Fall 2023 Course Syllabus
Course: VNSG-2410 (Section: 1, CRN: 91503)
Nursing in Health and Illness III
LSCPA Logo Image
Instructor Information
Instructor Andrea Reyes
Email reyesam1@lamarpa.edu
Phone (409) 984-6382
Office Allied Health - Room: 111
Office Hours M-W 0800-1500, TR-F Clinical/Simulation
Additional Contact Information
Course Information
Description Continuation of Nursing in Health and Illness II. Further study of medical-surgical health problems of the patient including concepts such as mental illness. Incorporates knowledge necessary to make the transition from student to graduate vocational nurse.
Required Textbooks Textbook Purchasing Statement: A student attending Lamar State College Port Arthur is not under any obligation to purchase a textbook from the college-affiliated bookstore. The same textbook may also be available from an independent retailer, including an online retailer.

Linnard-Palmer, Luanne. Coats, Gloria, (2021). Safe Maternity and Pediatric Nursing Care (2nd ed.). Philadelphia: F. A. Davis ISBN # 9780803697348
Linnard-Palmer, Luanne. Coats, Gloria, (2021). Study Guide for Safe Maternity and Pediatric Nursing Care (2nd ed.). Philadelphia: F. A. Davis ISBN #9780803697362
Williams, Linda, Hopper, Paula, (2023) Understanding Medical-Surgical Nursing (7th ed.) Philadelphia: F.A. Davis ISBN # 978-1-7196-4458-7
Williams, Linda, Hopper, Paula, (2023). Study Guide for) Understanding Medical-Surgical Nursing (7th ed.) Philadelphia: F.A. Davis ISBN # 978-1-7196-4459-4
Burton, M., Smith, D. Ludwig, L. (2023). Study Guide for Fundamentals of Nursing Care, Concepts, Connections and Skills for Nursing (4th ed.). Philadelphia: F.A. Davis ISBN #9781719644563
Burton, M., Smith, D. Ludwig, L. (2023). Fundamentals of Nursing Care, Concepts, Connections and Skills for Nursing (4th ed.). Philadelphia: F.A. Davis ISBN # 978-1-7196-4455-6
Zerwekh, Jo Ann (2022) Study Guide for the NCLEX-PNEXAM ((9th ed.) Elsevier ISBN 978-0-323-76002
Doenges, Marilyn E., Moorhouse, Mary Frances, Murr, Alice C., (2022). Nurse's Pocket Guide-Diagnoses, Prioritized Interventions, and Rationales (16th ed.). Philadelphia: F.A. Davis ISBN #978-1-7196-4307-8
Van Leeuwen, Anne M., Bladh, Mickey Lynn, (2021). Comprehensive Manual of Laboratory and Diagnostic Tests (9th.). Philadelphia: F.A. Davis ISBN#9781719640589
Vallerand, April Hazard, Sanoski, Cynthia A., (2022). Davis's Drug Guide for Nurses (18th ed.). Philadelphia: F.A. Davis ISBN# 9781719646406
Myers, Ehren (2020) LPN Notes: Nurse's Clinical Pocket Guide (5th ed). Philadelphia: F.A. Davis ISBN# 9780803699748
Taber's Cyclopedic Medical Dictionary 21st ed (2021) Philadelphia: F.A. Davis ISBN# 9781719642859
Online HESI Case Studies:Complete PN Collection (1 Year Version)
Course ID: 10370_jgott12_1001
Swiftriver Online-Purchase information to follow
Davis Advantage VNSG 1230 class ID code:  580811012585835977X
                                VNSG 2410 class ID code: TBA
NCLEX® PN Pass Point:Please note: No other NCLEX® PN Review will be accepted. You must   
              use the NCLEX® PN Pass Point access code provided to you for this class.
