This course is a continuation of N317 and will continue to emphasize nursing care and application of the nursing process in the care of the adult experiencing selected pathophysiological processes affecting body regulatory systems. Students will expand their use of critical thinking and the nursing process by providing nursing care, including nursing management skills to individuals in the hospital setting. Clinical experiences will include acute care hospital settings. Facilities utilized will include the Indian Health Service Hospital, Pine Ridge, VA Medical Center, Hot Springs and Rapid City Regional Hospital, Rapid City. Spring Placement: 8 credits (6 theory credit hours, 2 clinical hours at a 3:1 ratio) 90 clinical hours a the first half of the semester.