LOS ANGELES HARBOR COLLEGE COURSE OUTLINE
TOP CODE: 1203.00
Associate Degree Applicable Course
Non Associate Degree Applicable Course
NEW Course
ADDITION of a District Course
Revision/Update Date: 11/01/03
Distributive Learning
Curr. Committee Date:
1. DEPARTMENT/DISCIPLINE: Nursing
2. SUBJECT: Nursing
SUBJECT CODE: 669
3. COURSE TITLE: Nursing Process and Practice in
The Psychosocial Adaptation of the Client
COURSE NUMBER/LETTER:
4. HOURS PER WEEK:
Lecture hrs.
Lab hrs.
Other: (Specify)
5. REPEATABILITY:
None
RPT1
Discussion 0 hrs
total hrs/wk 6
RPT2
343
UNITS: 3
RPT3
6. PREREQUISITE AND/OR CO-REQUISITE: Completion of program prerequisites and all previous courses in
Nursing with a grade of “C” or better. Concurrent enrollment in Nursing 345 and 347 is required.
Enrollment in Nursing 318 is recommended.
7. COURSE CATALOG DESCRIPTION:
(Please limit to 50 words)
This modularized course provides theoretical knowledge correlated with clinical experience in planning
and administering care to the psychiatric client in the acute care facility. Emphasizes the care of the client
with Mental health problems, organic brain syndromes, and problems of daily living and substance abuse.
Utilizes the Roy Adaptation Model and the Nursing Process as a framework for client care with emphasis
on the psycho-social modes.
8. COURSE CLASSIFICATION / ARTICULATION:
Course
Classification
Requested
Acceptable for Credit, University of California
Acceptable for Credit, California State Universities
Baccalaureate
Occupational
Pre-college level, prerequisite and/or Developmental
9. TEXTBOOKS:
Author: Varcarolis, E.M.
Publisher: W.B. Saunders
Author: Roy, Sr. Callista & Andrews, H.A.
Publisher: Appleton & Lange
Articulation
Approved/Date/Signature:
_______________________________
_______________________________
_______________________________
_______________________________
Title: Foundations of Psychiatric Nursing
Edition/Year: 4th ed. / 2002
Title: The Roy Adaptation Model: The Definitive
Statement
Edition/Year: 1999
Author: Potter, P.A. & Perry, A.G.
Title: Fundamentals of Nursing
Publisher: Mosby
Edition/Year: 5th ed., 2001
Other Readings:
American Psychiatric Association (1999). Diagnostic and Statistical Manual of Mental Disorders - TR
(6th ed.). Washington, DC
Carpenito, L. J. (2002). Handbook of Nursing Diagnosis, (8th ed.). J. B. Lippincott.
Form revised and approved LAHC Curriculum Committee 09/17/02
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Carpenito, L. J. (2003). Nursing Diagnosis: Application to Clinical Practice, (8th ed.). J.B. Lippincott.
Assigned readings from current journals, course modules, handouts, and internet information on Psychiatric
disorders as well as mental health assessment information.
10. MATERIALS & SUPPLIES:
COLLEGE PROVIDED: Clinical history and assessment, clinical evaluation checklist, group paper
guidelines, process recording, outside experience and care plan worksheet forms. In addition a required reading
list, course outline and objectives.
STUDENT PROVIDED: Students are required to have a personal E-mail address & Internet access through a
private provider.)
Not Applicable
11. COURSE ENTRY/EXIT SKILLS
A. ENTRY SKILLS: [Minimum of Five (5)] THE STUDENT IS ABLE TO:
1. Relate the Roy Adaptation Model to nursing management of clients with acute and chronic mental health issues to
include individuals, families, and groups for both in-patient and community settings.
2. Use the nursing process as well as critical thinking skills to analyze adaptive and ineffective behaviors, identify
priorities and goals, plan interventions, evaluate outcomes, and modify care plan as needed to promote adaptation
in clients with acute and chronic mental health issues.
3. Assess and integrate cultural norms, develop and implement teaching and discharge plans into the care of clients
with acute and chronic mental health issues.
4. Develop facilitative relationships with clients with acute and chronic mental health issues, utilizing effective
communication skills with the individual client, client’s family, colleagues, and the interdisciplinary mental health
team. Demonstrate continued development of the knowledge base and competencies essential for promoting
adaptation in clients with acute and chronic mental health issues.
5. Demonstrate technical competency in performing previous learned interventions and procedures including but not
limited to head–to-toe comprehensive physical assessment, mental status examination, comprehensive nursing
history, therapeutic 1:1 assessment, goal setting, intervention, evaluation, modification, crisis intervention, lead
and participate in task oriented group processes, analyze medication actions and interactions, assess for mediation
side effects, client teaching to include medications, discharge planning, and stress management.
