HealthForce mn pn pn program Course Syllabus



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HealthForce MN - PN

PN Program
Course Syllabus
Course Information:

Course Number and Title: PN 240 - Psychosocial Nursing Care

Total Credit/Contact Hours: 1.00

Theory Credit/Contact Hours: 1.00


Course Description:

Psychosocial nursing care focuses on the care of patients with psychiatric and behavioral disorders. Emphasis is placed on common psychiatric and behavioral disorders as well as promoting and maintaining the mental health of individuals.


SUGGESTED TOPICS TO INCLUDE:

Role and standards of practice for mental health nursing, therapeutic communication skills when working with psychiatric and behavioral disorders, therapeutic modalities including pharmacotherapeutics, anxiety disorders, mood disorders, personality disorders, psychotic disorders, chemical impairment and substance abuse, abuse and violence, cognitive impairment disorders in the older adult, and community based mental health nursing.



Course Objectives:

PATIENT/RELATIONSHIP-CENTERED CARE: Organize data to contribute to individualized plans of care for patients with psychiatric or behavioral disorders.


NURSING JUDGMENT/EVIDENCE BASED CARE and SAFETY: Analyze (potential/actual) patient complications and interventions from an established plan of care to implement for patients with psychiatric or behavioral disorders and report changes to the appropriate health care provider.
NURSING JUDGMENT/EVIDENCE BASED CARE: Provide rationales for nursing judgments and prioritization of care for patients with psychiatric or behavioral disorders.
PATIENT/RELATIONSHIP-CENTERED CARE: Role play culturally sensitive, caring, therapeutic relationships with patients and families experiencing psychiatric or behavioral disorders.
PROFESSIONAL IDENTITY AND BEHAVIORS: Analyze ethical and legal implications related to the care of patient with psychiatric or behavioral disorders.
Content Units:

HEALTH AND ILLNESS CONCEPT / PSYCHOSOCIAL INTEGRITY: Mental Health and Mental Health Issues


Unit Objectives:

1. Compare the role and responsibilities of mental health/psychiatric nurses to other areas of nursing.


2. Identify major trends in mental health nursing.
3. Describe the standards of practice of psychiatric and mental health nursing according to the American Nurses Association Statement on the Scope and Standards of Psychiatric Mental Health Nursing Practice.
4. Compare and contrast criteria for mental health and mental illness.
5. (NCLEX LEGAL & INFORMED CONCENT) Discover legal issues that may arise during mental health treatment such as the patient's right to receive treatment, the patient's right to refuse treatment, and the patient's right to informed consent.
6. Describe factors that affect an individual’s mental health.
7. (NCLEX-MENTAL HEALTH CONCEPTS) Identify signs of mental health issues and recognize change in client mental status.
8. Discuss how age, ethnicity, gender, education, culture, and belief system can affect developing, experiencing, and recovering from psychiatric disorders.
9. (NCLEX-CULTURAL AWARENESS) Recognize cultural issues that may impact client understanding/acceptance of psychiatric diagnosis.
10. Compare differences between primary, secondary, and tertiary interventions related to mental health disorders.
11. Explain the nurse’s role as an advocate for patients who have or may develop a mental health disorder.
12. Identify settings in which mental health treatment is offered.
13. (NCLEX-LEGAL RESPONSBILITIES) Compare and contrast the aspects of voluntary and involuntary admission psychiatric admissions.
14. Review the DSM-IV-TR diagnosis classification system.
15. Identify how cultural influences could affect making an accurate DSM-IV-TR diagnosis.
Content Topics:

HEALTH AND ILLNESS CONCEPT / PSYCHOSOCIAL INTEGRITY: Therapeutic Communication in Mental Health Settings


Unit Objectives:

1. Describe the nature and goals of the therapeutic nurse-patient relationship.


2. Identify factors that can interfere with the nurse’s ability to develop a therapeutic relationship with a client experiencing a mental health disorder.
3. (NCLEX-MENTAL HEALTH CONCEPTS) Demonstrate techniques that can enhance the development of trust, respect, security, and open communication between the nurse and patient.
4. Discuss how confrontation, immediacy, nurse self-disclosure, and role playing can be used by the nurse in a therapeutic relationship.
5. Discuss the need for setting and maintaining boundaries between the nurse and patient.
6. Describe the importance of self awareness in the nurse-patient relationship.
Content Topics:

HEALTH AND ILLNESS CONCEPT / PSYCHOSOCIAL INTEGRITY: Therapeutic Modalities


Unit Objectives:

1. Explain the use of theories of personality development as a basis for current psychotherapy.


2. Discuss the use of the following treatment modalities: individual, family, group, online support, crisis, somatic, and pharmacotherapeutics.
3. Discuss how psychotropic drugs are used in mental health care.
4. Describe how functions of the brain are altered by psychotropic drugs.
5. (NCLEX-PHARMACOLOGICAL EFFECTS) Identify major categories of psychotropic drugs and discuss the use, action, potential adverse and side effects, and nursing implications of psychotropic drugs.
6. Identify several strategies for family intervention.
7. (NCLEX-MENTAL HEALTH CONCEPTS) Describe the role of the nurse in family therapy including establishing trusting nurse-patient relationship.
8. Describe integrative care as it relates to the following therapeutic modalities: massage, herbal medications, aromatherapy, acupuncture, acupressure, homeopathy, chiropractic medicine.
Content Topics:

HEALTH AND ILLNESS CONCEPT / PSYCHOSOCIAL INTEGRITY: Behavioral Management / Anxiety


Unit Objectives:

1. (NCLEX- BEHAVIORAL MANAGEMENT) Describe client appearance, mood and psychomotor behavior and observe for changes.


2. (NCLEX- BEHAVIORAL MANAGEMENT) Describe possible causation for patient behavior.
3. (NCLEX- BEHAVIORAL MANAGEMENT) Describe ways to assist patient with achieving self-control of behavior (e.g., contract, behavior modification).
4. (NCLEX- BEHAVIORAL MANAGEMENT) Describe how behavioral strategies and management techniques (e.g., positive reinforcement, setting limits) can decrease anxiety.
5. (NCLEX- BEHAVIORAL MANAGEMENT) Evaluate patient response to behavioral management interventions.
6. (NCLEX- BEHAVIORAL MANAGEMENT) Reinforce education of caregivers/family on ways to manage patients with behavioral disorders.
7. (NCLEX- BEHAVIORAL MANAGEMENT) Participate in a behavior management program by recognizing environmental stressors and/or providing a therapeutic environment.
8. (NCLEX- BEHAVIORAL MANAGEMENT) Describe reminiscence therapy, validation therapy, reality orientation and group sessions.
9. (NCLEX-STRESS MANAGEMENT) Identify actual/potential stressors for patient (e.g., fear, lack of information).
10. (NCLEX-STRESS MANAGEMENT) Implement measures to reduce environmental stressors (e.g., noise, temperature, pollution).
11. (NCLEX-STRESS MANAGEMENT) Monitor client effective use of stress management techniques.
12. Role play working with a patient with behavior problems.
Content Topics:

HEALTH AND ILLNESS CONCEPT / PSYCHOSOCIAL INTEGRITY: Chemical Impairment and Substance Abuse


Unit Objectives:

1. (NCLEX-CHEMICAL AND OTHER DEPENDENCIES) Identify signs and symptoms of substance abuse/chemical dependency, withdrawal and toxicity.


