Mental Health Nursing Syllabus

Mental Health Nursing Syllabus




Unit 1 - Principles for CLinical Practive in the Mental Health Delivery System
Unit 2- Coping
Unit 3- Psychosocial Alterations
Unit 4- Intervention Modalities for Mental Health

UNIT I:
PRINCIPLES FOR CLINICAL PRACTIVE IN THE MENTAL HEALTH DELIVERY SYSTEM


CENTRAL OBJECTIVES

Upon completion of this unit, the student should be able to state the basic principles of mental health nursing and incorporate these principles in the utilization of the nursing process.


BEHAVIORAL OBJECTIVES
  1. Review developmental stages and tasks.
  2. Review anatomy and physiology of the neurobiological system.
  3. Review general psychology concepts.
  4. Define mental health and mental illness.
  5. Discuss the application of selected theories/models to the therapeutic process.
  6. Describe the influence of culture/social impacts on the health beliefs and practices of individuals.
  7. Discuss the relevance of communication theory to nursing.
  8. Discuss verbal and nonverbal communication in relationship to behavior interpretation and implications for nursing care.
  9. Discuss potential problems associated with the elements of the communication process.
  10. Define impasses to therapeutic communication.
  11. Demonstrate increasing effectiveness in using therapeutic communication techniques in the nurse-client relationship.
  12. Identify examples of therapeutic communication techniques.
  13. Describe the role of the nurse in the phases of the nurse-client relationship.
  14. Review the phases of the nursing process as described by Standards of Psychiatric Mental Health Clinical Nursing Practice.
  15. Identify and define common nursing diagnosis used in mental health nursing.
  16. Describe defining characteristics for each diagnosis.
  17. Identify nursing diagnoses in relation to the Diagnostic and Statistical Manual IV.
  18. Discuss the role of the psychiatric nurse in various health care settings.
  19. Discuss the trend toward interdisciplinary methodology in mental health nursing.
  20. Describe the types of admissions to a psychiatric institution.
  21. Discuss standard commitment procedures for treatment of the mentally ill client.
  22. Describe discharge processes for a psychiatric institution.
  23. Identify the civil and personal rights retained by psychiatric clients.
  24. Identify current legislative initiatives affecting psychiatric care.
  25. Discuss the legal role of the nurse in psychiatric care.


THEORETICAL CONTENT

  1. Theoretical Approaches/Models
  2. Cultural/Social Impacts
  3. Therapeutic Relationship/Phases of Relationship
  4. Nursing Process and Mental Health Nursing Diagnosis
  5. Therapeutic Communication Techniques
  6. Health Care Settings
  7. Interdisciplinary Practice
  8. Legal-Ethical Implications


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UNIT II: COPING

CENTRAL OBJECTIVE

Upon completion of this unit, the student should be able to apply the nursing process to clients with alterations in coping.



Add: BEHAVIORAL OBJECTIVES FOR PSYCHOPHAMACOLGY

  1. Identify key components of psychopharmacology, including Major classifications of drugs, drug names, indications for use of the drugs, major side effect profiles and target symptoms of the drugs.
  2. Differentiate between normal side effects and undesirable adverse reactions, including nursing actions to take.
  3. Apply principles of psychopharmacology to clients in the clinical setting and through examples in the classroom, who present with a variety of mental health problems, including mood disorders, thought disorders and anxiety.
  4. Determine appropriateness of psychopharmacological regime of selected clients in the clinical setting and present findings to peers/instructor with rationales.
  5. Construct a care plan that includes nursing interventions for the client based on the psychopharmacologic agents client is prescribed.
  6. Evaluate the probable outcome of selected clinical client's medication regimes, based on knowledge of client, the psychopharmacologic agents and any other pertinent data.

THEORETICAL CONTENT
  1. Key components of psychopharmacology
    1. Major Classifications
      1. Antipsychotics
      2. Anxiolytics
      3. Antidepressants
      4. Mood Stabilizers
      5. Anticholinergics
    2. Drug names
    3. Indications for use/Target symptoms
    4. Major side affect profiles
      1. Normal side effects and undesirable adverse reactions
      2. Recognizing the difference
      3. Nursing actions to take and when appropriate

  2. Applying principles of psychopharmacology to clients
    1. Clients with mood disorders
    2. Clients with thought disorders
    3. Clients with anxiety disorders

  3. Nursing Process with clients who are being treated with psychopharmacologic agents.
    1. Assessment
    2. Diagnoses
    3. Outcome Identification
    4. Planning
    5. Implementation
    6. Evaluation
BEHAVIORAL OBJECTIVES FOR ANXIETY
  1. Describe the physiological, behavioral, cognitive, and affective behaviors of each of the four levels of anxiety as defined by Peplau.
  2. Describe the coping mechanisms used in response to anxiety.
  3. Recognize symptoms associated with various anxiety disorders.
  4. Apply the nursing process to the patient who is experiencing an anxiety disorder.
  5. Discuss the major somatic and psychotherapeutic approaches used in the treatment of anxiety/anxiety disorders.

