HomeMy WebLinkAboutNUR-2821
Bergen Community College
Division of Health Professions
Department of Nursing
Course Syllabus
COURSE TITLE:
Nur 282 – Adult Health Nursing – B
PREREQUISITES:
NUR-181, NUR-182, NUR-183, BIO-109
CO-REQUSIITES:
BIO-209, PSY-106, NUR 281
CREDITS/HOURS:
4 Credits; 4-hour Lecture
CLINICAL:
Clinical: 10 hours per week
Clinical Conference: 2 hours per week
ALL POLICIES AND COURSE REQUIREMENTS ARE SUBJECT TO REVISION ON A SEMESTER-
BY-SEMESTER BASIS. STUDENTS WILL BE NOTIFIED OF ANY REVISION(S) AT THE BEGINNING
OF THE SEMESTER IN WHICH THE POLICY OF REQUIREMENTS IS/ARE TO BE IMPLEMENTED
DURING THE FIRST MEETING OF THE APPROPRIATE NURSING CLASS.
COURSE DESCRIPTION:
This course is a second-level course in the nursing sequence which focuses on the health care of
individuals and families who have needs related to nutrition and elimination. Students will use the
nursing process in a variety of health care settings to assist individuals and families achieve optimum
health. This course runs for half the semester concurrently with NUR 281. Students may elect to take
either course before the other.
STUDENT LEARNING OUTCOMES:
1. Demonstrates clinical judgement via the nursing process to culturally diverse populations with deficits
in Orems’s identified USCRs of nutrition and elimination.
2. Engages in therapeutic and professional communication techniques when collaborating with
individuals, families, and other health team members.
3. Behaves in a professional, ethical, and legal manner affecting nursing practice in the current
healthcare environment.
4. Applies skills in nursing care through the use of a variety of technological resources.
5. Utilizes pharmacological concepts in the clinical and classroom setting to correctly calculate drug and
solution problems. Passes the Semester II, Pharmacological Math Computation Exam (PMCE) with a
score of 90% or higher.
6. Creates and implements a teaching plan which meets the educational needs of a client.
2
Means of Assessment
Students learning outcomes are assessed via unit exams, nursing care plans, a pharmacologic math
computation exam (PMCE), a process recording, skills validation, and clinical performance.
The Student Learning Outcomes are assessed through various means of assessment, including but not
limited to the "Suggested Means of Assessment" listed below.
Student Learning Outcome
Means of Assessment
1. Provides nursing care based upon Orem's
Self-Care Model to the adult individuals with
normal variations of Universal self-care
requisites (USCR's) in the patient who has
medical and surgical health variances
Lecture, Testing, ATI, Case studies, topic
discussion, writing assignments, class
participation/discussion
2. Communicates effectively with individuals,
families and other health team members with
focus on patient centered communication,
goals, and concerns
Lecture, care plan, clinical conference, class
participation/discussion
3. Incorporates knowledge of developments,
biological, psychological, sociological,
cultural, spiritual and economic factors in the
provision of care to individual with health care
deficits
Lecture, Clinical evaluation, class
participation/discussion
4. Assumes responsibility for personal,
professional, and educational development.
ATI tutorials, online reading, Lecture, class
participation/discussion
5. Practices within the legal and ethical
framework of nursing
Clinical evaluation, clinical conference,
lecture
6. Incorporates technical resources for the
improvement of nursing practice.
ATI, online FA Davis adaptive quizzing,
clinical, clinical conference
7. Demonstrates quantitative reasoning skills
and safe medication administration in nursing
practice.
Testing, clinical, lecture
8. Implements a teaching plan based on
knowledge of teaching and learning principles
Teaching plan
Level Requirement
Passing a Pharmacological Math Computation Exam (PMCE) with a score of 90% is a semester
requirement. The PMCE will be given in the first course of each level. If the student does not attain the
required 90% passing grade, he/she will be provided two retake opportunities within the confines of that
course. Failure to achieve and 90% in the PMCE will result in an "F" for the course in which the test
was administered. Calculators may be used at Level II.
3
EVALUATION AND GRADING:
A. Theory grade:
Three-unit tests worth 95%
The average of 2 care plans & process recording 5%
Total 100%
A grade of C+ is required for passing theory portion of the course.
B. Clinical, Clinical Conference Attendance, and Absence Policy - No clinical absences are permitted
except in extenuating circumstances. Clinical by definition can include clinical conferences, sim lab
attendance, and hospital based clinical (refer to the nursing student handbook).