              Pass Point access code for VNSG 1230-01 class:87C6DA7F
                                                               VNSG 2410-01 class: 9D0D2C7D
1. If you don't already have access to Lippincott Course Point for Lippincott NCLEX-PN Pass Point Powered by PrepU, redeem your ACCESS CODE and complete registration at http://thePoint.lww.com/activate.
2. From the “My Content” page, click on Lippincott Course Point for Lippincott NCLEX-PN Pass Point Powered by PrepU.
3. On the welcome screen or from “My Classes”, select “Join a Class”, enter your CLASS CODE: 9D0D2C7D, and click “Enroll”.
If you experience any problems, check the code again and re-enter it. If it does not work, contact Lippincott Online Product Support at 1-800-468-1128 or techsupp@lww.com for assistance.
Not sure what an ACCESS CODE is…
Learn more at http://thepoint.lww.com/Help/BookAccess
*Students are required to pay for the Texas Board of Nursing Fees and Pearson Vue fees promptly by assigned due date in order to graduate

Please Note!
Any Computer program must be accessed using your LSCPA email unless otherwise instructed.  It is the student’s responsibility to ensure they are enrolled in the proper courses for PassPoint, Evolve HESI, and SwiftRiver. Instructors will not allow submissions to be turned in from a previous course.
Additional Materials/Resources NA
  • VNSG 1204 Foundations of Nursing
  • VNSG 1234 Pediatrics
  • VNSG 1261 Clinical LVN Nursing
  • VNSG 1400 Nursing in Health in Health and Illness I
  • VNSG 1409 Nursing in Health and Illness II  
  • VNSG 1462 Clinical LPN Nursing
  • VNSG- 2410 Nursing in Health and Illness III
Learning Outcomes
In accordance with the mission of LSC-PA, VNSG 2410 Nursing in Health and Illness III assists the student to develop the particular skills, knowledge, and attitudes necessary for success as a vocational nurse. Upon successful completion of the course, the student should be able to:
1. Compare and contrast normal physiology of body systems to pathologic variations in the patient with common medical-surgical health problems. (PSLO 2) Measured by: reading-based discussions; exams based on readings; clinical case studies
2. Compare and contrast diagnostic evaluation and treatment of the patient with common medical-surgical health problems. (PSLO 2) Measured by: reading-based discussions; exams; clinical case studies
3. Incorporate nutrition, drug therapy, and nursing interventions in safely implementing plans of care to meet the needs of the patient experiencing common medical-surgical health problems. (PSLO 1; PSLO 2; PSLO 3) Measured by: reading-based scenarios; care plan activities; case studies; case studies; clinical simulations
4. Utilize the nursing process in safely caring for the patient with common medical-surgical health problems. (PSLO 2; PSLO 4) Measured by: care plan activities; class and clinical discussion; case studies based on readings
5. Identify mental illness, treatment of common abnormal patterns of behavior, and related nursing interventions. (PSLO 3) Measured by: exams based on readings; class discussions; clinical interactions; case studies
6. Demonstrate competency in medication administration and dosage calculations. (PSLO 1; PSLO 3) Measured by: medication competency exam; observed medication administration in skills lab and clinical; discussions
7. Describe the underlying principles of selected nursing skills using principles of safety and asepsis. (PSLO 1; PSLO 3) Measured by: discussions; based on readings; skills checkoffs; clinical simulations; clinical rotation interactions
8. Demonstrate satisfactory performance of selected nursing skills using evidenced-based principles of safety and asepsis. (PSLO 1; PSLO 3; PSLO 4) Measured by: skills checkoffs; clinical simulations; clinical rotation interactions; discussions and clinical application of current practice in nursing based on online and in-class readings
9. Utilize learned skills and knowledge for transition from student to graduate vocational nurse. (PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: standardized and unit exams based on readings and discussions; clinical skills checkoffs in lab and clinical setting; patient, family and healthcare team interactions; clinical observations and evaluations; case studies
10. Demonstrate an understanding of the legal, ethical, and professional responsibilities inherent in the role of the vocational nurse. (PSLO 1; PSLO 3; PSLO 4) Measured by: exams over comprehension of nurse practice act, current literature and class discussions; interactions in clinical setting
11. Identify priorities of care according to the patient’s condition. (PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: class and clinical case study discussions; prioritization exercises and exam objectives; care plan activities; simulations
Program Student Learning Outcomes
Upon completion of the Vocational Nursing Program graduates will, under the supervision of a professional licensed nurse and/or licensed physician, function in non-complex settings and should be able to:
PSLO 1. Functions within the Scope of Practice for a Vocational Nurse.
