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College of Health and Human Services

School of Nursing

SYLLABUS College/Department: College of Health and Human Services: School of Nursing Course Number: Nursing 347 Course Title: Adult Health & Illness II Semester: Spring 2017 Credit Hours: 4 hours weekly in classroom (4 credits) Prerequisites: NUR 345, 345L Co requisites: NUR 347L, 349, 349L Course Description: This course continues the focus on nursing care of adults experiencing health-

illness transitions. Student Learning Outcomes: Upon completion of the course, the student will be able to: Clinical Practice and Prevention

Develops sound nursing judgment using expanding nursing and scientific knowledge, prioritization and delegation skills.

Applies an expanding range of knowledge to promote health and well-being and to prevent complications in adults experiencing illness and disease.

Applies the nursing process to increasingly complex patient learning needs. Communication

Demonstrates professional, empathetic and therapeutic communication skills in all learning situations.

Critical Reasoning

Analyzes nursing situations to plan and prioritize safe, effective, patient-centered nursing care using nursing knowledge, information technologies and research evidence.

Leadership

Applies principles of collaboration, delegation, and advocacy to manage safe patient care.

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Professionalism and Professional Values

Demonstrates professional behavior in all learning situations.

Applies professional values and their associated behaviors to the practice of nursing.

Applies ethical and legal principles and professional standards to nursing practice.

Applies caring’s affective characteristics into patient-centered care and with other healthcare professionals.

Global Health:

Communicates knowledge, values, attitudes and skills of the nursing profession in a variety of settings.

Course Structure and Approach: NUR 347 will utilize a variety of approaches to meet the course learning outcomes. These instructional methods may include but are not limited to the following: lecture, audio-visual material, on-line modules, discussion, group work, demonstration, clinical experiences, clinical conferences, simulations, case studies, concept maps, written tests and written assignments. TEXTBOOKS AND REQUIRED MATERIALS:

EKG Calipers ALL TEXTBOOKS from previous classes:

Required Textbooks

**Kee, J. L. (2014). Laboratory and diagnostic tests with nursing implications (9th ed.). Upper Saddle

River, NJ: Prentice Hall.

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: Elsevier: Mosby.

RECOMMENDED REFERENCE TEXTBOOKS Hale, A. & Hovey, M.J. (2013). Fluid and electrolyte notes: Nurse’s clinical pocket guide.

Philadelphia: FA Davis.

LaCharity, L.A., Kumagai, C.K., Bartz, B. (2011). Prioritization, Delegation, and Assignment:

Practice: Exercises for the NCLEX Examination (3rd ed). Elsevier.

Lewis, S.L., Dirksen, S.R., & Bucher, L. (2014) Study guide for 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: Elsevier: Mosby.

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Lippincott’s nursing procedures (6th ed.). (2012). Philadelphia: Wolters Kluwer Health.

Silvestri, L.A. (2014). Saunders comprehensive review for NCLEX-RN examination (6th ed.).

Philadelphia, PA: W. B. Saunders.

Wilson, B.A., Shannon, M.T. & Stang, C.L. (2011). Pearson intravenous drug guide 2011-2012 (2nd

ed.). Upper Saddle River, New Jersey: Pearson Prentice Hall.

**YOU MAY USE ANY NURSING DRUG OR LABORATORY/DIAGNOSTIC RESULTS BOOK AS LONG AS IT IS NOT OVER TWO YEARS OLD.

Online Requirements

Evolve Online: https://evolve.elsevier.com/ (Case studies, text online resources, SimChart)

Kaplan Resources: https://nursing.kaplan.com/s_login.aspx

Blackboard Learn assignments and readings: http://bblearn.nau.edu Emergency Textbook Loan Program: To help students acquire the materials they need to be successful in class. NAU has partnered with Follett to create the Emergency Textbook Loan program. The program is administered by the LEADS Center. The program assists students with unmet financial need in obtaining required textbook(s) and other materials for courses. Students must apply and meet eligibility criteria before textbooks are purchased on their behalf. Textbooks must be returned at the end of the term in which the textbooks were loaned. More information can be found online: http://nau.edu/LEADS-Center/Textbook-Loan-Program/

Assessment of Student Learning:

Assignments:

Online Case Studies: See quiz schedule for specific assignments and due dates. The webpage is http://evolve.elsevier.com . Your score will be the percentage you earn on your first attempt. Kaplan Practice Tests: The required tests are as follows: See quiz schedule for specific assignments and due dates. There are eight total, and you MUST obtain an 84% on the test to receive any points (2) for each practice test. You may take the practice exams as many times as you need to in order to obtain an 84%. Please consider taking/retaking all practice Kaplan tests throughout the semester to review previous and current material.