B. OBJECTIVES / EXIT SKILLS: [Minimum of five (5)] THE STUDENT WILL BE ABLE TO:
1. Identify and assess, using critical thinking skills for clients with mental distress, disability or disorder across
the life span including those clients with disturbed personal coping patterns, disruptive life patterns, disturbed
personal life styles, depressive life styles, organic mental disorders, or disintegrative life patterns.
2. Identify and define common frameworks used in psychiatric nursing practice.
3. Identify and state the common defense mechanisms and the concepts of stress adaptation.
4. Utilize the process of psychiatric history taking and perform a mental status examination.
5. Assess clients from a holistic perspective utilizing the Roy Adaptation Model.
6. Plan nursing care that takes into consideration the cultural phenomena that apply to cultural sensitive nursing
practice.
7. Identify stimuli, nursing diagnosis, priorities for care, and specific, measurable, behaviorally stated goals for
the client/client group; as well as monitor and report pertinent assessment findings.
8. Plan and implement nursing interventions and treatment utilizing the Roy Adaptation Model, within the
framework of the nursing process. Promote adaptive behavior by focusing on reality orientation and self-care
and by assisting with socialization, decision-making, and problem-solving.
9. Correctly perform all previously learned technical procedures and demonstrate knowledge of the
actions, interactions, effects and nursing implications of all medications administered and of
techniques used.
10. Communicate therapeutically with clients, and effectively with staff, peers, and instructor.
11. Identify and state his/her own feelings in the therapeutic relationship and evaluate his/her own
performance objectively.
Form revised and approved LAHC Curriculum Committee 09/17/02
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12. SCANS Competencies Indicate the SCANS competencies developed in this course:
Resources (Identifies, organizes, and allocates resources.)
Time
Money
Material and Facilities
Information (Acquires and uses information.)
Acquires/Evaluates
Organizes/Maintains
Technology (Works with a variety of technologies.)
Selects
Applies to tasks
Interprets/Communicates
Uses Computers
Maintains and troubleshoots equipment
Thinking Skills
Creative Thinking
Decision Making
Application of learning techniques
Interpersonal (Works with others.)
Serves as team member
Exercises Leadership
Human Resources
Problem Solving
Reasoning
Teaches others
Negotiates
Symbolic Thinking
Serves clients/customers
Works with diversity
Systems (Understands complex inter-relationships.)
Understands systems
Monitors/corrects systems
Improves/designs systems
Fundamentals
Reading
Writing
Mathematics
Listening
Speaking
Personal Qualities
Responsibility
Self-Esteem
Sociability
Self- Management
Integrity
13. INSTRUCTIONAL METHODOLOGY: (Recommended types of writing assignments, demonstrated use of
symbol systems or ability to apply skills learned in the course) (For Distributed Learning courses: Description of
“asynchronous interactivity”, i.e. ability to receive instruction at a different time than class is offered.)
A. WRITTEN ASSIGNMENTS
Req.
Opt.
Req.
Opt.
Essay(s)
Journals
Term Paper(s)
Homework
Report(s)
E-mail/Bulletin Boards
Summaries & Analyses
Internet/Chat Rooms
Other (
)
B. SYMBOL SYSTEMS
Req.
Opt.
Logic
Music
Proofs
Other (
Req.
Opt.
Computation
Interpretations
Applications
Req.
Opt.
Art Projects
Drafting/Graphics
Req.
Opt.
Laboratory
Computer
)
C. SKILLS
Req.
Opt.
Req. Opt.
Verbal
Analytical
Written
Physical
Other (
)
14. APPROPRIATE OUTSIDE ASSIGNMENTS
Form revised and approved LAHC Curriculum Committee 09/17/02
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Req.
Opt.
Field Trips
Lectures
Meetings
Skill Practice
Special Films and TV Programs
Other (
)
15. CRITICAL THINKING ASSIGNMENTS
Req.
Opt.
Problem Solving
Class Research
Analyses
Comparing and Contrasting
Evaluating Significance
Setting Up Proofs
Other (
)
16. INSTRUCTIONAL MODES
Req.
Opt.
Lecture
Lecture/Discussion
Lecture/Laboratory
Laboratory
Demonstration
Written Assignments
Reading Assignments
Mediated TV
TV/Audio Visual
Guest Speakers
Small Group Experience
Field Experience
Other (
)
Req.
Opt.
Readings
Research Projects
Computer Projects
Library Work
Req.
Opt.
Translation
Syntheses
Interpretations
Comprehension of Subject Matter
Creating/Formulating Ideas
Req.
