Jan 19, 2021  
2016-2017 Catalog 
2016-2017 Catalog [PAST CATALOG]

NUR 220 - Nursing of Adult Clients in Health and Illness 2

5 credit hours - 45 hours lecture and 90 hours of directed laboratory per term.
Develop concepts, principles and skills to care for clients with uncompensated alterations of functioning within biological and psychosocial systems in medical surgical and psychiatric settings. Emphasizes physical assessment, interactions with clients and implementation of care. Introduces alterations in multiple systems. Prepares for roles of provider of care, manager of care, and member within the discipline of nursing. Lab fee $75. Clinical fee $100.

Prerequisite(s): NUR 130  with a grade of C or better.

Course Outcomes
Upon successful completion of this course, students will be able to:

  • Demonstrates accountability for maintaining the standards of professional practice to include holistic care across the settings, legal/ethical behaviors and lifelong learning in concert with the Maryland Nurse Practice Act.
    • Select appropriate intervention for the safety and management of the client with alterations in psychosocial and sensorimotor systems.
    • Differentiate among common health problems in the United States.
  • Utilizes appropriate and therapeutic verbal and written communication to promote positive client outcomes.
    • Describe the components of psychotherapeutic management: individual, group and psychopharmacologic intervention for common mental health problems.
    • Demonstrate the use of specific therapeutic communication interventions with clients with altered perceptions and behavioral problems.
  • Assesses holistically and systematically, the health status of individuals, families and communities to determine health
    • Differentiate among common health problems in the United States.
    • Describe the effects of radiation therapy, biologic and chemotherapy protocols on normal body tissues.
    • Differentiate among the complications of cancer. Demonstrate ability to perform and document ongoing neurologic assessments on medical-surgical clients with alterations in psychosocial and sensorimotor systems. Document assessment and analysis using appropriate terminology.
    • Assess the parameters for pain level of clients with chronic pain.
    • Assess the parameters for pain level of clients with altered perceptions and inappropriate behavior patterns. Document assessment and analysis using appropriate terminology.
    • Perform cognitive assessment on a client with altered cognition and differentiate between altered cognition and mental illness.
  • Utilizes critical thinking within the framework of the five steps of the nursing process to ensure the delivery of safe, accurate care.
    • Explain the role of the nurse in managing clients with alterations in the neurobiological system; perceptual disorders; disorders of cognition and motor ability.
    • Select appropriate interventions for the safety and management of the client with alterations in psychosocial and sensorimotor systems.
    • Identify cultural, age related and spirituality issues as related to the client population demographics related to mental health in the community.
  • Provides nursing care based on the understanding of the sciences, humanities, nursing theory, research and personal experiences that is global, culturally relevant and maintains client’s rights and dignity.
    • Describe the variations in health perceptions in relation to cultural factors, age associated influences and community norms.
    • Develop an understanding of the psychobiological basis of behavior, in relation to risk factors, disease manifestations and psychotherapeutic management.
    • Demonstrate understanding of the implications of community based health care in relation to demographics, client needs, delivery of services and continuum of care.
    • Identify the classifications of medications and methods of administration related to the administration of chemotherapeutic agents.
    • Identify appropriate nursing care interventions for clients receiving chemotherapeutic agents.
    • Select interventions appropriate to the care of clients with acute and chronic neurological conditions and the rehabilitation of the stroke client.
    • Provide a safe environment for clients with altered perceptions.
  • Identifies learning needs of clients, develops plans and implements relevant teaching to assist the client in achieving their health goals.
    • Integrate client education, communication, mental health concepts, cultural awareness and spirituality in managing the care of clients and families.
    • Determine the learning needs of clients in a mental health care setting based on planned continuum of care in collaboration with other members of the health team.
    • Prepare and deliver a wellness focused teaching module to clients in mental health care settings.
    • Evaluate the outcomes of client teaching.
  • Collaborates with clients, families and other members of the health team to ensure holistic, individualized care with appropriate allocation of human and material resources across the health care continuum.
    • Demonstrate collaboration with other professional members of the health team when caring for selected clients in the clinical setting.
    • Collaborate with clients, families and other members of the health team in planning discharge care continuity for the client.
  • Coordinates through direct interventions and delegation of care, the safe and accurate care of selected clients in diverse health care settings.
    • Describe the nursing management of the client receiving treatment in the health care setting.
    • Apply principles of pharmacology in the management of clients with neurobehavioral alterations related to disorders of the brain and central nervous system.
    • Manage care for medical-surgical clients in an acute care setting according to the established standards of care.
Core Competencies
Core 1 Communication Core 2 Technology Fluency Core 3 Information Literacy Core 4 Personal Wellness Core 5 Self Management Core 6 Scientific Reasoning Core 7 Quantitative Reasoning Core 8 Social and Civic Responsibility Core 9 Global Perspective Core 10 Innovative and Critical Thinking