Associate of Applied Science in Nursing Degree
Southwest Texas Junior College
2401 Garner Field Road
Uvalde, TX 78801-6221
Course Syllabus
Course Title: RNSG 2213 Mental Health Nursing
Course Description: Principles and concepts of mental health, psychopathology, and
treatment modalities related to the nursing care of clients and their families.
Level: Intermediate
Course Objectives/Outcomes: Upon completion of this course and all requirements, the
student will be able to:
1.
Use 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 professional nurse in caring for clients and
families experiencing mental health problems.
4.
Define the concept of holism and describe its implications for nurses as
they provide care in a variety of mental health settings.
5.
Explain the importance for nurses of introspection while interacting with
clients in the mental health setting.
6.
Discuss therapeutic nursing interventions and therapeutic modalities for
clients with selected alterations in mental health.
7.
Discuss pharmacological agents specific to selected alterations in mental
health.
8.
Discuss evaluation of individual clients and families responses to
therapeutic modalities utilized to promote holistic adaptation.
9.
Discuss community resources which promote optimal client and family
adaptation.
10.
Discuss legal, economic, ethical, professional and political issues
impacting care of clients with alterations in mental health.
11.
Discuss the impact of culture on the nurse-client relationship.
Credit Hour Allocation:
2 Semester Credit Hours
Co-requisite Clinical Course: RNSG 2260 Mental Health Clinical Course
Credit Hour Allocation for Co-requisite Clinical Course:
2 Semester Credit Hours
Required Textbooks: Townsend, Mary C. Psychiatric Mental Health Nursing Concepts
of Care, 4th Edition.
Required References: DSM-IVR
Evaluation Criteria:
Weekly Quizzes
20%
Unit Examinations
50%
Comprehensive Final Exam 30%
Tools to Measure Progression:
Mini-mental Status Exam
Student Learning Activities: Clinical Paper Related to Substance Abuse
Community Resource Paper
Grading Policies:
Satisfactory Completion of Assigned Skills.
UNIT 1 INTRODUCTION TO THERAPEUTIC COMMUNICATION
Purpose: Introduce the student to the role of the nurse in facilitating therapeutic
communication.
Unit Objectives:
1.
Describe the purpose and major components of therapeutic
communication.
2.
Outline the characteristic of the therapeutic relations and explain their
purpose.
3.
Apply principles of therapeutic communication to the Nursing Process
4.
Utilize documents in recording the care given to clients.
5.
Explain what is meant by nurse-client collaboration and its importance to
the delivery of nursing care.
6.
Discuss the confidentiality issues of the nurse-client relationship.
Content Outline
I. Adaptation to changes in Health
A. Definitions
B. Communication
C. Modes of Communication
1. Verbal
2. Non-verbal
II. Provider of Care
A. Holistic Client
1. Health
2. Therapeutic Milieu
3. Adaptation
B. Therapeutic Modalities
1. Individual Therapy
2. One to One Communication
3. Client Interviews
4. Group Therapy (Observe Group Interactions)
C. Nursing Process/Therapeutic Nursing Intervention
D. Therapeutic Communication
1. Facilitating client expression
2. Active Listening
3. Questioning
4. General Leads
5. Silence
E. Understanding Client Expression
1. Restatement
2. Reflection
3. Clarification
4. Validation
a. Helping Clients Develop Self-awareness
1. Focusing
2. Interpreting
3. Confronting
4. Summarizing
b. Helping Clients Control Behavior
1. Limit Setting
2. Positive Reinforcement
III.Therapeutic Nursing Intervention/Critical Thinking/Problem Solving
UNIT 2
THEORETICAL FRAMEWORKS
Purpose:
Introduce the student to theoretical frameworks to help maintain a
biopsychosocial approach to clients.
Unit Objectives:
1. Contrast the strengths and limitations of various theories used in
mental health nursing.
2. Trace the major contributions of Erickson to our understanding f
personality development and compare his contribution to that of Freud.