Opt.
Term Project
Oral Drills
Work Experience
Computer Interactive Assignments
Guided Discussion
Discussion/Seminar
Independent/Directed Study
One-on-one Conference
Digitized/Modem
ISDN/CODEC (Videoconference)
Internet Access
E-mail Address
17. COURSE CONTENT
Form revised and approved LAHC Curriculum Committee 09/17/02
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Time
4.5 hrs lecture
13.5 clinical
lab
Topic or Activity
Module 1:
Course Introduction:
This module presents an analysis of dominant conceptual modes for psychiatric practice and assists the
nurse in exploring his/her personal integration within psychiatric practice. Communication strategies,
developmental theories, and client assessment methodologies are presented. A bio-psycho-social approach
is used in examining principles of client care and the concept of culture, ethnicity, value systems and bioethics are included. The legal rights of the client and the community are explored.
Assigned to unit in clinic.
4.5 hrs lecture
Test Module 1
13.5 clinical
Module 2: Anxiety and Stress:
lab
Stress concepts and coping patterns throughout the life cycle are examined. Adaptive and ineffective
levels of anxiety and disturbed patterns of coping with anxiety including the non-psychotic clinical
syndromes are discussed. Defense mechanism, individual client assessment with collection and evaluation
of data, and mental status examination are explored.
Selection of primary client complete in clinic.
4.5 hrs lecture
Test Module 2
13.5 clinical
Module 3: Loss, Change, Crisis Intervention, Body Image and other Strategies:
lab
Disruptive life patterns associated with loss or change as its relates to the grieving process of clients and
significant others are explored. The module also explores loss associated with body image changes,
violence, aging, and death. Cultural, spiritual, and ethical perceptions of loss are included. Concerns
related to bio-psycho-socio problems of AIDS, bulimia and anorexia are included.
Care of primary client continues as well as group interaction in clinic.
4.5 hrs lecture
Test Module 3
13.5 clinical
Module 4: Psychotic Conditions:
lab
Disintegrative life patterns including psychotic conditions throughout the life cycle are explored.
Behaviors associated with the psychoses, historical explanations and treatments are reviewed.
Contemporary treatments, explanations, nursing care and interventions are explored. The role of
psychiatry and the brain, neurotransmitters and psychotropic medications are discussed. Schizophrenia
and atypical psychoses are discussed. The use of the group process in the mental health setting is
explored. Continued care of the individual and group client care in clinic.
4.5 hrs lecture
Test Module 4
13.5 clinical
Module 5: Depressive Life Styles, Affective/Mood Disorders:
lab
Depressive life styles, major mood disorders including depression and bipolar disorder and other affective
disorders, including dysthymic, and cyclothymic are explored. Suicide prevention, self destructive
behaviors, and interventions are discussed.
Continued discussion of holistic and biological therapies for affective disorders including psychotropic
medications and ECT are discussed.
4.5 hrs lecture
Test Module 5
13.5 clinical
Module 6: Personality Disorders and Substance Abuse:
lab
Disturbed personal lifestyles examine rigid patterns of living, personality disorders, and substance abuse
with emphases on alcohol and drug abuse. Group process in the mental health setting is examined.
Therapeutic termination of the nurse-client relationship as well as the evaluation of therapeutic goals is
addressed in clinic.
4.5 hrs lecture
Test Module 6, Final Examination, Comprehensive Predictor Test, Clinical Evaluation, Course and
13.5 clinical
Instructor Evaluation, Final Grading
Note: The Carnegie Rule and Title 5 section 55002 sets forth the minimum standards which require:
1 hour lecture with 2 hours homework = 1 unit
Lecture also includes discussion and/or demonstration
2 hours of lab with homework = 1 unit
3 hours of lab without homework = 1 unit.
laboratory includes activity and/or studio hours.
State number of hours (108) for activities.
Form revised and approved LAHC Curriculum Committee 09/17/02
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18. EVALUATION METHODS
(Multiple measures, which are consistent with the course objectives, content and scope, must be used to determine
student’s final grade. Student performance will be evaluated by essay unless problem solving or skill
demonstration is more appropriate.)
Req.
Opt.
Quizzes, Unit Tests, Midterms
Final Exam
Laboratory Reports
Observation Record of Student
Performance
Class Participation
Written Compositions
Req. Opt.
Essays
Term Papers, Projects and Reports
Homework Assignments
Oral Presentations
Questionnaires
Standardized Tests
Other - written nursing history and
physical assessment of assigned clients,
nursing care and teaching plans, process
recordings, anecdotal records, and weekly
self-evaluation
(For Distributive Learning courses: explain how testing will be accomplished, i.e., through U.S. mail, over E-mail,
in on-campus testing center, at the LAC, or in designated classroom. When an in-person testing center or site is
used, a picture ID will be required to verify student’s identity during testing or examination.)