C. Satisfactory demonstration on Foley catheterization skill validation: This includes insertion, removal,
and obtaining a closed specimen.
D. Adherence to Nursing Program attendance policy- All students are expected to attend punctually
every scheduled meeting of each course in which they are registered. Attendance and lateness policies
and sanctions are to be determined by the instructors for each section of each course (refer to the
nursing student handbook).
E. In order to pass the course, the student must receive:
Theory grade of C+
Pass the Evaluation of Clinical Performance
Pass the Foley Skill Validation
Pass with 90% or greater the Pharmacology Math Computation Exam (PMCE)
A = 89.45 – 100
B+ = 85.45 – 89.44
B = 81.45 – 85.44
C+ = 77.45 – 81.44
C = 73.45 – 77.44
D = 69.45 – 73.44
F = 69.44 and below
Refer to Student Handbook
TEXTBOOKS:
All textbooks from previous courses: NUR 181, NUR 182, and NUR 183. NUR 281/282
Hoffman, J., & Sullivan, N. (2020). Medical-surgical nursing (2nd ed.). Philadelphia, PA: F.A. Davis
Company.
ATI Nutrition for Nursing Book – PDF version from ATI Website/ E-Book
ATI Med/surg PDF version
ATI Pharmacology PDF version
4
STUDENT SUPPORT SERVICES
Distance Learning Office –
for any problems you may
have accessing your online
courses
Room C334 201-612-5581
psimms@bergen.edu
English Language Resource
Center
Room C212 http://www.bergen.edu/elrc
201 447-7168
The Tutoring Center Room L-125 201-447-7489
http://www.bergen.edu/tutoring
The Writing Center Room L-125 201-447-7489
http://www.bergen.edu/owl
The Office of Specialized
Services (for Students with
Disabilities)
Room L-115 201-612-5269
http://www.bergen.edu/oss
BCC Library – Reference
Desk
Room L-226 201-447-7436
STATEMENT ON ACCOMMODATIONS FOR DISABILITIES
Bergen Community College aims to create inclusive learning environments where all students have
maximum opportunities for success. Any student who feels he or she may need an accommodation
based on the impact of a disability should contact the Office of Specialized Services at 201-612-5269 or
via email at ossinfo@bergen.edu for assistance.
Additional Information:
Student Handbook - use as a reference throughout the program.
Students are strongly encouraged to check their college email frequently for updates and
communication from the college and nursing professors.
5
COURSE OUTLINE
Class ID: Advantage edge - 5808110136524NARCV
Theoretical Content
I. Normal Nutrition
A. Components of the basic food groups
1. proteins
2. CHO
3. fats
4. minerals
5. vitamins
B. Nutritional Needs of Adults
C. Nutrient imbalances
Teaching/Learning Activities
ATI - Nutrition for Nursing/ E Book
II. Assessment of the Gastrointestinal System Chapter 55 - Assessment of Gastrointestinal
Function
A. Function of the gastrointestinal system
B. Anatomical components of the gastrointestinal system
C. History and physical assessment
D. Diagnostic examinations and nursing considerations
E. Changes associated with aging
III. Patients with Oral & Esophageal Disorders Chapter 56 - Coordinating Care for patients with
Oral and Esophageal Disorders
A. Epidemiology of disorders of the oral cavity and
Esophagus
B. Correlating clinical manifestations to pathophysiology Assignment - Gastroesophageal Reflux
C. Diagnostic test & results Davis Advantage
D. Medical management
E. Complications associated with selected disorders
F. Developing a comprehensive plan of nursing care ATI Nutrition Ch. 17
G. Developing a teaching plan
IV. Patients with Stomach Disorders Chapter 57 - Coordinating Care for Patients
with Stomach Disorders
A. Epidemiology of stomach disorders
B. Pathophysiological processes of stomach disorders
C. Clinical manifestations to pathophysiological processes Assignment: Shock Clinical judgement
D. Diagnostic exams & results to confirm the diagnoses Davis Advantage
E. Medical management of selected disorders
F. Complications associated with selected disorders
G. Developing a comprehensive plan of nursing care
H. Developing a teaching plan
V. Patients with Intestinal Disorders Chapter 58 - Coordinating Care for Patients with
Intestinal Disorders
A. Epidemiology of infectious and noninfectious intestinal
Disorders
6
B. Clinical manifestations with the pathophysiological processes ATI Nutrition Ch. 17
C. Diagnostic testing & results used to confirm the diagnoses
of selected disorders Assignment: Irritable Bowel Syndrome
D. Medical management of selected disorders Davis Advantage
E. Complications associated with selected disorders of the
Intestine
F. Developing a comprehensive plan of nursing care
G. Developing a teaching plan