PSLO 2. Demonstrates safe, direct patient care with individuals who have predictable health care needs.
PSLO 3. Exhibits professional nursing behaviors.
PSLO 4. Cooperates with members of the interdisciplinary health care team to provide evidence-based care.
Lecture Topics Outline
Week 1:Review 2410 Syllabus/Objectives/Central Line Dressing Change/Central Line Practice/Central Line Checkoff
Week 2:Cardiac Lecture/BON Paperwork 
Week 3: 2410 Exam 1/Cardiac (cont’d)/Personality, Schizophrenia/Eye-Ear/Pass point Due 09/14 @ 2330
Week 4:  Renal Lecture
Week 5: Jurisprudence/TPAPN/Teaching Projects #1-2
Week 6: Neurology Lecture/Computer Assignments
Week 7:Substance Abuse & Violence Lecture/Teaching Projects #3-4
Week 8:2410 Exam 2/Teaching Projects #5-6/Computer Assignments/Pass point due 10/15 @2330
Week 9:Respiratory Lecture/Computer Assignments
Week 10:Dementia/Delirium Lecture/Computer Assignments
Week 11: 2410 Exam 3/Teaching Projects #9-10/ Pass point Due 11/5 @ 2330
Week 12: Hematology/Computer Assignments
Week 13:Anxiety-Mood Disorder Lecture/Computer Assignment-Activity
Week 14: Final Skills Check-off &Evaluation/Mandatory Hurst Review
Week 15:Professionalism Day/Final Evaluation/2410 FINAL EXAM/Pass point due 12/07@2330
Week 16: HESI Exam/Pinning Ceremony
Schedule subject to change at the discretion of the Program Coordinator
Major Assignments Schedule
Date: 09/15/23   Exam I                                        Time: 1200 PM
Date: 10/16/23   Exam II                                      Time: 8:00 AM
Date: 11/6/23   Exam III                                      Time: 8:00 AM
Date: 12/08/23   FINAL                                       Time: 8:00 AM
Date: 12/11/23   HESI exam                              Time: 12:00 PM
Schedule subject to change at the discretion of the Program Coordinator
Final Exam Date December 11, 2023 - 12:00 PM
Grading Scale
90-100 = A        80-89 = B        75-79 = C        74-60 = D     Below 60 = F
Determination of
Final Grade
1.    Examinations are based on course objectives.
2.    Course content from the pre-requisite courses will be included on exams as appropriate.
3.    ALL unit exams MUST be taken. Make-up exams will NOT be administered under any circumstances other than a College sponsored event. Students scheduled to miss an exam due to participation in a College sponsored event shall provide appropriate documentation to faculty in advance of the exam and are eligible to complete the missed exam.
If a student must miss an exam, s/he must contact the instructor prior to the exam or within twenty-four (24) hours of the exam. A no-call/no-show for an exam will result in a grade of 0. Students who miss an exam for any invalidated reason shall receive a zero on the exam.
If two exams are missed, the student will be given a zero for the second (2nd) missed exam.
4.    No exams will be given in advance of the scheduled date and time without approval of the Nursing Program Coordinator or Director.
5. Tests will be administered electronically. Students will be provided with-
    a. Exam Access Code sheet that also serves as a scratch sheet
    b. Exceptions for electronic testing include paper dosage tests.
