This course engages students in a comprehensive clinical practice with patients in one of a variety of practice settings. Opportunities are provided for students to assume responsibility, in the context of theory-based, evidence-based reflective practice, for the holistic care of assigned patients in a select health care setting. With the guidance of a preceptor who is on staff in the facility, the student collaborates with all members of the health care team in the planning and care of her patients and transitions from nursing student to entry-level professional nurse. Practice settings include, but are not limited to, care of persons in emergency departments, medical-surgical units, homeless shelters, outpatient clinics, critical care units, and labor and delivery units. The focus of the practicum is on intentionally bringing together knowledge and understanding of pathophysiology, social justice, ways of being in care with persons, families and communities. A final, clinically-based culminating project is completed in the practicum setting and presented in symposium format at the end of the course. The student will complete intensive preparation for the National Council Licensing Exam (NCLEX) throughout the course. 6 credits: 30 theory hours and 180 clinical hours. Prerequisites: All 3rd semester clinical courses: Professional Nursing Care of the Adult II, Professional Nursing Care: Children and Families; Professional Nursing Care: Maternal Newborn. Co-requisites: Community Health; Caring Approaches in Nursing Leadership and Practice. [ 6 credits ]