Catalog: 2014–2015 Catalog Year

NURS 270: Advanced Clinical Nursing I Theory

General Information

  • Name: Advanced Clinical Nursing I Theory
  • Discipline: Nursing (NURS)
  • Units (Credits): 3
  • Transfer Information: Courses with numbers 100 to 299: This course is designed to apply toward a WNC degree and/or transfer to other schools within the Nevada System of Higher Education, depending on the degree chosen and other courses completed. It may transfer to colleges and universities outside Nevada. For information about how this course can transfer and apply to your program of study, please contact a counselor.
  • Academic Division: Nursing and Allied Health

Prerequisites and Recommended Courses

  • Prerequisites: admission to the nursing program
  • Corequisites: NURS 271

Course Outline

I: Catalog Course Description

Offers clinical theory organized around the nursing process and its application to patient needs. Requires students to apply the principles of providing a safe care environment, while addressing health promotion and health maintenance needs for persons experiencing complex/acute alterations in health. Students will also apply concepts of community care, case management, health teaching and discharge planning.

II: Course Objectives

Upon successful completion of the course the student will be able to:

  • Utilize information literacy skills to integrate research findings that guide best practice decisions.
  • Analyze specific problems of patients with complex health alterations, including those with
    • ineffective oxygenation
    • ineffective autoregulation (endocrine - diabetes)
    • cellular dysfunction (hematological, immune, onocological)
    • ineffective nervous system regulation
    • ineffective perfusion (shock, fluid and electrolyte imbalances)
    • end of life issues
    • advanced pain control issues
  • Evaluate the effectiveness of ; nutritional therapeutic modalities, TPN, blood, and intravenous therapy, on the health of patients in the acute care setting.
  • Compare and contrast the nursing practice environment in community and home health settings with that of acute care facilities.
  • Explore the impact of cultural, bio/psycho/social and spiritual influences on patient and family health.
  • Determine nutritional benefits for themselves as well as patient populations through both didactic and experiential methods of instruction and describe the effect of diet on the management of selected complex alterations in health.
  • Discuss managing care through the efficient and effective use of human, physical, financial and technical resources to meet patient needs.
  • Explore the role and dimensions of case management in the provisiion of continuity of care of clients experiencing complex alterations in their health.
  • Demonstrate accountability (professionalism) through identification of self-learning needs and continued professional development.
  • Employ ethical and legal guidelines when working with patients, and their families, who are experiencing complex alterations in their health.
  • Utilize information literacy skills to integrate research findings that lead to best practice decisions.
  • Provide a professional presentation on a topic in pain management with handouts and references.

III: Course Linkage

Linkage of course to educational program mission and at least one educational program outcome.

The purpose of the Associate of Applied Science degree is to provide employment-related knowledge and the skills necessary to succeed in a chosen field of study.

The mission of the nursing program at Western Nevada College is to meet the nursing educational needs of the service area. The program prepares qualified students to function as entry-level registered nurses and transfer to higher degree programs.

Graduates are prepared to function in a variety of health care settings, providing culturally sensitive, holistic nursing care to individuals and families across the lifespan. The nursing faculty supports graduate competency in an evolving and complex health care environment by facilitating the students' development of clinical judgement, promoting professional behaviors, and fostering the value of lifelong learning.

The Nursing Program Educational Objectives ensure that students who successfully complete the Nursing Program are expected to demonstrate that they can:

  • Utilize the nursing process in a competent and caring manner to safely meet the bio/psycho/social/cultural and spiritual needs of patients across the lifespan in a variety of health care settings.
  • Integrate knowledge derived from the bio/psycho/social sciences, humanities, and nursing to achieve deliberative and competent decision-making that is grounded in evidence based practice to achieve best practice outcomes.
  • Apply concepts of cultural awareness, cultural sensitivity and respect for persons when working with diverse populations.
  • Provide care that reflects the ethical values of nursing within the professional practice standards as well as the legal parameters of the profession
  • Use therapeutic communication skills when interacting with patients and their families

Additionally, the General Education Student Learning Objectives ensure that students who complete programs in occupational areas are expected to demonstrate that they:

  • Have college-level skills in reading, writing, and oral communication appropriate to their degree and/or emphasis
  • Posses suitable technological skills, including computer skills
  • Know the subject matter of their degree to a level that is acceptable to their area of study
  • Are able to acquire the skills and perform the tasks necessary for their employment or career enhancement
  • Have adequate college level mathematical skills


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