3. discuss the development of the self-system as outlined by Sullivan in
relation to social interact-citations
4. Discuss the relevance of sociological theory to mental health nursing
5. Compare the relevance of cognitive and of existentialist theory to
mental health
6. Discuss the relevance of biogenic theory to mental health.
Unit Content
I. Psychoanalytic Theory
A. Structure of Personality
1. Id
2. Ego
3. Superego
B. Freud’s Stages of Personality Development
1. Oral Stage Birth to 18 months
2. Anal Stage 3 to 6 years
3. Phallic stage 3 to 6 years
4. Latency Stage 6 to 12 years
5. Genital Stage 13 to 20 years
II. Interpersonal Theory
A. Theoretical framework Sullivan
1. Good me
2. Bad me
3. Not me
B. Sullivan’s Stages of Personality Development
1. Infancy: Birth to 18 months
2. Childhood: 18 months to 6 years
3. Juvenile 6 to 9 years
4. Preadolescence 9 to 12 years
5. Early Adolescence 12 to14 years
6. Late Adolescence 14 to 21 years
III. Theory of Psychosocial Development
A. Erickson, Influence of Social Process on the Development of Personality
B. Erickson, Stages of Personality Development
1. Trust vs. Mistrust Birth to 18 months
2. Autonomy vs. Shame and Doubt 18months to 3 years
3. Initiative vs. Guilt 3 years to 6 years.
4. Industry vs. Inferiority 6 years to 12 years
5. Identity vs. Role Confusion 12 years to 20 years
6. Intimacy vs. Isolation 20 to 30 years
7. Generativity vs. Stagnation or Self-Absorption 30 to 65 years
8. Integrity vs. Despair 65 years to Death
IV. Piaget’s Stages of Cognitive Development
A. Sensory Motor – Birth to 2 years
B. Preoperational – 2 years to 6 years
C. Concrete Operations – 6 to 12 years
D. Formal Operations – 12 years to 15 years
V. Peplau’s Stages of Personality Development
A. Learning to Count on Others
B. Learning to Delay Satisfaction
C. Identifying One’s Self
D. Developing Skills in Participation
UNIT 3. MOOD DISORDERS
Purpose:
Introduce the student to the nature of mood variations and disruptions,
etiological theories, risk factors, therapeutic approaches and nursing
responsibilities in caring for depressed or elated clients including grief and
mourning as adaptive responses that help clients resolve feelings and
resume normal living.
Unit Objectives:
1.
2.
3.
4.
5.
6.
7.
Discuss psychodynamic, biochemical, genetic and existential
factors contributing to altered patterns of mood and affect.
compare various therapeutic approaches to working with the
depressed client
Compare various therapeutic approaches to working with elated
clients.
Describe somatic interventions used with clients experiencing
dysfunctional alterations of mood.
Apply the nursing process in preventing and alleviating
dysfunctional alterations of mood and affect.
differentiate functional grief from dysfunctional responses to loss
Apply the nursing process and critical thinking skills when
planning nursing care for clients and their families who are
grieving.
Unit Content
I. Alterations in Health
A. Major Depression
B. Dysthymic Disorder
C. Bipolar Disorder
1. Bipolar 1- Manic
2. Bipolar 2 – Depression Recurrent
D. Cyclothymic Disorder
E. Suicidal Behaviors
II. Provider of Care
A. Holist Client
1. Theories of Etiology
a. Biological
b. Behavioral
c. Cognitive
d. Interpersonal
e. Psychosocial
f. Biochemical
g. Neuro-endocrine Disturbances
2. Therapeutic Modalities
a. Psychotherapy
b. Group Therapy
c. Psychopharmacology
d. ECT
B. Nursing Process
1. Assessment
a. Mood
b. Affect
c. Behaviors
d. Thought processes
e. Communication
f. Physical needs
g. Safety
1) Risk factors for suicide
2) Lethality of plan
3) Environment
h. Lifespan related signs and symptoms
i. Culturally related signs and symptoms
2. Analysis
a. Analysis of Data
b. Critical Thinking
c. Nursing Diagnosis
3. Planning
a. Realistic goals
b. Collaboration with client
c. Individualized interventions
4. Implementation
a. Caring
b. Safety
c. Therapeutic environment
d. Therapeutic nursing interventions
e. Somatic therapies
f. Psychotherapy
g. Documentation
h. Teaching: individual, family, group, and community
5. Evaluation
a. Monitoring of response
b. Revision of plan
c. Discharge
III. Coordinator of Care
A. Critical Thinking
B. Caring
IV. Member of Profession
A. Legal and professional standards
B. Critical Thinking
C. Communication
D. Caring
V. Current Nursing Literature Findings
UNIT 4. SCHIZOPHRENIA AND OTHER PSYCHOSES
Purpose:
Explore schizophrenia and other psychoses and their effect on all areas of
the client’s life and functioning. The student will identify variations in responses to
living with schizophrenia for client and family and formulate appropriate nursing
interventions.