VI. Patients with Hepatic Disorders Chapter 59 - Coordinating Care for Patients with
Hepatic Disorders
A. Epidemiology of hepatic disorders
B. Clinical manifestations with pathophysiology
C. Diagnostic testing & results used to confirm the diagnoses
of hepatic disorders Assignment: Cirrhosis Davis Advantage
D. Medical management of selected disorders
E. Developing a comprehensive plan of nursing care
F. Designing a plan of care (pharmacological, dietary, and
lifestyle considerations for patients with hepatic disorders)
VII. Patients with Biliary and Pancreatic Disorders Chapter 60 - Coordinating Care for Patients with
Biliary and Pancreatic Disorders
A. Epidemiology of biliary and pancreatic disorders
B. Clinical manifestations with pathophysiological
C. Diagnostic testing & results used to confirm the diagnoses
of biliary and pancreatic disorders Assignment: Pancreatitis Davis Advantage
D. Medical management of biliary and pancreatic disorders
E. Developing a comprehensive plan of nursing care
F. Designing a plan of care (pharmacological, dietary, and
lifestyle considerations for patients with biliary and pancreatic disorders)
VIII. Adult Patient with Obesity Chapter 68 - Managing Care for the Adult
Patient with Obesity
A. Epidemiology of obesity
B. Pathophysiology of obesity
C. Clinical manifestations to pathophysiology
D. Diagnostic testing & results used to confirm the diagnosis
of obesity
E. Medical management of obesity ATI Nutrition E Book Obesity
F. Complications associated with morbid obesity
G. Developing a comprehensive plan of nursing care
H. Developing a teaching plan
IX. Patients with Diabetes Mellitus Chapter 44 - Coordinating Care for Patients with
Diabetes Mellitus
A. Epidemiology of diabetes
B. Pathophysiology of type 1 and type 2 diabetes ATI Nutrition E Book – Diabetes
C. Clinical manifestations of type 1 and type 2 diabetes Assignment: Diabetes and diabetes clinical
with the pathophysiology judgement Davis Advantage
D. Diagnostic studies used to diagnose and monitor diabetes
E. Comparing indications, administration, actions, and nursing
considerations for insulin and oral hypoglycemic agents
F. Complications associated with type 1 and type 2 diabetes
G. Designing a plan of care (pharmacological, dietary, and lifestyle
7
considerations based on the disease process)
H. Correlating rationales for nursing interventions
I. Teaching self-care strategies
X. Assessment of Renal and Urinary Function Chapter 61 - Assessment of Renal and
Urinary Function
A. Components of the renal and urinary systems
B. Function of the renal and urinary systems
C. History and physical assessment
D. Diagnostic examinations Assignment: Bladder Incontinence Davis
E. Nursing considerations for diagnostic studies Advantage
F. Changes in renal and urinary system function associated
with aging
XI. Patients with Renal Disorders Chapter 62 - Coordinating Care for Patients with
Renal Disorders
A. Epidemiology of renal disorders
B. Clinical manifestations to pathophysiology
C. Diagnostic testing & results used to confirm the diagnoses
D. Medical management Assignment: Renal Failure and renal failure
E. Acute and chronic renal failure clinical judgement Davis Advantage
F. Developing a comprehensive plan of nursing care
G. Designing a plan of care (pharmacological, dietary, and
lifestyle considerations for patients with renal failure)
H. Indications, management, and complications associated ATI Nutrition Book - Renal Diets
with renal replacement therapies
I. Indications, management, and complications associated
with renal transplantation
XII. Patients with Urinary Disorders Chapter 63 - Coordinating Care for Patients
with Urinary Disorders
A. Epidemiology of urinary disorders
B. Clinical manifestations with pathophysiology
C. Diagnostic testing &results used to confirm the diagnosis
D. Medical management Assignment: Kidney Stones Davis Advantage
E. Developing a comprehensive plan of nursing care
F. Designing a teaching plan (pharmacological, dietary, and
lifestyle considerations for patients with urinary disorders)
8
NUR 282 – Adult Heath Nursing
I acknowledge that I have read the course syllabus, understand, and agree to abide by
all the course and clinical requirements for NUR 282. I have read the grading policy and
understand how the grade is calculated, as well as the letter grade that is assigned to
the numerical grade. I agree to abide by all policy’s and procedures as stated in the
Nursing Student Handbook.
Date: ____________________
Print Name: ____________________________
Signature: ______________________________