General Course Information for NSG205A: Medical-Surgical I Clinical

Course: NSG205A - Medical-Surgical I Clinical
Textbook: For the correct edition of the textbook assigned to a specific class, go to:

Course Prerequisite(s):
Course Description:

Practical application of knowledge and skills required for nursing care of adult patients with commonly occurring medical-surgical problems is demonstrated in both Lab and clinical settings. Using the language of nursing, students will devise and implement care plans and teaching plans. Concurrent enrollment in NSG 205 is required unless approved by the Department Chair. Clinical Lab is graded on a Satisfactory/Unsatisfactory basis based on successful completion of the course requirements.

Course Learning Outcomes:
  • Upon successful completion of the course, the student will be able to:
    1.Begin to utilize basic teaching-learning principles by implementing a standard teaching plan in a structured setting.
    2.Recognize the patient and family/significant others' responses to impact of illness, hospitalization and treatments.
    3.Provide standardized nursing care to a group of adult patients in a structured setting.
    a.Perform basic nursing skills safely and effectively.
    b.Administer nursing care based on the patient's present bio-psycho-social-cultural-spiritual situation.
    c.Determine the patient's priority of needs and plan care accordingly.
    d.Complete nursing care for at least three adult patients on time using an organized and efficient approach.
    4.Utilize the nursing process to administer care to the adult patient with commonly occurring health care needs and problems.
    a.Collect data on the patient's health status in a systematic and objective manner using the system's review.
    b.Assess the data considering the normal physiologic and psychologic parameters of the adult patient's experience and identify the assets and deficits of that experience.
    c.State a nursing diagnosis for each actual or potential problem which has been identified from the patient's health assessment.
    d.Devise a nursing care plan which provides nursing interventions to the patient as needed and reflects awareness of the priority problems in the care of the patient.
    e.Implement the plan of care and state the rationale for the nursing interventions.
    f.Evaluate the effectiveness of the care based on the stated expected outcomes or goals of care.
    5.Provide basic health information to the patient and family using standardized teaching plans.
    a.Assess the patient as to their learning needs and knowledge deficits.
    b.Implement a standard teaching plan to meet the patient's learning needs.
    c.Evaluate the effectiveness of that experience.
    d.Identify hospital as well as community resources available to patients and make referrals following consultation with team leader or instructor.
    6.Utilize therapeutic communication skills, guidance and support in interacting with the adult patient and record observations in proper sequence and format.
    a.Recognize own values and behavioral responses which may be conditioned by own culture and experiential background.
    b.Provide therapeutic and supportive communication to the adult patient and family.
    c.Communicate and report pertinent observations and inferences to appropriate personnel, i. e. instructor, team leader, etc. promptly
    d.Record medications, treatments and subjective/objective observations properly in the patient's record.
    7.Assume responsibility for personal and professional growth in the medical-surgical setting.
    a.Accept responsibility for his own actions/behaviors as a student member of the health care team.
    b.Is prepared with pre-care level patient data prior to each clinical lab day.
    c.Report promptly to clinical laboratory and pre/post conferences.
    d.Constructively use instructor's feedback by initiating appropriate actions in subsequent written work or clinical behavior.
    e.Identify and implement learning goals and objectives and seek appropriate resources to achieve them.
    i.Identify specific experiences in clinical practice which are needed to accomplish learning objectives.
    ii.Utilize those experiences in clinical practice seeking assistance where needed.
    f.Contribute to the growth of self and classmates by sharing learning experiences on the clinical units during pre and post conferences.
    g.Evaluate own clinical and academic performance based on these course objectives by completing and turning in the monthly student
  • PREREQUISITES: NSG 200, NSG 200A. This course focuses on the practical application of knowledge and skills required for nursing care of adult patients with commonly occurring medical-surgical problems is demonstrated in both laboratory and clinical settings. Using the language of nursing, students will devise and implement care plans and teaching plans. Concurrent enrollment in NSG 205 is required. Clinical Laboratory is graded on a Satisfactory/Unsatisfactory basis based on successful completion of the course requirements.

Students with Disabilities:
Students seeking special accommodations due to a disability must submit an application with supporting documentation, as explained under this subject heading in the General Catalog. Instructors are required to provide such accommodations if they receive written notification from the University.

Writing Across the Curriculum:
Students are expected to demonstrate writing skills in describing, analyzing and evaluating ideas and experiences. Written reports and research papers must follow specific standards regarding citations of an author's work within the text and references at the end of the paper. Students are encouraged to use the services of the University's Writing Center when preparing materials.

The following website provides information on APA, MLA, and other writing and citation styles that may be required for term papers and the like:

National University Library:
National University Library supports academic rigor and student academic success by providing access to scholarly books and journals both electronically and in hard copy. Print materials may be accessed at the Library in San Diego or through document delivery for online and regional students. Librarians are available to provide training, reference assistance, and mentoring at the San Diego Library and virtually for online or regional students. Please take advantage of Library resources:


Contact the Library:

  • (858) 541-7900 (direct line)
  • 1-866-NU ACCESS x7900 (toll free)

Use the Library Training Tools (on the Library Homepage) for additional help

  • Recorded class presentations
  • Tutorials & Guides (APA/MLA, Peer-Review, and more)

Plagiarism is the presentation of someone else's ideas or work as one's own. Students must give credit for any information that is not either the result of original research or common knowledge. If a student borrows ideas or information from another author, he/she must acknowledge the author in the body of the text and on the reference page. Students found plagiarizing are subject to the penalties outlined in the Policies and Procedures section of the University Catalog, which may include a failing grade for the work in question or for the entire course. The following is one of many websites that provide helpful information concerning plagiarism for both students and faculty:

Ethical behavior in the classroom is required of every student. The course will identify ethical policies and practices relevant to course topics.

Students are expected to be competent in using current technology appropriate for this discipline. Such technology may include word processing, spreadsheet, and presentation software. Use of the internet and e-mail may also be required.

Learning to work with and value diversity is essential in every class. Students are expected to exhibit an appreciation for multinational and gender diversity in the classroom.

As a diverse community of learners, students must strive to work together in a setting of civility, tolerance, and respect for each other and for the instructor. Rules of classroom behavior (which apply to online as well as onsite courses) include but are not limited to the following:

  • Conflicting opinions among members of a class are to be respected and responded to in a professional manner.
  • Side conversations or other distracting behaviors are not to be engaged in during lectures, class discussions or presentations
  • There are to be no offensive comments, language, or gestures