COURSE SYLLABUS
RNSG 2313 (3:2:4)
MENTAL HEALTH NURSING
**********
ASSOCIATE DEGREE NURSING PROGRAM
DEPARTMENT OF NURSING
HEALTH OCCUPATION DIVISION
LEVELLAND CAMPUS
SOUTH PLAINS COLLEGE
SPRING 2012
SCANS COMPETENCIES
RESOURCES: Identifies, organizes, plans and allocates resources.
C-1
TIME--Selects goal--relevant activities, ranks them, allocates time, and prepares and follows schedules.
C-2
MONEY--Uses or prepares budgets, makes forecasts, keeps records, and makes adjustments to meet objectives
C-3
MATERIALS & FACILITIES-Acquires, stores, allocates, and uses materials or space efficiently.
C-4
HUMAN RESOURCES--Assesses skills and distributes work accordingly, evaluates performances and provides
feedback.
INFORMATION--Acquires and Uses Information
C-5
Acquires and evaluates information.
C-6
Organizes and maintains information.
C-7
Interprets and communicates information.
C-8
Uses computers to Process information.
INTERPERSONAL--Works With Others
C-9
Participates as members of a team and contributes to group effort.
C-10
Teaches others new skills.
C-11
Serves clients/customers--works to satisfy customer's expectations.
C-12
Exercises leadership--communicates ideas to justify position, persuades and convinces others, responsibly challenges
existing procedures and policies.
C-13
Negotiates-Works toward agreements involving exchanges of resources resolves divergent interests.
C-14
Works with Diversity-Works well with men and women from diverse backgrounds.
SYSTEMS--Understands Complex Interrelationships
C-15
Understands Systems--Knows how social, organizational, and technological systems work and operates effectively with
them
C-16
Monitors and Correct Performance-Distinguishes trends, predicts impacts on system operations, diagnoses systems'
performance and corrects malfunctions.
C-17
Improves or Designs Systems-Suggests modifications to existing systems and develops new or alternative systems to
improve performance.
TECHNOLOGY--Works with a variety of technologies
C-18
Selects Technology--Chooses procedures, tools, or equipment including computers and related technologies.
C-19
Applies Technology to Task-Understands overall intent and proper procedures for setup and operation of equipment.
C-20
Maintains and Troubleshoots Equipment-Prevents, identifies, or solves problems with equipment, including computers
and other technologies.
FOUNDATION SKILLS
BASIC SKILLS--Reads, writes, performs arithmetic and mathematical operations, listens and speaks
F-1
Reading--locates, understands, and interprets written information in prose and in documents such as manuals, graphs,
and schedules.
F-2
Writing-Communicates thoughts, ideas, information and messages in writing, and creates documents such as letters,
directions, manuals, reports, graphs, and flow charts.
F-3
Arithmetic--Performs basic computations; uses basic numerical concepts such as whole numbers, etc.
F-4
Mathematics--Approaches practical problems by choosing appropriately from a variety of mathematical techniques.
F-5
Listening--Receives, attends to, interprets, and responds to verbal messages and other cues.
F-6
Speaking--Organizes ideas and communicates orally.
THINKING SKILLS--Thinks creatively, makes decisions, solves problems, visualizes, and knows how to learn and
reason
F-7
Creative Thinking--Generates new ideas.
F-8
Decision-Making--Specifies goals and constraints, generates alternatives, considers risks, and evaluates and chooses
best alternative.
F-9
Problem Solving--Recognizes problems and devises and implements plan of action.
F-10
Seeing Things in the Mind's Eye--Organizes and processes symbols, pictures, graphs, objects, and other information.
F-11
Knowing How to Learn--Uses efficient learning techniques to acquire and apply new knowledge and skills.
F-12
Reasoning--Discovers a rule or principle underlying the relationship between two or more objects and applies it when
solving a problem.
PERSONAL QUALITIES--Displays responsibility, self-esteem, sociability, self-management, integrity and honesty
F-13
Responsibility--Exerts a high level of effort and preservers towards goal attainment.
F-14
Self-Esteem--Believes in own self-worth and maintains a positive view of self.
F-15
Sociability--Demonstrates understanding, friendliness, adaptability, empathy, and politeness in group settings.
F-16
Self-Management--Assesses self accurately, sets personal goals, monitors progress, and exhibits self-control.
F-17
Integrity/Honesty--Chooses ethical courses of action.
RNSG 2313
SOUTH PLAINS COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
MENTAL HEALTH NURSING
Table of Content
Page
COURSE SYLLABUS ...................................................................................................................1
Course Description......................................................................................................................1
Course Learning Outcomes.........................................................................................................1
Course Competencies..................................................................................................................3
Academic Integrity......................................................................................................................3
Scans and Foundations Skills......................................................................................................3
Verification of Workforce Competencies ...................................................................................3
SPECIFIC COURSE/INSTRUCTOR REQUIREMENTS .......................................................3
Required Text..............................................................................................................................3
Attendance Policy .......................................................................................................................4
Assignment Policy ......................................................................................................................5
Grading Policy ............................................................................................................................6
Course Grade Worksheet ............................................................................................................7
Special Requirements..................................................................................................................8
COURSE OUTLINE .....................................................................................................................8
ACCOMODATIONS ...................................................................................................................18
MODULES ...................................................................................................................................19
III -
Foundation of Mental Health (Psychosocial Nursing) .....................................................20
Caring and Healing with Clients and Families Experiencing Psycho-Socio-CulturalSpiritual Dysfunction ..................................................................................................37
0
RNSG 2313
Campuses:
Levelland
COURSE SYLLABUS
COURSE TITLE:
RNSG 2313 Mental Health Nursing
INSTRUCTORS:
Linda Dunn, RN, MSN
Julie Mosley RN, MSN
OFFICE LOCATION, PHONE/E-MAIL:
Linda Dunn
Julie Mosley
OFFICE HOURS:
TA 106
TA 211
894-9611, ext. 2030 ldunn@southplainscollege.edu
894-9611, ext 2515 jmosley@southplainscollege.edu
Posted on each instructor’s door
SOUTH PLAINS COLLEGE IMPROVES EACH STUDENT’S LIFE
******************************************************************************
I.
COURSE DESCRIPTION
A. Principles and concepts of mental health, psychopathy, and treatment modalities
related to the nursing care of clients and their families. The course is designed to
provide the learner with basic knowledge and skills to function within the three roles
of nursing (providing of care, manager/coordinator of care, member of profession)
when working with clients/families across the life span to promote
psychosocial/spiritual well being and/or to work with client/families experiencing
problems with psychosocial/spiritual harmony.
B. COURSE /LEARNING OUTCOMES
Upon satisfactory completion of RNSG 2313, the student will meet all Level II course
educational objectives (designated by numbers within the column headings) as
specifically applied to Mental Health Nursing. In addition, competencies and
foundation skills of SCANS (designated by letters and numbers under the unit title)
and NEAC (designated by numbers within each role column) are found throughout
the unit content within the syllabus.
WECM Required:
1. Use of therapeutic communication.
2. Utilize critical thinking skills and a systematic problem-solving process as a
framework for providing care to clients and families experiencing mental health
problems.
3. Explain the roles of the associate degree nursing in caring for clients and families
experiencing mental health problems.
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RNSG 2313
SOUTH PLAINS COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
EDUCATIONAL OBJECTIVES
The educational outcomes of this program will prepare the graduate to function within the three
roles of nursing identified in the conceptual framework and philosophy. These roles are provider
of care, manager/coordinator of care, and member of the profession. Functioning within the
three roles, the graduate of this program will be able to:
PROVIDER OF CARE :
1.
Integrate theoretical concepts with nursing knowledge and skills to meet the basic needs
of clients, families, and/or groups throughout the life span in a variety of settings.
2.
Integrate the five steps of the nursing process into nursing practice.
3.
Communicate and collaborate effectively with clients, families, and/or groups in a
variety of settings.
4.
Provide safe, cost effective nursing care in collaboration with members of the health
care team using critical thinking, problem solving, and the nursing process in a variety of
setting through direct care, assignment, or delegation of care.
5.
Integrate principles of teaching-learning in providing information to clients, families,
and/or groups regarding promotion, maintenance, and restoration of health or the process
of death and dying.
6.
Evaluate clinical data, current literature, and client/family/community responses and
outcomes to therapeutic interventions in order to make appropriate nursing practice
decisions.
MANAGER/COORDINATOR OF CARE :
1.
Function within the organizational framework of varius healthcare settings.
2.
Evaluate the effectiveness of community resources in the delivery of health care to
clients, families, and/or groups.
3.
Coordinate the health care team in delivering care to clients, families, and/or groups.
4.
Coordinate appropriate referral sources to meet the needs of clients, families, and/or
groups.
5.
Utilize critical thinking and problem solving skills in prioritizing, management and
coordination of all aspects of care.
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C. COURSE COMPETENCIES
Successful completion of this course requires a grade of “C” or better, satisfactory
total grade point average on examinations and written assignments, satisfactory
achievement of unit outcomes, completion of standardized tests as applicable to the
curriculum, and regular classroom/clinical attendance. Upon successful completion of
this course, each student will have demonstrated accomplishment of the level
outcomes for the course, through a variety of modes (prelims, role play, case studies,
individual presentations, group presentations, lab performance).
D. ACADEMIC INTEGRITY
Refer to the SPC college catalog. Refer to the SPC ADNP nursing student
Handbook: “Honesty Policy.”
E. SCANS and FOUNDATION SKILLS
Scans and foundation skills found within this course, are listed below the unit title
(and above the content column) of each unit presented.
F. VERIFICATION OF WORKFORCE COMPETENCIES
No external learning experiences provided but learning experiences in lab provide
setting in which student applies workplace competencies. Successful completion of
the Entry Level Competency statements at the level specified by the course (Level
Objectives) will allow the student to continue to advance within the program. Upon
successful completion of the program, students will be eligible to take the state board
exam (NCLEX) for registered nurse licensure.
II.
SPECIFIC COURSE/INSTRUCTOR REQUIREMENTS
A. TEXTBOOKS
REQUIRED TEXTS
1.
Carpenito, Lynda J. (most current edition). Nursing Diagnosis:
Application to Clinical Practice 7th Ed. (not the handbook). Philadelphia,
PA: Lippincott.
2.
Videback, Sheila L. (2006). Psychiatric Mental Health Nursing:
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3rd edition or most recent edition. Philadelphia, Penn: Lippincott.
B.
3.
Syllabus:
RNSG 2313 (Mental Health Nursing)
4.
Nurse Practice Act
6.
ATI Text and online resources for Mental Health Nursing
7.
Access to WEBCT
8.
Keltner, N.L. & Folks, D.G. (2005). Psychotropic Drugs. St. Louis, MO:
Mosby.
ATTENDANCE POLICY:
1.
Punctual and regular class attendance, as stated in the SPC and ADN
Handbook, is required of all students attending SPC. There are no
excused absences. Class hours 8:30 am – 2:30 pm, 1 hour lunch break.
*a) Lecture attendance is mandatory. The student may be dropped from
RNSG 2313 if they accumulate 10 hours absences (This is two class
meetings).
*b) Tardiness is disruptive and will not be tolerated. When tardy, the
student must wait until the first “Break” before entering the
classroom. Students who are tardy will be considered partial
absences. Students who fail to return to class after the lunch
break will also be considered partial absences.
1 partial absence = ½ class meeting
4 partial absences = missing 2 class meetings
*c) Students missing 2 class meetings may be “dropped” from
RNSG 2313.
*d) All absences, partial or complete, are cumulative.
2.
Participation in laboratory
Punctual and regular simulated lab attendance is mandatory. See absence
and conduct policy above. Lab absences must be made up within two
weeks. The student is responsible for contacting the instructor about
make-up.
