Official Course Description: MCCCD Approval: 06/17/03
NUR105 19916-20032	LEC LAB	3 Credit(s) 3 Credit(s)	3 Period(s) 9 Period(s)
Nursing Concepts I
Introduction to nursing concepts, the practice of nursing fundamentals, and beginning socialization in nursing. Emphasis on foundational concepts, communication skills, psychomotor skills, and lifespan development and holistic care. Clinical application of the nursing process to assist students in identifying and responding to the health needs of adults. Prerequisites: Open only to students accepted into the nursing program.

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MCCCD Official Course Competencies:
NUR105   19916-20032	Nursing Concepts I

1.	Identify various nursing roles and the scope of nursing practice. (I, XIV, XX)
2.	Apply nursing knowledge and skills to provide for the physiological and psychosocial needs of selected patients. (I-XX)
3.	Performm basic clinical assessments related to individual patient needs and ethnicity, based on the concept of adaptation. (II, IV, V, VIII, XIII, XV, XVI, XVIII)
4.	Use the nursing process in caring for patients with fluid and electrolyte imbalances. (II, VI)
5.	Use the nursing proces to care for patients experiencing acute and/or chronic pain. (II, VIII)
6.	Use the nursing process in caring for perioperative patients. (II, XI)
7.	Use the nursing process to implement a holistic approach to caring for patients. (II, XIII)
8.	Use the nursing process in caring for patients from diverse cultures. (II, XVI)
9.	Use universal precautions and isolation technique to prevent the spread of infection. (III, X)
10.	Use basic therapeutic communication skills with patients and health team members. (IV, V, XVI, XX)
11.	Describe the biopsychosociocultural and spiritual needs of older adults. (IV, XIII, XV, XVI, XVIII)
12.	Apply basic pharmacological and nutritional concepts in the care of patients. (VII, IX)
13.	Chart observations relating to patient care. (XII)
14.	Describe behaviors which reflect the professional, legal, and ethical framework of nursing. (XIV, XX)
15.	Describe nursing interventions related to problems in patient self-esteem or sexuality. (XVII)
16.	Describe the process of grieving in developmental and situational losses. (XIX)
17.	Describe the teaching/learning process for working with selected patients. (XX)
18.	Use a computer to enhance knowledge of the nursing process, solve dosage problems, and as an aid in making decisions regarding care of patients. (XXI)

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MCCCD Official Course Outline:
NUR105   19916-20032	Nursing Concepts I

