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NURS 102Z Nursing Care of the Adult Client II Clinical • 5 Cr.


Clinical component for NURS 102X. Students gain experience in health agencies correlating with and implementing nursing theory. Prerequisite: NURS 101X and 101Z.


After completing this class, students should be able to:

  • As Provider of Care, the student will:
    • Continue to implement the five phases of the nursing process as a systematic approach to individualizing client care.
      • Assessment
        • Collects pertinent data by assessing one or two clients using the Advanced Assessment Data Collection Guide.
        • Collects pertinent data from other sources:
          • client’s record
          • family members
          • health team members
          • Identifies changes in assessment data that deviate from the client’s baseline health status
          • Validates abnormal data.
          • Organizes assessment data according to Maslow’s basic needs
  • Nursing diagnosis
    • Begins to identify pertinent nursing diagnoses and their etiologies.
      • Provides client-specific defining characteristics applicable to the nursing diagnosis.
  • Planning and Outcomes
    • Begins to prioritize nursing diagnoses.
    • Begins to collaborate with client and/or family members to formulate expected outcomes that are:
      • pertinent and related to nursing diagnoses
      • realistic and measurable with critical times
      • client focused, incorporating the family, sociocultural background and spiritual beliefs
    • Begins to select appropriate nursing actions that address nursing diagnoses of the adult client in a medical-surgical setting.
    • Provides rationale for medications and therapeutic interventions
    • Incorporates the agency’s plan of care.
  • Implementation
    • Performs selected nursing actions specific to expected outcomes (with occasional cuing). Examples include, but are not limited to:
      • suctioning - oral, nasal or tracheal
      • monitoring chest drainage
      • wound care - simple, complex
      • administering nasogastric tube feedings
      • tracheostomy care
    • Involves family in nursing actions when appropriate.
    • Provides for the physical safety of client in the acute care setting.
    • Documents relevant care provided.
  • Evaluation
    • Identifies client progress as related to expected outcomes (with occasional cuing).
      • Modifies the plan of care to best meet the needs of the hospitalized client (with occasional cuing).
    • Continue to demonstrate cognitive, psychomotor, and affective skills to ensure safe practice.
      • Identifies rationales for nursing actions and other therapeutic measures, incorporating knowledge of relevant pathophysiology, diagnostic procedures, etc.
      • Performs psychomotor skills learned in Nursing 100 and Nursing 101 safely.
        • With no cuing of N100 skills
        • With minimal cuing of N101 skills
        • With occasional cuing of N102 skills; examples include but are not limited to:
          • suctioning - oral, nasal or tracheal
          • monitoring chest drainage
          • wound care - simple, complex
          • administering nasogastric tube feedings
          • tracheostomy care
            • Applies principles of medical and surgical asepsis
            • Performs skills on time
            • Performs skills in a reasonable amount of time
            • Demonstrates organizational skills
            • Demonstrates dexterity
            • Adapts performance to meet needs of client and/or situatioN
      • Administers parenteral and non-parenteral medications safely and in a timely manner.
        • States action, contraindications, effects and nursing considerations for prescribed medications.
        • Calculates medication and intravenous doses correctly
      • Uses effective communication techniques with clients, families, instructor, peers and health care team.
      • Develops oral presentation skills:
        • Reports clear, concise and relevant data to staff, instructor, and peers
        • Presents an oral nursing care plan to clinical peers and instructor during post-conference
  • As a manager of care, the student will
    • Collaborate as a health team member when providing care for a client in the medical-surgical setting. Cares for clients with dysfunction or disease in the following areas:
      • Musculoskeletal dysfunction
      • Arthritic and connective tissue disorders
      • Respiratory dysfunction
      • Cardiovascular dysfunction
      • Peripheral vascular dysfunction
      • Hypertension
      • Visual and/or auditory dysfunction
      • Cancer
    • Demonstrates organizational skill in the management of care.
      • Begins to prioritize nursing care for 2 clients in the medical-surgical setting
      • Completes care for the assigned clients
    • Practice in a cost-effective manner:
    • Organizes care to conserve time, energy and resources
    • Validates the use of supplies and equipment to minimize waste
    • Assume the role of peer resource person (PRP):
    • Listens to shift report and obtains additional current data from staff/instructor for group of clients assigned to peers
    • Gives verbal support to peers and answers questions with instructor support
    • Assists with selection of peer assignment as needed with instructor’s input
    • Schedules help from instructor for peers
    • Assists peers with instructor approved procedures
    • Monitors client care for group of assigned clients
    • Seeks and schedules additional learning experiences for self and peers
    • Ensures documentation is complete
    • Ensures peers have reported to appropriate staff
  • As a Member within the Discipline of Nursing, the student will:
    • Practice within the ethical and legal framework of nursing
      • Follows established school policies as outlined in the College and Program Student Handbooks.
      • Follows established agency policies and procedures
      • Documents care as given with occasional cuing
        • using agency format
        • meeting legal standards
        • clearly and concisely
        • in a timely manner
        • legibly with correct grammar and spelling
    • Reports pertinent data promptly to appropriate staff and instructor.
    • Respects and supports the rights of the client’s:
      • Privacy
      • Confidentiality
      • Right to refuse care
    • Begins to act as a representative of the adult client’s needs and concerns when necessary (advocacy).
    • Practices with knowledge of nurse’s ethical and/or legal role and responsibilities related to issues presented during previous courses.
      • Continue to exhibit professional accountability
        • Prepares for N102 clinical assignment using appropriate resources.
        • Seeks assistance when clinical situation is beyond knowledge and experience.
        • Seeks opportunities in the clinical settings to enhance learning and pursue professional growth.
        • Follows established lines of communication within the assigned clinical setting.
        • Demonstrates reliability in completing client/clinical assignments.
        • Evaluates own performance accurately:
          • Accepts responsibilities for own decisions, behaviors, and actions while in clinical settings
          • Accepts feedback and makes appropriate changes in behavior
          • Identifies own strengths and areas for growth in adult health care settings
  • Definitions of cuing:
    • No cuing: student will perform independently with no intervention by instructor.
    • Minimal cuing: instructor will provide no more than 2 prompts.
    • Occasional cuing: instructor will provide no more than 4 prompts.



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Bellevue College
3000 Landerholm Circle SE Bellevue, WA 98007-6484 U.S.A.
Work: (425) 564-1000