6. Exams will be timed based on question format and course policy. The exam time frame will be provided on the Exam Access Code sheet. Students will only receive credit for answers provided during the allotted time.
7. Computer Lab:
    a. Students will arrive 5 minutes prior at designated location to sign-in for the exam
    b. Students arriving 15 minutes late or more will be sent to student success center   without additional time for proctored exam
    c. Allied Health staff member will call student success center to inform them of the   student arrival for proctored exam
    d. All students must wear student ID to access the testing computer lab
    e. Students will not test without Valid LSCPA Id.
    f. All belongings (e.g., backpacks, cell phones, electronic devices) will remain in an area outside of the computer lab for the duration of the exam. Students are encouraged to lock valuables in their vehicles during examinations. The Lamar State College Port Arthur Allied Health Department is not responsible for lost or stolen items left in classrooms or hallways. Students are strongly encouraged to take exams as scheduled. No questions may be asked during the exam. Students who arrive late for an exam will not be given additional testing time. Students are prohibited from writing any notes on their scratch sheet of paper until the exam begins.
8. Exam Dress Code:
    a. Students will be subject to visual inspection by the exam proctor upon arrival to the registration and/or exam room. This includes but is not limited to inspection of the ears, hands/arms, clothing, pockets, etc.
    b. No head coverings of any kind are allowed, including hats, caps, beanies, or hoods. Exceptions are made for religious / cultural purposes.
    c. No cardigans, coats, jackets, or any other articles of clothing that may open are allowed in the exam room. Pullovers without pockets are acceptable.
    d. Scarves and gloves are not allowed in the exam room.
9.  During the exam:
    a. Drinking and eating are not permitted. Hard candies such as peppermints or cough drops are allowed but must be unwrapped prior to the start of the exam.
    b. Electronic devices (including but not limited to phones, smartwatches, and earbuds) are prohibited during examinations. With the exception of approved earbuds for standardized testing.
    c. If the exam is interrupted due to technical difficulties additional time will be allotted to the exam.
10. Students are responsible for uploading their exam to the Exam Soft System prior to exiting the examination room. Student will notify proctor of exam completion and exam upload completion. Proctor will view screen to confirm successful completion of exam upload before student leaves testing room. If a student does not upload their exam, he/she will be required to return to the examination room for a manual upload.
11. A preliminary score will be displayed upon uploading the exam to Exam Soft. After uploading their exam, students are to sign out of the testing software. Upon completion of the exam students will submit the Exam Access Code Sheet (scratch sheet of paper) to the exam proctor. Students who chose to review missed items will return to the registration room and wait for Exam Review with Rationale to begin at the designated time.
NOTE: DO NOT wait outside of the exam room if any testing is occurring in the computer labs
Violation of the testing policy will result in disciplinary action up to and including possible dismissal from the nursing program.
Appropriate adjustments are made for students who meet the criteria of the Americans with Disabilities Act.
12. Evaluation of Examinations: After each exam, the faculty uses psychometric principles to evaluate the examination. Items missed by 50% or more of the class are reviewed. If an item is found to be flawed, the faculty may give credit for more than one answer or nullify the item. That is, if a student answered the item as originally keyed, the student will retain the credit for the item. If a student’s answer differs from the one originally keyed, the student is credited for the nullified item. In other words, everyone gets credit for the item and no one loses credit.
13. Exam Review with Rationales is conducted after each exam to allow students to view incorrect responses and rationales for the exam item. With the exception of final exams. This session is time limited. Students will be allotted a specific number of minutes, based upon the length of the exam (for example, students will have 8 minutes to review missed items on a 50-item exam). Students are not required to attend Exam Review with Rationales. If a student chooses not to attend the Exam Review with Rationales session, the student is not eligible for an individual test review session with an assigned instructor.
