Maricopa Community Colleges  NUR106   19916-20032 
Official Course Description: MCCCD Approval: 06/17/03
NUR106 19916-20032 LEC
LAB
5 Credit(s)
5 Credit(s)
5 Period(s)
15 Period(s)
Nursing Concepts II
Reinforces and broadens nursing concepts and principles. Use of nursing process to respond to needs of adults in areas of pathophysiology, gerontology, and psychiatric-mental health nursing. Further exploration of issues of professional role development. Clinical settings employed to assist students in applying nursing porcess with selected patients. Prerequisites: (BIO201 and BIO202 or concurrent enrollment), NUR105, and PSY101.
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MCCCD Official Course Competencies:
 
NUR106   19916-20032 Nursing Concepts II
1. Perform nursing care according to prioritized physiological and psychosocial needs of the patient. (I-IV)
2. Apply knowledge of pathophysiology and related nursing care principles when caring for adults with selected acute and chronic problems. (II-IV)
3. Use effective therapeutic communication skills with patients, families, and members of the health care team. (II-IV)
4. Use the nursing process in caring for selected patients in the areas of medical/surgical, gerontology, and psychiatric-mental health nursing. (II-IV)
5. Apply pharmacological theory when caring for selected patients. (II-IV)
6. Apply principles of nutrition and diet therapy when providing care to adults in various settings. (II-IV)
7. Implement patient and family teaching-learning plans based on individual needs. (II-V)
8. Demonstrate behaviors which reflect the professional, legal, and ethical framework of nursing. (II-IV, VI)
9. Describe the special needs of older adult patients. (III)
10. Use the anxiety continuum when applying the nursing process to nursing care. (IV)
11. Use a computer to enhance knowledge of the nursing process and as an aid in making decisions regarding care of patients. (VII)
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MCCCD Official Course Outline:
 