2. (NCLEX-CHEMICAL AND OTHER DEPENDENCIES) Plan care to a patient experiencing substance-related withdrawal or toxicity (e.g., nicotine, opioid, sedative).
3. (NCLEX-CHEMICAL AND OTHER DEPENDENCIES) Plan care for patient with impulse-control disorders (e.g., gambling, sexual addiction, pornography).
4. (NCLEX-CHEMICAL AND OTHER DEPENDENCIES) Reinforce provided information on substance abuse diagnosis and treatment plan to patient.
5. (NCLEX-CHEMICAL AND OTHER DEPENDENCIES) Discuss important of patient participation in support groups (e.g., Alcoholics Anonymous, Narcotics Anonymous).
6. (NCLEX-CHEMICAL AND OTHER DEPENDENCIES) Monitor client response to treatment plan and contribute to revision of plan as needed.
7. Role play working with a patient with chemical abuse.
8. Discuss pharmacological therapies for substance abuse withdrawal.
Content Topics:

HEALTH AND ILLNESS CONCEPT / PSYCHOSOCIAL INTEGRITY: Crisis Intervention / Rape Trauma Syndrome


Unit Objectives:

1. (NCLEX-CRISIS INTERVENTION) Identify sign and symptoms of a patient in crisis.


2. (NCLEX-CRISIS INTERVENTION) Identify client risk for self-injury and/or violence (e.g., suicide or violence precaution).
3. (NCLEX-CRISIS INTERVENTION) Recognize the data needed on patient’s potential for violence.
4. (NCLEX-CRISIS INTERVENTION) Describe management of care of angry/agitated patient.
5. (NCLEX-CRISIS INTERVENTION) Describe crisis intervention techniques to assist patient in coping.
6. (NCLEX-CRISIS INTERVENTION) Provide opportunities for patient to understand why the crisis occurred.
7. (NCLEX-CRISIS INTERVENTION) Guide patient to resources for recovery from crisis (e.g., social supports).
8. (NCLEX-CRISIS INTERVENTION) Reinforce patient teaching on suicide/violence prevention.
9. (NCLEX-CRISIS INTERVENTION) Report changes in patient behavior (indicating a developing crisis) to supervisor.
10. Role play interaction with patient in crisis situation.
Content Topics:

HEALTH AND ILLNESS CONCEPT / PSYCHOSOCIAL INTEGRITY: Abuse/Neglect


Unit Objectives:

1. Describe the cycle of violence in reference to individual violence and family violence.


2. (NCLEX -ABUSE/NEGLECT) Identify patient risk factors for abusing or neglecting others.
3. (NCLEX-ABUSE/NEGLECT) Identify signs and symptoms of physical, psychological or financial abuse in client (e.g., family involvement, inadequate weight gain, poor hygiene).
4. (NCLEX-ABUSE/NEGLECT) Recognize risk factors for domestic, child and/or elder abuse/neglect and sexual abuse.
5. (NCLEX-ABUSE/NEGLECT) Recognize nursing interventions to provide a safe environment for an abused/neglected patient.
6. (NCLEX-ABUSE/NEGLECT) Describe how to express emotional support to a patient who has experienced abuse or neglect.
7. (NCLEX-ABUSE/NEGLECT) Reinforce patient teaching on coping strategies to prevent abuse or neglect.
8. (NCLEX-ABUSE/NEGLECT) Evaluate patient response to interventions.
9. (NCLEX LEGAL RESPONSIBILITIES) Describe regulation/policy for reporting abuse or neglect.
Content Topics:

HEALTH AND ILLNESS CONCEPT / PSYCHOSOCIAL INTEGRITY: Dependent Personality Disorders


Unit Objectives:

1. (NCLEX-MENTAL HEALTH CONCEPTS) Classify expected behaviors of client with independent or dependent personality.


2. Describe current treatment modalities for patients with dependent personality disorders.
3. Describe the limitations in the use of medications to relieve symptoms associated with dependent personality disorders.
4. Develop nursing interventions and communication strategies for patients with dependent personality disorders.
5. Discuss the importance of setting and keeping clear boundaries when working with persons with dependent personality disorders.
Content Topics:

HEALTH AND ILLNESS CONCEPT / PSYCHOSOCIAL INTEGRITY: Depression and Bipolar Disorder


Unit Objectives:

1. (NCLEX-MENTAL HEALTH CONCEPTS) Compare patient symptoms of acute or chronic depression and bipolar disease.


