VNSG 1136 – Mental Health Nursing
Behavioral Objectives
1.
2.
Discuss basics of communication.
Discuss communication techniques that enhance or
block communication.
Content
I.
Basics of Communication
A. Components
1. Sender
2. Receiver
3. Message
B. Types
1. Verbal
2. Nonverbal
C. Challenges and adaptive techniques to deal with
them.
II. Therapeutic Communication
A. Blocks
1. False reassurance/social cliches
2. Minimizing/belittling
3. The word "Why"
4. Advising
5. Agreeing or disagreeing
6. Close-ended questions
7. Providing the answer with the question
8. Changing the subject
9. Approving/disapproving
10. Stereotyping
11. Probing/multiple questions
B. Techniques
1. Clarifying terms Reflecting/repeating
2. Open-ended questions
3. Asking for what you want or need
4. Identifying thoughts and feelings
5. Using empathy
6. Silence
7. Giving information
8. Using general leads
9. Stating implied thoughts and feelings
10. Summarizing
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Learning Opportunities
Neeb, K. (2006) Fundamentals of Mental Health Nursing
Chapter 2, 3, 4, 6, 7
Burton, M. & Ludwig, M. (2011) Fundamentals of
Nursing Care: Concepts, Connections, & Skills.
Chapter 6
Video
#220 “Nurse & Patient Interactions: Blocks to
Therapeutic Communications"
#263 “Transcultural Perspectives in Nursing:
Communication
VIDEO TVCC Website
Nurse-Patient Relationships in Communications
Peer Relations in Communications
See Communication Packet
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VNSG 1136 – Mental Health Nursing
Behavioral Objectives
Content
3.
Discuss the mechanics involved in working in a
group.
III. Group Work
A. Content vs. progress
B. Roles of group members
C. Functions of groups
D. Stages of group development
E. Group phases
F. Types of groups
4.
Identify and explain the various factors in history
that have influenced mental health care.
IV. Historical Factors
A. Trailblazers
1. Nursing
a. Florence Nightingale
b. Dorothea Dix
c. Linda Richards
d. Mary Mahoney
2. Others
a. Benjamin Rush
b. Hippocrates
c. Sigmund Freud
d. Phillippe Pinel
B. Facilities
C. Breakthroughs
D. Laws
E. Issues
1. Professionalism
2. Confidentiality
3. Responsibility
4. Current laws
5. Patient advocacy
6. Community resources
7. Mental Health Patient Bill of Rights
F. Influences
1. Culture
2. Religion
3. Ethnicity
4. Parenting styles
5. Stereotypes
6. Prejudices
7. Inherited Characteristics
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Learning Opportunities
Neeb … Chapter 1, 4
Neeb … Chapter 6
Neeb … Chapter 3
Burton…….Chapter 3
Neeb … Chapter 5
Hopper … Chapter 56
Burton … Chapter 8
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VNSG 1136 – Mental Health Nursing
Behavioral Objectives
Content
Learning Opportunities
5.
Identify the major personality development theorists
and discuss the philosophy of each.
V. Theorists
A. Freud
B. Erickson
C. Piaget
D. Maslow
Neeb … Chapter 4 & 9
6.
List the characteristics of mental health.
VI. Characteristics of a Mentally Healthy Person
A. Knows and accepts self.
B. Sincere concern for others
C. Ability to accept and express love
D. Sets realistic goals
E. Can stand alone or receive help
F. Willing to try new things
Neeb … Chapter 4 & 9
Video
Johny Lingo
7.
State the process and components used to administer
nursing care in mental health.
VII. Nursing Care
A. Nursing process
1. Assessment
2. Patient problem
3. Plan
4. Implement
5. Evaluate
B. Components of a mental health assessment
1. Awareness and reality orientation
2. Appearance and behavior
3. Speech and communication
4. Mood and affect
5. Memory
6. Thinking/cognition
7. Perception
8. Judgement
Neeb … Chapter 7
Burton … Chapter 4
8.
Identify the healthy and unhealthy ways in which an
individual may handle stress or anxiety.
VIII. Handling Stress and Anxiety
A. Healthy ways
1. Implosive therapy
2. Problem solving
3. Modeling
4. Role play
5. Confrontation
6. Assertiveness training
Neeb … Chapter 6, 8, & 9
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VNSG 1136 – Mental Health Nursing
Behavioral Objectives
Content
7. Assertive behavior
8. Behavior modification
9. Systemic relaxation
10. Desensitization
B. Unhealthy ways
1. Dependence
2. Domination
3. Withdrawal
4. Incongruence
5. Passive behavior
6. Aggressive behavior
7. Manipulative behavior
9.
Identify and define defense mechanisms.
10. Describe and discuss anxiety disorders.
Learning Opportunities
Neeb … Chapter 9, 12, 14
IX. Defense Mechanisms
A. Denial
B. Repression
C. Dissociation
D. Rationalization
E. Compensation
F. Reaction formation
G. Regression
H. Sublimation
I. Projection
J. Displacement
K. Conversion reaction
L. Identification
M. Intellectualization
Neeb … Chapter 6
X. Anxiety Disorders
A. Definition
B. Types
1. Anxiety
2. Phobias
3. Obsessive-compulsive
C. Characteristics
D. Treatment modalities
E. Nursing intervention
Neeb … Chapter 10
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VIDEO TVCC Website
Acute & Posttraumatic Stress Disorders
Obsessive-Compulsive Disorders
Panic Disorder & Agoraphobia
Specific & Social Phobia
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VNSG 1136 – Mental Health Nursing
Behavioral Objectives
Content
Learning Opportunities
11. Discuss crisis and intervention.
XI. Crisis and intervention
A. Definition
B. Phases of crisis
C. Goals of crisis intervention
D. Legal considerations
E. Resources
1. Crisis hotline
2. Mental-health mental-retardation (MHMR)
3. Child protective services
4. Counselor
5. Family & significant others
Neeb … Pages 141-145
Chapter 8 & 18
12. Identify the five stages of grief/death according to
Kubler-Ross.
XII. Stages of Grief/Dying
A. Denial
B. Anger
C. Bargaining
D. Depression
E. Acceptance
Neeb … Pages 66, 74-76
13. Discuss the nurse’s role in caring for clients and
family experiencing death and dying.
XIII. Nurse’s Role
A. Therapeutic communication
B. Assisting through the grieving process
C. Supporting cultural beliefs
D. Referrals
E. Legal issues
1. Advanced Directives
2. Living wills
3. Right-to-die
F. Organ donation
1. Asking the family
Hopper … Chapter 3, 16, 56
2.
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Preparation for harvesting
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VNSG 1136 – Mental Health Nursing
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