14. Students will return to the same exam room and same computer for Exam Review with Rationales. Exam Review with Rationales must be conducted on the same computer as the exam. The same policies listed for testing apply to the Exam Review with Rationale Session. The following rules also apply:
   a. All belongings must remain in the classroom or the student’s vehicle.
   b. Students are not allowed to talk amongst themselves during this session.
   c. Students who arrive late for Exam Review with Rationales will not be given
additional review time.
   d. Students will log into the Review of Rationales using the following steps:
      1. Enter the Exam Password
      2. Enter the Review Password
Note: Students only have 3 attempts to enter the correct Review Password. Students are encouraged to request assistance from faculty/proctor after 2 unsuccessful attempts.
15. During the Exam Review with Rationales session: Disruptive behavior will not be tolerated. If students become disruptive, faculty will end the Exam Review with Rationales Session for all students. Upon completion of the Exam Review the students will sign out of the Exam Soft or Examplify application and quietly leave the testing room.
16. If a student scores less than a 75 on a unit examination, the student is required to make an appointment with an instructor prior to the next examination. At that time, the student and instructor will review the examination and, with the assistance of the instructor, identify strategies to improve performance on subsequent examinations. If a student, who scores less than 75 on a unit examination, fails to review with and instructor, 5 points may be deducted from the next unit examination. Students are required to make an appointment prior to the day before the exam.
17. Registration and Payment of Fees for Required resources are considered as a Pass or Fail Assignment. If the student does not register and pay for these at the scheduled time, the student will receive a 0 on the assignment.
The following method will be used to determine each student grade in the course:
Purchase of Required Resources by Deadlines Pass/Fail Assignment (example, BON fees)
Daily/Computer Work      5% Grade
Exam I                                18.3% Grade
Exam II                               18.3% Grade
Exam III                              18.4% Grade
FINAL                                  30 % Grade
HESI Conversion score = 10% of Grade
19. Late assignment submissions will incur a late point penalty. In most courses the
late penalty will be a deduction of 5 points if turned in 1 day after the
assignment due date. Another 5 points will be deducted if the assignment is
turned in 2 days after the assignment due date. If the assignment is turned in 3
days late a 15-point penalty will be deducted. Any assignment submitted after 3
days will be assigned a zero for the assignment. Previous arrangements between
the student and instructor for late work may allow for a reduced late point
penalty, but all late submissions will have a late penalty deducted.
NOTE: This does not include pass/fail computer assignments such as Pass Point, Swift River, Davis Advantage etc. Late submission of those assignments will result in an automatic zero unless previous arrangements between student and instructor is made.
20. A minimum average of 75%, independent of all other requirements, is necessary
to pass the course. Daily activity grades (example: discussion board post,
classroom/computer assignments, etc.) will not be included in grade calculations
until 75% average on exams is achieved. No grades will be rounded until the final
course average; this includes weighted exam average.

The Computer/Classroom Average of 5% will only be figured in if exam average is 75% or greater.
Computer/Classroom Grade Average calculations will be as follows:
90-100=100%       80-89=90%       70-79=80%       60-69=70%        Less than 60 or failure to complete=0 (zero)
Course Policies
Instructor Policies  I will not discuss your grades over the phone or by email. If you want to discuss your grades, you must come to my office, in person.
See Addendum
Attendance Policy
Nursing in Health and Illness VNSG 2410 and the clinical component of this course may consist of online & in class lectures, labs, and assignments.  Schedules may be changed at the discretion of the faculty and vocational nursing coordinator.All attendance policies are in effect whether conducted online or in the classroom setting. Research has shown a cause and effect relationship between attendance and college success.  Policies for this course are described below: 
1.    Because poor attendance is a leading reason for termination from a job in all
        areas of employment, attendance at all scheduled classes is expected.
2.     A student who is absent from course activities for more than three (3) days
without notification to the faculty may be dropped from the program by the Program Director. Students on campus but not in class are considered absent.
Students who do not attend scheduled live virtual activities will be counted absent.
3.     Late arrival to class is disruptive. Students who consistently arrive after the
        beginning of the class (3 or more times) will be counseled and a plan of 
        corrective action determined. Class will begin promptly at the scheduled time.