Unit Objectives:
1.
2.
3.
4.
5.
6.
Describe biochemical, genetic, psychodynamic, and developmental
theories explaining the etiology of schizophrenia.
Formulate appropriate nursing interventions with clients utilizing the
nursing process for clients whose altered thoughts and expressions are
expressed behaviorally.
Discuss physiological actions, side effects, rationale for use, and the
nursing implications of pharmacological agents indicated for patients with
schizophrenia and other psychoses.
Describe the functions and responsibilities of the nurse in the
administration of antipsychotic medications.
Describe the major components of milieu therapy as they relate to the
nursing process.
Discuss legal, ethical, professional, economic and political issues
impacting the care of clients with schizophrenia and other psychosis.
Review current nursing literature on schizophrenia and other psychoses.
7.
Unit Content:
I. Alterations in Health
A .Paranoid Schizophrenia
B. Catatonic Schizophrenia
C. Disorganized Schizophrenia
D. Undifferentiated Schizophrenia
E. Schizoaffective Disorder
F. Schizophrenic Form
G. Brief Psychotic Reaction
H. Delusional Disorder
I. Shared Delusional Disorder
J. Psychosis Due to Medications/Drugs
K. Psychosis NOS
II. Provider of Care
A. Holistic Client
1. Theories of Etiology
a) Biological Influences
b) Psychological Influences
c) Environmental Influences
d) Transactional Model
2. Therapeutic Modalities
a) Psychological Treatments
1) Individual Psychotherapy
2) Group Therapy
3) Behavior Therapy
4) Social Skills Training
5) Community – Based Support
b) Social Treatment
1) Milieu Therapy
2) Family Therapy
c) Organic Treatment
d) Psychopharmacology
1) Antipsychotics
2) Antiparkinsonian
3) Other
B. Nursing Process/ Therapeutic Nursing Intervention
1. Assessment
a) Content of Thought
b) Form of Thought
c) Perception
d) Affect
e) Sense of Self
f) Volition
g) Interpersonal Functioning and Relationship to the External World
h) Psychomotor Behavior
i) Associated Features
1) Anhedonia
2) Regression
j) Positive and Negative Symptoms
2. Analysis
a) Analyze Data
b) Nursing Diagnosis
1) Disturbed Thought Processes
2) Disturbed Sensory –Perception
3) Social Isolation
4) Risk for Violence: self or towards others
5) Impaired verbal communication
6) Self-Care Deficit
7) Disabled Family Coping
8) Ineffective Health Maintenance
9) Impaired Home Maintenance
3. Planning
a) Implementation
1) Care plan for the client with schizophrenia
a) Communication
b) Critical Thinking
c) Safety
d) Therapeutic Environment
2) Caring
3) Client and Family Teaching
4. Evaluation
a) Monitor Response
b) Revision of Plan
III. Coordinator of Care
A. Critical Thinking
B. Communication with intra/ interdisciplinary health care team
C. Caring
IV. Member of Profession
A. Legal and Professional Standards
B. Critical Thinking
C. Communication Issues and Needs
D. Caring - Commitment
V. Current Nursing Literature Findings
UNIT 5
SUBSTANCE ABUSE RELATED DISORDERS
Purpose:
This unit prepares students to provide nursing care for patients with
substance related disorders. The student will examine concepts related to the etiology
and dynamics of substance abuse and dependency and will discuss nursing care to
facilitate insight, safe withdrawal and adaptation of a drug free lifestyle.