19. COLLEGE LIBRARY MATERIALS ASSESSMENT:
The instructor and acquisitions librarian have evaluated the library materials relating to this course and noted
relevant supporting materials and needs.
Acquisitions Librarian __________________________________________ Date ________________________
The above signature does not denote approval or disapproval of this course. Signature is not required for routine
course revisions, which do not have substantive changes.
20.
DISTRIBUTIVE LEARNING COURSES: COLLEGE READINESS
The instructor has consulted with the LAN Administrator and Distance Education Coordinator regarding needed
support related to this course. This support may include use of college facilities, assistance in preparation of
materials to be sent over the ISDN lines in digitized format, and provision for intellectual property rights of the
instructor.
LAN Administrator ____________________________________________ Date ________________________
Distance Education Coordinator __________________________________ Date ________________________
The above signatures do not denote approval or disapproval of this course. Signatures are not required for routine
course revisions that do not have substantive changes.
______________________________________________
Prepared by
Date
_______________________________________________
Curriculum Committee Chair
Date
Form revised and approved LAHC Curriculum Committee 09/17/02
______________________________________________
Division Chair
Date
_____________________________________________
V. P. Academic Affairs
Date
Page 6 of
LOS ANGELES HARBOR COLLEGE
STANDARDS AND CRITERIA FOR APPROVAL OF CREDIT COURSES
Name of Course: Nursing 343
Using the Official Course Outline, please determine whether or not the above listed credit course meets the following
standards and criteria required in Title 5, Part VI of the California Administrative Code, and which has been designated
as appropriate to the Associate Degree. Place a mark (X) in the appropriate box. For courses applicable for an Associate
Degree all criteria must be met. For courses NOT applicable for an Associate Degree only criteria marked with an (*)
must be met.
RATING
CRITERION
NOT
MET
MET
* 1. Is recommended by the responsible college officials, and the academic senate or other
appropriate faculty body as meeting the requirements of this subsection and has been approved
by the local district governing board as a course meeting the needs of the students eligible for
admission.
* 2. Is taught by a credentialed instructor in the discipline
* 3. Is offered as described in an outline in official college files. That outline shall specify the unit
value, scope, objectives, content in terms of a specified body of knowledge, appropriate
reading and writing assignments, outside of class assignments, instructional methodology, and
methods of evaluation for determining whether the stated objectives have been met by students.
* 4. Is taught in accordance with a set of instructional objectives common to all students.
* 5a. Provides for measurement of student performance in terms of the stated course objectives and
culminates in a formal recorded grade based upon uniform standards in accordance with
Section 55758 of this part, which is permanently recorded as an evaluation of student
performance.
5b. Bases grades on demonstrated proficiency in subject matter determined by multiple
measurements for evaluation; and has examinations, including essays and/or, where
appropriate, uses appropriate symbol systems and/or skills demonstrations by students.
* 6a. Grants units of credit based upon a specified relationship between the number of units assigned
to the course and the number of lecture and/or laboratory hours or performance criteria
specified in the course outline.
6b. Requires a minimum of three hours of work per week including class time for each unit of
credit and prorated for short term, lab and activity courses.
Form revised and approved LAHC Curriculum Committee 09/17/02
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RATING
CRITERION
NOT
MET
MET
7. Treats subject matter with the scope and intensity, which requires students to study
independently outside of class time.
* 8.Requires, when appropriate, entrance skills and consequent prerequisites for the course before
students are enrolled
9. Requires as a pre- or co-requisite to enrollment in other courses throughout the degree and
certificate curricula, eligibility for enrollment in associate degree credit courses in English
and/or mathematics when language and/or computational skills at the associate degree level are
deemed by the college and/or district curriculum committee as necessary for success in such
courses.
10. Requires the ability to think critically and to understand and apply concepts in order to
participate in the course.
11. Requires learning skills and vocabulary appropriate for a college course.
12. Requires the use of college level educational materials.
* 13. Allows repeated enrollment only as permitted by provisions of Division 2 (commencing with
Section 51000). Section 55781-55783 and 58161 of this part.
PLEASE INDICATE THE DEPARTMENT’S PLAN FOR IMPROVING ANY STANDARD NOT PRESENTLY MET.
COURSE NOT APPROVED FOR THE FOLLOWING REASON (S):
___________________________________________________
Curriculum Committee Chairperson
Form revised and approved LAHC Curriculum Committee 09/17/02
DATE ________________________
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