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RNSG 2313
C. ASSIGNMENT POLICY
1. All required work must be in on time in order that the student may benefit from
the corrections and study for future examinations. Assigned outside work is due
on the dates specified by the instructor. Assignments turned in later that the due
date will not be accepted unless the student clears the circumstances with the
instructor. The assignment will be docked 5 points for Communication Process
and Bib Cards for each late day, including weekends and holidays. All work is
due before class begins and must be in the form required. Work turned in after
the date due must be initial and dated by another nursing department faculty or
staff member and placed in the instructor mail box in the Nursing Department
Office. Assignments that are one week or later are an automatic zero.
2. Students should retain a copy of all assignments turned in. If an assignment turns
up missing, the student is responsible for turning in the copy or redoing the entire
assignment if a copy was not retained.
3. Lab prescription – a prescription will be assigned by the clinical instructor for any
specific skill that he/she decides needs further practice. The student must perform
the prescribed task in the skills Lab until the learning objectives are safely meet
before the skill is performed in the clinical setting. Lab prescriptions are
considered student assignments and documentation of completion must be
returned to the assigning instructor.
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RNSG 2313
D. GRADING POLICY (Refer to SPC ADNP Nursing Student Handbook Grading
System)
1. Students may review an exam by making an individual appointment with the
instructor.
A student must communicate with one of the course instructors if unable to take
an exam on a scheduled day. If there is no communication by one week from the
date of exam, a “O” will be given.
Alternate exams may be given as makeup exams.
2. Skills Lab: Students are expected to attend all scheduled skills lab experiences.
Completion of the skills covered in the lab is part of the requirement to
successfully pass RNSG 2313.
3. A grade of 80% must be earned to pass.
4. Failure of either theory or clinical will necessitate repeating all concurrent
courses, When repeating any course, the student is required to retake all aspects
of the course including the required written work.
6
RNSG 2313
COURSE GRADE WORKSHEET RNSG 2313
Student’s Name:____________________________________
1.
Five (5)
Major Tests = 55%
Test #1
____________
Test #2
____________
Test #3
____________
Test #4
____________
Total Prelim ____________
Average Prelim ___________
2.
.55 = __________
Unannounced Quizzes = 15%
________
________
________
________
________
________
Total Quiz
________
________
________
________
________
________
__________
Average Quiz __________
3.
x
x
.15 = __________
One (1) Bibliography cards = 5%
Total points _________
x .05
= __________
Communication Process = 5%
Total Points _________
x .05
= _________
5.
Final Exam = 20%
x .20
= __________
6.
Total Grade _____________
4.
________
__________
MUST HAVE TOTAL OF 77 POINTS TO PASS
Students with a B average on their Major Tests and evidence of no absences (all
participation grades are completed are exempt from the final exam and their major tests
will comprise 75% of the course grade. Passing is 77 or better.
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RNSG 2313
E. SPECIAL REQUIREMENTS
1. Skills Laboratory Component:
a.
Lab grade is incorporated into course work. See grade worksheet.
b.
Students are expected to participate in all class and lab activities.
c.
The skill laboratory component serves the following functions:
Provides the opportunity for students to practice their skills prior to
clinical practice of those skills. The nursing faculty expects the nursing
student to develop safety and a beginning level of proficiency with
procedures by utilizing the college laboratory. This will minimize student
anxieties in the clinical setting and maximize positive production
outcomes for both the client and the nursing student. Professional
behavior is expected in class and in lab. There is a correlation in student
behavior in class and lab with clinical performance.
Required skills will be reviewed and demonstrated during class time.
III.
COURSE OUTLINE
Module I:
Foundations of Mental Health (Psychosocial) Nursing
A.
Orientation to the course
B.
Introduction to mental health (psychosocial) nursing
1. Definitions
2. Historical perspective
3. Roles of ADN graduate
4. Levels of practice
5. Mental health and mental illness
6. The multidisciplinary team
7. Medical diagnosis and mental health nursing
8. Ethical and legal considerations
9. Issues and challenges
C.
The process of mental health (psychosocial) nursing
1. Therapeutic relationships and therapeutic communication
2. Application of nursing process
3. Holistic practice and concepts of caring and healing
4. Ethics, values, and professionalism
5. Critical thinking and nursing process
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RNSG 2313
D.
Concepts of care and theoretical foundation
1.
2.
3.
4.
5.
6.
7.
8.
Module II:
Sociocultural
Spiritual
Sexual
Stress/adaptation
Maslow’s hierarchy
Growth and development
Nursing theories
Therapeutic modalities
a) milieu theory
b) individual counseling
c) life style alteration
d) psychopharmacology
e) alternative therapies and holistic healing
f) crisis intervention
Caring and healing with clients and families experiencing psycho-sociocultural-spiritual dysfunction
A.
Anxiety and Related Behaviors
1. the concept of anxiety
a. definitions
b. types and severity
2. Theoretical foundations
3. Incidence and prevalence
4. Biological-psychosocial-cultural-spiritual influences
5. Technological advances and current research
6. Medical Diagnosis and related Nursing care
a. Generalized Anxiety Disorder
b. Phobic Disorders
c. Panic Disorders
d. Obsessive-Compulsive Disorders
e. Post-traumatic Stress Disorders
7. Nursing Process and the anxious client
a. Assessment
b. Nursing Diagnosis
c. Planning
d. Implementation
e. Evaluation
8. The Therapeutic Relationship
9. Critical thinking and Problem Solving
10. Teaching and learning principles
11. Medical treatment of anxiety disorders and related nursing roles
a. Psychopharmacology
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RNSG 2313
b. Systematic Desensitization
c. Biofeedback
d. Other
12. Legal/ethical issues
13. Managing the milieu of the anxious client
a. Environment considerations
b. Collaboration, team planning, critical paths, case management
c. Delegation/assignment of care
d. Cost containment and quality care
e. Family, group, and community considerations
f. Advocacy
14. Health promotion and prevention of anxiety
B.
Somatoform Disorders
1. The concept of Somatoform disorders
2. Theoretical foundations
3. Incidence and prevalence
4. Technological advances and current research
5. Biological-psychosocial-cultural-spiritual influences
6. Medical diagnosis and related nursing care
a) Somatization Disorder
b) Pain Disorder
c) Hypochondriacs
d) Conversion Disorder
e) Body Dysmorphic Disorder
7. Nursing process
a. Assessment
b. Nursing diagnosis
c. Planning
d. Implementation
e. Evaluation
8. The Therapeutic Relationship
9. Critical thinking and problem solving
10. Teaching and learning principles
11. Medical treatment and related nursing roles
12. Legal/ethical issues
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RNSG 2313
13. Managing the milieu of clients with Somatoform Disorders
a. Environmental considerations
b. Collaboration, team planning, case management and critical paths
c. Delegation/assignment of care
d. Cost-containment and quality of care
e. Family, group, and community considerations
f. Advocacy
14. Health promotion and prevention related to Psychophysiological
disorders
C.
Dissociative Behaviors
1. The concepts related to dissociative behaviors
2. Theoretical foundations
3. Incidence and prevalence
4. Technological advances and current research
5. Biological-psychosocial-cultural-spiritual influences
6. Medical diagnosis and related nursing care
a. Dissociative Amnesia
b. Dissociative Fugue
c. Dissociative Identify Disorder
d. Addiction and Dissociative Disorders
7. Nursing process
a. Assessment
b. Nursing Diagnosis
c. Planning
d. Implementation
e. Evaluation
8. The therapeutic relationship
9. Critical thinking and problem solving
10. Teaching and learning principles
11. Medical treatment and related nursing roles
12. Legal/ethical issues
13. Managing the milieu of clients with Dissociative Disorders
a. Environmental considerations
b. Collaboration, team planning, case management and critical paths
c. Delegation/assignment of care
d. Cost-containment and quality of care
e. Family, group, and community considerations
f. Advocacy
14. Health promotion and prevention dissociative disorders
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RNSG 2313
D.
Depressive and manic behaviors
1. The concepts related to depression and mania
2. Theoretical foundations
3. Incidence and prevalence
4. Technological advances and current research
5. Biological-psychosocial-cultural-spiritual influences
6. Medical diagnosis and related nursing care
a. Dysthymia
b. Major depression
c. Cyclothymia
d. Bipolar Disorder
e. Schizo-affective Disorder
7. The nursing process
a. Assessment
b. Nursing Diagnosis
c. Planning
d. Implementation
e. Evaluation
8. The nurse client relationship
9. Critical thinking and problem solving
10. Teaching and learning principles
11. Medical treatment and related nursing roles
a. Psychopharmacology
b. ECT
c. Hospitalization
d. Out-patient treatment
e. Other
12. Legal/ethical issues
13. Managing the milieu of clients with depression and mania
a. Environmental considerations
b. Collaboration, team planning, case management, critical paths
c. Delegation/assignment of care
d. Cost containment and quality of care
e. Advocacy
14. Health promotion and prevention of depression and mania
E.
Suicidal and self-destructive behaviors
1. The concept of suicide
2. Theoretical foundations
a. Risk factors
b. Myths
3. Incidence and prevalence
4. Technological advances and current research
5. Biological-psychosocial-cultural-spiritual influences
6. Medical Diagnosis and related nursing care
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a. Major Depression
b. Others
7. Nursing Process and the suicidal/self-destructive client
a. Assessment
b. Nursing Diagnosis
c. Planning
d. Implementation
e. Evaluation
8. The therapeutic relationship
9. Critical thinking and problem solving
10. Teaching and learning principles
11. Medical treatment and related nursing roles
12. Legal/ethical issues
13. Managing the milieu of clients with suicidal and self-destructive
behavior
a. Environmental considerations
b. Collaboration, team planning, case management and critical paths
c. Delegation/assignment of care
d. Cost containment and quality of care
e. Family, group and community considerations
f. Advocacy
14. Health promotion and prevention of suicide and self-destructive
Behaviors
G.
Personality Disorders
1. The concept of personality disorders
2. Theoretical foundations
3. Incidence and prevalence
4. Technological advances and current research
5. Biological-psychosocial-cultural-spiritual influences
6. Medical Diagnosis and related nursing care
a. Cluster A
1) Paranoid
2) Schizoid
3) Schizotypical
b. Cluster B
1) Antisocial
2) Borderline
3) Histrionic
4) Narcissistic
c. Cluster C
1) Avoidant
2) Dependent
3) Obsessive-compulsive
4) Passive-aggressive
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7. Nursing Process
a. Assessment
b. Nursing Diagnosis
c. Planning
d. Implementation
e. Evaluation
8. The therapeutic relationship
9. Critical thinking and problem solving
10. Teaching and learning principles
11. Medical treatment and related nursing roles
a. Psychopharmacology
b. Restraints and seclusion
12. Legal/ethical issues
13. Managing the milieu of clients with personality disorders
a. Environmental considerations
b. Collaboration, team planning, case management and critical paths
c. Delegation/assignment of care
d. Cost containment and quality of care
e. Family, group, and community considerations
f. Advocacy
14. Health promotion and prevention related to personality disorders
H.
Aggressive behaviors
1. Concept of aggression
2. Theory
3. Incidence & prevalence
4. Current research and advances
5. BPCS influences
6. Medical DX and nursing care
7. Nursing process
8. Therapeutic relationship
9. Critical thinking
I. Seclusion and Restraint
1. Purpose and indications
2. Interventions
3. Guidelines
4. Nursing process
5. Legal/ethical issues
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RNSG 2313
J. Homelessness
1. Who are the homeless?
2. Critical issues
3. Health concerns
4. The incarcerated mentally ill
K. Family Violence and Abuse
1. Definitions
2. Predictors
3. Recognition of signs/sx
4. Theory
5. Nursing process
L. Rape/Sexual Assault
1. Theory
2. Rape trauma syndrome
3. Nursing process
4. referrals and community support
. M. Psychotic behaviors (Psychotic and Schizophrenic Disorders)
1.
