PURDUE UNIVERSITY CALUMET
SCHOOL OF NURSING
Spring 2004

COURSE NUMBER:                                  N292/392
COURSE TITLE:                                         Adult Nursing II
COURSE PATTERN:                                 Lecture 03    Lab 00
                                                                        Credit 03
REQUISITES:                                              NUR 283/383

 CATALOGUE DESCRIPTION:     Building on the foundational core, the nursing process is utilized as a systematic approach to therapeutic intervention with adult individuals adapting to stimuli.  Concepts relative to physiological integrity are emphasized.

FOCUS:                    Conditions discussed in the first four weeks are, for the most part, those emergent conditions which are encountered, stabilized, and treated in Inpatient settings, with special focus on delivery of Acute Care/Critical Care. Conditions discussed in the second four weeks are those which: A.  are typified by an acute stage that evolves into chronic illness; and/or B.  affect multiple systems with resultant residual deficits.

COURSE OBJECTIVES:

Upon completion of this course, it is expected that the learner will be able to:

 1.  Describe the impact of focal, contextual, and residual stimuli in the development and progression of selected health problems.

 2.  Collaborate with adult individuals in identifying therapeutic intervention that may enhance adaptive responses and promote integrity.

 3.  Support adaptive responses of adult individuals as they seek to meet physiologic needs, maintain balance, and enhance quality of life.

 4.  Utilize the nursing process as a systematic scientific approach to therapeutic intervention with adult individuals adapting to stimuli.       

 5.  Utilize techniques of therapeutic communication, which affirm the adult individual’s uniqueness, autonomy, and self-determination.

6.      Incorporate intellectual inquiry and critical thinking in the development of plans of therapeutic intervention.

NOTE:  In compliance with the Americans with Disabilities Act (ADA), all qualified students enrolled in this course are entitled to "reasonable accommodations."  It is the student's responsibility to inform the professor of any special needs before the end of the second week of class.

OBJECTIVES FOR CLASSROOM LEARNING

Upon completion of each classroom session, the learner should be able to:

1.  Utilize scientific principles of physiological integrity as a foundation for exploration of selected health alterations.

2.  Describe etiology / natural history and pathophysiology for selected health alterations.                

3.  Discuss factors of risk and protection in the promotion of well being in individuals having selected health alterations.

4.  Explore potential adaptations to complications of selected health alterations.

5.      Discuss established / postulated treatment modalities for selected health alterations.

6.      Utilize the nursing process as a systematic, dynamic framework for the discussion of selected health alterations:          

* Utilize critical thinking in analysis of assessment, laboratory, and diagnostic data
* Identify problems/needs unique to the individual
* Collaborate with the individual in the establishment of outcomes
* Prioritize therapeutic interventions related to established outcomes
* Utilize critical thinking in the evaluation of outcome achievement

 7.  Examine possible impacts of selected health alterations on individual / family unit perceptions of holistic well being.     

REQUIRED TEXTS:

1.                  Ignatavicius, D. & Workman, M.L., Medical-Surgical Nursing: Critical Thinking for       Collaborative Care. 2002. W. B. Saunders Company. Volumes 1 & 2.

2.                  Winningham and Preusses, Critical Thinking: In Medical_Surgical Settings, A Case Study Approach. 2000 . Mosby.

3.                  Jaffe and McVan, Davis’s, Laboratory and Diagnostic Test Handbook.  1997, F.A.Davis.

4.                  Deglin and Vallerand, Davis’s Drug Guide, 2000. F.A.Davis.

5.                  Ignatavicius, D. & Workman, M.L., Medical-Surgical Nursing: Critical Thinking for       Collaborative Care. 2002. W. B. Saunders Company. Volumes 1 & 2.

6.                  NCLEX 3000 available in AT lab.

7.                  Silvestri, L.A., Comprehensive Review for the NCLEX-RN.2002. W. B. Saunders. (ISBN#0-7216-9235-4)

Course Requirements/Methods of Evaluation:        

·        Completion of  3 Exams

·        Completion of 1 Comprehensive Exam

·        Submission of 1 written Critical Thinking Case Study

·        Achievement of 78% in the course (Minimum Passing Standard)

·        Achievement of 78% average exam grade (Minimum Passing Standard- see criteria below)

Minimum Passing Standard: Upon completion of all required methods of evaluation, the student must have achieved and average score of 80% in the course. In addition, students must achieve an average exam grade at the Minimum Passing Standard of 78%.  Failure to achieve the minimum passing standard of 78% on an average exam grades constitutes failure of Nursing 292/392. The average passing standard is calculated by combining exam 1, exam 2, exam 3 and comprehensive exam scores (350 points X .78=273),78% equals minimum points of 273 for the average exam score.

