Psychiatric Nursing Lecture NUR 2520 Miami Dade College Medical/Homestead Center Campus Benjamin Leon School of Nursing Generic Full Time Program Syllabus COURSE TITLE: Psychiatric Nursing COURSE NUMBER: NUR 2520 SCHEDULE: Mondays and Thursdays 11:00am to 2:20pm TERM: Summer 2021 – 5/10/21-6/6/2021 COURSE CREDITS: 2 Credits INSTRUCTOR INFORMATION: Dr. Janis Walsh, DNP, RN Professor Maria O Kimsey, MSN, RN, WCC School of Nursing School of Nursing Office: B-231 Office: B-229 Office hours: By appointment By appointment Phone: 305- 237- 5108 305-237-5236 Cell: 325-668-4097 Cell: 786-223-1237 Email: jwalsh1@mdc.edu Email: mortega2@mdc.edu COURSE DESCRIPTION: This course introduces students to the basic concepts of psychiatric nursing. Students will learn to provide care in in-patient and community settings, focusing on the nurse’s role in meeting the needs of the patient, family, and the community. Prerequisites: NUR 1211, 1211L, 1214C or 1002, 1002L; 1142. Co-requisites: NUR 2520L. Special fee. (2 hr. lecture). Competency 1: The Student will identify the importance of biological psychiatry to the understanding of the etiology of selected mental illnesses by: a. describing the anatomy and physiology of the brain b. identifying the major neurotransmitters and how they function as neuro-messengers in influencing behavior/mood c. identifying laboratory tests pertinent to diagnostic evaluation Competency 2: The Student will describe the assessment tools used in mental health/mental illness by: a. recognizing the DSM-IV classification system b. recognizing the multi-axial assessment c. identifying the components of a mental status assessment Competency 3: The Student will understand the legal implications in the care of a psychiatric client by: a. understanding the Baker Act procedure b. summarizing the Patient Bill of Rights c. describing the support provided by community agencies and organizations for clients experiencing disruptions in mental health Competency 4: The Student will discuss the role of the nurse-client relationship in a psychiatric setting by: a. b. c. d. Competency 5: discussing the therapeutic use of self reviewing therapeutic and non-therapeutic communication comparing and contrasting the phases of the nurse-client relationship identifying the different roles of the psychiatric nurse in a psychiatric facility The Student will describe principles of crisis intervention by: a. b. c. d. e. differentiating normal anxiety from pathological anxiety identifying the different types of crisis identifying factors that contribute to crisis development describing the role of the nurse in crisis intervention identifying support systems and community agencies a. identifying appropriate diagnostic studies used in assessment b. identifying clinical manifestations c. describing collaborative management of clients in crisis situations including delegation of responsibility d. selecting appropriate therapeutic approaches/interventions e. discussing the use of the nursing process as a framework for providing individualized care f. discussing the educational needs of clients and their families Competency 6: The Student will describe the nursing management of clients with anxiety disorders by: a. b. c. d. reviewing the psychobiology and other etiological factors identifying appropriate diagnostic studies used in assessment identifying clinical manifestations describing collaborative management of clients with anxiety disorders including delegation of responsibility e. selecting appropriate therapeutic approaches/interventions f. discussing the use of the nursing process as a framework for providing individualized care g. discussing the educational needs of clients and their families Competency 7: The Student will describe the nursing management of clients with Grief, loss/mood disorders by: a. reviewing the psychobiology and other etiological factors b. identifying appropriate diagnostic studies used in assessment c. identifying clinical manifestations d. describing collaborative management of clients with mood disorders including delegation of responsibility e. selecting appropriate therapeutic approaches/interventions f. discussing the use of the nursing process as a framework for providing individualized care g. discussing the nutritional requirements for clients with mood disorders h. discussing the educational needs of clients and their families i. identifying available community support systems Competency 8: The Student will describe the nursing management of clients with schizophrenia and other psychotic disorders by: a. reviewing the psychobiology and other etiological factors b. identifying appropriate diagnostic studies used in assessment c. identifying clinical manifestations d. describing collaborative management of these clients including delegation of responsibility e. selecting appropriate therapeutic approaches/interventions f. discussing the use of the nursing process as a framework for providing individualized care g. discussing the nutritional requirements for these clients disorders h. discussing the educational needs of clients and their families i. identifying available community support systems Competency 9: The Student will describe the nursing management of clients with personality/adjustment disorders by: a. reviewing etiological factors