2.
3.
4.
5.
6.
The concept of psychosis
Theoretical foundations
Incidence and prevalence
Technological advances and current research
Biological-psychosocial-cultural-spiritual influences
Medical diagnosis of psychotic and schizophrenic disorders and
related nursing care
a. Psychotic disorders other than schizophrenia
1) Organic etiology
2) Psychotic Depression
3) Manic Psychosis
4) Environmental etiology
5) Schizo-affective Disorders
6) Schizophreniform Disorders
b. Schizophrenia subtypes
7. Nursing process
a. Assessment
b. Nursing Diagnosis
c. Planning
d. Implementation
e. Evaluation
8. Critical thinking and problem solving
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9. Teaching and learning principles
10. The therapeutic relationship
11. Medical diagnosis and related nursing care
a. Psycho-pharmacology
1) Antipsychotics
2) Anti-Parkinson’s
b. Hospitalization
c. Eclectic approaches
12. Legal/ethical issues
13. Managing the milieu of clients with psychotic disorders
a. Environmental considerations
b. Psychosocial rehabilitation
c. Community management
d. Collaboration, team planning, case management, and critical paths
e. Delegation/assignment of care
f. Cost containment and quality care
g. Family, group, and community considerations
h. Health promotion and prevention related to psychotic disorders’
N.
Addictive Behaviors: Substance Abuse and Dependency Eating
Disorders, Codependency
1. The concepts of addictive behaviors
2. Theoretical Foundations
3. Incidence and prevalence
4. Technological advances and current research
5. Biological-psychosocial-cultural-spiritual influences
6. Medical Diagnosis and related nursing roles
a. Alcohol abuse and dependence
b. Cannabis abuse and dependence
c. Stimulant abuse and dependence
d. Hallucinogen and PCP abuse and dependence
e. Opiate abuse and dependence
f. Sedative, hypnotic and anxiolytic abuse and dependence
7. Codependency
Nursing Process
a. Assessment
b. Nursing Diagnosis
c. Planning
d. Implementation
e. Evaluation
8. The therapeutic relationship
9. Critical thinking and problem solving
10. Teaching and learning principles
11. Medical treatment and related nursing roles
a. Detoxification and withdrawal
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RNSG 2313
b. Rehabilitation and 12 step groups
c. Pharmacological
d. In patient hospitalization
e. Out-patient treatment
12. Legal/ethical issues
13. Managing the milieu of clients with addictive behaviors
a. Environmental considerations
b. Collaboration, team planning, case management and critical paths
c. Delegation/assignment of care
d. Cost containment and quality of care
e. Family, group, and quality of care
f. Advocacy
14. Health promotion and prevention in addictive behaviors
O. Children, Adolescents, and the Elderly
1. Incidence and prevalence
2. Disorders of children
3. Disorders of Adolescence
4. Disorders of the elderly
5. Nursing process
6 Advocacy for Client and Family
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ACCOMODATIONS
4.1.1.1 Diversity Statement:
In this class, the teacher will establish and support an environment that values and
nurtures individual and group differences and encourages engagement and
interaction. Understanding and respecting multiple experiences and perspectives
will serve to challenge and stimulate all of us to learn about others, about the
larger world and about ourselves. By promoting diversity and intellectual
exchange, we will not only mirror society as it is, but also model society as it
should and can be.
4.1.1.2 Disabilities Statement:
Levelland Campus
Students with disabilities, including but not limited to physical , psychiatric, or
learning disabilities, who wish to request accommodations in this class should
notify the Special Services Office early in the semester so that the appropriate
arrangements may be made.
In accordance with federal law, a student requesting accommodations must
provide acceptable documentation of his/her disability to the Special Services
Coordinator. For more information, call or visit the Special Services Office in the
Student Services Building, 894-9611 ext. 2529
Reese Center and the Byron Martin Advanced Technology Center (ATC)
Students with disabilities, including but not limited to physical, psychiatric, or
learning disabilities, who wish to request accommodations in this class should
notify the Special Services Office early in the semester so that the appropriate
arrangements may be made.
In accordance with federal law, a student requesting accommodations must
provide acceptable documentation of his/her disability to the Coordinator of
Special Services. For more information, call or visit the Special Services Office
in rooms 809 and 811, Reese Center Building 8, 885-3048 ext. 4654.
18
RNSG 2313
MODULES
19
RNSG 2313
MODULE I – FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING
SCAN COMPETENCIES
C1, C3, C4, C5, C6, C7, C8, C9, C10, C11, C13, C14, C15, C16
F1, F5, F6, F7, F9, F10, F12, F13, F14, F15, F16, F17
CONTENT
PROVIDER OF CARE
(1, 2, 3, 4, 5, 6)
MANAGER/COORDINATOR
OF CARE (1, 3, 5)
MEMBER OF
PROFESSION (1, 2, 3)
A. Introduction and
Orientation to the
Course
LEARNING
ACTIVITIES/EVALUATION
Required:
1. Course syllabus
2. Class schedule (calendar)
1 Relationship of
course objectives
to conceptual
framework and
philosophy.
Relate course objectives
to conceptual framework
and philosophy of the
program.
3. Videbeck, Psychiatric
Mental Health Nursing,
2. Course syllabus
Review the course syllabus.
4. Carpenito, Nursing
Diagnosis
3. Course and Lab
Delineate the course and
lab requirements.
5. Program Learning Guides:
(see required text/supplies)
Describe student and
instructor responsibilities.
6. Student Contract
4. Student/Instructor
responsibilities
7. Nurse Practice Act
Accept responsibility for
completion of course
requirements.
Identify methods of
evaluation for the course.
5. Evaluation
Methods
20
8. ADN Student Handbook
9. Isaacs, Lippincott's
Review Series: Mental
Health Nursing,
RNSG 2313
MODULE I
CONTENT
FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
B. Introduction to
Mental Health
(Psychosocial)
Nursing
LEARNING
ACTIVITIES/EVALUATION
Required:
1. Class Discussion
2. Lab
1. Definitions
Define psychosocial and
psychiatric nursing.
2. Historical
Perspective
Describe basic and
advanced level roles and
functions of psychiatricpsychosocial mental health
nurses.
4. Levels of
Practice
Examine concepts of
mental health and mental
illness.
Apply concepts of
stress/adaptation to
mental health/mental
illness
Interpret the use of
coping mechanisms.
21
3. Isaacs, Ch 1-2
4. Videbeck: Chapter 1
Delineate the roles of the
ADN graduate in mental
health (psychosocial) and
psychiatric nursing.
3. Roles of ADN
Graduate
5. Mental Health
and Mental
Illness
Describe the evolution of
psychosocial nursing and
care of the mentally ill.
5. Nurse Practice Act.
6. Programmed Learning
Guide: Understanding
Ego Defense Mechanisms
RNSG 2313
MODULE I
CONTENT
FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
Analyze issues of ethics,
values, motivation, and
meaning in psychosocial
nursing.
Delineate established
guidelines for the practice
of psychosocial nursing.
6. The
Multidisciplinary
Team
Discuss roles and functions of
the multidisciplinary mental
health team.
7. Medical
Diagnosis and
Mental Health
Nursing
Explain the use of the five axis
of the 4th edition of The
Diagnostic and Statistical
Manual of Mental Disorders
(DSM IV) Classification of
Mental Disorder. ( 1 )
8. Ethical and
Legal
consideration
Issues and
Challenges
Appraise the relationship
of a nurse’s ethics and
values to quality of care.
Evaluate advocacy
behaviors using
ethical/legal guidelines.
Summarize issues and
challenges facing mental
health care and psychiatric
and psychosocial mental
health nursing.
22
LEARNING
ACTIVITIES/EVALUATION
Required cont.
Isaacs, Ch. 1
Videbeck, Ch 9
(Legal/Ethical)
Videbeck Ch.4
(Interdisciplinary Team)
Videbeck, Ch. 8 (DSM IV)
RNSG 2313
Module I
CONTENT
ENTERING CLINICAL PRACTICE IN
PSYCHOSOCIAL/PSYCHIATRIC NURSING
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Required:
8. Ethical Principles
a) autonomy
b) beneficence
c) nonmalificence
d) justice
Implement the plan of
Use interdisciplinary
care within legal/ethical resources to address ethical
parameters in
and legal concerns.
collaboration with the
interdisciplinary team,
client, and clients family
to meet health care
needs.
9. Model for making
Ethical Decision
a) assessment
b) problem
identification
c) plan
d) implementation
e) evaluation
Integrate the five steps
of the nursing process
into ethical decision
making.
23
Act as a health care
advocate to provide quality
health care for clients,
families, and/or groups.
1. Nursing Practice Act:
Texas Statutes Regulating
the Practice of
Professional Nursing.
2. Class activities: Utilize
The ethical decision
making model to make an
ethical decision. Values
clarification: Self
assessment.
RNSG 2313
Module I
CONTENT
10. Ethical issues in
the mental health
setting. Issues
affecting the
nurse, client, and
families.
11. Legal definitions
a) malpractice
b) negligence
c) reasonable
person test
d) respondent
superior
e) statutory law
f) common law
g) civil law
h) tort contracts
i) criminal law
12. Five elements of
nursing
negligence
13. Definition of the
legal parameters
of professional
nursing.
24
ENTERING CLINICAL PRACTICE IN
PSYCHOSOCIAL/PSYCHIATRIC NURSING
PROVIDER OF CARE
Evaluate clinical data
and current literature to
make appropriate
nursing practice
decisions.
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION ( 1, 2, 3)
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
Module I
CONTENT
14. Legal issues in
psychiatric
mental health
nursing.
a) confidentiality
and right to
privacy
1. doctrine of
privileged
communication
b) informed
consent
c) restraints and
seclusion
1. false imprisonment
d) duty to warn
e) commitment
issues
1. voluntary
admission
2. Involuntary
committment
3. emergency
committment
25
ENTERING CLINICAL PRACTICE IN
PSYCHOSOCIAL/PSYCHIATRIC NURSING
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
Participate in the evaluation
of nursing care administered,
utilizing systematic quality
improvement endeavors.
MEMBER OF
PROFESSION ( 1, 2, 3)
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
Module I
ENTERING CLINICAL PRACTICE IN
PSYCHOSOCIAL/PSYCHIATRIC NURSING
CONTENT
PROVIDER OF CARE
(1,2, 3, 4, 5, 6)
MANAGER/COORDINATOR
OF CARE (1, 2, 3, 4, 5 )
MEMBER OF
PROFESSION ( 1, 2, 3)
4. the
mentally
ill patient
in need of
treatment.
5. the
gravely
disabled
patient.
15. Nursing liability
a) malpractice
and
negligence
b) types of
lawsuits
1. breach of
confidentiality
2. defamation
of
character
a) libel
b) slander
3. invasion
of privacy
4. assault and
battery
16. Liability
implication
26
Practice within the ANA
Standards of clinical
nursing practice.
Practice within the state
defined scope of nursing
care.
Participate in public policy
and political action to
improve health and mental
health care.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE I
CONTENT
FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Required:
C. The Process of
Mental Health
(Psychosocial)
Nursing
1. Videbeck,
Chapters 3, 5, 6, and 8.
2. Isaacs, Ch 1-2.
1. Concept of
Caring and
Healing
Apply concepts of caring
and healing to mental
health nursing.
2. Application of
the Nursing
Process
Construct nursing care
plans for psychosocial
nursing problems using
the five steps of the
nursing processes
(assessment analysis,
planning implementation
and evaluation.)