I. Health-illness/health care delivery systems A. Developmental status B. Prevention C. Definition of illness D. Effects of illness E. Different disciplines F. Current patterns and trends G. Health care system H. System problems II. The nursing process A. Definition, purpose, and value of the process B. The nursing process C. Functional characteristics D. Problem solving E. Assessment F. Common areas of assessment G. Sources of data H. States of assessment I. Assessment of activities J. Definition of nursing diagnosis K. Differences from medical diagnosis L. Components of nurisng diagnosis M. Deriving a diagnosis from the data base N. Guidelines for stating nursing diagnosis O. Advantages of nursing diagnosis P. Nursing diagnostic models Q. Planning nursing intervention R. Scope and process of intervention S. History, scope, and purposes of nursing standards T. Quality assurance program III. Infection control A. The chain of infection B. Course of an infection C. Prevention of infection D. Protective aepsis E. Psychological needs of patients in isolation F. Protective aepsis techniques G. Protective aepsis IV. Assessing health status A. Terms B. Eye C. Ear D. Nose E. Mouth, pharynx F. Thorax and lungs G. Heart H. Breasts I. Axillae J. Abdomen K. Genitals and rectum L. Extremities M. Neurological assessment V. Communication processes A. Verbal and nonverbal communication B. Elements of the communication process C. Influencing factors D. Assessing communication E. Diagnosing communication problems F. Planning for effective communication G. Techniques for therapeutic responses H. Responses that inhibit communication I. Evaluating effectiveness of communication VI. Fluid excess/fluid deficits A. Distribution of fluids B. Movement of body fluid/electrolytes C. Regulation of fluid D. Fluid assessment E. Nursing diagnosis F. Electrolyte imbalances G. Acid-base balance H. Imbalances VII. Nutrition A. Nutrients B. Food habits and eating patterns C. Normal nutrition D. Assessing nutrition factors E. Common problems related to nourishment F. Nutritional patterns causing imbalance G. Nursing diagnosis related to nutritional deficiency VIII. Alterations in awareness and comfort A. Normal sensory perception B. Sensory stimulation C. Sensory perception processing D. Sensory disturbances E. Assessment of sensory perceptual alterations F. Perceptual-sensory history and assessment G. Types of pain H. Pain receptors and fibers I. Transmission pathways J. Pain characteristics K. Melzach and Wall's Gate Control Theory L. Endorphins/enkephalins M. Assessment of pain N. Nursing diagnosis for the patient in pain IX. Pharmacology and medications A. Historical perspectives B. Classification of drugs C. Mechanisms of drug actions D. Methods of administration E. Computation of drug dosages F. Drug interactions G. Adverse side effects H. Documentation I. Legal aspects J. Application of the nursing process X. Wound care/surgical aepsis/fever and infection A. Surgical aepsis B. Techniques of surgical aepsis C. Types of wounds D. Wound healings E. Care of wounds F. Physiological responses of wound healing G. Wound complications H. Inflammation I. Types of exudate J. Immunological adaptive response XI. Care of the surgical patient A. Reasons for surgery B. Legal aspects C. Nursing assessment D. Preoperative patient education E. Immediate preoperative preparation F. Patient undergoing surgery G. Postoperative nursing care H. Complications XII. Recording and reporting A. Terms B. Purpose of records C. Basic components of problem-oriented record D. Components of source oriented medical records E. SOAP progress notes F. Progress notes G. Guidelines about reporting H. Records the nurse uses I. Reporting and conferring XIII. Holistic person, human needs, stress and adaptation A. Holism and nursing B. Theoretical views C. Comparison of Maslow and Kalish basic human needs theories D. Factors affecting need satisfaction E. Assigning priorities to needs F. Characteristics of homeostatic mechanisms G. Regulation of homeostasis H. Definition of stress as developed by Hans Selye I. Stages of Selye's GAS J. Lazarus Stress Model K. Manifestations of stress L. Levels of anxiety M. Relationship of anger to anxiety N. Unconscious ego defense mechanisms O. Factors influencing manifestations of stress P. Modes of adaptation Q. Seven characteristics of adaptive responses R. Nursing diagnosis S. Goals and outcome criteria XIV. Values and ethics/rights and legal issues A. Values B. Values clarification C. Bioethical issues in nursing D. Rights E. Client's rights F. Nurses' rights G. Legal concepts H. Types of law I. Legal dimensions of nursing J. Contractual arrangements K. Potential liability L. Selected legal facets M. Legal protection N. Nursing process XV. Developmental needs of older adults A. Physical changes B. Psychosocial development C. Psychosocial changes D. Cognitive changes E. Moral development F. Spiritual development G. Common health hazards and problems H. Nursing diagnosis and nursing implications XVI. Culture and human values A. Terminology B. Characteristics of culture C. Multicultural considerations D. Economic subcultures E. The gay community subculture F. The health care system subculture G. Implementation of the nursing process XVII. Self-concept/sexuality A. Definitions B. Personal self C. Stressors affectng self-concept and self-esteem D. Assessment of self-concept E. Guidelines for nursing interventions F. Nursing intervention for specific problems in self-esteem and self-concept G. Sexuality perspectives H. Life cycle I. Stimulus and response patterns J. Characteristics of sexual health K. Changes in motivation L. Nursing diagnosis M. Sexual health XVIII. Spirituality A. Definitions B. Spiritual development C. Religious beliefs D. Assessing the need for spiritual assistance E. Nursing diagnosis F. Planning and implementation G. Outcome criteria H. Values clarification XIX. Loss, grief, and death A. Types of loss B. Definitions C. Developmental concept of loss D. Kubler-Ross' stages of grieving E. Engel's states of grieving F. Implementation of the nursing process G. Death and dignity H. Clinical signs I. Care of the body after death XX. Nursing and the nurse/teaching-learning A. Major sociological factors contributing to the development of nursing B. Criteria of a profession C. Relation of conceptual framework to the nursing process D. Models of delivery E. Expanded roles F. Educational patterns G. Professional organizations H. Examples of change in the nursing profession I. History and trends J. Terms K. Learning principles L. Factors M. Principles of teaching N. Assessing learning O. Steps in planning learning P. Learning objectives Q. Barriers to learning R. Methods of teaching S. Methods of evaluation T. Documentation XXI. Computer applications A. Math calculations B. Nursing process

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