Unit Objectives:
1.
2.
3.
4.
5.
6.
7.
8.
9.
Discuss the psychological, physiological and social consequences of
alcoholism and drug abuse.
Identify the classification and the signs and symptoms of abuse,
intoxication and withdrawal of selected substances.
Discuss therapeutic modalities for a client with a substance-related
disorder.
Discuss therapeutic nursing interventions for a patient with a substancerelated disorder.
Analyze the role of the nurse during various aspects of care for clients
who abuse substances, stressing the importance of objectivity and
consistency.
Discuss legal, economic, ethical, professional and political issues
impacting the care of the client with substance related disorders.
Formulate a teaching/discharge plan for a patient with a substance related
disorder.
Discuss applications to the nursing process in working with patients with
dual diagnosis.
Review current nursing literature on substance-related disorders.
Unit Content:
I. Alterations in Health
A. Substance Use Disorders
1. Dependence
2. Abuse
B. Substance Induced Disorders
1. Intoxication
2. Withdrawal
II. Provider of Care
A. Holistic Client
1. Predisposing Factors across the lifespan
a) Genetics
b) Biochemical
c) Developmental Influences
d) Personality Traits
e) Social Learning
f) Conditioning
g) Cultural and Ethnic Factors
2. Therapeutic Modalities
a) Alcoholic Anonymous
b) Pharmacotherapy
c) Counseling
d) Education
e) Group Therapy
f) Adaptation
3. Nursing Process
a) Assessment
1) Nurse must examine personal value system
2) Look at client’s pattern of abuse
3) Effect on body
4) Discuss Dual Diagnosis with Client
5) Drug Alcohol History
b) Analysis
1) Critical Thinking
2) Substance Problem
3) Laboratory Tests
4) Physical History
5) Identify Appropriate Nursing Diagnosis
c) Planning
1) Realistic Goals
2) Therapeutic Nursing Interventions
3) Client and Family Teaching Related to Substance Abuse Disorder
d) Implementation
1) Detoxification
2) Intermediate Care
3) Rehabilitation
4) Communication
5) Caring
e) Evaluation
1) Outcomes
2) Devise plan of care as appropriate
3) Document
II. Coordinator of Care
A. Caring
B. Critical Thinking
C. Collaboration with multidisciplinary treatment team
III. Member of the Profession
A. Ethical and Legal Professional Standards
B. Critical Thinking
C. Communication
D. Caring
UNIT 6. PERSONALITY DISORDERS
Purpose:
Familiarize the student with the variations and disruptions of relationships
and with the nursing process as it is utilized to help clients manifesting
these conditions.
Unit Objectives:
1.
2.
3.
4.
5.
6.
Discuss the influence of anxiety on the development of variations and
disruptions in relationships.
Describe the clinical manifestations and underlying dynamics of the
various relationships variations and disruptions.
Discuss therapeutic modalities and nursing activities appropriate for
clients manifesting relationship variations and disruptions.
Apply the nursing process and critical thinking skills when planning care
for clients with personality disorders.
Discuss the legal, economic, ethical, professional and political issues
impacting the care of clients with personality disorders.
Review current nursing literature on personality disorders.
Unit Content:
I. Alterations in Health
A. Cluster A
1. Paranoid Personality Disorder
2. Schizoid
3. Schizotypal
B. Cluster B
1. Antisocial
2. Borderline
3. Histrionic
4. Narcissistic
C. Cluster C
1. Avoidant
2. Dependent
3. Obsessive Compulsive
II. Provider of Care
A. Holistic Client
1. Theories of Etiology
a. Genetic
b. Environmental
2. Therapeutic modalities
a. Psychotherapy
b. Medications
c. Milieu therapy
d. Support groups
3. Nursing Process
a. Assessment
1) Potential for harm to self and others
2) Aggressive manipulative behavior
3) Physical status
4) Interpersonal relationships
5) Coping skills
6) Support systems
b. Analysis
1) Analysis of data
2) Critical thinking
3) Nursing Diagnosis
c. Planning
UNIT 7 ANXIETY DISORDERS, SOMATOFORM DISORDERS AND
DISSOCIATIVE DISORDERS
Purpose:
The student will examine theories and causative factors for clients
experiencing psycho-physiological alterations in response to internal or
external stressors. The student will focus on nursing interventions.