Describe multidisciplinary
team plans and the nurses
role.
Analyze the impact of
computer documentation
on issues of
confidentiality.
3. Carpenito: Use as
reference to construct care
plans.
Explain the use of critical
pathways in the care of
psychosocial problems.
4. Lab assignments
Discuss the role of the nurse
in delegating and assigned
care of clients with
psychosocial problems.
6. Carpenito: “Adult
Psychiatric Assessment
Guide”
5. Class discussion
7.
3. Therapeutic
relationships and
Therapeutic
Communication
Prioritize care using
Maslow’s Hierarchy of
needs.
Documents nursing care
plan concisely and
accurately.
27
Describe advocacy behaviors
relevant to psychosocial
nursing.
Nurse Practice Act:
“Delegation Rules”
RNSG 2313
MODULE I
4.
FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING
CONTENT
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Critical Thinking
and the Nursing
Process
Apply critical thinking
to client situations. (1 )
Use critical thinking and
problem solving skills in
determining acuity levels and
room assignment for clients
with psychosocial problems.
Seek ways to increase own
conscious attention to and
awareness of feelings,
environment, relationship,
life patterns, and processes
in own practice.
Required:
1. Class Discussion
2. Lab
5. Holistic Care
Demonstrate holistic
nursing principles care
for clients and families
with mental health
problems.
Analyze nurse client
relationship and
communication
patterns.
Model appropriate
therapeutic relationship
and communication
skills.
Distinguish real vs
pseudo listening
communication.
Explain how self-awareness
Communicate effectively with promotes healing in self and
peers, staff, and instructors.
others.
Accept feedback from others.
Analyze own patterns of
communication and
interacting with members of
the health care team.
Assess own potential
holistically.
Use affirmations to enhance
personal growth.
Discuss the importance of a
professional community.
Use critical thinking and
creativity to examine own
professional growth.
Report legal/ethical issues
related to the nurse client
relationship.
28
RNSG 2313
MODULE I
CONTENT
FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Analyze the quality of own
advocacy behaviors in
caring for clients.
D Concepts of Care
and Theoretical
Foundations
Required:
1. Socio-cultural
aspects of care.
Describe skills essential
to developing role
competence as a
psychosocial/psychiatric
mental health care
delivery provider.
2. Spiritual aspect
of care
Discuss the relationships
among religious
behaviors, spiritual
needs, and client
behaviors with mental
health and wellness
concept.
Apply the nursing
process to clients with a
cultural diversity and/ or
spiritual needs.
29
Assess personal heritage,
reference groups, and
personal cultural biases.
1. Videbeck, Ch. 7
2. Class/Lab
3. Isaacs, Spirituality
definition, p 14
RNSG 2313
MODULE I
CONTENT
FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
3. Theoretical
Foundation
Required:
4.
5.
Stress adaptation Apply concepts of stress
adaptation to care of
Neurobiological client/families with
psychosocial problems.
6.
Maslow
Use Maslow’s Hierarchy
Needs to prioritize care.
7.
Developmental
Issues
Apply concepts of
psychosocial spiritual
growth and development
to client care.
Discuss the issues
related to geriatric
mental health.
Identify measures to
prevent or alleviate stress
and burnout in
psychosocial/psychiatric
mental health nursing.
Appraise personal
psychosocial/spiritual
development.
1. Videbeck: Chapter 3.
2. Isaacs, Ch 2.
1. Class/Lab discussion
2. Carpenito: ND
“Altered Growth and
Development”
Suggested:
1. Moneyham, L., Scott, C.B.
(1995). Anticipatory
coping in the elderly. J. of
Gerontological Nursing
21(7), 23-27.
30
RNSG 2313
MODULE I
CONTENT
FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
8. PsychoPharmacology
Identify general concepts
related to psychopharmacology.
Compare and contrast
actions, side effects, toxic
effect, precautions,
interactions, and nursing
implication of the various
psychotropic medications.
Required:
1. Videbeck. Ch. 2
Explain how various neuro
transmitters effect mental
health.
Discuss genetic and
environmental effects to
mental health.
31
2. Isaac’s Ch. 15
3. Keltner, Ch 1- 5
RNSG 2313
MODULE I
CONTENT
9. Alternative therapies
and holistic healing.
FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING
PROVIDER OF CARE
Discuss the component
and usefulness of
alternative therapies.
Apply selected
alternative therapies to
nursing care.
Develop a teaching
plan for alternative
therapies.
32
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
Discuss standards
and ethics in
alternative therapy.
LEARNING
ACTIVITIES/EVALUATION
Keltner Ch 20
RNSG 2313
MODULE I
CONTENT
FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
10. COMMUNITY
MENTAL
HEALTH
A. Definitions of
Community mental
health
B. Trends
C. Historical
Perspective
D. Context of
Community
Based Nursing
1. Political and
economic
perspective
2. Models: roles
and
responsibilities
3. Working with
groups/families
33
Examine various
definitions of
community based
nursing and underlying
principles of care
Required:
1. Isaacs, - Ch. 1
Recognize impact of
current issues and trends
on community mental
health care nursing.
Analyze trends in CH
nursing as it applies to
mental health
Analyze the historical
evolution of community
mental health care and CH
care nursing.
Explore the history of
community based
nursing
Compare and contrast
CH care models and CH
care nursing models
with models within the
acute care setting.
Analyze the structure,
function, and interdisciplinary
relationships within CH
agencies in own community.
Examine political and
economic influences on
CH care and CH care
nursing.
Describe methods of referral
within institutions practice and
to outside CH care resources.
Use multidisciplinary
resources within MHC
settings to address
ethical/legal concerns.
Participate in the evaluation of
CH care and CH nursing
within own community.
2. Videbeck, Ch. 1, 4
3. Keltner, Ch. 1
RNSG 2313
MODULE I
CONTENT
4. Community
settings
a) home care
b) community
mental health
centers
c) community
health
services for
children,
adolescents,
the elderly,
and families
d) schools
e) rural settings
f) partial
hospital
programs
g) residential
treatment
h) community
centers.
5. Assessment of
the community
6. Legal/ethical
considerations
7. Cultural
competency
34
FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
Identify providers and
resources to meet the health
Identify community health care needs of clients and their
care resources.
families throughout all stages
( 4c )
of the life span.
Analyze the impact of
ethnic, cultural, and
spiritual factors on
consumer utilization of
CH care services.
Apply concepts of disease
prevention, health
promotion for clients and
families in CH nursing
case loads
Acquire cultural
compentence with care
provision
Inform clients and
families of their rights and
support those rights within
CH care settings
Facilitate communication
between client/family
members and community
health resources. ( 3b )
Describe ways to promote
safety for staff and clients
within the CH care setting.
( 4b )
Recognize advocacy needs of
clients and families related to
health care within the
community.
MEMBER OF
PROFESSION
Provide nursing care to
clients and families in CH
care settings within the
limits of nursing
knowledge and experience
and ethical legal standards
of care.
Identify community health
care advocacy groups.
Identify CH care licensing
agencies and
responsibilities for
reporting to them.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE I
CONTENT
8. Integrative
community care
9. Intervention
models
10. Teaching and
learning
principles
FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
Consider developmental
stages and socio-cultural
spiritual factors affecting
the teaching learning
process in CH nursing .
Discuss ways to assess
CH care needs
Identify overt and covert
or potential needs of the
community
11. Working with
groups and
families
35
Demonstrate therapeutic
intervention with groups
of clients.
Apply the systems theory to
Evaluate how personal
management and coordination experience affects one’s
of care in the community
interventions with others
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE I
CONTENT
12. Crisis
Intervention
FOUNDATION OF MENTAL HEALTH (PSYCHOSOCIAL) NURSING
PROVIDER OF CARE
Describe the application
of crisis intervention to
client/family care.
Discuss the need for
culturally competent crisis
intervention.
Apply crisis intervention
to a community setting
MANAGER/COORDINATOR
OF CARE
Discuss the role of crisis
intervention as a component
of case management,
advocacy, psychosocial
rehabilitation, and managed
care.
MEMBER OF
PROFESSION
Discuss the use of
standards of psychiatric
mental health nursing
practice and the role of the
nurse in crisis
intervention.
LEARNING
ACTIVITIES/EVALUATION
Required:
1. Isaacs,: Chapter 12.
2. Videbeck Ch. 3, (Crisis
Intervention)
Evaluation:
Module I
Prelims: Computer or Paper
and pencil Tests
Quizzes
36
RNSG 2313
MODULE II – CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
SCAN COMPETENCIES
C3, C4, C5, C6, C7, C10,
F1, F7, F8, F9, F10, F11, F15, F17
CONTENT
A. Anxiety and Related
Behaviors
1. The concept of
anxiety
a) definitions
b) types and
severity
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Required:
1. Videbeck: Chapter 13.
Compare and contrast
fear and anxiety.
Recognize behaviors
illustrating 4 levels of
anxiety.
2. Theoretical
foundations
Explore various theories
as to the etiology of
anxiety and anxiety
disorders.
3. Incidence and
prevalence
Relate the incidence and
prevalence of anxiety
disorders.
4. Biologicalpsychosocialculturalspiritual
influences
Relate the concept of
anxiety to physiological,
cognitive, perceptual,
emotional, social,
cultural, behavioral,
developmental,
nutritional, and spiritual
Influences and
consequences.
2. Carpenito: Examples of
Nursing Diagnoses-“Anxiety”
“Ineffective Individual
Coping”
“Fear”
“Risk for Injury”
“Powerlessness”
“Social Isolation”
“Self Care Deficit”
3. Isaacs: chapter 3.
37
4. Keltner Ch 9
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
1,2,3,4,5,6
5. Technological
advances and
current research
Explore technological
advances and current
research related to
anxiety and anxiety
disorders.
6. Medical
Diagnosis and
related Nursing
care
a) generalized
anxiety
disorders
b) phobic
disorders
c) panic
disorders
d) obsessivecompulsive
disorders
e) post-traumatic
stress
disorders
Identify how anxiety
manifests itself in the
various anxiety
disorders.
38
Recognize DSM IV
diagnoses for anxiety
disorders.
MANAGER/COORDINATOR
OF CARE 1, 2, 3, 4, 5
MEMBER OF
PROFESSION 1, 2, 3
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
1,2,3,4,5,6
7. Nursing Process
and the anxious
client.
a) assessment
b) nursing
diagnosis
c) planning
d) implementation
e) evaluation
8. The Therapeutic
Relationship
9. Critical thinking
and problem
solving
39
MANAGER/COORDINATOR
OF CARE 1, 2, 3, 4, 5
MEMBER OF
PROFESSION 1, 2, 3
Assess one’s own anxiety
level, typical ways of
coping with anxiety and
effect on client care.
Apply the nursing
process – (assessment,
nursing diagnosis
[analysis], planning,
implementation, [with
rationale], interventions
and evaluation to clients
with selected anxiety
disorders.
Demonstrate principles
of developing and
maintaining a
therapeutic relationship
and communicating with
clients who are anxious.
Apply critical thinking and
problem solving skills in the
management of care for clients
with anxiety.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
1,2,3,4,5,6
10. Teaching and
learning
principles
Adapt principles of
teaching and learning to
the anxious client.
11. Medical
treatment of
anxiety disorders
and related
nursing roles.
a) psychopharmacology
b) systematic
desensitization
c) guided
imagery
d) relaxation
e) other
Describe medical
treatment for anxiety
disorders.
12. Legal/ethical
40
MANAGER/COORDINATOR
OF CARE 1, 2, 3, 4, 5
MEMBER OF
PROFESSION 1, 2, 3
Apply the nursing
process to clients
receiving medications
for anxiety.