b. identifying psychological studies used in assessment c. identifying clinical manifestations d. describing collaborative management of these clients including delegation of responsibility e. selecting appropriate therapeutic approaches/interventions f. discussing the use of the nursing process as a framework for providing individualized care g. discussing the educational needs of clients and their families h. identifying available community support systems Competency 10: The Student will describe the nursing management of clients with substance related disorders by: a. reviewing the psychobiology and other etiological factors b. identifying diagnostic and psychological studies used in assessment c. identifying clinical manifestations d. describing collaborative management of these clients including delegation of responsibility e. selecting appropriate therapeutic approaches/interventions f. discussing the use of the nursing process as a framework for providing individualized care g. discussing the educational needs of clients and their families h. identifying available community support systems Competency 11: The Student will describe the nursing management of clients with sexual and gender identity disorders by: a. reviewing the psychobiology and other etiological factors b. identifying psychological studies used in assessment c. identifying clinical manifestations d. describing collaborative management of these clients including delegation of responsibility e. selecting appropriate therapeutic approaches/interventions f. discussing the use of the nursing process as a framework for providing individualized care g. discussing the educational needs of clients and their families h. identifying available community support systems Competency 12: The Student will describe the nursing management of clients with cognitive disorders by: a. b. c. d. e. f. g. h. i. Competency 13: reviewing the psychobiology and other etiological factors identifying psychological and diagnostic studies used in assessment identifying clinical manifestations describing collaborative management of these clients including delegation of responsibility selecting appropriate therapeutic approaches/interventions discussing the use of the nursing process as a framework for providing individualized care discussing the educational needs of clients and their families identifying available community support systems discussing the nutritional requirements for these clients The Student will describe the nursing management of infancy, childhood, and adolescent disorders by: a. reviewing the psychobiology and other etiological factors b. identifying diagnostic and psychological studies used in assessment c. identifying clinical manifestations d. describing collaborative management of these clients including delegation of responsibility e. selecting appropriate therapeutic approaches/interventions f. discussing the use of the nursing process as a framework for providing individualized care g. discussing the educational needs of clients and their families h. identifying available community support systems i. discussing the nutritional requirements for these clients Competency 14: The Student will describe the nursing management of clients experiencing human abuse by: a. reviewing the etiological factors b. identifying psychological studies used in assessment c. discussing the legal ramifications for these clients d. identifying clinical manifestations e. describing collaborative management of these clients including delegation of responsibility f. selecting appropriate therapeutic approaches/interventions g. discussing the use of the nursing process as a framework for providing individualized care h. discussing the educational needs of clients and their families i. identifying available community support systems COLLEGEWIDE STUDENT LEARNING OUTCOMES: Miami Dade College has adopted General Education Outcomes. This course provides intentional learning experiences to address outcomes #1 and #5. Outcome #1 Communicate effectively using listening, speaking, reading, and writing skills by: Discussing the differences between verbal and nonverbal communication. Identify personal and environmental factors that can impede communication. Outcome #5 Demonstrate knowledge of diverse cultures, including global and historical perspectives by: Describe the importance of culturally relevant care in mental health nursing practice. Compare and contrast American nursing beliefs, values and practices with the beliefs, values and practices of clients of other cultures PROGRAM LEARNING OUTCOMES: Outcome #1 Adhere to standards of professional practice (is accountable for his/her own actions and behaviors) and practices nursing within legal, ethical and regulatory frameworks. Outcome #2 Demonstrate effective or therapeutic communication with promotes positive outcomes and/or trusting relationship. Outcome #3 Display assessment skills, which establish a foundation for the provision of nursing care. Outcome #4 Deliver nursing care based on evidence and critical thinking, resulting in clinical decisionmaking. Outcome #5 Use caring interventions to assist patients in meeting their health care needs. Outcome #6 Employ teaching and learning processes for clients, staff and health team members to promote and maintain health and reduces