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Cultural Health Beliefs Project (group project): See details of assignment at end of this syllabus. You will all be presenting these projects during the last scheduled SIM, April 27th, 1230 – 1630 in room 124 (location is tentative). Examinations: Four examinations will be given throughout the semester; the fourth is a comprehensive final exam. There will be no bathroom privileges during examinations – please plan accordingly. Tests will cover materials from both the lecture and clinical course components, including all required readings, assignments, and lecture content. You have 10 days following each exam (with the exception of the final) to make an appointment with me to review your exam. After this time, the examinations are no longer available for review. There will be no review of the final examination. You are required to take the Kaplan exam, which will cover ALL medical-surgical content (Fundamentals, NUR 345, and NUR 347). Please plan to review accordingly. To earn the 15 points for the Kaplan exam you will need to score a 68% or higher on it; otherwise no points will be given. You will need to average 78% or higher on all exams, except the Kaplan exam, to pass the class.

Grading System:

Evaluation Tool Points

On-line Case Studies – 15 cases at 1 point each 15

Kaplan Practice Tests – 8 Tests at 2 points each 16

Vision and Hearing Quiz 3

Reproductive Quiz 5

Cultural Health Beliefs Project 10

Quizzes (6 total, lowest score will be dropped) 5

Exam 1 50

Exam 2 50

Exam 3 50

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Comprehensive Final Exam 75

Kaplan Exam 15

Clinical Written Assignments Pass/Fail

TOTAL POSSIBLE POINTS 294 NUR 347 Final Grades: The total number of points possible in NUR 347 is 294. The minimum point total required to earn each grade is listed below. Upon completion of all course requirements, the final grade will be calculated as follows: A = 272 - 294 points B = 246 – 271 points C = 228 – 245 points F = anything less than 228 points will be considered a course failure. NAU, School of Nursing and NUR 347 COURSE POLICIES Lecture 1. Please see the NAU classroom management statement:

http://nau.edu/uploadedFiles/Administrative/EMSA_Sites/Folder_Templates/_Forms/Classroom_Disruption_Policy.pdf

2. Lecture materials, articles, and other information may be found on Blackboard Learn or distributed in class.

3. Professional communication and conduct is expected at all times. 4. Cell phones and pagers are to be turned off for the duration of the class. No pictures may be

taken with cell phone in classroom, without instructor permission. 5. No children or visitors are allowed in class/lab at any time. 6. It is the student’s responsibility to obtain handouts, lecture notes, and information from

announcements in the event a class is missed. 7. Taping of lectures is permitted in this course. Clinical examples cannot be discussed outside

the classroom due to patient confidentiality. 8. Students are expected to have read the assigned reading and come to class prepared to

discuss the topics, and to ask relevant questions concerning content. 9. Students are expected to come to class on time. 10. All assignments and exams are to be completed by each student individually without the help

of others unless specifically identified as a group project or the student is seeking help from a designated NAU tutor or teaching assistant.

11. Assignments are due at 11:59 pm Arizona Time on the date they are due. Assignment due dates are printed on the course schedule. Late assignments will not be accepted unless prior arrangements have been made with the instructor.

12. There will be 22 Evolve online case studies assigned. The first question submission and first score of the case study will be recorded as the grade. These may be completed in a group setting, but each student must submit their own case study.

13. No extra credit assignments will be given for this course. 14. Rounding will NOT be done in Nursing 347.

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Examinations (Other than Kaplan) 1. Students must achieve a combined average of 78% on all exams (except Kaplan) to pass the

course. 2. All exam dates and times are printed on the course schedule. 3. Students will be allotted one and one half (1.5) hours to complete the three major

examinations and two (2) hours to complete the final examination; this includes bubbling in scantron forms. Announcements will be made when there are 15 and 5 minutes remaining.

4. Students who are late for exams will not be given extra time. 5. No examination or test material is to leave the classroom with a student. 6. Any student determined by faculty to have cheated on the exam will receive a score of zero

for that exam and will be subject to failure from the course. 7. Retests/makeup tests: Exams will be given only on the date and time scheduled. Make-up

examinations, except for the Kaplan, will be provided only in extraordinary circumstances. The Kaplan exam cannot be made-up. Students who are absent from an examination for any reason must call the course leader at least 24 hours prior to the examination. Students who do not call before an examination will receive a zero for that examination and will not be eligible to take a make-up examination except for extreme circumstances. Any make-up exam must be completed within two business days of the original exam date or at the discretion of the course coordinator; the final exam must be completed within two business days or by the last day of final exams, whichever comes first or students may receive a zero on the exam. Make up tests may be in any form (oral, written, essay) over the same objectives as the multiple-choice exam.