Discuss legal and ethical
issues related to the care of
anxious clients and their
families.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
CONTENT
PROVIDER OF CARE
1,2,3,4,5,6
13. Managing the
milieu of the
anxious client
a) environmental
b) collaboration,
team
planning,
critical paths,
case
management
c) delegation/
assignment
of care
d) cost
containment
and quality
care
e) family,
group, and
community
considerations
f) advocacy
14. Health
promotion
and prevention of
anxiety.
41
MANAGER/COORDINATOR
OF CARE 1, 2, 3, 4, 5
MEMBER OF
PROFESSION 1, 2, 3
Adapt milieu principles to the
management of the milieu of
anxious clients and their
families.
Explore the use of
advocacy skills for anxious
clients and their families.
Identify referral resources for
the anxious client.
Describe care plan
development by the
multidisciplinary team for
anxiety disorders.
Delineate principles of
delegation and assignment
with anxious clients.
Discuss the primary
prevention of anxiety
disorders.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
B. Somatoform
Disorder
1. The concepts
related to
somatoform
disorders
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Required:
Define the term
somatoform behavior.
Differentiate between
somatoform disorders
and physical conditions
with organic basis.
2. Theoretical
foundations
MANAGER/COORDINATOR
OF CARE
Explore various theories
as to the etiology of
somatoform disorders.
1. Videbeck: Chapter 19.
2. Carpenito: ND
“Chronic Pain”
“Ineffective Individual
Coping”
“Body Image Disturbance”
“Sensory Perceptual
Alteration”
“Self Care Deficit”
“Knowledge Deficit”
3. Isaacs: chapter 4.
3. Incidence and
prevalence
Relate the incidence and
prevalence of
somatoform disorders.
4. Technological
advances and
current research
Discuss technological
advances and current
research with
somatoform disorders.
42
4. Group presentations
Depicting / explaining
Somatoform case studies.
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
5. Biologicalpsychosocialcultural-spiritual
influences
Relate the concept of
personality disorders to
physiological cognitive,
perceptual, emotional,
socio-cultural,
behavioral, spiritual,
nutritional, and
developmental
influences and
consequences.
6. Medical diagnosis
and related
nursing care
a) somatization
disorder
b) pain disorder
c) hypochondriasis
d) conversion
disorder
e) body
dysmorphic
disorder
Recognize DSM-IV
diagnosis for
somatoform disorders.
43
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
7. Nursing Process
a) assessment
b) nursing
diagnosis
c) planning
d) implementation
e) evaluation
Apply the nursing
process to clients with
somatoform disorders.
8. The therapeutic
relationship
Demonstrate principles
of developing and
maintaining a
therapeutic relationship
with clients who are
experiencing
somatoform disorders.
9. Critical thinking
and problem
solving
10. Teaching and
learning
principles
44
MANAGER/COORDINATOR
OF CARE
Apply critical thinking and
problem solving skills in
caring for clients with
somatoform disorders.
Adapt principles of
teaching and learning to
clients experiencing
somatoform disorders.
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
11. Medical
treatment and
related nursing
roles.
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
Describe medical
treatment for
somatoform disorders.
12. Legal/ethical
issues
13. Managing the
milieu of clients
with Somatoform
Disorders
a) environmental
considerations
b) collaboration
team planning,
case
management,
and critical
paths
c) delegation/
assignment of
care
45
MEMBER OF
PROFESSION
Discuss legal and ethical
issues related to the care of
clients and their families
experiencing somatoform
disorders.
Adapt milieu principles to the
management of the milieu of
clients and their families
experiencing somatoform
disorders.
Describe care plan developed
by the multi-disciplinary team
for client with somatoform
disorders.
Delineate principles of
delegation and assignment for
clients with somatoform
disorders.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
1,2,3,4,5,6
d) costcontainment
and quality of
care
e) family, group,
and
community
considerations
f) advocacy
14. Health
promotion and
prevention
related to
somatoform
disorders
46
MANAGER/COORDINATOR
OF CARE 1,3,4,5
MEMBER OF
PROFESSION 1,2,3
Explore the use of
advocacy skills for clients
with somatoform disorders
and their families.
Discuss the primary
prevention of
somatoform disorders
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
C. Dissociative
Disorders
1. The concept of
dissociative
behaviors
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Required:
Discuss the concept of
dissociative behaviors.
2. Theoretical
foundations
Explore various theories
as to the etiology of
dissociative disorders.
3. Incidence and
prevalence
Relate the incidence and
prevalence of
dissociative disorders.
4. Technological
advances and
current research
Discuss technological
advances and current
research with
dissociative disorders.
5. Biologicalpsychosocialcultural-spiritual
influences
Relate the concept of
dissociative disorders to
physiological cognitive,
perceptual, emotional,
socio-cultural,
behavioral, spiritual,
nutritional, and
developmental
influences and
consequences.
47
MANAGER/COORDINATOR
OF CARE
1. Videbeck: Ch. 11
(Dissociative Disorders)
2. Carpenito: ND
“Personal Identity
Disorders”
“Self Concept
Disturbances”
“Ineffective Individual
Coping”
“Altered Thought Process”
“Sensory Perceptual
Alteration”
3. Isaac’s, p. 52
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
6. Medical diagnosis Recognize DSM-IV
and related
diagnosis for
nursing
dissociative disorders.
a) dissociative
amnesia
b) dissociative
fugue
c) dissociative
identify
disorder
d) addiction and
dissociative
disorders
7. The nursing
process
a) assessment
b) nursing
diagnosis
c) planning
d) implementation
e) evaluation
48
Apply the nursing
process to clients with
dissociative disorders.
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
8. The therapeutic
relationship
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
Adapt principles of
teaching and learning to
clients experiencing
dissociative disorders.
11. Medical
treatment and
related nursing
roles
Describe medical
treatment for dissociate
disorders.
LEARNING
ACTIVITIES/EVALUATION
Required:
Apply critical thinking and
problem solving skills in caring
for clients with dissociative
disorders1
10. Teaching and
Learning
49
MEMBER OF
PROFESSION
Demonstrate principles
of developing and
maintaining a
therapeutic relationship
with clients who are
experiencing
dissociative disorders.
9. Critical thinking
and problem
solving
12. Legal/ethical
issues
MANAGER/COORDINATOR
OF CARE
Discuss legal and ethical
issues related to the care
of clients and their
families experiencing
dissociative disorders.
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
13. Managing the
milieu of clients
with Dissociative
Disorders
a) environmental
considerations
b) collaboration
team planning,
case
management,
and critical
paths
c) delegation/
assignment of
care
d) costcontainment
and quality of
care
e) family, group,
and
community
considerations
f) advocacy
14. Health promotion
and prevention of
dissociative
disorders
50
MANAGER/COORDINATOR
OF CARE
Adapt milieu principles to the
management of the milieu of
clients and their families
experiencing dissociative
disorders.
Describe team plans
developed by the
multidisciplinary team for
clients with dissociative
disorders.
Delineate principles of
delegation and assignment
with clients who have
dissociative disorders.
Discuss the primary
prevention of dissociative
disorders.
MEMBER OF
PROFESSION
Explore the use of
advocacy skills for
clients who have
dissociative disorders
and their families.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
C (2). Post-traumatic
Stress Disorder (PTSD)
Required
1. The concept of
PTSD
Discuss the concept of
PTSD
2. Theoretical foundations
Explore theoretical explanations for PTSD
3. Incidence and
Prevalence
What is the incidence and
prevelance of PTSD?
4. Biologicalpsychosocial
Relate the concept of PTSD
to physiological, cognitive,
perceptual, emotional,
socio-cultural, spiritual, and
developmental influences
and consequences.
5. Medical diagnosis of
PTSD
Recognize the Axis and
formal diagnosis of the
disorder
6. The nursing process— Apply the nursing process
assessment, nursing
to an individual with PTSD
diagnoses, planning,
implementation, and
evaluation phases
51
LEARNING
ACTIVITIES/EVALUATION
Videbeck, Ch. 11 (PTSD)
Isaac’s, Ch. 3 (PTSD)
What populations are at risk
for PTSD?
Discuss public policies
that impact PTSD
detection and treatment.
RNSG 2313
MODULE II
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
CONTENT
D. Depressive and
manic behaviors
1. The concepts
related to
depression and
mania
2. Theoretical
foundations
3. Incidence and
prevalence
4. Technologies
advances and
current research
5. Biologicalpsychosocialcultural-spiritual
influences
52
PROVIDER OF CARE
Discuss the concept of
depressive and behaviors.
Explore various theories
as to the etiology of
depressive and manic
disorders.
Relate the incidence and
prevalence of depressive
and manic disorders.
Discuss technological
advances and current
research with depressive
and manic disorders.
Relate the concept of
depressive and manic
disorders to physiological
cognitive, perceptual,
emotional, socio-cultural,
behavioral, spiritual,
nutritional, and
developmental influences
and consequences.
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Required:
1. Videbeck: Chapter 15.
2. Isaacs, chapter 6.
3. Review Applicable
Diagnoses
4. Keltner, Ch 7, 8
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
6. Medical
Recognize DSM-IV
diagnosis and
diagnosis for depressive
related nursing
and manic disorders.
care
a) dysthymia
b) major
depression
c) cyclothymia
d) bipolar
disorder
e) schizoaffective
disorder
7. The nursing
process
a) assessment
b) nursing
diagnosis
c) planning
d) implementation
e) evaluation
Apply the nursing
process to clients with
depressive and manic
disorders.
8. The nurse client
relationship
Demonstrate principles
of developing and
maintaining a
therapeutic relationship
with clients who are
experiencing depressive
and manic disorders.
53
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
9. Critical thinking
and problem
solving
Adapt principles of
teaching and learning to
clients experiencing
depressive and manic
disorders.
11. Medical
treatment and
related nursing
roles
a) psychopharmacology
b) ECT
c) hospitalization
d) out-patient
treatment
e) other
Describe medical
treatment for depressive
and manic disorders.
54
MEMBER OF
PROFESSION
Apply critical thinking and
problem solving skills in
caring for clients with
depressive and manic
disorders.
10. Teaching and
Learning
Principles
12. Legal/ethical
issues
MANAGER/COORDINATOR
OF CARE
Apply the nursing
process to clients
receiving medications
for depressive or manic
disorders.
Discuss legal and ethical
issues related to the care of
clients and their families
experiencing depressive
and manic disorders.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
Module I
CONTENT
1. Electroconvulsive
therapy (ECT)
a) definition of
electroconvulsive
therapy
b) historical
perspectives
c) indications
major
depression
mania
schizophrenia
other
conditions
d) contraindication
e) mechanism
of action
f) side effects
g) medication used
with ECT.
55
ENTERING CLINICAL PRACTICE IN
PSYCHOSOCIAL/PSYCHIATRIC NURSING
PROVIDER OF
CARE
MANAGER/COORDINATOR
OF CARE
Explore theories related Participate in the evaluation
to the efficacy of ECT. of care administered by team
members.
Discuss technological
advances and current
research.
MEMBER OF
PROFESSION
Act as an advocate to
promote quality health care
for the client and family.
LEARNING
ACTIVITIES/EVALUATION
Required:
1. Isaacs, pp 259, 286, 289,
304, and 318.
3. Videbeck, pp. 340-341
Apply the five steps of
the nursing process to
clients receiving ECT.
Apply critical thinking
and problem solving
skills in caring for a
client receiving ECT.
Promote a safe,
effective environment
conducive to the
optimal health and
dignity of the client and
family.