risks. Outcome #7 Collaborate with patients, support persons and health team members to produce positive patient outcomes. Outcome #8 Use human, physical, financial, and technological resources to meet patient needs and support. TEXTBOOKS Required: Faculty, Miami- Dade Community College (2001). Associate degree nursing curriculum. Level 2. Miami, FL Varcarolis (2017). Essentials of Psychiatric Mental Health Nursing: A communication approach to evidence-based care, (3rd ed.). New York, NY: Elsevier Recommended: Karch, A., (2012) Focus on nursing pharmacology, (6th. Ed.) Philadelphia: Lippincott Williams & Wilkins. You may use any other pharmacology book of your choice. COURSE EVALUATION GRADING POLICY: Components of Grade: 2 Unit tests (25% each) Final Practiced Assessment, Standardized Proctored Assessment & Remediation 50% 40% 10% School of Nursing Grading Scale: 93-100% A 85-92% B 77-84% C 69-76% D Below 69% F Method of Communicating Grades: Grades for each test will be distributed within one week of taking the test. COURSE/DEPARTAMENTAL POLICIES MAKE UP TEST: There are no make-up tests in this course. If a student is unable to attend class on the day a test is scheduled, the weight of the final exam will be increased by the weight of each missed test. If more than one test is missed, the student may be asked to withdraw. TEST REVIEW: Faculty will review exam content when test results are distributed. Students who wish to review their own test results must schedule an appointment with the faculty within two weeks of receiving individual results. PRACTICE ASSESSMENT AND REMEDIATION 1. At designated times during the course, the student will take two Practice Assessment tests from home. 2. The results of the Practice Assessment A will generate a remediation plan. 3. The student must complete the assigned ATI Remediation Plan prior to taking the Practice Assessment B. 4. At the completion of the assigned ATI Remediation Plan, the student will complete Practice Assessment B. 5. In order to receive the full points, the student must complete all areas of the 2 Practice Assessments and the remediation Plan. Practice Assessment and Remediation 2 POINTS Practice Assessment A Complete Practice Assessment A. 2 POINTS Remediation Plan Complete ATI Assigned Remediation Plan. For each topic missed complete: o An active learning template o Identify three critical points to remember 2 POINTS Practice Assessment B Complete Practice Assessment B STANDARDIZED PROCTORED ASSESSMENT The Standardized Proctored Assessment is mandatory and is given towards the end of the course (courses include Fundamentals, Pharmacology, Obstetrics, Pediatrics, Psychiatrics, Medical Surgical, and Advanced Medical Surgical). The student can earn up to a total of 4 points based on the level achieved on the Standardized Proctored Assessment. The following scale will be used for the Standardized Proctored Assessment: STANDARDIZED PROCTORED ASSESSMENT Level 3 = 4 points Level 2 = 3 points Level 1 = 1 point Below Level 1 = 0 points Special Note: The Standardized Proctored Assessment is a mandatory course requirement. Failure to complete the Standardized Proctored Assessment will result in no points being awarded. Failure to complete the assigned remediation plan and Practice Assessment A and B will result in no points being awarded. TESTING ROOM POLICY: Refer to student handbook http://www.mdc.edu/nursing/docs/Associate-in-Science-Nursing-Student-Handbook.pdf ATTENDANCE: Attendance is required in order for students to successfully meet the course objectives. Students who miss any scheduled lectures are responsible for acquiring the missed information. ILLNESS/EMERGENCY: Notify the instructor regarding absence or tardiness. ACADEMIC DISHONESTY: Academic dishonesty will not be tolerated. Students involved in any form of academic dishonesty including copying from others during an exam or allowing others to copy from your exam or otherwise helping other students with answers during an exam will face disciplinary sanctions in accordance with the College’s Student Rights and Responsibilities Handbook. For more information, please obtain a copy of the Handbook at the Student Life Department or review it in the MDC student website. PROGRESSION: To progress to the following semester, students must earn a grade of “S” (clinical) and/or “C” (lecture) or higher in every nursing course required this semester. Please see co-requisites. REMEDIATION: Students who are not meeting course objectives and or requirements are responsible for seeking tutorial remediation. It is the student’s responsibility to make an appointment with the course instructor for direction regarding remediation. SMART PLAN POLICY: The Benjamin Leon School of Nursing’s goal is for every student to be successful throughout the nursing program. Nursing students are only allowed to repeat a course one time, if failed the second time, the student will be dismissed from the program. To avoid this from happening, and to remediate the student, a SMART Action Plan for Remediation has been developed for each nursing course. Each SMART Plan is specific for the failed course and focuses on student preparation and success. It is mandatory in the School of Nursing that any student who is unsuccessful in a course the first time must complete a Smart Plan