Open only to Accelerated BSN majors. Prerequisite: NURS 4250 and NURS 4255 with a grade of C+ or better. Co-requisite: NURS 4355. While didactic and clinical focus remains on the physiological mode, self-concept, role function and interdependence modes will be included so that the senior student appreciates adaptations required by all adult clients from diverse backgrounds. The nursing process and principles of disease prevention, health promotion, health restoration, health maintenance and end of life care complements the principles of care of the acutely ill adult. Clinical decision making utilizing scientific principles, ethical principles, leadership, collaboration, delegation and evidence-based nursing knowledge are synthesized in clinical practice.