NUR 212: Concepts of Nursing Care of the Adult I
7 Quarter Credit Hours
Lecture: 3 credits, Lab: 1, Clinical: 3 credits
Lecture: 30 clock hours, Lab: 20 clock hours, Clinical 90 clock hours
Lab and Clinical Combined: 110 clock hours
Mode of Course Delivery: Residential
Location: Fairborn, Independence, West Chester, Westerville, Maumee
Meeting Times: See student portal
Faculty: See student portal
Course Description
This course builds on concepts of nursing practice for the acquisition and application of
adult health nursing theory, communication, collaboration, and clinical judgment necessary
for safe, patient-centered nursing care of adults. The course incorporates the legal and
ethical responsibilities of the Registered Nurse in the care of adults, their families, and other
support persons. Application of knowledge and skills occurs in the nursing skills laboratory
and a variety of clinical settings.
Prerequisites: All Term 1 ADN Courses
Textbooks:
Burchum, J. & Rosenthal, L. (2019). Lehne’s pharmacology for nursing care (10th ed.).
Elsevier.
Giddens, J. F. (2017). Concepts for nursing practice (3rd ed.). Elsevier.
Harding, M. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s medical-
surgical nursing: Assessment and management of clinical problems. (11th ed). Mosby.
LaCharity, L. A., Kumagai, C. K., & Bartz, B. (2019). Prioritization, delegation, and assignment
(4th ed.). Elsevier.
Silvestri, L.A. (2019). Saunders comprehensive review for the NCLEX-RN® examination. (8th
ed.). Elsevier.
, b. Use assessment findings to identify needs of the adult patient.
c. Develop a plan of care based on evidence-based practice considering individual patient
needs.
d. Provide patient-centered care based on an understanding of human growth and
development, pathophysiology, pharmacology, nutrition, medical management, and
nursing management.
e. Promote factors that create a culture of safety on the adult health care unit.
f. Provide teaching that reflects the patient's developmental stage, age, culture, religion,
spirituality, patient preferences, and health literacy considerations.
g. Monitor patient outcomes to evaluate the effectiveness and impact of nursing care for
the adult patient.
h. Deliver care within expected timeframe.
i. Provide patient-centered transitions of care and hand-off communications.
j. Revise the plan of care based on an ongoing evaluation of patient outcomes.
k. Safely perform psychomotor skills.
l. Accurately document all aspects of patient care performed.
2. Exercise clinical judgment to make increasingly complex patient-centered care decisions in
a safe care environment for adult patients.
a. Use clinical judgment to make management decisions to ensure accurate and safe
nursing care, including addressing anticipated changes in the patient's condition.
b. Anticipate risks, and predict and manage potential complications.
c. Prioritize patient care.
d. Examine the clinical microsystem to determine its impact on the nurse’s ability to provide
safe, quality care.
3. Participate in quality improvement processes to improve patient care outcomes for adult
patients.
a. Use quality improvement processes to effectively implement patient safety initiatives and
monitor performance measures, including nursing-sensitive indicators.
b. Analyze information about quality improvement processes used in a variety of adult
healthcare settings.
c. Participate in analyzing errors and identifying system improvements.
d. Implement National Patient Safety Goals in adult healthcare settings.
4. Participate in teamwork and collaboration with members of the interprofessional team, the
patient, and the patient’s support persons.
a. Effectively communicate with all members of the healthcare team, including the patient
and the patient’s support network when making decisions and planning care.
b. Collaborate with appropriate healthcare professionals when developing a plan of care for
adult patients.
c. Use conflict resolution principles as needed in the adult healthcare setting.
5. Use information management systems and patient care technology to communicate,
manage knowledge, mitigate error, and support decision-making when caring for adult
patients.
a. Use patient care technologies, information systems/technologies, and communication
devices to support safe nursing practice.
b. Evaluate the role of information technology and information systems in improving patient
outcomes and creating a safe care environment.
, a. Practice within the legal and ethical frameworks of nursing practice.
b. Analyze care for adult patients within the context of the ANA Standards of Practice.
c. Demonstrate accountability for nursing care given by self and/or delegated to others.
d. Apply leadership and management skills when working with other healthcare team
members.
e. Serve as a patient advocate.
f. Evaluate the impact of economic, political, social, and demographic forces on the
provision of health care.
g. Continue to work on a plan for ongoing professional development and lifelong learning.
7. Promote a culture of caring to provide holistic, compassionate care for adult patients.
a. Provide support, empowerment, and hope when caring for diverse adult patients.
b. Deliver compassionate, culturally-competent care that respects patient and family
preferences.
Course Concepts
• Caring • Evidence
• Clinical judgment • Professional Identity
• Communication • Safety
• Ethics
Concepts Specific to the Care of the Adult:
• Cellular regulation • Hormonal regulation
• Elimination • Mobility
• Inflammation • Nutrition
• Glucose regulation • Perfusion
• Palliative Care • Sensory Perception
• Culture • Leadership
• Coping • Stress
Medications
The following medications will be integrated throughout this course.
Glucose Regulation
Short-acting insulin Oral Hypogylcemics
• Regular insulin (Humulin and Novolin • Acarbose (Precose)
• Metformin (Glucophage)
Rapid-acting insulins • Sitagliptin (Januvia)
• Insulin aspart (NovoLog, FlexPen) • Glimepiride (Amaryl)
• Insulin lispro (Humalog) • Glipizide (Glucotrol)
• Glyburide (DiaBeta, Glynase)
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