8. Appointments and individual discussion regarding the exam may not be made until item analysis is complete.

9. For each exam: o Cell phones, beepers and other electronic devices must be turned off during exams. o All books, bags, computers, notes, notebooks, cell phones, water and drink bottles,

purses and other personal belongings will be left at the front of or outside the room. o Hats and caps are not permitted; ear plugs must be approved by faculty before use. o Students are expected to stay in the exam room while taking the exam; students may

only leave the exam to use the restroom if they have submitted a note from a health care provider.

o Once you have completed the exam, turn in your exam materials and leave the room quietly; please move away from the classroom doors.

o Exams may cover material from lecture, textbooks, articles, handouts, websites, discussions, clinical, lab, previous, and concurrent courses.

o Pencils with erasers, scantron forms, and calculators will be provided. o Exam dates, times, and locations are subject to change. o Students are strongly encouraged to meet with faculty if they receive C or lower on an

exam. 11. The final examination will be comprehensive. Kaplan Exam In addition to the classroom examinations, there will also be a Kaplan Comprehensive Course exam which will cover all content covered over the semester. To receive the 5% for the Kaplan exam, students will need to achieve mastery on the exam, which is considered 68%. Students not achieving mastery will be awarded a zero. Students are required to complete the Kaplan exam. The Kaplan is a highly secured, standardized examination. Therefore, the Kaplan must be taken on the scheduled date and time and cannot be made up. Students should expect to receive approximately 75 questions within a 1.5 hour time frame.

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Assignments Assignments are due at 11:59 pm Arizona Time on the date they are due or the student will receive a zero for that assignment. Assignment due dates are printed on the course schedule. Late assignments will not be accepted unless prior arrangements have been made with the instructor. Course policies Policies and guidelines in the NUR 347 course syllabus apply to all aspects of this course. You are responsible for review and compliance with NUR 347, NAU School of Nursing, and NAU policies. You are also responsible for review and adherence to the professional standards and rules of the Arizona Nurse Practice Act, the State Board of Nursing, and the American Nurses’ Association Code of Ethics. For full descriptions of policies, visit these websites:

Current NAU SON BSN Handbook: http://nau.edu/uploadedFiles/Academic/CHHS/Nursing/BSN_Handbook.pdf

Arizona Nurse Practice Act: http://www.azbn.gov/NursePracticeAct.aspx

American Nurses Association Code of Ethics: http://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses.aspx

Social Media Guidelines: https://www.ncsbn.org/2930.htm Attendance Policy Successful achievement of course outcomes is facilitated by regular class attendance and active engagement in the learning process. Should an absence be unavoidable, the student shall notify the instructor according to instructions provided in the course syllabus. Students are responsible for completion of any missed work in accordance with course policies. Attendance Policy Successful achievement of course outcomes is facilitated by regular class attendance and active engagement in the learning process. Should an absence be unavoidable, the student shall notify the instructor according to instructions provided in the course syllabus. Students are responsible for completion of any missed work in accordance with course policies. Withdrawal Policy If a student is unable to attend the course or must drop the course for any reason, it will be the responsibility of the student to withdraw from the course before the withdrawal deadline (see current NAU Schedule of Classes for deadline: http://nau.edu/Registrar/Important-Dates/Fall/ - “Session Deadlines”). Plagiarism, Cheating, and Academic Dishonesty: Please refer to Appendix G of the NAU Student Handbook (http://home.nau.edu/images/userimages/awf/9476/ACADEMIC%20DISHONESTY.pdf) for definitions, policies, penalties, and procedures related to various forms of academic dishonesty. University Policies

Review the following policies available on the Northern Arizona University Policy Statement website (http://www4.nau.edu/avpaa/policy1.html):

1. Safe Environment Policy 2. Students with Disabilities Policy 3. Academic Contact Hour Policy 4. Academic Integrity Policy (also see

http://home.nau.edu/images/userimages/awf/9476/ACADEMIC%20DISHONESTY.pdf) 5. Research Integrity Policy 6. Sensitive Course Materials Policy

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7. Classroom Disruption Policy (also see http://nau.edu/uploadedFiles/Administrative/EMSA_Sites/Folder_Templates/_Forms/Classroom_Disruption_Policy.pdf)

The Impaired Student policy will be strictly adhered to; there will be no tolerance in for any evidence of substance abuse.