 Grading Criteria:                

Grading Scale:

*Minimum passing standards must be achieved as above.

N292/392 course grades will be assigned according to the scale:

100-93%         A         460-428

92-85%           B          427-391

84-78%           C         390-359

77-70%           D         358-322

69%                 F          321 and below           

*  All policies stated in the Undergraduate Degree Student Handbook will be adhered to this course.
 

Classroom Policies 

1.  Out of courtesy to fellow classmates and the professor, no cellular phones, pagers, calculators or palm pilots are permitted in testing sessions.  Pagers and phones should be placed in silent mode in the classroom. 

2.  Tape recording of classroom sessions is permitted only with the explicit consent of the professor instructing the session. 

3.      Any student displaying dishonesty will be given a grade of “F” for the course and will be dealt with according to the student handbook per university policy.

4.      It is the responsibility of the student to contact the professor regarding absences and/or personal problems that may interfere with the student's success in classroom. 

 5.      No late work will be accepted and will be given a grade of zero unless prior arrangements have been made.

6.      A student may withdraw without a grade by the 10^th class session, as per university policy. 
 

Exam and Quiz Policies

1.      Exams are scheduled at regular intervals throughout the course. Exams given via Test Pilot will address concepts and content presented in the course, reading assignments as well as Foundational courses completed by the N292/392 student.  Written and Test Pilot exams may be drawn from classroom presentations and assigned readings, audio-visuals, and computer software.   

2.      No calculators are permitted for exams.

3.      Students must adhere to the computer lab rules and regulations while taking an exam.  If the student does not, he/she may be asked to leave and receive a zero (0) for the exam. This includes: 1) students are not permitted to exit and re-enter the room during an exam 2) talking is not permitted during testing 3) if a student has a question during an exam, they are to ask professors only 4) students will be assigned a station for taking an exam.

4.      Any student that prints a copy of the exam will receive a zero (0) for the exam.

5.      Any student that is suspected of cheating on an exam may be given a paper and pencil equivalence exam over the same material and receive the score on the paper and pencil exam.

6.      In order to protect student confidentiality, exam scores will be posted on the computer.  No scores will be shared over the telephone or posted.

7.      It is the responsibility of the student to monitor their progress in the course.  Cumulative grades will be shown throughout the course on computer.

8.      Each student must complete all exams and case studies in the course. Students failing to complete all required evaluations for reasons other than illness will be issued a course grade of F.

9.      It is the responsibility of the student to notify the professor 12 hours prior to an exam of documented illness.  If the student fails to notify the professor within that time frame, it becomes an unexcused absence and the student will receive a grade of “0” for that exam.

10. A student must make up an exam within 48 hours or the student will receive a grade of zero for the exam.

11. All exam scores will be entered on Test Pilot and scantron sheets. Responses documented on scantron sheets will be solely graded.

12. Exams are timed and the computed will shut off automatically at the end of the allotted time. No further time will be given.

13. Students will be assigned an exam time. If the student is late, the amount of time they are late will be subtracted from the allotted time for the exam. No exceptions will be made.

14. Students will stay in the room until the exam time is completed.

15. Any sharing of test information between test groups will result in an exam grade of zero for the student sharing the information.

16. Quizzes will be given at the beginning of class. If the student is late to class, a make-up quiz will not be given and the student will receive a zero for the quiz. (You may drop one quiz)

17. Weekly NCLEX quizzes will be handed in at the beginning of class on Fridays.
 

Each student in Nursing 292/392 is required to submit 1 Critical Thinking Case Studies. Critical Thinking Case Studies are drawn from the text * Winnignham & Preusses.  Critical Thinking in Medical-Surgical Settings:  A Case Study Approach.  1996.  C.V. Mosby.

The case study is to be submitted no later than week 6.

Each Case Study carries a total point value of 20 points.  Following are Criteria for Evaluation of Critical Thinking  Case Study -  TOTAL POINTS = 20

Criteria for Evaluation of Critical Thinking  Case Study -  TOTAL POINTS = 20

·        All Case Study questions are answered appropriately.                     15pts

·        Case Study is presented in a neat, legible typed format                  5 pts

And appropriate medical, nursing texts and journals and/or             

        internet sources utilized and identified in a Bibliography                 -2pts

        @ the end of the written case study.                                      

       (Minimum of 2 in APA format)

**Please note that 2 points will be subtracted for grammatical errors (ie. each incomplete or run-on sentence) and each misspelled word.

Revised:JT/12/03