THEORETICAL CONTENT
  1. Anxiety
    1. Levels (mild to panic)
    2. Behaviors
    3. Coping Mechanisms
    4. Anxiety Disorders
    5. Nursing Diagnosis
    6. Planning and Implementation
    7. Evaluation
    8. Collaborative Treatment

BEHAVIORAL OBJECTIVES FOR SCHIZOPHRENIA
  1. Review the characteristics of a healthy interpersonal relationship.
  2. Review the development of relatedness throughout the life cycle.
  3. Identify possible disruptions that can occur in the process of relatedness.
  4. Discuss the precipitating stressors that contribute to the development of disruptions in relatedness.
  5. Recognize symptoms associated with disruptions in relatedness (Schizophrenia).
  6. Apply the nursing process to the client experiencing disruptions in relatedness (Schizophrenia).
  7. Discuss the major somatic and psychotherapeutic approaches used in the treatment of disruptions in relatedness (Schizophrenia).

THEORETICAL CONTENT
  1. Disruptions in Relatedness
  2. Precipitating Stressors
  3. Symptoms
  4. Medical Diagnosis
    1. Schizophrenia, Paranoid
    2. Schizophrenia, Catatonic
    3. Schizophrenia, Disorganized
    4. Schizophrenia, Undifferentiated
    5. Schizophrenia, Residual

  5. Nursing Diagnosis
  6. Planning and Implementation
  7. Evaluation
  8. Collaborative Treatment

BEHAVIORAL OBJECTIVES FOR DISTURBANCE IN MOOD
  1. Define mood.
  2. Describe the concepts of grief, depression, and mania.
  3. Describe the precipitating stressors that contribute to the development of disturbances of mood.
  4. Identify symptoms and coping mechanisms that are associated with uncomplicated grief reactions, depression, and mania.
  5. Identify medical diagnoses that are appropriate to disturbances of mood or affective disorders.
  6. Apply the nursing process to the patient who is experiencing a disturbance in mood.
  7. Discuss the major somatic and psychotherapeutic approaches used in the treatment of disturbances in mood.


THEORETICAL CONTENT
  1. Disturbances of Mood
    1. Continuum of Emotional Responses
    2. Precipitating Stressors
    3. Symptoms
    4. Coping Mechanisms
    5. Medical Diagnoses
      1. Bipolar disorder
      2. Cyclothymia
      3. Major depression
      4. Dysthymia
    6. Nursing Diagnosis
    7. Planning and Implementation
    8. Evaluation
    9. Collaborative Treatment


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UNIT III:
PSYCHOSOCIAL ALTERATIONS


CENTRAL OBJECTIVE

Upon completion of this unit, the student should be able to apply the nursing process to the client with psychosocial alterations.

BEHAVIORAL OBJECTIVES FOR PERSONALITY DISORDERS
  1. Review the following: self-concept, body image, self-esteem, self-ideal, role, and identity.
  2. Review the characteristics of a healthy personality structure.
  3. Recognize symptoms associated with alterations in self-concept
  4. Apply the nursing process in dealing with a patient with alterations in self-concept.
  5. Discuss the major somatic and psychotherapeutic approaches used in the treatment of alterations in self-concept


THEORETICAL CONTENT
  1. Alterations in self-concept
    1. Symptoms
      1. Associated with low self-esteem
      2. Associated with identity diffusion
      3. Associated with depersonalization
    2. Medical Diagnosis
    3. Nursing Diagnosis
    4. Planning and Implementation
    5. Evaluation
    6. Collaborative Treatment

BEHAVIORAL OBJECTIVES FOR EATING DISORDERS
  1. Review physiological manifestations related to nutrition and fluid and electrolyte imbalances.
  2. Discuss the precipitating stressors that contribute to the development of eating disorders.
  3. Identify psychological and behavioral characteristics associated with anorexia nervosa and bulimia.
  4. Apply the nursing process to the client experiencing eating disorders
  5. Discuss the major somatic and psychotherapeutic approaches used in the treatment of eating disorders

THEORETICAL CONTENT
  1. Disturbances in Eating
    1. Psychological and Behavioral Characteristics
    2. Precipitating Stressors
    3. Medical Diagnosis
    4. Nursing Diagnosis
    5. Planning and Implementation
    6. Evaluation
    7. Collaborative Treatment

BEHAVIORAL OBJECTIVES FOR SURVIVORS OF ABUSE
  1. Review child and elderly abuse.
  2. Describe behaviors and values of nurses related to survivors of family violence.
  3. Discuss primary and secondary prevention nursing actions related to family violence.
  4. Discuss the cycle of domestic violence.
  5. Apply the nursing process to the client experiencing family violence.
  6. Discuss the major somatic and psychotherapeutic approaches used in the treatment of family violence.

