Official Course Description:   MCCCD Approval:  06/22/99
NUR160      19996-20005	LEC	2 Credit(s)	2 Period(s)
Nursing Process and Critical Thinking I
Overview of nursing concepts and theories focusing on meeting basic human needs across the life span based on the wellness/illness continuum within the practical nurse scope of practice. Theoretical concepts focus on care of the well client, elder client, and clients with selected physiological, psychological, and mental health problems. Emphasis on the role of the practical nurse in the nursing care plan utilizing established nursing diagnoses. Focus on the development of the critical thinking process related to nursing care of clients in the community and health care facilities. Prerequisites: Admission into the nursing program.

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MCCCD Official Course Competencies:
NUR160   19996-20005	Nursing Process and Critical Thinking I

1.	Describe the phases of the nursing process. (I)
2.	Identify critical thinking skills and attitudes necessary to make reasonable decisions within the practice of nursing. (II)
3.	Describe basic concepts of life span development. (III)
4.	Develop therapeutic communication skills used in interactions with clients and families in community and acute health care settings. (IV)
5.	Explain concepts of holism. (V)
6.	Integrate holism into the wellness/illness continuum. (V)
7.	Demonstrate ways in which caring is communicated in the nurse-client relationship. (VI)
8.	Describe standards that safeguard the client's health and well being. (VII)
9.	Apply the nursing process to the care of elder clients. (VIII)
10.	Describe the special considerations of care for elder clients. (VIII)
11.	Apply the nursing process to the care of clients with selected psychological/mental health disorders. (IX)
12.	Apply the nursing process to the care of clients across the life span with alterations in health. (X)

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MCCCD Official Course Outline:
NUR160   19996-20005	Nursing Process and Critical Thinking I

I. Nursing Process A. Assessment B. Nursing diagnosis C. Planning D. Implementation E. Evaluation F. Recording and reporting documentation II. Critical Thinking A. Definition , skills and attributes B. Factors affecting critical thinking C. Application to the nursing process III. Life Span Development A. Basic human needs B. Developmental theory C. Family life cycle D. Interventions with altered growth and development E. Health care across the life span IV. Therapeutic Communication A. Types/principles of therapeutic communication B. Factors that enhance growth in others C. Phases of the nurse-client relationship D. Guidelines for conducting a clinical interview V. Holism A. Bio-psycho-social health perspective B. Historical integration of health C. Mind-body-spirit D. Integration of holism E. Holistic health care VI. Caring Behaviors A. Verbal and non-verbal behaviors B. Empathy, sensitivity, and support C. Nurse client relationships VII. Safe Nursing Practice A. Nursing goals B. ANA standards of care VIII. Nursing Process for Elderly Clients A. Definition and theories for later maturity B. Theories of aging C. Gerontological variation and adaptation D. Response to illness by older adults IX. Nursing Process for Clients with Psychological/Mental Health Disorders A. Stress/anxiety/coping/adaptation B. Grief, mourning, loss C. Depressed clients D. Cognitive disorders E. Delirium F. Demetia G. Angry and aggressive clients H. Abuse dynamics I. Domestic violence J. Substance abuse X. Nursing Process for Clients Across the Life Span with Alterations in Health A. Perioperative care B. Surgical asepsis C. Elderly client in surgery D. The infant in surgery E. Postoperative nursing care F. Oxygenation and ventilation G. Movement and coordination H. Skin integrity and wound healing I. Pain Theories and management J. Clients with infectious disorders K. Clients with an acute injury/inflammation L. Clients with allergies and anaphylaxis M. Clients with autoimmune disorders N. Clients with HIV disease O. Clients receiving chemotherapy P. Clients with fluid volume deficits Q. Discharge teaching

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