Unit Objectives:
1. Differentiate among anxiety disorder, somatoform disorders, and dissociative
disorders using DSM 4R criteria.
2. Discuss therapeutic modalities and interventions utilized in the treatment of
patients with anxiety disorders somatoform disorders and dissociative
disorders.
3. Apply the nursing process and critical thinking skills when planning care for
clients with anxiety disorders, somatoform disorders and dissociative
disorders.
4. Discuss physiological actions, side effects, rationale for use, and nursing
implications of pharmacological agents indicated for clients with anxiety
disorders, somatoform disorders and dissociative disorders.
Unit Content:
I. Alterations in Health
A. Anxiety Disorder
B. Somatoform Disorders
C. Dissociative Disorders
II. Provider of Care
A. Holistic Client
1. Theories of Etiology
a) Biochemical
b) Genetic
c) Psychosocial
d) Socio-cultural
2. Environment
a) Cultural Variance
b) Age of Onset – Growth and Development
c) Family
3. Adaptation
4. Therapeutic Modalities
a) Individual Psychotherapy
b) Behavior Therapy
c) Psychopharmacology
B. Nursing Process
1. Assessment
2. Analysis
a) Laboratory Data
b) Critical Thinking
c) Nursing Diagnosis
3. Planning
a) Client and Safety
b) Individualized Care
c) Outcome Criteria
4. Implementation
a) Communication
b) Critical Thinking – Problem Solving
c) Caring
d) Appropriate Topics of Client and Family Teaching
5. Therapeutic Nursing Interventions
6. Evaluation
a) Monitor Outcomes
b) Revise as necessary
c) Documentation
C. Community Resources
III. Coordinator of Care
A. Critical Thinking
B. Communicating with Interdisciplinary health care team
C. Caring
IV. Member of Profession
A. Legal and Professional Standards
B. Critical Thinking
C. Communication
D. Caring
V. Current Nursing Literature Findings
UNIT 8 DEMENTIA, DELIRIUM, AMNESIC AND COGNITIVE DISORDERS
Purpose:
Introduces the student to holistic health care for clients with dementia,
delirium, amnesic and cognitive disorders. The focus will be on family
centered interventions because these variations and disruptions usually rob
the client of their independence.
Unit Objectives:
1. Differentiate between acute variations and disruptions in mental functioning
and chronic variations and disruptions of degenerative origin.
2. Describe clinical manifestations of variations and disruptions due to the
degenerative processes.
3. Examine nursing responsibilities and approaches in caring for clients
experiencing variations and disruptions of degenerative origin.
4. Apply the nursing process and critical thinking skills when planning care for
clients with dementia, delirium, and dementia, amnesic and cognitive
disorders.
5. Discuss nursing responsibilities toward families of clients with variations or
disruptions of degenerative origin.
6. Apply the nursing process and critical thinking skills when planning care for
the families of clients.
7. Discuss discharge implications for clients and families experiencing variations
and disruptions of degenerative origin.
8. Discuss legal, economic, ethical, professional and political issues impacting
care of clients with dementia, delirium, amnesic, and cognitive disorders.