4. Keltner Ch 16
RNSG 2313
Module I
CONTENT
h) risks
associated
with ECT
mortality
permanent
memory loss
brain damage
i) the role of the
nurse in ECT
assessment
nursing
diagnosis
planning
implementation
evaluation
equipment
safety and
maintenance
56
ENTERING CLINICAL PRACTICE IN
PSYCHOSOCIAL/PSYCHIATRIC NURSING
PROVIDER OF
CARE
Develop and implement
teaching plans for
clients receiving ECT
and their families. ( 4 )
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
Discuss legal/ethical issues
involved in the
administration of ECT.
(1c)
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF
CARE
MANAGER/COORDINATOR
OF CARE 1, 3, 4, 5
MEMBER OF
PROFESSION 1,2, 3
1, 2, 3, 4, 5, 6
15. Managing the
milieu of clients
with Depression
and Manic
a) environmental
considerations
b) collaboration
team planning,
case
management,
and critical
paths
c) delegation/
assignment of
care
d) costcontainment
and quality of
care
e) family, group,
and
community
considerations
f) advocacy
57
Adapt milieu principles to the
management of the milieu of
clients and their families
experiencing depressive and
manic disorders.
Describe team plans
developed by the multidisciplinary team for client
who have depressive and
manic disorders.
Delineate principles of
delegation and assignment for
clients who have depressive
and manic disorders.
Explore the use of
advocacy for clients with
clients who have
depressive and manic
disorders and their
families.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
16. Health
Discuss the primary
promotion
prevention of depressive
and prevention of and manic disorders.
depression and
mania
58
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
F. Suicidal and SelfDestructive
Behaviors
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Required:
1. Videbeck: Chapter: 15.
1. The concept of
suicide
Discuss the concepts of
suicide and other selfdestructive behavior.
2. Theoretical
foundations
a) risk factors
b) myths
Explore various theories
as to the etiology of
suicidal and other selfdestructive behavior.
3. Incidence and
Prevalence
Relate the incidence and
prevalence of suicidal
and other selfdestructive behavior.
4. Technologies
advances and
current research
Discuss technological
advances and current
research with suicidal
and other selfdestructive behavior.
59
MANAGER/COORDINATOR
OF CARE
2. Carpenito:
“Risk of Injury”
“Risk of Self Abuse”
“Risk of Suicide”
“Risk of Violence”
3. Isaacs: chapter 6.
4. Keltner Ch 7
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
5. Biologicalpsychosocialcultural-spiritual
influences
Relate the concept of
suicide and other selfdestructive behavior
physiological cognitive,
perceptual, emotional,
socio-cultural,
behavioral, and spiritual,
and developmental
influences and
consequences.
6. Medical
Diagnosis and
related nursing
care.
a) major
depression
b) others
Recognize DSM-IV
diagnosis that have the
highest incidence of
suicidal and other selfdestructive behavior.
7. Nursing Process
and the suicidal/
self-destructive
client
a) assessment
b) nursing
diagnosis
c) planning
d) implementation
e) evaluation
Apply the nursing
process to clients with
suicidal and other selfdestructive behavior
(1, 2, 3, 4, 5)
60
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
8. The therapeutic
relationship
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
Demonstrate principles
of developing and
maintaining a
therapeutic relationship
with clients who are
suicidal and selfdestructive.
Apply critical thinking and
problem solving skills in
caring for clients who are
suicidal and self-destructive.
9. Critical thinking
and problem
solving
10. Teaching and
Learning
Principles
Adapt principles of
teaching and learning to
clients experiencing
suicidal and other selfdestructive.
11. Medical
treatment and
related nursing
roles
Describe medical
treatment for suicidal
and other selfdestructive behavior.
61
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF
CARE
MANAGER/COORDINATOR
OF CARE
12. Legal/ethical
issues
13. Managing the
milieu of clients
with Suicidal and
Self-destructive
behavior
a) environmental
considerations
b) collaboration
team planning,
case
management,
and critical
paths
c) delegation/
assignment of
care
d) costcontainment
and quality of
care
e) family, group,
and
community
considerations
f) advocacy
62
MEMBER OF
PROFESSION
Discuss legal and ethical
issues related to the care of
clients and their families
experiencing suicidal and
or other self-destructive
behavior.
Adapt milieu principles to the
management of the milieu of
clients and their families
experiencing suicidal and
other destructive behaviors.
Explore the use of
advocacy skills with clients
who have suicidal and
other self-destructive
behavior and their families.
Describe multidisciplinary
team plans for clients who
have suicidal and other
destructive behaviors.
Assess personal beliefs and
feelings about suicide.
Delineate principles of
delegation and assignment for
clients who have suicidal and
other destructive behaviors.
Appraise referral and
community resources for
clients with suicidal and other
self-destructive behaviors.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
14. Health
promotion
and prevention of
suicide and selfdestructive
behavior.
63
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
Discuss the primary
prevention of suicidal
and other selfdestructive behavior.
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
G. Personality
Disorders
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Required:
1. Videbeck: Chapter: 16.
1. The concept of
personality
disorders
Discuss the concepts of
personality and
personality behavior.
2. Theoretical
foundations
Explore various theories
as to the etiology of
personality disorders.
3. Incidence and
Prevalence
4. Technological
advances and
current research
64
Relate the incidence and
prevalence of
personality disorders.
Discuss technological
advances and current
research with personality
disorders.
2. Isaacs: Chapter 5.
RNSG 2313
MODULE II
CONTENT
5. Biologicalpsychosocialcultural-spiritual
influences
6. Medical
Diagnosis and
related nursing
care.
a) Cluster A
1. Paranoid
2. Schizoid
3. Schizotypal
b) Cluster B
1. Antisocial
2. Borderline
3. Histrionic
4. Narcissistic
c) Cluster C
1. Avoidant
2. Dependent
3. Obsessivecompulsive
4. Passiveaggressive
65
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF
CARE
Relate the concept of
somatoform disorders
to physiological
cognitive, perceptual,
emotional, sociocultural, behavioral,
spiritual, and
developmental
influences and
consequences.
Recognize DSM-IV
diagnosis for
personality disorders.
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Suggested:
RNSG 2313
MODULE II
CONTENT
7. Nursing Process
a) assessment
b) nursing
diagnosis
c) planning
d) implementation
e) evaluation
8. The therapeutic
relationship
9. Critical thinking
and problem
solving
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF
CARE
Apply the nursing
process to clients with
personality disorders.
Demonstrate principles
of developing and
maintaining a
therapeutic relationship
with clients who have
personality disorders.
10. Teaching and
Learning
Principles
Adapt principles of
teaching and learning to
clients who have
personality disorders.
11. Medical
treatment and
related nursing
roles
a) psychopharmacology
b) restraints and
seclusion
Describe medical
treatment for
personality disorders.
66
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
Explore own feelings and
usual patterns of coping
with manipulative
behaviors.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF
CARE
MANAGER/COORDINATOR
OF CARE
12. Legal/ethical
issues
13. Managing the
milieu of clients
with Personality
Disorders
a) environmental
considerations
b) collaboration
team planning,
case
management,
and critical
paths
c) delegation/
assignment of
care
d) costcontainment
and quality of
care
e) family, group,
and
community
considerations
f) advocacy
67
MEMBER OF
PROFESSION
Discuss legal and ethical
issues related to the care of
clients and their families
who have personality
disorders.
Adapt milieu principles to the
management of the milieu of
clients and their families
experiencing personality
disorders.
Describe multi-disciplinary
team for client with
personality disorders.
Delineate principles of
delegation and assignment for
clients with personality
disorders.
Explore the use of
advocacy for clients with
personality disorders and
their families.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
14. Health promotion
and prevention
related to
personality
disorders.
68
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF
CARE
Discuss the primary
prevention of
personality disorders.
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
H. Aggressive
Behaviors
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Required:
1. Videbeck: Chapter 10.
1. The concept of
aggression
a) definition
b) types
Discuss the concept of
aggression.
2. Theoretical
foundations
Explore various theories
as to the etiology of
aggressive behavior.
(1)
3. Incidence and
Prevalence
Relate the incidence and
prevalence of aggressive
behavior.
4. Technological
advances and
current research
Discuss technological
advances and current
research with aggressive
behavior. ( 4 )
5. Biologicalpsychosocialcultural-spiritual
influences
Relate the concept of
aggression physiological
cognitive, perceptual,
emotional, sociocultural, behavioral,
spiritual, and
developmental
influences and
consequences. ( 1 )
69
2. Keltner Ch 13
RNSG 2313
MODULE II
CONTENT
6. Medical diagnosis
and related
nursing care
a) personality
disorders
b) psychosis
c) organic brain
disorders
d) others
7. Nursing Process
a) assessment
b) nursing
diagnosis
c) planning
d) implementation
e) evaluation
8. The therapeutic
relationship
70
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
Recognize DSM-IV
diagnosis with the
highest incidence of
aggressive behavior.
Apply the nursing
process to clients with
aggressive behaviors.
Demonstrate principles
of developing and
maintaining a
therapeutic relationship
with client who is
aggressive.
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
Explore own feelings and
usual patterns of coping
with aggressive behavior.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
9. Critical thinking
and problem
solving.
Adapt principles of
teaching and learning to
clients who have
aggressive behavior.
11. Medical
treatment and
related nursing
roles
a) psychopharmacology
b) restraints and
seclusion
Describe medical
treatment for aggressive
behavior. ( 1 )
71
MEMBER OF
PROFESSION
Apply critical thinking and
problems solving skills in
caring for clients who are
aggressive.
10. Teaching and
Learning
Principles
12. Legal/ethical
Issues
MANAGER/COORDINATOR
OF CARE
Discuss legal and ethical
issues related to the care of
clients and their families
who have aggressive
behavior. ( 1 )
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE I
CONTENT
13.
Managing the
milieu of
aggressive
behavior
a) PMABprevention
and
management
of aggressive
behavior
b) environmental
considerations
c) collaboration
team
planning,
case
management,
and critical
paths
d) delegation/
assignment of
care
e) costcontainment
and quality of
care
f) family, group,
and
community
considerations
g) advocacy
72
ENTERING CLINICAL PRACTICE IN
PSYCHOSOCIAL/PSYCHIATRIC NURSING
PROVIDER OF
CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
Adapt milieu principles to the
management of the milieu of
clients and their families who
have aggressive behavior.
Explore the use of advocacy
for clients with aggressive
behavior and their families
Describe multidisciplinary
team plans for clients with
aggressive behavior.
Delineate principles of
delegation and assignment for
clients with aggressive
behavior.
Discuss community resources
for clients with aggressive
behavior and their families.
(3 )
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE I
CONTENT
I. Restraints and
seclusion
1) describe
purpose of
seclusion and
restraints.
2) indications for
use of
restraints/
seclusion
3) intervention
strategies
1. verbal
2. pharmacological
3. physical
4) guidelines for
seclusion/
restraints
5) nursing
process
assessment
nursing
diagnosis
planning
implementation
 evaluation
73
ENTERING CLINICAL PRACTICE IN
PSYCHOSOCIAL/PSYCHIATRIC NURSING
PROVIDER OF CARE
Apply the nursing process
to clients requiring
seclusion/
restraints.
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Required:
Act as client advocates to
promote/protect client
rights.
1. Isaacs, pp 12, 13, 191
2. Videbeck, pp. 170-171
Incorporate critical
thinking and problem
solving skills in the
management of the
aggression client.
Review and utilize unit
policies and procedures on
seclusion/restraints.
RNSG 2313
MODULE I
CONTENT
6) criteria for
removal from
restraints/
seclusion
7) identify
ethical/legal
implications
least
restrictive
treatment
Texas Mental
Health Code
Texas
Department
of Health
Rules &
Regulations
false
imprisonment
(voluntary,
involuntary
clients)
emergency
restraint/
seclusion
documentation
74
ENTERING CLINICAL PRACTICE IN
PSYCHOSOCIAL/PSYCHIATRIC NURSING
MANAGER/COORDINATOR
MEMBER OF
PROVIDER OF
OF CARE
PROFESSION
CARE
Integrate principles of
teaching-learning in
providing information to
client and family
members regarding
Discuss legal/ethical issues
seclusion/restraints.
related to
restraint/seclusion.
