally sensitive and holistic manner.

C. Determine appropriate communication techniques used in nursing practice during the care of individuals, families and members of the interdisciplinary team.

D. Apply evidence-based practice findings related to common acute health problems.

E. Demonstrate the use of appropriate health promotion activities as part of the nursing care of individuals with common acute medical-surgical disorders.

F. Demonstrate the appropriate delegation skills as part of the nursing care of individuals with common acute medical-surgical disorders.

G .Apply the concepts of pathophysiology and technology in the treatment of individuals with acute medical-surgical and mental health disorders.

H. Practice professional interactions with individuals and families.

Content
A. Nursing care of the individual with a mental health disorder

B. Nursing care of the chemically dependent individual

C. Nursing care of the individual in crisis

D. Nursing care of the individual with an acute medical disorder

E. Nursing care of the individual during the perioperative period

Student Evaluation
Concept map for client with acute medical surgical disorder, concept map for client with mental health disorder, demonstrations/return demonstrations, simulation, quizzes, written exams, comprehensive final exam, clinical performance based on behavioral objectives.

Bibliography
Carpenito, Lynda Juall. Nursing Diagnosis: Application to Clinical Practice, 15th ed. Philadelphia: Lippincott, 2017. Print.

Chu, L. (2014). The influence of perceived stress on work family conflict and mental health. The moderating effect of persons-environment fit. Journal of Nursing Management, 22 (5), 613-620.

Frazer, Cynthia, MS, RN & CNE, CMSRN. (2017). Heparin-Induced Thrombocytopenia. Journal of Infusion Nursing, 40, 98-100. https://doi.org/10.1097/NAN.0000000000000215

Gumos, F., Ergun, G., & Dikec, G. (2020). Effect of psychoeducation on stress in parents of children with attention-deficit/hyperactivity disorder: A randomized controlled study. Journal of Psychosocial Nursing and Mental Heatlh Services, 58 (7), 34-41. https://doi.org/10.3928/02793695-20200506-01. 

Handford, C.M., Rapee,R.M., Fardouly, J. (2018). The influence of maternal modeling on body image concerns and eating disturbances in preadolescent girls. Behaviour Research and Therapy, 00:17-23. Doi: 10.1016/j.brat.2017.11.001.

Heavey, E. (2015, January). Screening nurses for tuberculosis. Nursing2015(45)1, 60

Jeffries, M et al (2007, December). Helping your patient combat lung cancer. Nursing 2007, 36-42

McDonald, A.H., Pritchard, M. & McGuire, M.K. (2020). Self-reported eating disorder risk in lean and non-lean NCAA Collegiate Athletes. Eating and Weight Disorders: EWD 25(3), 745-750. https://doi.org/10.1007ls40519-019-00681-0

Mckiernan, J & Thom, B (2016 August). Human papillomavirus related oropharyngeal cancer:a review of nursing considerations. AJN (116)8, 34-43

Melnyk, Bernadette Mazurek, and Ellen Fineout-Overholt. Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice. 3rd ed. Philadelphia: Lippincott, 2015. Print.

Morris, L et al (2015 December). Restoring speech to tracheostomy patients. Critical care nurse (35)6, 13-28

Perkins, A (2018 November/December). Influenza: Are you ready? Nursing made incredibly easy, 36-43

Pilger, E & Costanzo, C (2018 September). Screening and management of hepatitis C. American nurse today (13) 9, 72

Pullen, R & Francis-Johnson, P (2019 January/February) Inside autoimmune liver disease. Nursing made easy, 40-50

Rebar, Cherie, R., Carolyn J. Gersch, Carol L. Understanding Nursing Research: Using Research in Evidence-Based Practice. 4th ed. Philadelphia: Lippincott, 2015. Print.

Sasa, R (2019, April). Evidence-based update on chest tube management. American nurse today (14)4, 10-15

Schiech, L. & Held-Warmkessel, J. (2014, February). Non-small cell lung cancer: recent advances. Nursing2014, 32-42 

Schuster, Pamela McHugh. Concept Mapping: A Critical-Thinking Approach to Care Planning. 4th ed. Philadelphia: Davis, 2016. Print.

Screiber, M. L. (2017, Nov/Dec). Postoperative nursing considerations: transurethral resection of the prostate. MedSurg Nursing, 26(6), 419-422.

Warren, C et al (February 2019). A nurse-driven oral care protocol to reduce hospital-acquired pneumonia. AJN(119)2, 44-51