Unit Content:
I. Alteration in Health
A. Holistic Client
1. Ageism
a) Theories of Aging
b) Psychosocial Needs
1) Self-concept
2) Self-esteem
2. Health
a) Etiology
b) Pathophysiology
c) Clinical Manifestations
3. Environment
a) Growth and Development
b) Family
c) Culture
4. Adaptation – Complications and Prognosis
a) Delirium
1) Symptoms
2) Predisposing Factors
(a) General Medical Conditions
(b) Substance Induced
( c) Substance Intoxication
(d) Substance Withdrawal
b) Dementia
1) Classification
2) Symptoms
3) Etiology and Clinical Manifestations
(a) Alzheimer’s
(b) Vascular
(c ) HIV
(d) Head Trauma
(e) Parkinson’s
(f) Substance Induced Persisting
(g) General Medical Conditions
c) Amnestic Disorders
1) Symptoms
2) Predisposing Factors
(a) General Medical Conditions
(b) Transient Amnestic Syndromes
(c ) Substance Induced Persisting
II. Provider of Care
A. Nursing Process/ Therapeutic Nursing Intervention
1. Assessment
a) History and Physical Findings
b) Lab/ Diagnostic Evaluations
2. Analysis
a) Laboratory Data
b) Critical Thinking
c) Nursing Diagnosis
3. Planning
a) Client Safety
b) Individualized Care
c) Outcome Criteria
4. Implementation
a) Communication
b) Critical Thinking
c) Caring
d) Documentation
5. Evaluation
B. Therapeutic Modalities
III. Coordinator of Care
A. Critical Thinking
B. Communication with Intra/ Interdisciplinary health Care Team
C. Caring
IV. Member of a Profession
A. Ethical/ Legal and Professional Standards
B. Critical Thinking
C. Communication
D. Caring
V. Current Nursing Literature Findings
UNIT 9 EATING DISORDERS
Purpose: This unit prepares the student to provide nursing care for clients with eating
disorders. The student will examine concepts related to the etiology and dynamics of
dependency on food and impact of body image at both ends of the cycle. They will
facilitate the client in developing insight – increasing self esteem and practicing a healthy
lifestyle.
Unit Objectives:
1. Use the current DSM-IV criteria to identify and differentiate among various
Eating disorders: obesity, anorexia nervosa, and bulimia
2. Describe symptoms associated with obesity, anorexia nervosa, and bulimia.
3. Identify predisposing factors in the development of eating disorders.
4. Describe appropriate interventions for behaviors associated with eating
disorders.
5. Discuss modalities relevant to treatment of eating disorders.
6. Identify teaching topics relevant for client and family with eating disorders.
7. Evaluate the nursing care of clients with eating disorders.
Unit Content:
I. Alterations in Health
A. Holistic Client
1. Eating Disorders
a. Neuro System Regulation
b. Psychosocial Needs
i. Body Image
ii. Self-Concept
B. Health
1. Etiology
2. Pathophysiology
3. Psychodynamics
C. Environment
1. Culture
2. Family
3. Growth and Development
D. Adaptation - Complications and Prognosis
1. Obesity
a. Signs and Symptoms
b. Predisposing Factors
1) Biological Influence
2) Psychodynamic Influences
3) Family Influences
4) Cultural Influences
2. Anorexia Nervosa
a. Signs and Symptoms
b. Predisposing Factors
1) Biological Influence
2) Psychodynamic Influences
3) Family Influences
4) Peer Pressure
3. Bulimia Nervosa
a. Signs and Symptoms
b. Predisposing Factors
1) Biological Influence
2) Psychodynamic Influences
3) Family Influences
II. Provider of Care
A. Nursing Process/ Therapeutic Nursing Intervention
1. Assessment
a) History and Physical Findings
b) Lab/ Diagnostic evaluations
2. Data - Analysis
a) Critical Thinking
b) Nursing Diagnosis
3. Planning
a) Realistic goals
b) Client Safety
c) Individualized Interventions
d) Outcome Criteria
4. Implementation
a) Caring
b) Communication
c) Critical Thinking
d) Client Safety
e) Client and Family Teaching
f) Discharge Planning
g) Documentation
5. Evaluation
a) Monitoring Responses
b) Revision of Plan
c) Discharge
B. Therapeutic Modalities
1. Behavior Modification
2. Individual Therapy
3. Family Therapy
4. Psychopharmacology
III. Coordinator of Care
A. Critical Thinking
B. Communication with multidisciplinary treatment team
C. Caring
IV. Member of a Profession
A. Ethical, Legal and Professional Standards
B. Critical Thinking
C. Communication Issues and Needs
D. Caring – Commitment
V. Current Nursing Literature Findings
This workforce solution was funded by a grant awarded under the President’s
Community-Based Job Training Grants as implemented by the U.S. Department of
Labor’s Employment and Training Administration. The solution was created by the
grantee and does not necessarily reflect the official position of the U.S. Department
of Labor. The Department of Labor makes no guarantees, warranties, or assurances
of any kind, express or implied, with respect to such information, including any
information on linked sites and including, but not limited to, accuracy of the
information or its completeness, timeliness, usefulness, adequacy, continued
availability, or ownership. This solution is copyrighted by the institution that created
it. Internal use by an organization and/or personal use by an individual for noncommercial purposes is permissible. All other uses require the prior authorization of
the copyright owner.
