Overview

Course Number:

NR324

Course Title:

Adult Health I

Credit Hours:

5

Theory Hours:

 3

Laboratory Hours:

 0

Clinical Hours:

 2

Place in Curriculum

Year 2 Semester 2

Prerequisite:

BIOS251, BIOS252, BIOS255, BIOS256, MATH114, NR226, NR282 or NR283, NR304
Note: NR304 may be taken as a corequisite for students who pass the LPN Proficiency.

Military to BNS degree option: BIOS251, BIOS252, BIOS255, BIOS256, MATH114, NR295, NR299

Corequisite:

NR291 or NR293, PSYC290

Course Description

The focus of this course is on the needs of adult patients and their families in relation to health promotion and management of conditions that require acute and chronic care. The nursing process is used in the discussion of health alterations affecting selected life processes. Students continue their professional skill development as members of the health team. A variety of populations and settings are used in the experiential learning component of this course.

Textbooks and Resources

Required Textbooks

The following books are required for this course:

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LaCharity, L., Kumagai, C., & Bartz, B. (2013). Prioritization, delegation, and assignment (3rd ed.). St. Louis, MO: Elsevier.


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Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (2014). Medical surgical nursing: Assessment and management of clinical problems (9th ed.). St. Louis, MO: Mosby.


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Lewis, S. L., Dirksen, S. R., & Bucher, L. (2014). Study guide for Medical surgical nursing: Assessment and management of clinical problems (9th ed.). St. Louis, MO: Mosby.


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Silvestri., A, & Silvestri., L. (2014). Strategies for test success (3rd ed). St Louis, MO: Saunders Elsevier.


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Silvestri., A, & Silvestri., L. (2016). Strategies for test success (4th ed). St Louis, MO: Saunders Elsevier.


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Vallerand, A. H. & Sanoski, C. A. (with Deglin, J. H.). (2014). Davis's drug guide for nurses. (14th ed.). Philadelphia, PA: F.A. Davis.

 

American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

Optional Textbooks

The following books are required for this course:

Physical Books and Supplies

To obtain all your books and supplies, visit the online Chamberlain bookstore at https://bookstore.chamberlain.edu/.

eBook Details

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Program Outcomes

The outcomes for the Bachelor of Science in Nursing (BSN) degree program are as follows:

1

Provides individualized comprehensive care based on theories and principles of nursing and related disciplines to individuals, families, aggregates and communities, from entry to the healthcare system through long-term planning.

2

Demonstrates leadership and collaboration with consumers and other healthcare providers in providing care and/or delegating responsibilities for health promotion, illness prevention, health restoration, health maintenance and rehabilitative activities.

3

Communicates effectively with patient populations and other healthcare providers in managing the healthcare of individuals, families, aggregates and communities.

4

Integrates clinical judgment in professional decision making and implementation of the nursing process.

5

Demonstrates responsibility for continued personal and professional development through enrollment in graduate education, continuing education degree programs, professional reading and participation in professional organizations and community service.

6

Implements professional nursing standards by practicing within the legal definitions of nursing practice and acts in accordance with the nursing code of ethics and American Nurses Association (ANA) standards of practice.

7

Practices in established professional roles consistent with entry-level BSN graduates to provide cost-effective, quality healthcare to consumers in structured and unstructured settings.

8

Incorporates evidence-based practice in the provision of professional nursing care to individuals, families, aggregates and communities.

Course Outcomes

Chamberlain College of Nursing courses are built to align course content with specific Course Outcomes (COs). The COs define the learning objectives that the student will be required to comprehend and demonstrate by course completion. Unit outcomes provide further detail to support learner achievement of specific COs and are listed within each unit under the introduction. Whenever possible, a reference will be made from a particular assignment or discussion back to the CO that it emphasizes.

Upon completion of this course, the student will be able to do the following.

