Nursing 222

Nursing Care of Adults with

Acute and Chronic Illness II

Course Description and Objectives

This course focuses on the inter-professional care of adult patients experiencing acute and chronic health alterations that require medical and/or surgical intervention. Emphasis is placed on the care of patients with alterations in selected body functions: hematology, renal and genitourinary, gastrointestinal, musculoskeletal, neurological systems, as well as fluid and electrolyte balance, acid-base balance, and oncology care. Concepts of patient-centered care, evidence based practice, informatics, safety, patient education, teamwork and collaboration, leadership, systems-based practice, and professionalism are integrated throughout the course. The Neuman Systems Model and nursing process guide the student in holistic nursing practice for achievement of optimal patient outcomes.

Prerequisites: NRS 220, 221; Corequisites: NRS 223

At the end of this course students will be able to:

1. Describe common health deviations from normal, in the adult patient, that contribute to complex alterations in health, and the stress reactions associated with the deviations.

2. Identify commonly prescribed nursing interventions that include cultural, spiritual, and developmentally appropriate considerations and health promotion recommendations for adult patients with complex medical-surgical health alterations.

3. Explain principles of nursing care related to adult patients and families of those experiencing moderate health care deficits in the renal, gastrointestinal, genitourinary, musculoskeletal, and neurological systems; and the patient with oncology and hematology related disorders.

4. Apply knowledge of pharmacology, pathophysiology, and nutrition in the provision of care for adult and older adult patients with common/uncomplicated alterations in health.

5. Apply the nursing principles utilizing the Neuman Systems Model, Quality and Safety in Nursing Education (QSEN) competencies to address common medical-surgical illnesses of the genitourinary, gastrointestinal, musculoskeletal, and neurological systems, and the patient with oncology and hematology related disorders.

Course Content:

• Fluids, Electrolytes, and Acid Base Imbalances

• Alterations in Genitourinary and Renal Function

• Alterations in Gastrointestinal System

• Alterations in Neurological System

• Alterations in Musculoskeletal System

• Alterations in Hematology and Immunity

• Nursing Care of the Oncology Patient

Welcome to Our Course

Dr. Jaime Hannans, RN, PhD, CNE

Wednesdays 0900-1150 am Sierra Hall 2411

Office Hours Wednesdays 1200-1300

Course Assignments

Technology is an essential part of our modern culture. Nursing is a blend of art and science, with change and advancements occurring constantly to improve patient outcomes. In this course you will be expected to expand your horizons, taking on new challenges, and begin the creation of your own digital identity through the use of CI Keys. You will be expected to regularly access our course site to follow our schedule, complete your weekly assignments, and read announcements. To complete the VoiceThread activities for this course, you will also log-in to CI Learn when instructed. It is my hope, and the goal of this course, that you leave with increased knowledge, skills, and attitudes you can apply in nursing practice as you continue to grow through this program

Key Course Assignments: (Described further on the course site)

  • Student Contract/Survey (10 pt) (Due 9/2)
  • CI Keys Domain (15; 15 pt) (Due 9/7; 12/08)
  • 4 Exams (50 pt each) and Final (75 pt) (9/21, 10/12, 11/9, 11/30, 12/14)
  • ATI Targeted Assessments Online x 5 (20 pt) (9/21, 10/12, 11/9, 11/30)
  • PICO Paper (35 pt) (Due 11/2)
  • Group Project/Presentation (50 pt) (Due: 12/02)

This course includes ATI Targeted Assessments (6), but does not include a Proctored ATI Exam. The points obtained will be based upon the first attempt of the ATI Focused Review. Please see the student handbook for the ATI policy. You can earn up to 4 points per Targeted Assessment: 4 points for score >85%; 3 points for score 76-84%; 2 points for score < 76% with recommended focused review.

Course Materials


Hinkle, J.L. & Cheever, K. H. (2013). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (13th ed.). Philidelphia, PA: Lippincott, Williams, & Wilkins. ISBN 978-1451130607

ATI Fundamentals for Nursing Practice


Ackley, B. J. & Ladwig, G. B. (2014). Nursing Diagnosis Handbook: An Evidence-Based Guide to Care Planning, 10th ed. St. Louis, MO: Elsevier Saunders. ISBN 978-0323089210

Craven, R., Hirnle, C., & Jensen, S. (2013). Fundamentals of Nursing: Human Health and Function, 7th ed. Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins. ISBN 978-1-60547-728-2

Neuman, B. & Fawcett, J. (2011). The Neuman Systems Model, 5th ed. Upper Saddle River, NJ: Pearson. ISBN 978-0135142776

Access regularly to computer with internet access and microphone. Computer and printing access is available in the library, or you can go to the library to request direction about accessible computer/printer resources available on campus.

Commitment to Integrity

As a student in this course (and in this nursing program, at this university), you are expected to maintain high degrees of professionalism, commitment to active learning and participation in this class. You are also expected to maintain integrity in your behavior in and out of the classroom.

 Grading Criteria

Letter Grades are as follows:

(See Student Nurse Handbook)

A 95-100%

A- 90-94.9%

B 85-89.9%

B- 80-84.9%

C 76-79.9%

D 65-75.9%

F 64.9 and below

On a +/- grading scale C- is not considered passing the bottom of the scale is set at C 76% with no C- grades. There are no B+ or C+ grades.


Student Expectations

  • Assigned readings, discussions and challenges are to be completed in a timely manner prior to the due date/time.
  • Students should attend all class sessions (unless there is an excused absence based on university policy).
  • Students are expected to follow the Nursing Student Handbook guidelines and University Student Code of Conduct.
  • We expect students to submit original work and adhere to the CSU Channel Islands Academic Dishonesty policy
  • It is expected that you communicate with your instructor, especially if you have a concern, as early as possible.

Instructor Contact Information

Dr. Jaime Hannans, RN, PhD, CNE

1172 Solano Hall


Office Hours: (Online or In Person)

Wednesdays 1230-130 pm

or By Appointment


Tech Requirements

  • Regular access to a computer (not a mobile device)
  • Regular access to the internet
  • A recently upgraded web browser
  • Access to a computer with a microphone or webcam OR a smartphone (iOS or Android)
  • Get more help through CI Technology and Communication Services

ATI has technology requirements as well.Please be sure to investigate the requirements for use prior to assignment due dates. You can find more information at the ATI website where there are also student tutorials under "How To"

If you run into technical problems in this course, you should do the following:

  1. Clear your browser’s cache
  2. Try a different browser (Internet Explorer, Firefox, Safari or Chrome)
  3. Shut down and restart your computer
leaf growth.jpg


CSU Channel Islands is committed to equal educational opportunities for qualified students with disabilities in compliance with Section 504 of the Federal Rehabilitation Act of 1973 and the Americans with Disabilities Act (ADA) of 1990. The mission of Disability Resource Programs is to assist students with disabilities to realize their academic and personal potential. Students with physical, learning, or other disabilities are encouraged to contact Disability Resource Programs at (805) 437-3331 for personal assistance and accommodations.

If you are a student with a documented disability who will require accommodations in this course, please register with Disability Resource Programs located in the Educational Access Center, Bell Tower 1541, or call (805) 437-3331 for assistance with developing a plan to address your academic needs. Faculty, students and Disability Resource Programs will work together regarding classroom accommodations. Please discuss approved accommodations with faculty.

Powered by Learn More