Provides the theoretical basis for integration of the nursing process to care for acutely and critically ill adults. Emphasizes pathophysiology and the biopsychosocial needs for acutely ill adults with:cardiovascular,respiratory renal, neurological, gastrointestinal, endocrine and complex multisystem dysfunction. Principles of leadership and management, professional development, scope of practice, legal and ethical issues, principles of nutrition, the role of the nurse in the community and transition to the role of a registered nurse are integrated throughout the course. Concepts of diversity and culturally competent care for cultural groups in the United States are presented. Letter grade only.