1

Provide effective professional nursing care for adult patients and their families in acute care settings using the nursing process. (PO 1)

2

Participate in health maintenance and health restoration activities as members of the healthcare team. (PO 2)

3

Demonstrate effective communication skills necessary for collaboration with other health team members and for providing professional nursing care to adult patients and their families. (PO 3)

4

Apply critical thinking strategies to make good clinical decisions in the adult patient clinical setting. (PO 4)

5

Assume responsibility and accountability for identifying own personal, educational, and professional goals. (PO 5)

6

Relate knowledge and principles of legal, ethical, and professional standards to clinical practice in the acute care setting, with adult patients and their families. (PO 6)

7

Exhibit behaviors consistent with professional nursing roles and responsibilities while providing cost-effective nursing care to individuals and families. (PO 7)

8

Utilize nursing research literature while providing care to adult patients and their families in the acute care settings. (PO 8)

Key Concepts

1

Fluid and Electrolyte Imbalance

2

Acid-Base Imbalance

3

Respiratory System Alterations

4

Cardiovascular System Alterations

5

Hematologic System Alterations

6

Gastrointestinal System Alterations

7

Immune System Alterations

8

Musculoskeletal System Alterations

Learning Plan

Download and review the NR324/NR329 Adult Health I Learning Plan. This learning plan provides a list of unit outcomes and detailed key topics covered in the course.

Required Uniform Assignments (RUAs)

Required Uniform Assignments (RUAs) are essential elements of assessment that are consistent across the curriculum at Chamberlain College of Nursing. These assessments help measure and track students' progress in meeting the BSN Program Outcomes. Each RUA is course-specific and required in both online and campus courses. Download the Case Study Presentation guidelines and grading rubric to begin planning for the successful completion of this assignment.

If you have any questions about the assignment please speak to your instructor.

Course Schedule

Unit, COs, and TopicsReadingsAssignments
Unit 1
COs 1, 2, 3, 4, 5, 6, 7, and 8

Nursing Care of a Patient

LaCharity, L., Kumagai, C., & Bartz, B. (2013). Prioritization, delegation, and assignment (3rd ed.). St. Louis, MO: Elsevier.

  • Chapter 4: Fluid and Electrolyte, and Acid-Base Balance Problems

Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (2014). Medical surgical nursing: Assessment and management of clinical problems (9th ed.). St. Louis, MO: Mosby.

  • Chapter 17: Fluid, Electrolyte, and Acid-Base Imbalances

Evolve Online NCLEX-style review questions

Study guide pages

Medication Calculation Exam

Unit 2
COs 1, 2, 3, 4, 6, 7, and 8

Nursing Care of the Patient With Respiratory System Alterations

LaCharity, L., Kumagai, C., & Bartz, B. (2013). Prioritization, delegation, and assignment (3rd ed.). St. Louis, MO: Elsevier.

  • Chapter 6: Respiratory Problems

Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (2014). Medical surgical nursing: Assessment and management of clinical problems (9th ed.). St. Louis, MO: Mosby.

  • Chapter 26: Nursing Assessment: Respiratory System
  • Chapter 27: Nursing Management: Upper Respiratory Problems
  • Chapter 28: Nursing Management: Lower Respiratory Problems
  • Chapter 29: Nursing Management: Obstructive Pulmonary Diseases

Evolve Online NCLEX-style review questions

Study guide pages

Standardized Clinical Experience


Exam #1 (Units 1 & 2)
Unit 3
COs 1, 2, 3, 4, 6, 7, and 8

Nursing Care of the Patient With Cardiovascular System Alterations

LaCharity, L., Kumagai, C., & Bartz, B. (2013). Prioritization, delegation, and assignment (3rd ed.). St. Louis, MO: Elsevier.

  • Chapter 7: Cardiovascular Problems

Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (2014). Medical surgical nursing: Assessment and management of clinical problems (9th ed.). St. Louis, MO: Mosby.

  • Chapter 32: Nursing Assessment: Cardiovascular System
  • Chapter 33: Nursing Management: Hypertension
  • Chapter 34: Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome
  • Chapter 35: Nursing Management: Heart Failure
  • Chapter 36: Nursing Management: Dysrhythmias
  • Chapter 37: Nursing Management: Inflammatory and Structural Heart Disorders
  • Chapter 38: Nursing Management: Vascular Disorders

Exam 1

Evolve Online NCLEX-style review questions

Study guide pages

HESI RN Case Studies

Standardized Clinical Experience


Unit 4
COs 1, 2, 3, 4, 6, 7, and 8

Nursing Care of a Patient With Hematologic System Alterations

LaCharity, L., Kumagai, C., & Bartz, B. (2013). Prioritization, delegation, and assignment (3rd ed.). St. Louis, MO: Elsevier.

