This course builds on the theoretical concepts presented in NRS I, II, III, and IV. Learning experiences are directed toward increasing the student's knowledge of nursing care of individuals experiencing alterations in health. Emphasis is on application of the nursing process in the delivery of care to individuals experiencing complex health issues associated with neurological, cardiac, oncological, and reproductive illnesses. Concepts of advanced leadership, delegation, and research are expanded. Prerequisite: NRS 201 and 211/213 with a 2.0 or better.