Cultural Health Beliefs Project GUIDELINES Cultural Health Beliefs Project (Group Project) – Due April 27th Groups and cultures of interest are due by March 10th, 2016 at 0800. No more than one group per culture – first come first choice.

SIGN UPS FOR THIS ASSIGNMENT: “Self-select” into groups of six people. One person must e-mail me the names in the group and the culture of interest. Only one culture per class can be used therefore check with me and make sure it

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is not already taken. Please be aware that your presentation should last no more than 15 minutes (or points will be taken), and be as creative as possible! STUDENT LEARNING OUTCOMES:

1. Identify a culture. 2. Use the Internet and other resources to identify the health beliefs and practices which are

unique to this culture in its traditional form before it was assimilated into American culture. 3. Develop patient care strategies for nurses to use in the health care setting as a guide to

provide culturally sensitive care for the identified ethnic group. ASSIGNMENT:

1. Determine which culture you wish to research. Try to choose a culture whose beliefs vary from traditional American culture.

2. Use the Internet and other resources (you may interview persons from that culture) to research the health beliefs and practices of this culture. Reference, using APA format, the resources that you used to gather the information and include with your presentation – as either a Reference page or in your presentation.

3. Using the questions in the guideline below, formulate a 15-minute presentation to be given to the class on the culture. You will have a point deduction if you go over 15 minutes. You can present your findings as a poster presentation, slide show, PowerPoint, etc. Please keep it professional, as you would present at a conference. The purpose of this project is to provide the class with information and resources on what an RN should consider when providing culturally sensitive care to a member of this ethnic group.

GRADING CRITERIA: Total Points = 10

1. Resources 1 points

2. The presentation covers each of the five areas 4 points

3. The presentation suggests appropriate nursing 4 points interventions for each of the five areas

4. Creativity and Time Limit (15 minutes) 1 points

GUIDELINES FOR PRESENTATION

I. RELIGION

A. Describe the religious beliefs of the ethnic group that you have chosen. B. Identify the relevance that these religious beliefs have upon health care. C. Describe two nursing interventions that take religious issues into account.

II. HEALING BELIEFS AND PRACTICES

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A. How is pain and suffering viewed by people of this ethnic group? B. What role do cultural healers play for people of this ethnic group? C. What special practices does this cultural group have around the areas of death and

dying? D. Give two ways that nurses can use this information in the care of a patient from this

ethnic group. III. FAMILY LIFE PROCESSES

A. What is the common structure of the family in this ethnic group? (patriarchal, matriarchal)

B. What is the role of elders in this family structure? C. If a member of this ethnic group was hospitalized, how would the family handle it? D. Give two ways to approach the family as a nurse needing to provide health related

information.

IV. COMMUNICATION

A. Describe the cultural norms around the area of personal space for this ethnic group. B. How does the client using their native language communicate verbally and

nonverbally? For example, describe the use of eye contact, gesturing, touching, etc. C. How would members of this ethnic group interact with people from the same

culture; with those of another culture; with those in the health professions? D. Give two approaches that the nurse could try to use when needing to communicate

with a person of this ethnicity.

V. DIET A. Describe the significance of food for members of this ethnic group. For example, are

certain foods eaten at times of the birth of a new child? B. What are some favorite foods of this culture and how are they impacted by

hospitalization? C. Give two examples of how the RN can encourage healthy eating yet also respect

cultural preferences. For each of the above areas, identify appropriate nursing interventions to deal with the specific issues raised by the cultural considerations of the culture being analyzed. For example, some cultures would not allow a male nurse to examine a female patient so the charge nurse should be aware of this cultural issue when making assignments.

