COLLEGE OF SAN MATEO
NURSING 231 SYLLABUS
Fall 2008
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Table of Contents
Introduction:
Page
Welcome!!.......................................................................................... 4
Course Points……………………………………………………………. 5
Course Grading Criteria………………………………………………. 6
I.
Objectives, Evaluation & Instructional Guides
Course Outline...........................................................................
8
Student Learning Outcomes……………………………………...
13
Clinical Evaluation Tool..............................................................
15
Study Guide................................................................................
22
II.
Instructional Guide
Introduction to Mental Health...................................................
29
Ego Defense Mechanisms………………………………………….
36
The Nursing Process and Therapeutic
Communication............................................……………………… 39
Therapeutic Communication Skills Check list........................... 44
Conflict Resolution Skills Check List…………………………….
45
Sample 1:1 Conversation…………………………………………… 46
Legal Issues and Ethical Issues.................................................
47
Developing Person: A Theoretical Perspective................................ 51
Biological and Adjunct Therapies...........................……………
58
Psychosociocultural Assessment……………………………….
66
The Anxiety Continuum; a Basis for Mental Health Disorders. 71
Intervening in Crisis.................................................................... 70
Mood Disorders............................................................................. 81
Suicide........................................................................................... 88
Mental Illness and Aging.............................................................. 92
Cognitive Disorders…………………………….............................. 93
Schizophrenia................................................................................ 98
Dealing with Escalating Behavior…………………………………. 103
Personality Disorders.................................................................... 114
Violence: Society and Family........................................................ 120
The Emotionally Disturbed child................................................... 129
The Emotionally Disturbed Adolescent......................................... 136
Eating Disorders......................................…………………………… 139
Substance-Related Disorders......................................................... 145
Home Care and Community Mental Health Nursing.................. 154
Making the Transition: Mental Health in Med/Surg................... 157
Research (class hand-out)
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III.
IV.
V.
Orientation
Clinical: What to Wear and Bring.............................................
162
Clinical Times
.....................................................................
163
Documentation Guidelines.........................................................
164
Make-up Guidelines...................................................................
165
Assignments, Forms, Guidelines & Examples
Sample Medication Administration Quiz...................................... 167
Clinical Assignments…………………………………………………. 170
Clinical Worksheet template………………………………………… 171
Elder Spiritual Assessment…………………………………………. 174
Process Recording – blank copy………………………………………. 176
Process Recording – Sample copy……………………………………. 181
Process Recording – Helpful Hints…………………………………….186
Process Recording – Grading Criteria………………………………. 187
Case Study/Presentation - Purpose & Guidelines……………….. 189
Case Study/Presentation – Grading Criteria ……………………. 191
Group Activity - Purpose & Objectives……………………………. 193
Group Activity - Guidelines…………………………………………. 194
Group Activity – Grading Criteria…………………………………... 195
Group Activity Approval Form…………………………………….…. 196
Service Learning Project …………………………………………….. 198
Video Competency: Med. Teaching/pamphlet…………………….. 202
Clinical Group Concept Map: ………………………………………… 205
Appendix
George’s Story…………………………………………………………….207
Current Student Learning outcomes documents will be available as a
class hand out on first theory day……………………..………………208
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INTRODUCTION
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August 2008
Hello and welcome back!! You have arrived at the correct destination if you are a
second year (yippee) nursing student and you are enrolled in the Psychiatric
Nursing Class- 231. This area of nursing is new to most of you and may cause you
some anxiety. You are experiencing the fear of the unknown, or maybe you realize
you will be working with the most stigmatized patient population. Being “labeled” as
a “psych Patient” is nothing any of us would care to be burdened with. Trust that this
will be a most interesting learning opportunity, complete with a new awareness and
appreciation gained. You will learn about caring for the patient who is experiencing
the most extreme anxiety – mental illness and for the patient who is mild-moderately
anxious. The latter is your “ordinary” clinical patient, your family members, friends
who are under stress…like you.
This course will introduce you to your role as a communicator, teacher, leader and
professional through a variety of activities and assignments. Your learning will
encompass service provided to the community which will enlighten you to the services
available outside the bedside in acute care. You will be involved in group projects that
will enhance your team building, communication and leadership skills. You will
hone your research and writing skills through worksheets, process recordings and a
case study. I also will allow your creativity to emerge, as the best nurses are most
creative in their planning and intervening. There are a lot of assignments, projects
and activities to keep you very busy. This will be a good opportunity to improve your
prioritization and time management skills in a different way.
Remember we couldn’t let a semester begin without a medication calculation test. This
will be given within the first two weeks of the course. Okay, take a moment and tap
into your own anxiety. Are you mild, moderate, severe or are you in panic??
I look forward to meeting you on August 18th, for our first theory class meeting.
See you then!!
Janis Ryan, RN MSN
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COLLEGE OF SAN MATEO
NURSING 231
POINTS
Assignment
Group Activity
Location
Clinical
Points Possible
3 points
Process Recording
Clinical
#1
#2
5 points
Case Presentation
Clinical
5 points
Concept Map
Classroom
2 points
Service Learning
Experience
Clinical
credit
Competency Video/Med
Pamphlet
TBA
pass/no-pass
Clinical Worksheets
Clinical
required (1 per week
while on the acute unit)
C.A.I.
Classroom
credit
Med. Adm. Test
Classroom
pass/no-pass
TEST I
Classroom
50 ** due to SOS
coming the amount of questions has
been redistributed.
Classroom
75
Classroom
120
TEST II
FINAL
TOTAL POSSIBLE POINTS
260
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College of San Mateo
Nursing 231
Grading Criteria
Your course grade will consist of the points you acquire in projects and tests (please refer
to the “points” page). Some special notes for you:
Assignments/Projects
1. For every day a project is late, the student will be deducted 1 point and a notation
will be made in the clinical evaluation tool. If no points are allotted for that
particular assignment, a notation will be made in the clinical evaluation tool.
2. Failure to complete a written assignment or participate in a group project in N231
will result in an incomplete grade for N231.
3. All written work must be PROOF READ!! 1 point will be deducted for every 8
misspellings, grammar, punctuation errors or APA errors. It would be beneficial
to review the student handbook example on APA format.
Exams
4. Each student must pass the medication calculation test with 90% to achieve
competency. Each student will have 3 attempts to pass the test within the first
two weeks of the course.
5. If a student does not achieve competency on the medication calculation test on
Test #3, the student will receive a clinical no pass and must immediately exit the
nursing program.
6. If a student misses a test date (theory, or medication/calculation test), the student
be subject to a 5% reduction of your overall test score.
7. All required learning materials; text readings, supplemental readings, video tapes,
CD-ROMs and guest speakers are subject to testing and evaluation of the students
learning.
Clinical Performance
8. Clinical performance is rated on the basis of Pass and No-pass. Any student who
receives a No-pass cannot progress to the next course.
9. If a student receives a no-pass in clinical, before the last day of the course, the
student can not be present at the clinical site, theory classroom or nursing skills
lab, there after.
Theory
10. A passing grade of “C” is required to advance toN232.
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