UNIT 10 PROBLEMS RELATED TO SITUATIONAL DISRUPTION (SUICIDE,
VIOLENCE, ABUSE, AND NEGLECT)
Purpose: This unit focuses on abuse and neglect. Battering of partners, child abuse, and
sexual assault will be explored. The student will be given opportunity to explore their
value systems in relation to this area.
Unit Objectives:
1. Discuss historical perspectives associated with spouse abuse, child abuse,
and sexual assault.
2. Describe epidemiological statistics associated with spouse abuse, child
abuse and sexual assault.
3. Discuss characteristics of victims and victimizers
4. Identify predisposing factors to abusive relationships.
5. Describe physical and psychological effects on the victim of spouse abuse,
sexual assault, and child abuse.
6. Identify nursing diagnosis and therapeutic nursing interventions for care of
the victims.
7. Evaluate nursing care of victims of abuse and sexual assault.
8. Discuss relevant modalities to treatment of victims.
Unit Content:
I. Alterations in Health
A. Family Vigilance
B. Individual
II. Provider of Care
A. Holistic Client
1. Biological
2. Psychological
3. Socio Cultural Themes
B. Health
C. Environment
1. Growth and Development
2. Family
3. Culture
D. Adaptation – Complications Related to Prognosis of Victims
E. Socio-cultural
1. Types of Abuse and Neglect
a) Spousal Abuse
b) Child Abuse
c) Sexual Abuse
d) Elder Abuse and Neglect
2. Profile of the Abuser
3. Factors Contributing to Abuse
F. Nursing Process/ Therapeutic Nursing Intervention
1. Assessment
a) History Taking and Observations
b) Safety
2. Analysis/ Nursing Diagnosis
a) Analyze Data
b) Critical Thinking
c) Derive Nursing Diagnosis
3. Planning
a) Realistic Goals
b) Recognize Nurse’s Feelings and Attitudes (Self-evaluation)
4. Implementation
a) Family
b) Client Safety
c) Promote Reassurance and Trust
(1) Empathy
(2) Support
(3) Documentation
5. Evaluation
a) Monitor response
b) Revise Plan
III. Treatment Modalities
A. Crisis Intervention
B. Safe House or Shelter
C. Family Therapy
IV. Legal Implications
A. Physical Injuries
B. Security
C. Promote Trust
D. Safety
E. Reporting to Authorities
V. Coordinator of Care
A. Critical Thinking
B. Communication with Intra/Interdisciplinary Health Care Team
C. Caring
VI. Member of a Profession
A. Legal and Professional Standards
B. Critical Thinking
C. Communication Issues and Needs
D. Caring – Commitment
VII. Current Nursing Literature Findings
This workforce solution was funded by a grant awarded under the President’s
Community-Based Job Training Grants as implemented by the U.S. Department of
Labor’s Employment and Training Administration. The solution was created by the
grantee and does not necessarily reflect the official position of the U.S. Department
of Labor. The Department of Labor makes no guarantees, warranties, or assurances
of any kind, express or implied, with respect to such information, including any
information on linked sites and including, but not limited to, accuracy of the
information or its completeness, timeliness, usefulness, adequacy, continued
availability, or ownership. This solution is copyrighted by the institution that created
it. Internal use by an organization and/or personal use by an individual for noncommercial purposes is permissible. All other uses require the prior authorization of
the copyright owner.