Nursing Care Concepts

I.     Course Prefix/Number: NUR 104

       Course Name: Nursing Care Concepts

       Credits: 5 (2 lec: 9 lab)

II.    Prerequisite

Successful completion of NUR 103 with a minimum grade of C.

III.   Course (Catalog) Description

Course examines concepts related to the care of the client with alterations affecting basic needs. Content focus is on the nursing process, the concept of caring and the role of the nurse as the student assists clients to meet basic needs. Nursing skills are taught in the college laboratory and implemented in a health care facility.

IV.   Learning Objectives

Upon completion of NUR 104 the student is prepared to:
  1. Utilize the nursing process in implementing basic concepts of nursing care of the assigned client.
  2. Identify the developmental stage of the client with alterations in basic needs.
  3. Identify alterations in the basic needs of selected clients with acute illnesses.
  4. Demonstrate a caring and empathetic attitude with the client taking into account cultural diversity.
  5. Discuss the role of the nurse in the care of the hospitalized adult client.
  6. Define ethical behavior in clinical situations and case studies.
  7. List community resources available to assist assigned clients after discharge from the hospital.
  8. Discuss selected legal responsibilities of the nurse in the hospital setting.
  9. Participate in design of a teaching plan for the assigned client.
  10. Identify therapeutic communication skills in caring for the assigned client.
  11. Identify appropriate communication skills with peers and the health care team recognizing cultural and language diversity.
  12. Utilize specific technology in the care of the hospitalized adult client.
  13. Participate in service learning.

V.    Academic Integrity and Student Conduct

Students and employees at Oakton Community College are required to demonstrate academic integrity and follow Oakton's Code of Academic Conduct. This code prohibits:

• cheating,
• plagiarism (turning in work not written by you, or lacking proper citation),
• falsification and fabrication (lying or distorting the truth),
• helping others to cheat,
• unauthorized changes on official documents,
• pretending to be someone else or having someone else pretend to be you,
• making or accepting bribes, special favors, or threats, and
• any other behavior that violates academic integrity.

There are serious consequences to violations of the academic integrity policy. Oakton's policies and procedures provide students a fair hearing if a complaint is made against you. If you are found to have violated the policy, the minimum penalty is failure on the assignment and, a disciplinary record will be established and kept on file in the office of the Vice President for Student Affairs for a period of 3 years.

Please review the Code of Academic Conduct and the Code of Student Conduct, both located online at

VI.   Sequence of Topics

  1. Concepts Related to Alterations in Basic Needs
    1. Stress
    2. Inflammation (Immunity)
    3. Fluid and electrolytes/acid-base balance
    4. Neoplasia
    5. Comfort/pain/sleep
    6. Introduction to management principles (teaching, charting, delegation)
    7. Perioperative nursing
  2. The Care of the Client with Selected Alterations in Basic Needs
    1. The client with alterations affecting nutrition/metabolism
    2. The client with alterations affecting cardiac output/tissue perfusion

VII.  Methods of Instruction

Lectures, Discussion, Audiovisuals, Computer-Assisted Instruction. Demonstration, Guidance of Skill Practice. Supervision of Client Care.
Course may be taught as face-to-face, hybrid or online course.

VIII. Course Practices Required

  1. Readings: As assigned by faculty.
  2. Writing: Care Plans and reports as assigned.
  3. Study Guides
  4. Lab Practices: Independent practice/return demonstrations.
  5. Fieldwork: Observation at community support groups/education programs.
  6. Clinical: Supervised client care, pre/post conference.
  7. Course may be taught as face-to-face, hybrid or online course.

IX.   Instructional Materials

Note: Current textbook information for each course and section is available on Oakton's Schedule of Classes.

Selected by course faculty.

X.    Methods of Evaluating Student Progress

Theory Component:
Exams 80%
Comprehensive Final Examination   18%
HESI Exam 2%

Clinical performance is evaluated based on established criteria defined in the student syllabus and the evaluation form which are used in the following:
Weekly progress reports for each student
Final clinical performance evaluation
Written work as assigned

Students receive a grade or satisfactory or unsatisfactory at the end of the semester.

College Lab:
Laboratory performance is evaluated using established criteria defined in the student syllabus and the laboratory workbook.

Written lab tests must be passed with a grade of 75 or better.

Students are apprised of their progress in theory, client care and college lab on an ongoing basis through written and oral reports. Students must receive a grade of Satisfactory in Client Care and College Lab and the required grade of C in Theory to pass NUR 104. A failure in any part of the course results in failure in the course.

XI.   Other Course Information

  1. Students are expected to attend all scheduled campus nursing classes, on-campus college laboratory sessions and clinical practicums. Client Care requirements demand that all students must be on time for clinical experience. Absence from clinical experience will affect a student’s ability to meet course objectives and can result in failure in the course.
  2. Class Policy on:
    Make-Up Exams:
    Periodic pre-scheduled examinations shall be given throughout the semester. Anyone who misses an exam may be allowed, at the discretion of the instructor, to make up the test in the testing center.
    Incomplete Grades:  See College Catalog.
    Late Assignments:
    Written work is a requirement of the course. Failure to submit completed written assignments constitutes an unsatisfactory grade in the course unless arrangements have been made with the instructor.
  3. Support Services
    Learning Center
    Computer-assisted Instruction
    Instructional Media Services
    Enrollment Management - Enrollment, registration, evaluation and record-keeping
    Office of Research - Surveys and reports
    Health Services - health forms, physicals, and medical tests
    Bookstore - textbooks
    College Advancement - Publications and Marketing

Oakton Community College recognizes the broad diversity of religious beliefs of its constituencies. The College has embraced a practice of shared responsibility in the event a religious observance interferes with class work of assignments. students who inform instructors on advance of an intended absence for a major religious observance will not be penalized. The instructor will make reasonable accommodations for students, which may include providing a make up test, altering assignment dates, permitting a student to attend another section of the same course for a class period or similar remedies. Instructors are not responsible for teaching material again. Instructors should inform students of this practice at t he beginning of the semester so that arrangements can be made accordingly. Similar consideration is accorded to faculty, staff and administrators and is provided for in their respective contracts.

If you have a documented learning, psychological, or physical disability you may be entitled to reasonable academic accommodations or services. To request accommodations or services, contact the Access and Disability Resource Center at the Des Plaines or Skokie campus. All students are expected to fulfill essential course requirements. The College will not waive any essential skill or requirement of a course or degree program.

Oakton Community College is committed to maintaining a campus environment emphasizing the dignity and worth of all members of the community, and complies with all federal and state Title IX requirements.

Resources and support for
  • pregnancy-related and parenting accommodations; and
  • victims of sexual misconduct
can be found at

Resources and support for LGBTQ+ students can be found at

Electronic video and/or audio recording is not permitted during class unless the student obtains written permission from the instructor. In cases where recordings are allowed, such content is restricted to personal use only. Any distribution of such recordings is strictly prohibited. Personal use is defined as use by an individual student for the purpose of studying or completing course assignments.

For students who have been approved for audio and/or video recording of lectures and other classroom activities as a reasonable accommodation by Oakton’s Access Disabilities Resource Center (ADRC), applicable federal law requires instructors to permit those recordings. Such recordings are also limited to personal use. Any distribution of such recordings is strictly prohibited.

Violation of this policy will result in disciplinary action through the Code of Student Conduct.