Communicate
effectively with clients
Provide nursing care for
and their families
clients and families within
concerning
limits of nursing knowledge
Somatic therapies.
and experience and the legal
ethical standards of care.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
J. Homeless, chronic
and persistent mental
illness
1) Who are the
homeless?
2) Factors
contributing to
homelessness in
the mentally ill.
a. substance
abuse
b. poverty
c. inadequate
housing
d. high mobility
3) Critical issues
affecting the
homeless
mentally ill.
4) Effects of
deinstitutionalize
5) Barriers to care
6) Resources
7) Health concerns
75
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
Describe historical
factors leading to the
rise of homeless.
Support the multidisciplinary
team model for care of the
homeless mentally ill.
Identify and describe the
homeless population.
Discuss factors that lead
to homelessness.
Discuss the effects of
deinstitutionalization on
the homeless mentally ill
population.
Recognize barriers that
prevent access to care
for homeless mentally ill
people and measures to
promote access to care.
Evaluate the effectiveness of
community resources for the
homeless mental ill.
MEMBER OF
PROFESSION
Recognize the role of the
nurse concerning advocacy
issues for the homeless
mentally ill.
Identify research needs to
improve quality of life for
the homeless mentally ill
and to prevent
homelessness.
Recognize how political
factors effect care of the
homeless mentally ill.
LEARNING
ACTIVITIES/EVALUATION
Required:
1. Isaacs, p. 185.
2. Videbeck, pp. 6-7, 79-80;
420-421; and 427-428.
3. Hanrahan, P., McCoy,
M.L., Cloninger, L., et al
(2005). The mothers’ project
for homeless mothers with
mental illnesses and their
children: A pilot study
“Psychiatric Rehabilitation
Journal. 28:3, 291-294.
Available online by linking to
SPC library page via
CINAHL.
Recommended:
1. Miller, M. (Ed.). 2005.
The homeless mentally ill.
Harvard mental Health Letter.
21:11, 4-7.
RNSG 2313
MODULE II
CONTENT
8. Prisoners/
Incarcerated clients
suffering from
mental illness.
A. Identify the
numbers
affected by
mental illness
that are
currently
incarcerated.
B. Recognize
additional
factors that
contricute to
the
phenomenen of
jailed mentally
ill persons.
C. Identify positive
and negative
affects of
incarceration in
the mentally ill.
76
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
Describe the population of
prisoners that are mentally
ill.
Support the multidisciplinary
team model for care of the
incarcerated mentally ill.
Discuss factors that lead to Evaluate the effectiveness of
or prolong the
community resources for the
incarceration of the
incarcerated mentally ill.
mentally ill.
Describe how
incarceration could
impede or promote care of
the mentally ill
MEMBER OF
PROFESSION
Recognize the role of the
nurse concerning
advocacy issues for
incarcerated mentally ill
persons.
Identify applicable
research areas to improve
outcomes and treatment of
prisoners with mental
illness.
Recognize policy issues
and legislation that have
or could affect
incarcerated mentally ill
persons.
LEARNING
ACTIVITIES/EVALUATION
Required:
1. Videobeck p76-77
2. Videotape to be shown
during class: “Prison:
The New Asylum.”
3. Study questions / group
activities following
videotape.
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
9) Application of
Apply the nursing process
the nursing process to care of homeless and
a. nurse’s attitude incarcerated mentally ill.
b. effect homelessneses and
incarceration on
the mentally ill.
c. functional
abilities defect
d. assessment
difficulties
e. mental status
f. nursing
diagnoses
g. client outcomes
h. goals
i. interventions
j. evaluation
77
MANAGER/COORDINATOR
OF CARE
Identify community resources
for the at risk mentally ill
populations.
Participate in community
groups involved in improving
quality care for the homeless
and incarcerated mentally ill
MEMBER OF
PROFESSION
Apply ethical and legal
framework to special
populations of the
mentally ill.
Identify unmet needs of
the homeless and
incarcerated populations
of the mentally ill.
LEARNING
ACTIVITIES/EVALUATION
Evaluation:
1. Class: Paper & pencil
and/or computer tests
RNSG 2313
MODULE II
CONTENT
K. Family abuse and
Violence
1. Definitions of
types of child
abuse
a) physical abuse
b) physical
neglect
c) emotional
abuse
d) emotional
neglect
e) verbal abuse
2. Identification of
predictors of
potential child
abuse
3. Identification of
predictors of
parents at high
risk of abusing
children.
78
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
Integrate the five steps of
the nursing process into
nursing practice involving
family violence.
Contribute to the
improvement of health care
through community education
about family violence and its
consequences.
Integrate established
theories and models that
guide nursing practice.
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Demonstrate legal and
Required:
ethical behaviors in the
delivery of health care to
1. Isaacs, pp. 161-172
victims and perpetrators of
violence.
2. Videbeck, chapter 11.
Become familiar with and
evaluate the effectiveness of
community resources
available to the client and
family.
Participate in social
change through
consciousness raising,
community education and
the legal process.
Coordinate appropriate
referral sources to meet the
needs of victims and
perpetrators of violence.
Promote research efforts
addressing family
protection issues.
3. McFarlane, J., Maleche,
A., Gist, J. et al (2004).
Original research
increasing safety promoting behaviors of
abused women.
American Journal of
Nursing. 104:3, pp 40-51
RNSG 2313
MODULE II
CONTENT
4. Recognition of
physical and
behavioral
indicators of child
abuse and
neglect.
5. Definition of
Munchausen
Syndrome by
Proxy
6. Defining
characteristic of
abusing adults
and their victims.
7. Discussion of the
effect of violence
on the victim and
family.
a) Spouse abuse
1. definitions
of
domestic
violence
2. discussion of
the
characteristics
of the
battering
mate and
battered
spouse.
79
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
Analyze and interpret
health data of
clients/families.
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
ONLINE REFERENCES:
(Required)
REVIEW SITES:
1. Lubbock Women’s
Protective Services,
http://www.wpslbk.org.
Demonstrate principles of
developing and
maintaining a therapeutic
relationship with victims
and perpetrators of
violence.
2. Court appointed special
Advocates for children
(CASA of the South
Plains).
http://www.lubbockcasa.org/
3. Adult and Child
Protective Services.
http://www.drps.state.tx.us/
Apply critical thinking and
problem solving skills in
caring for families. ( 6c )
RNSG 2313
MODULE II
CONTENT
3. discussion of
the effect of
violence on
the victim and
family.
b) Dating or
Courtship
Violence
1. role
comparison
of the
victim and
battered in
dating and
courtship
violence.
c) Elder abuse
1. Definition
of types of
elder abuse
a. physical
abuse
b. neglect
c. psychosocial
abuse
80
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Recommended:
4. Guest Speaker –
Women’s
Protective Services.
Evaluation:
1. Class: Paper & Pencil
and/or computer
test
RNSG 2313
MODULE II
CONTENT
2. Discussion
of the effect
of violence
on the
victim and
family.
d) Adolescent
Abuse
1. Discussion
of
adolescents
as victims
of abuse.
2. Discussion
of
adolescents
as
perpetrators
of abuse.
e) Description of
the incidence
and
significance of
family
violence.
81
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
f) Discussion of
the relevance
and application
of theories to
family
violence.
1. impulse and
maladaptation
2. cycle of
violence
3. learned
helplessness
4. social
exchange
and conflict
g) Application of
the nursing
process to
family violence
1. assessment
2. nursing
diagnosis
3. planning
4. intervention
5. evaluation
82
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
h) Discussion of
feelings,
experiences,
and behaviors
that may affect
therapeutic
effectiveness
or lead to
personal
burnout.
i) Definition of
legal issues and
responsibilities
related to family
violence.
j) Discussion of
ethical issues
related to family
violence.
83
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Evaluation:
Paper and pencil and/or
computer test
RNSG 2313
MODULE II
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
CONTENT
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
L. Rape/Sexual Assault
1) Theoretical
perspective of
rape and sexual
assault
a. legal
b. psychosocial
c. sociological
2) Rape Trauma
Syndrome
a. rape crises
b. acute phase
c. long term
d. recovery
e. repeat exam
3) application of the
nursing process to
victims of rape
and sexual assault
a. assessment
b. nursing
diagnosis
c. planning
d. intervention
e. evaluation
Identify typology of rape
and sexual assault.
Define behaviors needed to
serve as an advocate for
clients, families and/or groups
of sexual assault rape victim
and their significant others.
Follow ethical/legal
principles in providing
care to sexual assault rape
victims and their
significant others.
Discuss behaviors of a
victim during acute,
Identify health, educational,
reorganization and recover cultural and spiritual
phase.
resources available within the
community for sexual assault
Recognize unresolved and rape victim and their families.
silent rape trauma.
Explain the role of the
rape crisis center to assist
in providing advocacy for
the sexual assault rape
victims and their
significant others.
84
Define the term rape
trauma syndrome.
Describe offenders of
sexual assault and rape.
Discuss primary offender
treatment.
Delineate rights of victims
of sexual assault. ( 3c )
Explain the rape exam and
the rape exam packet
provided by the rape crisis
center. ( 1a )
Identify appropriate referral
sources to meet the needs of
sexual assault rape victims
and their families.
LEARNING
ACTIVITIES/EVALUATION
Required:
1. Videback: ch 11.
2. Carpenito – review
Applied diagnoses.
3. Online review site:
Lubbock Rape Crisis.
http://www.lubbockrcc.org/
RNSG 2313
MODULE II
CONTENT
4) Referrals and
Community
Support
5) Documentation
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
Apply the nursing process
to the care of the victim of
rape or sexual assault.
Communicate effectively with
victims, families, health team
members and referral
agencies.
Recognize and discuss
personal feelings that may
influence the therapeutic
use of self with victims of
rape and sexual assault.
Individualize the NANDA
approved nursing
diagnosis: Rape trauma
syndrome for victims of
sexual assault and rape.
Describe risk factors for
offenders and victims of
rape/sexual assault.
Consider physiological,
psychological, social,
development, and spiritual
factors on providing care
to sexual assault/rape
victims and their
significant other.
Recognize the importance
of accurate objective
documentation in caring
for victims of sexual
assault rape.
85
LEARNING
ACTIVITIES/EVALUATION
Evaluation:
1. Paper and pencil
and/or computer
test
RNSG 2313
MODULE II
CONTENT
M. Psychotic behaviors
(Psychotic and
Schizophrenic
Disorders)
1. The concept of
psychosis
2. Theoretical
foundations
3. Incidence and
Prevalence
4. Technological
advances and
current research
86
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
Discuss the concept of
psychosis.
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Required:
1. Videbeck: Chapter 14.
Explore various theories
as to the etiology of
schizophrenic and other
psychotic disorders.
Relate the incidence and
prevalence of
schizophrenic and other
psychotic disorders.
Discuss technological
advances and current
research with
schizophrenic and other
psychotic disorders
2. Isaacs: Chapter 7
3. Keltner Ch 6
RNSG 2313
MODULE II
CONTENT
5. Biologicalpsychosocialcultural-spiritual
influences
6. Medical diagnosis
of psychotic and
schizophrenic
disorders and
related nursing
care.
a) Psychotic
disorders other
than
schizophrenia
1. organic
etiology
2. psychotic
depression
3. manic
psychosis
4. environmental
etiology
87
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
Relate the concept of
schizophrenia and other
psychosis to psychophysiological, cognitive,
perceptual, emotional,
socio-cultural,
behavioral, spiritual,
nutritional and
developmental
influences and
consequences.