NUR106   19916-20032 Nursing Concepts II
    I. Priorities of care
        A. Physiological
          1. Data collection
          2. Client condition
        B. Psychosocial
          1. Maslow's hierarchy
          2. Erikson's stages
          3. Stages of grief
      II. Pathophysiology
          A. Connective tissue disorders
            1. Etiology and clinical manifestations
            2. Laboratory and diagnostic testing
            3. Management/nursing process
          B. Musculoskeletal disorders
            1. Etiology and clinical manifestations
            2. Laboratory and diagnostic testing
            3. Management/nursing process
          C. Oncological disorders
            1. Etiology and clinical manifestations
            2. Laboratory and diagnostic testing
            3. Management/nursing process
          D. Clients with diabetes mellitus
            1. Etiology and clinical manifestations
            2. Laboratory and diagnostic testing
            3. Management/nursing process
          E. Eye disorders
            1. Etiology and clinical manifestations
            2. Laboratory and diagnostic testing
            3. Management/nursing process
          F. Ear disorders
            1. Etiology and clinical manifestations
            2. Laboratory and diagnostic testing
            3. Management/nursing process
          G. Upper respiratory disorders
            1. Etiology and clinical manifestations
            2. Laboratory and diagnostic testing
            3. Management/nursing process
          H. Lower respiratory tract disorder
            1. Etiology and clinical manifestations
            2. Laboratory and diagnostic testing
            3. Management/nursing process
          I. Clients with cerebrovascular accident
            1. Etiology and clinical manifestations
            2. Laboratory and diagnostic testing
            3. Management/nursing process
          J. Chronic cardiovascular and peripheral vascular disease disorders
            1. Etiology and clinical manifestations
            2. Laboratory and diagnostic testing
            3. Management/nursing process
          K. Gastrointestinal/gallbladder disorders
            1. Etiology and clinical manifestations
            2. Laboratory and diagnostic testing
            3. Management/nursing process
          L. Pharmacology
            1. Theoretical applications to specific clients
            2. Administration techniques
            3. Nursing implications
          M. Legal and ethical concerns
        II. Pathophysiology
            A. Connective tissue disorders
              1. Etiology and clinical manifestations
              2. Laboratory and diagnostic testing
              3. Management/nursing process
            B. Musculoskeletal disorders
              1. Etiology and clinical manifestations
              2. Laboratory and diagnostic testing
              3. Management/nursing process
            C. Oncological disorders
              1. Etiology and clinical manifestations
              2. Laboratory and diagnostic testing
              3. Management/nursing process
            D. Clients with diabetes mellitus
              1. Etiology and clinical manifestations
              2. Laboratory and diagnostic testing
              3. Management/nursing process
            E. Eye disorders
              1. Etiology and clinical manifestations
              2. Laboratory and diagnostic testing
              3. Management/nursing process
            F. Ear disorders
              1. Etiology and clinical manifestations
              2. Laboratory and diagnostic testing
              3. Management/nursing process
            G. Upper respiratory disorders
              1. Etiology and clinical manifestations
              2. Laboratory and diagnostic testing
              3. Management/nursing process
            H. Lower respiratory tract disorders
              1. Etiology and clinical manifestations
              2. Laboratory and diagnostic testing
              3. Management/nursing process
            I. Clients with cerebrovascular accident
              1. Etiology and clinical manifestations
              2. Laboratory and diagnostic testing
              3. Management/nursing process
            J. Chronic cardiovascular and peripheral vascular disease disorders
              1. Etiology and clinical manifestations
              2. Laboratory and diagnostic testing
              3. Management/nursing process
            K. Gastrointestinal/gallbladder disorders
              1. Etiology and clinical manifestations
              2. Laboratory and diagnostic testing
              3. Management/nursing process
            L. Pharmacology
              1. Theoretical applications to specific clients
              2. Administration techniques
              3. Nursing implications
            M. Legal and ethical concerns
          III. Perspectives on older adults
              A. Characteristics of the older population
              B. Aging and myths
              C. Scope of gerontological nursing practice
              D. Theories of aging
                1. Biological theories
                2. Sociological theories
                3. Psychological theories
              E. Gerontological nursing and the nursing process
                1. Nursing assessment of the older adult
                2. A.N.A. Standards for Gerontological Nursing
                3. Planning and providing care to older adults
              F. Physiological aspects of aging
                1. Effects of common physiological conditions on the lifestyle of the elderly
                2. Age-related changes
                3. Coping with chronic illness
              G. Cognitive aspects of aging
                1. Theories of adult intellectual development and age-related cognitive changes
                2. Risk factors affecting cognition in the elderly
                3. Assessments and interventions
                4. Specific disturbances in cognitive functioning
              H. Culture and aging
                1. Divergent patterns of aging
                2. Universal systems of age-group classification
                3. Cultural factors
                4. Controversies in cultural gerontology in the U.S.
                5. Ethnic elderly
                6. Implications of assessment cues for nursing
              I. Health care for older adults
                1. Models of health service
                2. Utilization of health services
                3. Financing health care services
              J. Long-term care of the elderly
                1. Types of facilities
                2. Nursing-home Patient's Bill Of Rights
                3. Behaviors and attitudes of nurses working with the elderly
                4. Rationales for professional gerontophobia
              K. Ethical and legal issues related to gerontology
                1. Freedom to die
                2. Elderly abuse
                3. Court declared incompetence
                4. Treatment choices
                5. Economic issues related to long-term care
                6. Intergenerational conflicts
              L. Medications and the older adult
                1. Age-related changes
                2. Risk factors
                3. Functional consequences
                4. Assessment
                5. Interventions
              M. Health promotion in the elderly
                1. Model for health-promoting behavior
                2. Key components of health promotion
                3. Nursing interventions which promote health
                4. Future projections
            IV. Psychiatric mental-health nursing
                A. Introduction to psychiatric-mental health nursing
                  1. Historical overview
                  2. Attitudes and beliefs
                  3. Mental health/mental illness and the DSM-III-R
                  4. Evolution of nursing in psychiatric settings
                  5. Major trends in mental health care
                B. Personality theories and therapies
                  1. Major theories of personality
                  2. Somatic therapy
                  3. Psychotherapeutic approaches
                C. Legal and ethical issues
                  1. Ethical concepts
                  2. Mental health laws
                  3. Tort law
                  4. Standards of care for psychiatric nursing practice
                  5. The duty to intervene
                  6. Documentation of care/record keeping
                  7. Patient's rights
                D. Mental health considerations across cultures
                  1. Cultural explanations of mental illness
                  2. Nurses' attitudes
                  3. Theoretical framework
                  4. Cultural assessment
                E. Communication
                  1. Communication process
                  2. The therapeutic nurse-client relationship
                  3. The clinical interview
                  4. Process recordings
                F. The nursing process in psychiatric settings
                  1. Theory
                  2. Data collection
                  3. Diagnosis
                  4. Planning
                  5. Intervention
                  6. Evaluation
                  7. Documentation
                G. Anxiety
                  1. Etiological theories of anxiety
                  2. Comparing and contrasting types of anxiety
                  3. Levels of anxiety
                  4. Nursing interventions
                H. The anxiety continuum as a conceptual framework
                  1. Acute anxiety
                  2. Moderate to severe levels of chronic anxiety
                  3. Severe to panic levels of chronic anxiety
                  4. Self-destructive defenses against anxiety
                I. Acute anxiety
                  1. Crisis theory
                  2. Working with a person in crisis
                  3. Working with the chronically mentally ill
                  4. Maladaptive responses to crisis
                J. Moderate to severe levels of chronic anxiety
                  1. Psychophysiological disorders
                  2. Repetitive and ineffective "neurotic defenses"
                  3. Personality disorders
                K. Severe to panic levels of chronic anxiety
                  1. Alterations in mood
                  2. Alterations in mood - elation
                  3. Schizophrenic disorders
                  4. Cognitive impairment disorders
                L. Self-destructive defenses against anxiety
                  1. Suicide
                  2. Alcoholism
                  3. Dependence upon substances other than alcohol
                  4. Anxiety and eating disorders
                M. Selected mental health issues
                  1. Mental health in the elderly population
                  2. Self-concept
                  3. Adult relationships and sexuality
              V. Client and family education
                  A. Resources
                  B. Methods
                  C. Outcome criteria
                  D. Evaluation
                VI. Issues of personal and professional growth/skills
                    A. Organization and priority setting
                    B. Legal and ethical consideration in specific cases
                    C. Time management
                    D. Staff/student communication
                    E. Safety principles
                    F. Documentation
                    G. Holism/wellness/lifestyle
                    H. Values/culture
                    I. Awareness of personal strengths and inner resources
                    J. Coping with stress
                    K. Humor and play
                    L. Grief and loss
                    M. Spirituality
                  VII. Personal computers
                      A. Client simulations
                      B. Computer applications
                        1. Nursing diagnosis
                        2. Nursing process
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