  • Chapter 8: Hematologic Problems

Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (2014). Medical surgical nursing: Assessment and management of clinical problems (9th ed.). St. Louis, MO: Mosby.

  • Chapter 30: Nursing Assessment: Hematologic System
  • Chapter 31: Nursing Management: Hematologic Problems

Evolve Online NCLEX-style review questions

Study guide pages

HESI RN Case Studies

Standardized Clinical Experience

Exam #2 (Units 3 & 4)
Unit 5
COs 1, 2, 3, 4, 6, 7, and 8

Nursing Care of a Patient With Gastrointestinal System Alterations

LaCharity, L., Kumagai, C., & Bartz, B. (2013). Prioritization, delegation, and assignment (3rd ed.). St. Louis, MO: Elsevier.

  • Chapter 12: Gastrointestinal and Nutritional Problems

Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (2014). Medical surgical nursing: Assessment and management of clinical problems (9th ed.). St. Louis, MO: Mosby.

  • Chapter 39: Nursing Assessment: Gastrointestinal System: 
  • Chapter 40: Nursing Management: Nutritional Problems
  • Chapter 41: Nursing Management: Obesity
  • Chapter 42: Nursing Management: Upper Gastrointestinal Problems
  • Chapter 43: Nursing Management: Lower Gastrointestinal Problems

Exam 2

Evolve Online NCLEX-style review questions

Study guide pages

RN HESI Case Studies

Standardized Clinical Experience

Unit 6
COs 1, 2, 3, 4, 6, 7, and 8

Nursing Care of a Patient With Immune System Alterations

LaCharity, L., Kumagai, C., & Bartz, B. (2013). Prioritization, delegation, and assignment (3rd ed.). St. Louis, MO: Elsevier.

  • Chapter 3: Immunologic Problems

Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (2014). Medical surgical nursing: Assessment and management of clinical problems (9th ed.). St. Louis, MO: Mosby.

  • Chapter 12: Inflammation and Wound Healing
  • Chapter 13: Genetics and Genomics
  • Chapter 14: Altered Immune Responses and Transplantation
  • Chapter 15: Infection and Human Immunodeficiency Virus Infection
  • Chapter 65: Nursing Management: Arthritis and Connective Tissue Diseases

Case Study Presentation (RUA)

Evolve Online NCLEX-style review questions

Study guide pages

Standardized Clinical Experience

Exam #3 (Units 5 & 6)
Unit 7
COs 1, 2, 3, 4, 6, 7, and 8

Nursing Care of a Patient With Musculoskeletal System Alterations

LaCharity, L., Kumagai, C., & Bartz, B. (2013). Prioritization, delegation, and assignment (3rd ed.). St. Louis, MO: Elsevier.

  • Chapter: 11—Musculoskeletal Problems

Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (2014). Medical surgical nursing: Assessment and management of clinical problems (9th ed.). St. Louis, MO: Mosby.

  • Chapter 62: Nursing Assessment: Musculoskeletal System
  • Chapter 63: Nursing Management: Musculoskeletal Trauma and Orthopedic Surgery
  • Chapter 64: Nursing Management: Musculoskeletal Problems

Exam 3

Evolve Online NCLEX-style review questions

Study guide pages

HESI RN Case Study

Standardized Clinical Experience

Unit 8
All COs

Wrap it Up

Standardized Final Exam

Standardized Clinical Experience

Attendance Policy

Regular attendance and consistent participation within the classroom, lab, and clinical experiences facilitate the achievement of course outcomes set forth in the course syllabi. Students must arrive on time and stay for the duration of the class meeting, lab, and/or clinical experience. Late arrival may result in denied access to the class.  Absences and/or tardiness from lecture, pre-clinical, clinical (including pre- and post-conferences), and/or lab experiences (including pre- and debriefing) may prohibit students from completing all components of the nursing course, resulting in course failure.