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Suggested:
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
5. schizoaffective
disorders
6. shizoprheniform
disorders
b) Schizophrenia
subtypes
7. Nursing Process
a) assessment
b) nursing
diagnosis
c) planning
d) implementation
e) evaluation
Apply the nursing
process to clients with
schizophrenic and other
psychotic disorders.
8. Critical thinking
and problem
solving
Demonstrate principles
of developing and
maintaining a
therapeutic relationship
with clients who have
schizophrenic and other
psychotic disorders.
9. Teaching and
learning
principles.
88
Explore own feelings and
coping with psychotic
behaviors in others.
Apply critical thinking and
problem solving skills in
caring for clients who have
schizophrenia and other
psychotic disorders.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
CONTENT
PROVIDER OF CARE
10. Teaching and
Learning
Principles
Adapt principles of
teaching and learning to
clients who have
schizophrenic and other
psychotic disorders.
11. Medical
treatment and
related nursing
roles
a) Psychopharmacology
1. antipsychotics
2. antiparkinsons
b) Hospitalization
c) Eclectic
approaches
Describe medical
treatment for
schizophrenic and other
psychotic disorders.
12. Legal/ethical
issues
89
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
Apply the nursing
process to clients
receiving medications
for schizophrenia and
other psychotic
disorders.
Discuss legal and ethical
issues related to the care of
clients and their families
who have schizophrenia
and other psychotic
disorders.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF
CARE
13. Managing the
milieu of client
with psychotic
disorders
a) environmental
considerations
b) psychosocial
rehabilitation
c) community
management
d) collaboration
team planning,
case
management,
and critical paths
e) delegation/
assignment of
care
f) costcontainment
and quality of
care
g) family, group,
and
community
considerations
14. Health promotion
and prevention
related to
psychotic disorders.
90
MANAGER/COORDINATOR
OF CARE
Adapt milieu principles to the
management of the milieu of
clients and their families who
have schizophrenia and other
psychotic disorders.
Describe multidisciplinary
team plans for clients with
schizophrenia and other
psychotic disorders.
Delineate principles of
delegation and assignment for
clients with schizophrenia and
other psychotic disorders.
Identify community resources
for clients with schizophrenia
and other psychotic disorders
and their families.
Discuss the primary
prevention of
schizophrenia and other
psychotic disorders.
MEMBER OF
PROFESSION
Explore the use of
advocacy skills for
clients who have
schizophrenia and other
psychotic disorders and
their families.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF
CARE
N. Addictive Behaviors:
Substance Abuse and
Dependency,
Codependency
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Required:
1. Videbeck: Chapter 17
2. Isaacs: Chapter 8.
1. The concept of
addictive
behaviors
2. Theoretical
Foundations
3. Incidence and
Prevalence
4. Technological
advances and
current research
91
Discuss the concept of
addiction.
Explore various
theories as to the
etiology of addiction.
Relate the incidence
and prevalence of
addictive disorders.
Discuss technological
advances and current
research with addictive
behavior.
3. Keltner Chapter 14
RNSG 2313
MODULE II
CONTENT
5. BiologicalPsychosocialCultural-Spiritual
Influences
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF
CARE
Relate the concept of
addiction to
psychophysiological,
cognitive, perceptual,
emotional, sociocultural, behavioral and
spiritual, nutritional and
developmental
influences and
consequences.
6. Medical Diagnosis Recognize DSM-IV
and related nursing diagnosis relating to
roles
addiction.
a) alcohol abuse
and dependence
b) cannabis abuse
and dependence
c) stimulant abuse
and dependence
d) hallucinogen
and PCP abuse
and dependence
e) opiate abuse
and dependence
92
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF
CARE
MANAGER/COORDINATOR
OF CARE 1, 2, 3, 4, 5
MEMBER OF
PROFESSION 1,2, 3
LEARNING
ACTIVITIES/EVALUATION
1, 2, 3, 4, 5, 6
f) sedative,
hypnotic and
anxiolytic
abuse and
dependence
Required
Codependency
1. Isaacs, pp. 142, 144, 160,
162
2. Videbeck, p 424.
h) co-dependency
7. Nursing Process
a) assessment
b) nursing
diagnosis
c) planning
d) implementation
e) evaluation
Apply the nursing
process to clients with
addictive behavior.
(1, 2, 3, 4, 5)
8. The therapeutic
relationship
Demonstrate principles
of developing and
maintaining a
therapeutic relationship
with clients who have
addictive disorders.
(3)
93
Explore one’s own
experiences, feelings and
coping with individuals
who have addiction
behaviors. ( 1 )
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF
CARE
MANAGER/COORDINATOR
OF CARE 1, 2, 3, 4, 5
1, 2, 3, 4, 5, 6
9. Critical thinking
and problem
solving
Apply critical thinking and
problem solving skills in
caring for clients who have
addictive disorders.
10. Teaching and
Learning
Principles
Adapt principles of
teaching and learning
to clients who have
addictive disorders.
11. Medical treatment
and related
nursing roles
a) detoxification
and
withdrawal
b) rehabilitation
and 12 step
groups
c) pharmacological
d) in patient
hospitalization
e) out patient
treatment
Describe medical
treatment for addictive
disorders.
94
Apply the nursing
process to client’s
receiving medication
for addictive disorders.
MEMBER OF
PROFESSION 1,2, 3
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF
CARE
MANAGER/COORDINATOR
OF CARE 1, 2, 3, 4, 5
MEMBER OF
PROFESSION 1,2, 3
1, 2, 3, 4, 5, 6
12. Legal/ethical
issues
13. Managing the
milieu of clients
with addictive
behaviors
a) environmental
considerations
b) collaboration,
team planning,
case
management
and critical
paths
c) delegation
assignment of
care
d) cost
containment
and
quality of care
e) family, group,
and
community
considerations
f) advocacy
95
Discuss legal and ethical
issues related to the care of
clients and their families
who have addictive
disorders.
Adapt milieu principles to the
management of the milieu of
clients and their families who
have addictive disorders.
Describe multidisciplinary
team plans for clients with
addictive disorders.
Delineate principles of
delegation and assignment for
clients who have addictive
behaviors.
Describe community and
referral resources for clients
with addictive behaviors and
their families.
Explore the use of
advocacy skills with clients
who have addictive
behaviors and their
families.
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF
CARE
MANAGER/COORDINATOR
OF CARE 1, 2, 3, 4, 5
MEMBER OF
PROFESSION 1,2, 3
LEARNING
ACTIVITIES/EVALUATION
1, 2, 3, 4, 5, 6
14. Health promotion
and prevention
related to
addictive
behaviors.
Discuss the primary
prevention of
addictions. ( 3 )
Suggested:
Evaluation:
Paper & Pencil Test
96
RNSG 2313
MODULE II
CONTENT
O. Children,
Adolescents, Elderly
1) Children
a. incidence and
prevalence
b. effects of
childhood
mental illness
c. etiology
d. socio-cultural
factors
e. spiritual
factors
f. neuro
biological
factors
g. stress
h. parents and
families
97
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
Scrutinize incidence,
prevalence, and causative
or risk factors of mental
disorders of children,
adolescents, and the
elderly.
Recognize the behavioral
manifestations and
dynamics of mental
disorders of children,
adolescents, and the
elderly. ( 1d,f )
Assess the emotional
social, educational cultural
and spiritual needs and
functioning of emotionally
disturbed children,
adolescents, and elderly
and their families.
( 1d )
MANAGER/COORDINATOR
OF CARE
Discuss the role of advocacy
with children, adolescents,
and the elderly.
Collaborate with other health
care providers and
community agencies/services
to provide mental health care
for children, adolescents, and
the elderly.
Identify appropriate referrals
resources for clients and
families.
MEMBER OF
PROFESSION
Provide ethical legal care
for children, adolescents,
and the elderly with
mental disorders within
own nursing knowledge
and experience.
Examine own feelings and
attitudes and impact on
nursing care of children,
adolescents, and the
elderly.
Adhere to standards of
nursing care of children
with psychiatric mental
health problems
LEARNING
ACTIVITIES/EVALUATION
Required:
1. Isaacs, pp 179-191
2. Videbeck, chapter 20
RNSG 2313
MODULE II
CONTENT
i. The childhood
disorders:
1) attention
deficit
disorders
2) oppositional
defiant
disorders
3) conduct
disorders
4) pervasive
developmental disorders
5) anxiety
disorders
6) sleep
disturbances
7) mood
disorders
8) suicide
psychosis
j. application of
the nursing
process
1) assessment
2) diagnosis
3) planning
4) intervention
5) evaluation
98
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
Apply the five steps of the
nursing process to care of
mentally ill children,
adolescent, and the
elderly.
Choose measures to
ameliorate the effect of
multiple stressors and long
term exposure to stress on
children’s
adolescent’s, and the
elderly’s functioning.
Recognize the indication,
actions, side effects, and
safety issues concerning
the use of psychotropic
medication with children.
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
k. pharmacology
therapy
l. education
m. need for
research
n. advocacy for
emotionally
disturbed
children and
their families
2) Adolescents
a. adolescent
development
b. primary
changes
adolescence
c. secondary
changes
d. adolescent
disturbance
1. incidence
and
prevalence
2. etiological
theories
3. nursing
diagnoses
99
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
Discuss the variables of
family communication,
parenting style,
personalities, social
measures, and stressors
that may contribute to
disorders.
Recognize how nurse’s
feelings affect interactions
with a child, an
adolescent, and elder
person, and their family.
Communicate
therapeutically with
children, adolescents, and
the elderly, and their
families who have mental
disorders
MANAGER/COORDINATOR
OF CARE
MEMBER OF
PROFESSION
LEARNING
ACTIVITIES/EVALUATION
Evaluation:
1. Class: Paper & pencil
and/or computer
test.
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
1, 2, 3, 4, 5, 6
4. the disorders
of adolescence
a) adjustment
disorders
b) disruptive
behavior disorders
c) oppositional
defiant
disorders
d) conduct
disorders
e) substance
abuse/
dependence
disorders
f) depression &
suicide
g) eating
disorders
h) schizo-phrenia
i) obsessive
compulsive
disorders
100
MANAGER/COORDINATOR
OF CARE 1, 2, 3, 4, 5
MEMBER OF
PROFESSION 1,2, 3
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
1, 2, 3, 4, 5, 6
e. Application of
the nursing
process:
1) assessment
2) diagnosis
3) planning
4) intervention
5) evaluation
f. Interventions
1) family
therapy
2) group
therapy
3) individual
therapy
4) pharmacological
treatment
g. The nurse’s
feelings
3) The elderly
a. the nurse’s
attitude
b. the population
c. barriers to
mental health
care
101
MANAGER/COORDINATOR
OF CARE 1, 2, 3, 4, 5
MEMBER OF
PROFESSION 1,2, 3
LEARNING
ACTIVITIES/EVALUATION
RNSG 2313
MODULE II
CONTENT
CARING AND HEALING WITH CLIENTS AND FAMILIES
EXPERIENCING PSYCHO-SOCIO-CULTURAL-SPIRITUAL DSYFUNCTION
PROVIDER OF CARE
1, 2, 3, 4, 5, 6
d. geropsychiatry
problems:
1) depression
2) suicide
3) anxiety
disorders
4) paranoia
5) alcohol/
substance
abuse
6) hypochondriacs
7) pseudodemintia
8) bereavement
9) relocation
e. the nursing
process
f. advocacy for
client and
family
102
MANAGER/COORDINATOR
OF CARE 1, 2, 3, 4, 5
MEMBER OF
PROFESSION 1,2, 3
LEARNING
ACTIVITIES/EVALUATION