THEORETICAL CONTENT
  1. Survivors of Abuse
    1. Behaviors and Values of Nurses
    2. Primary and Secondary Prevention
    3. Cycle of Domestic Violence
    4. Nursing Diagnosis
    5. Planning and Implementation
    6. Evaluation
    7. Collaborative Treatment

BEHAVIORAL OBJECTIVES FOR AGGRESSIVE AND VIOLENT BEHAVIOR
  1. List different types of violent and aggressive behaviors.
  2. Discuss the precipitating stressors that contribute to the development of aggressive and violent behavior.
  3. Apply the nursing process to the client experiencing aggressive and violent behavior.
  4. Discuss the major somatic and psychotherapeutic approaches used in the treatment of aggressive and violent behavior.

THEORETICAL CONTENT
  1. Aggressive and Violent Behavior
    1. Types of Violent and Aggressive Behaviors
    2. Precipitating Stressors
    3. Nursing Diagnosis
    4. Planning and Implementation
    5. Evaluation
    6. Collaborative Treatment

BEHAVIORAL OBJECTIVES FOR SUBSTANCE ABUSE
  1. Review terminology related to substance abuse.
  2. Discuss the occurrence of substance abuse among members of the health care profession.
  3. Discuss precipitating stressors that may lead to episodes of substance abuse.
  4. Compare and contrast the major categories of abused substances in terms of usual route of administration, expected behavioral responses, behaviors related to overdose, and withdrawal syndromes.
  5. Apply the nursing process in dealing with a client with substance abuse.
  6. Discuss the major somatic and psychotherapeutic approaches used in the treatment of substance abuse.

THEORETICAL CONTENT
  1. Substance Abuse
    1. Terminology
      1. Abuse
      2. Tolerance
      3. Habituation
      4. Addiction
      5. Dependence
    2. Impaired Professionals
    3. Precipitating Factors
    4. Behaviors Associated With Major Categories of Abused Substances
    5. Nursing Diagnosis
    6. Planning and Implementation
    7. Evaluation
    8. Collaborative Treatment


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UNIT IV:
INTERVENTION MODALITIES FOR MENTAL HEALTH


CENTRAL OBJECTIVE

Upon completion of this unit, the student should be able to discuss a variety of intervention modalities that can be used, by the nurse and other health care team members, to treat clients with disturbances related to mental health.

BEHAVIORAL OBJECTIVES
  1. Describe milieu therapy.
  2. Discuss rationale for the use of physical restraints or seclusion.
  3. Describe the nursing care related to a client who is in restraints or seclusion.
  4. Discuss rationale for the use of Electroconvulsive (ECT) therapy.
  5. Describe the nursing care related to a client receiving Electroconvulsive therapy.
  6. Analyze legal and ethical issues related to the use of restraints, seclusion, and electroconvulsive therapy.
  7. Describe types of crisis.
  8. Discuss the potential a crisis has for disorganization of personal growth.
  9. Describe personal factors that impact on crisis development.
  10. Discuss the goal of crisis intervention.
  11. Discuss the crisis intervention process.
  12. Define group therapy.
  13. Describe the functions of group therapy.
  14. Differentiate between formal and informal groups.
  15. Describe the focus of family therapy.
  16. Describe behavior modification therapy.
  17. Discuss behavior modification techniques.
  18. Discuss the ethical issues relative to the practice of behavior modification.
  19. Describe community mental health.
  20. Describe the history of the community mental health movement in the United states.
  21. Critique the community mental health movement in relation to goals, services, effectiveness, and clientele.
  22. Analyze the impact of deinstitutionalization on clients needing long term mental health services.
  23. Discuss the role of the nurse in intervention modalities.

THEORETICAL CONTENT
  1. Milieu Therapy
  2. Somatic Therapies
    1. Use of Physical Restraints and Seclusion
    2. Electroconvulsive Therapy
  3. Crisis intervention
    1. Types of Crisis
      1. Maturational
      2. Situational
    2. Goal
    3. Crisis Intervention Process
  4. Group Therapy
    1. Definition
    2. Functions
    3. Types of Groups
  5. Family Therapy
  6. Behavior Modification
  7. Community-Based Mental Health
  8. Role of the Nursing in Intervention Modalities


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