before being allowed to retake/re-register for the course. To initiate the SMART Plan, students must: a. Be advised and referred by their course instructor. b. Meet with a Retention Specialist who will initiate the SMART Action Plan. c. Complete all assignments with the Retention Specialist, who will verify your work and send a completion release to the student’s program Department Chairperson. d. The Chairperson will be responsible for re-enrolling the student into courses and notifying the student’s instructor of your completion status. e. Please see your Department Chairperson for more information. BACKGROUND CHECK: Every student is required to submit for a level 2 security background check by the college and by the various institutions the Nursing School affiliates with. To do so, go to http://myappt.mymdc.net and download. Sign it and take it with you to the North Campus Police Academy or the Criminal Justice Program (Bldg. 8). You are to prepay at any campus’s bursar’s office before finger printing. Present your receipt of payment. Do not break your appointment. AVAILABLE SUPPORT SERVICES ACCESS STATEMENT: By providing a variety of services that address a spectrum of disabilities, the ACCESS department works to ensure equal access and opportunity throughout the college experience. Students with a documented disability are encouraged to contact the campus ACCESS (Disability Services) Department in advance for information on appropriate policies and procedures for obtaining assistance. Retroactive auxiliary aids and services cannot be provided. The ACCESS department is located in Building 1, Room 1113, and can be reached at (305) 237-4027. Please note it is the student’s responsibility to self-identify at each campus where they are taking courses and seeking services. TUTORING SERVICES: https://libraryguides.mdc.edu/rn LABS: Nursing Skills Labs http://www.mdc.edu/nursing/nursing-skills-lab.aspx Clinical Simulation Lab http://www.mdc.edu/medical/campus-information/facilities-csl.aspx POLICY ON CHANGE(S) TO COURSE SYLLABUS: The professor retains the right to make changes to the course syllabus. Changes will be communicated to students verbally, in writing, or both. DATE Week # 1 Monday 05/10/2021 CURRICULUM CONTENT READING FROM VARCAROLIS TEXTBOOK & ADN CURRICULUM Mental health and Mental Illness ADN Curriculum (p. 106 – 113) o Chapter 1 o Chapter 2 Psychobiology ADN Curriculum (p. 100 – 105) o Chapter 4 III. Legal and Ethical Issues in Psychiatric Nursing ADN Curriculum (p. 114 – 118) o Chapter 6 IV. Community Mental Health Nursing** I. II. o Chapter 5** Submit by your first day of class a copy of the certificate of completion for the FREE online INTRODUCTION TO THE BAKER ACT course. Go to: https://fcbonline.remotelearner.net/ Thursday 05/13/2021 Therapeutic Communication in the Nurse-Patient Relationship ADN Curriculum (p. 119 – 138) o Chapter 8 o Chapter 9 VI. Nursing Care of a Patient in Crisis ADN Curriculum (p. 139 – 147) o Chapter 20 VII. Anxiety Related Disorders Trauma and Stress Related Disorders Somatoform & Dissociative Disorders (Independent Study) ADN Curriculum (p. 148 – 154) o Chapter 10 o Chapter 11 o Chapter 12 V. ATI Assessment A opens due Sunday 5/16/2021 @ 11:59 pm Week #2 VIII. Monday 05/17/2021 Test # 1 Curriculum Content I – VII Care of the Client Experiencing Grief and Loss/Mood Disorders: Depression o Grief and loss o Suicide Bipolar Spectrum Disorders Thursday 05/20/2021 IX. Week #3 Monday 05/24/2021 X. XI. Test # 2 Curriculum Content XII. VIII – XI XIII. ADN Curriculum (p. 155 – 159) o Chapter 15 o Chapter 23 o Chapter 25 o Chapter 16 Nursing Care of the Patient with Schizophrenia & Other Psychotic Disorders ADN Curriculum (p. 160 – 117) o Chapter 17 Care of the Patient with Eating Disorders Care of the Patient Experiencing Substance Related Disorders ADN Curriculum (p. 179 – 186) o Chapter 19 Nursing Care of the Patient with Personality Disorders (independent study) ADN Curriculum (p. 172 – 178) o Chapter 13 Nursing Care of the Patient with Sexual and Gender Identity Disorders – Adults (independent study) o Chapter 14 ADN Curriculum (p. 187 – 193) o Chapter 27 ATI remediation due Thursday XIV. 05/27/2021 Care of the Child and Adolescent with Psychiatric Disorders XV. Care of the Patient with Degenerative Brain Disease/Cognitive Disorders ADN Curriculum (194 – 205) o Chapter 18 XVI. Care of the Older Adults** Chapter 28** ADN Curriculum (p. 206 – 212) o Chapter 26 ADN Curriculum (p. 213 – 218) o Chapter 21 XVII. Week # 4 Monday 5/31/2021 Thursday 06/03/2021 Human Abuse/Sexual Violence/Anger, Aggression, and Violence o Chapter 22 o Chapter 24 ATI assessment B opens due Sunday 5/30/2021 @ 11:59 MEMORIAL DAY HOLIDAY FINAL COMPREHENSIVE EXAM AT: 11:00 AM. FINAL ATI EXAM AT: 2:00 PM ** Not included in the curriculum – but included in the NCLEX – Optional lecture or student assignment. To complete the: INTRODUCTION TO THE BAKER ACT – SUICIDE PREVENTION Go to: https://fcbonline.remote-learner.net/ BENJAMIN LEÓN SCHOOL OF NURSING – MEDIAL/HOMESTEAD CAMPUS GENERIC FULL TIME PROGRAM SUMMER 2021 Acknowledgement of Syllabus Receipt I, ___________________________, have received and understand the syllabus containing the policies and requirements for the NUR 2520 course. _____________________________________ Signature ________________ Date