Attendance is tracked for all eight weeks of the session on a course-by-course basis and is recorded daily based on academic events. An academic event for onsite courses is defined by attending scheduled class meetings. An academic event for online courses is defined by submitting a class assignment, participating in threaded discussions, or completing quizzes and exams. An academic event for blended courses is defined by attendance in the onsite component or by submitting a class assignment, participating in threaded discussions or completing quizzes and exams in the online component.

Laboratory Class and Clinical Experiences

Lab time is utilized to practice and master skills to meet criteria that demonstrate completion of course outcomes. Students must complete all required lab, clinical and pre-clinical experiences in order to satisfy the clinical hours for each course. Demonstration of nursing skills and/or required competencies must be performed satisfactorily to pass the lab component of the course (see Skills Checklist for criteria).

In cases of emergency or severe illness, equivalent learning opportunities for absences may be offered, at the discretion of the faculty member and contingent upon availability of resources. Make- up experiences are not guaranteed and supporting documentation may be required. Students must notify the instructor and clinical agency in a manner specified by the instructor within the requested time frame. Students who are not in the appropriate attire and/or are not prepared for clinical practice may be dismissed from the clinical setting.

Due Dates for Assignments and Exams

Unless otherwise specified, the following applies.

  • Access to the course begins on Sunday at 12:01 a.m. (MT) during preview week.
  • All completed assignments are to be submitted to the Dropbox on or before Friday by 5:00 p.m. Mountain Time (MT) or as specified by your faculty.
  • All quizzes and exams, if applicable in your course, are offered at specific times.
    • Campus Courses: Campus faculty will share the date, time, and location with students at the beginning of each session.
    • Online Courses: Online faculty will share online exam schedule with students during preview week in a course announcement. Students should refer to the posted announcement for the specific dates and times for their exam schedule.

Note: In Unit 8 the assignments will be due by Wednesday at 11:59 p.m. MT.

If you are taking this course on campus, a course calendar includes detailed information related to activities and due dates may be available for downloading from Doc Sharing. Please check with your instructor for more information.

If you are taking this course online, Please be advised that you may be required to take your tests on the campus in a proctored environment. Your campus will post the date, time and location of exams. If testing will take place online, the online faculty will share the exam schedule with students during preview week in a course announcement. Students should refer to the posted announcement for the specific dates and times for their exam schedule.

Assignment Values and Letter Grades

All course assignments and examinations must be completed in order to pass the course.

The maximum score in this class is 1,000 points. The categories, which contribute to your final grade, are weighted as follows.

AssignmentPointsWeighting
Examinations*
Exam 120020%
Exam 224024%
Exam 3 24024% 
Standardized Final Exam 10010%
Medication Calculation Exam202%
*Must achieve an average of 76% to pass the course
Graded Activities
Case Study Presentation (RUA)10010%
Faculty Assignments10010%
ClinicalSatisfactory/Unsatisfactory0%

Chamberlain Care Student Success Plan

  • Complete AA#1
  • Review Individualized Student Success Plan with CAS
Satisfactory/Unsatisfactory0%
Total Points1,000100%

Chamberlain Care Student Success Plan

All students are required to complete the AA#1 proctored assessment. Students who are unable to attend the assessment on the schedule date must have extenuating circumstances validated by the campus delegate.

If the extenuating circumstances are validated, a make-up date will be arranged. Notification of the Academic Success Specialist is required to trigger the makeup assessment. No make-up assessments will be offered beyond 5 days of the scheduled assessment.

 Failure to complete the AA#1 will result in a failure of the course.

Letter GradePointsPercentage
A  940–1,00094% to 100%
A- 920–93992% to 93%
B+890–91989% to 91%
B  860–88986% to 88%
B- 840–85984% to 85%
C+810–83981% to 83%
C  760–80976% to 80%
F  759 and below75% and below

Teaching/Learning Methods

Examples include, but are not limited to

  • assignments;
  • case studies;
  • discussion;
  • experiential learning
  • group assignments;
  • lectures; and
  • multimedia presentations.