2. Apply biologic and psychosocial theories to etiology of mood disorders.
3. Differentiate between normal grief reactions and pathological grief behaviors
4. Contrast the emotional, cognitive, behavioral, and physical symptoms associated with depression.
5. Describe three phases of treatment for mood disorders.
6. Identify outcomes, goals and planning for each phase of treatment for mood disorders.
7. Select risk factors and clues that might signal suicidal thoughts.
8. Develop nursing interventions and communication strategies for patients with depression, mania, and suicide ideation.
9. Compare advantages, actions, side effects and nursing implications for mood stabilizing medications and antidepressants.
10. (NCLEX-MENTAL HEALTH CONCEPTS) Describe care for patient receiving electroconvulsive therapy (ECT)
11. (NCLEX-MENTAL HEALTH CONCEPTS) Describe patient use of defense mechanisms.
12. (NCLEX-MENTAL HEALTH CONCEPTS) Recognize change in patient mental status.
13. (NCLEX-MENTAL HEALTH CONCEPTS) Recognize patient symptoms of relapse.
14. (NCLEX-MENTAL HEALTH CONCEPTS) Explore why patient with depression or bipolar disease is refusing or not following treatment plan.
15. (NCLEX-MENTAL HEALTH CONCEPTS) Assist in promoting patient independence in patient with depression or bipolar disease.
16. (NCLEX-MENTAL HEALTH CONCEPTS) Establish trusting nurse-patient relationship.
17. (NCLEX-MENTAL HEALTH CONCEPTS) Promote positive self-esteem of patient.
18. Role play working with patient with relapse of depression and/or bipolar disorder.
19. Discuss Antidepressants and Mood Stabilizer medication used to treat mood disorders.
Content Topics:

HEALTH AND ILLNESS CONCEPT / PSYCHOSOCIAL INTEGRITY: Schizophrenia


Unit Objectives:

1. Define schizophrenia.


2. (NCLEX-MENTAL HEALTH CONCEPTS) Describe the progression of symptoms from prodromal to the acute phase of schizophrenia.
3. Describe five basic categories of schizophrenia.
4. Differentiate among the three phases of schizophrenia regarding symptoms, focus of care, and needs for intervention.
5. Choose non-pharmacological treatment modalities for patients with schizophrenia that may be beneficial.
6. Select effective strategies of individual, group, and family therapies that may be helpful for patients with schizophrenia and their families.
7. Describe three common problems associated with severe mental illness.
8. Compare behavioral and psychological manifestations of schizophrenia in relation to the person’s ability to function, their families, and others.
9. Choose evidence-based practices for the care of the patient with schizophrenia.
10. Discuss the importance of medication and the need for the patient with schizophrenia to adhere to the regimen.
11. (NCLEX-PHARMACOLOGY EFFECTS) Compare properties of the traditional and atypical antipsychotic drugs.
12. (NCLEX-MENTAL HEALTH CONCEPTS) Describe patient use of defense mechanisms.
13. (NCLEX-MENTAL HEALTH CONCEPTS) Recognize change in patient mental status.
14. (NCLEX-MENTAL HEALTH CONCEPTS) Recognize patient symptoms of relapse.
15. (NCLEX-MENTAL HEALTH CONCEPTS) Explore why patient is refusing or not following treatment plan.
16. (NCLEX-MENTAL HEALTH CONCEPTS) Assist in promoting patient independence.
17. Role play working with a patient having a relapse of schizophrenia,
18. Discuss antipsychotic medications used to treat schizophrenia.
Content Topics:

HEALTH AND ILLNESS CONCEPT / PSYCHOSOCIAL INTEGRITY: Community Based Mental Health Nursing


Unit Objectives:

1. Distinguish between goals and interventions of mental health care in the hospital and the community.


2. Describe the role of the nurse as a member of the interdisciplinary team in caring for chronically ill and/or homeless mentally ill in the community.
3. Discuss the continuum of psychiatric care from the acute care setting to the community setting.
4. Identify community resources for the chronically and/or homeless mentally ill.
5. Discuss barriers to mental health treatment in the community setting.
Content Topics:



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