NUR 347 Course Outline Schedule—Spring 2017 Date Topic Delivery Chapters & Articles

1 1/19/17 Orientation, Delegation/Prioritization Lecture Syllabi

Kaplan Math for Critical Care Test Due with exam #1

Online Kaplan Website

2 1/26/17 Dysrhythmias Lecture Lewis 36

3 2/2/17 Respiratory Lecture Lewis: 26-28

2/2/17 COPD with Pneumonia Due with exam #1

On-line Case Study Evolve Online

Kaplan Respiratory Test I Due with exam #1

Online Kaplan Website

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Kaplan Respiratory Test II Due with exam #1

Online Kaplan Website

4 2/9/17 Respiratory continued Lecture Lewis 29, 66 (vents), & 68

5 2/16/17 Exam #1, Weeks 1-3 0800- 0930

5 2/16/17 Hematology Lecture Lewis 30-31

6 2/23/17 Cardiovascular: HTN, CAD, ACS, Shock Lecture Lewis 32-34, 67

Hypertension Due with exam #2

On-line Case Study Evolve Online

Kaplan Cardiovascular Test I Due with exam #2

Online Kaplan Website

Kaplan Cardiovascular Test II Due with exam #2

Online Kaplan Website

7 3/2/17 Heart Failure, Vascular, Inflammatory & Structural Heart Disorders; Hemodynamic Monitoring

Lecture Lewis 35, 37 & 38; 68

Coronary Artery Disease Due with exam #2

On-line Case Study Evolve Online

Heart Failure with A-Fib Due with exam #2

On-line Case Study Evolve Online

8 3/9/17 Exam #2, Weeks 2, 5-7 0800- 0930

8 3/9/17 Stroke Lecture Lewis 58

Brain Attack (CVA) Due with exam #3

On-line Case Study Evolve On-line

Kaplan Neurology Due with exam #3

Online Kaplan Website

9 3/23/17 Nervous System Lecture Lewis 56, 59 & 60

Seizure Disorder Due with exam #3

On-line Case Study Evolve On-line

Parkinson’s Disease Due with exam #3

On-line Case Study Evolve On-line

Myasthenia Gravis Due with exam #3

On-line Case Study Evolve On-line

10 3/30/17 Nervous System continued Lecture Lewis 57 & 61

Spinal Cord Injury Due with exam #3

On-line Case Study Evolve On-line

Head Injury Due with exam #3

On-line Case Study Evolve On-line

Vision and Hearing Disorders Due with Final Exam

Independent Study Lewis 21 & 22 and Bb Learn

11 4/6/17 Exam #3, Weeks 8-10 08-0930

11 4/6/17 Gastrointestinal Disorders Lecture Lewis 39-40

Inflammatory Bowel Disease Due with Final Exam

On-line Case Study Evolve On-line

12 4/13/17 Gastrointestinal Disorders continued; Upper and Lower GI Issues

Lecture Lewis 41-44

Kaplan Gastrointestinal System Test I Due with Final Exam

Online Kaplan Website

Kaplan Gastrointestinal System Test II Online Kaplan Website

Chronic Pancreatitis Due with Final Exam

On-line Case Study Evolve On-line

Bowel Perforation Due with Final Exam

On-line Case Study Evolve On-line

Hepatitis Due with Final Exam

On-line Case Study Evolve On-line

Reproductive System Disorders Independent Study Lewis 51-55 and Bb learn

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Due with Final Exam

Breast Cancer Due with Final Exam

On-line Case Study Evolve On-line

13 4/20/16 Gastrointestinal Disorders continued; Biliohepatic and Pancreatic Disorders

Lecture Lewis 41-44

14 4/27/17 Emergency, Terrorism and Disaster Nursing

Lecture Lewis 66,67 and 69

14 4/27/17 Cultural Health Beliefs Presentations 1230 – 1630 Room 124 (Tentative)

15 5/4/17 Kaplan Exam – Comprehensive (Material from 345 & 347)

As scheduled NAU Testing Center

16 5/10/17 WEDNESDAY 8-10 am

Comprehensive Final Exam – Yes, it will be hard!! Study and you’ll be OK.

School of Nursing NUR 347

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Acknowledgment of Syllabus/Course/Clinical Requirements

Name (First)_____________________(Last)_________________________

(Please print) Phone number_________________________Email:______________________________ I acknowledge that I have reviewed and read the syllabus for NUR 347. I understand the expectations and requirements for this course. I agree to abide by the regulations, terms, and policies as set forth in the syllabus. I understand that NUR 347 is a rigorous academic course. I understand that I need to contact the faculty if I have questions or concerns and that it is my responsibility as an adult learner to seek clarification or assistance when needed. I understand that I must an overall course grade of 78% or higher and a combined average of 78% on all exams, except the Kaplan exam in order to pass the course and proceed in the nursing program. In addition, I have reviewed again the School of Nursing Undergraduate Student Handbook and the Northern Arizona University Student Handbook and understand the policies that are in place to support my continued education in Nursing. __________________________________________ __________ (Signature) (Date)