        Students who arrive fifteen (15) minutes after the beginning of class should 
        not enter the classroom and should wait until break to enter. A student who is
        tardy three (3) times in one class will result in a 5-point deduction from the next
        exam grade.  
4.    It is the student’s responsibility to notify all Level 3 instructors of any absence. If      
       the student is unable to contact the instructor(s), the student should call 409-
       984-6356 or 1-800-477-5872 ext. 6356. The student should also email the faculty
       or call the faculty office and leave a voicemail.
5.     In addition to notifying instructors, students must submit a Student Excuse  
        Form, upon the first day of return, each time the student is absent, delayed
        from attending or must depart early from class, clinical or lab. Failure to
        complete the Student Excuse Form will result in a declaration of a ‘No Call, no
        Show’ for the number of days absent and may result in the student being
       dismissed from the program.
6.    Lab jackets are to be worn at all times while in the skills lab.
7.    Simulation/Computer Lab Assignments are mandatory.  Failure to attend will
       result in a Zero for that assignment.   
                 The Program Director or Department Chair has the right to initiate the administrative withdrawal of any student whose attendance, conduct, scholastic abilities, attitude or lack of aptitude for Vocational Nursing making it inadvisable for that student to continue in the program.
Additional Information See Addendum
Institutional Policies
MyLSCPA Be sure to check your campus email and Course Homepage using MyLSCPA campus web portal. You can also access your grades, transcripts, academic advisors, degree progress, and other services through MyLSCPA.
Academic Honesty Academic honesty is expected from all students, and dishonesty in any form will not be tolerated. Please consult the LSCPA policies (Academic Dishonesty section in the Student Handbook) for consequences of academic dishonesty.
ADA Considerations The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the the Office for Disability Services Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6241.
COVID 19 Information The Lamar State College Port Arthur (LSCPA) Student Code of Conduct COVID 19 Policy requires students who have been diagnosed with COVID 19 to report their condition directly to their local health department. Students should also contact their course faculty to report their quarantine status. In addition, this policy requires all students to wear face coverings when directly exposed to COVID 19 in compliance with the criteria included in the policy. For more information please refer to the COVID 19 link on the LSCPA website.
Facility Policies No food or tobacco products are allowed in the classroom. Only students enrolled in the course are allowed in the classroom, except by special instructor permission. Use of electronic devices is prohibited.
HB 2504 This syllabus is part of LSCPA's efforts to comply with Texas House Bill 2504.
Mandatory Reporting of Child Abuse and Neglect As per Texas law and LSCPA policy, all LSCPA employees, including faculty, are required to report allegations or disclosures of child abuse or neglect to the designated authorities, which may include a local or state law enforcement agency or the Texas Department of Family Protective Services. For more information about mandatory reporting requirements, see LSCPA's Policy and Procedure Manual.
Title IX and Sexual Misconduct LSCPA is committed to establishing and maintaining an environment that is free from all forms of sex discrimination, including sexual harassment, sexual violence, and other forms of sexual misconduct. All LSCPA employees, including faculty, have the responsibility to report disclosures of sexual misconduct, including sexual harassment, sexual assault (including rape and acquaintance rape), domestic violence, dating violence, relationship violence, or stalking, to LSCPA's Title IX Coordinator, whose role is to coordinate the college's response to sexual misconduct. For more information about Title IX protections, faculty reporting responsibilities, options for confidential reporting, and the resources available for support visit LSCPA's Title IX website.
Clery Act Crime Reporting For more information about the Clery Act and crime reporting, see the Annual Security & Fire Safety Report and the Campus Security website.

Grievance / Complaint / Concern If you have a grievance, complaint, or concern about this course that has not been resolved through discussion with the Instructor, please consult the Department Chair.
Department Information
Allied Health
Chair:Shirley MacNeill
Phone:(409) 984-6365