Raritan Valley Community College Course Outline by rov11713


									                              Raritan Valley Community College
                                        Course Outline
                              Psychiatric-Mental Health Nursing

   I. Basic Course Information
      A. Course Number and Title:          NURS 122 - Psychiatric-Mental Health Nursing

      B. Date of Revision:                  November 2004

      C. Sponsoring Department:             Health, Science Education

      D. Semester Credit Hours:             4

      E. Weekly Contact Hours:              Class Hours: 4
                                            Clinical Hours: 12
      F. Prerequisites:                     Nursing of Adults I (NURS 111) or Nursing
                                            Transition (NURS 130)
           Co-Requisites:                   Principles of Microbiology (BIOL 133), Introduction
                                            to Sociology (SOCI 101), Humanities elective, NURS
      G. Laboratory Fees:                   Yes

   II. Catalog Description:
      Pre-requisites: Nursing of Adults I (NURS 111) or Nursing Transition (NURS 130).
      Co-Requisites: Principles of Microbiology (BIOL133), Introduction to Sociology (SOCI
      101), Humanities elective, NURS C22.
      Psychiatric-Mental Health Nursing is one of two module courses taught in the third
      semester of the four semester nursing clinical courses. Students are expected to show
      evidence of retention of previous learning, carrying out increasingly skillful assessment and
      interventions with clients with complex needs, through an inter-dependent relationship with
      clinical faculty and staff. It is designed to introduce students to basic concepts of
      Psychiatric-Mental Health Nursing. The course is based on a holistic and humanistic
      framework, emphasizing critical thinking, caring and nursing practice competencies. It
      progresses from the study of individuals and groups experiencing high-level wellness to
      variations in wellness experiences. Continuing themes of growth and development across
      the life span, therapeutic communications, nutrition, social, cultural, racial and ethnic
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       dimensions, pharmacotherapeutics, client advocacy, teaching, and legal and ethical
       standards are explored. Emphasis is placed on counseling and personal self-awareness and
       self-growth. Traditional psychotherapeutic and integrative health therapies are addressed.
       Students have the opportunity to carry out the nursing process and develop beginning level
       clinical skills in individual and group counseling at a variety of mental health agencies and
       with a diverse group of psychiatric clients. The course includes four lecture hours (4 credit
       hours), twelve clinical hours and independent lab per week. Satisfactory clinical evaluation
       and a minimum theory grade of “C” (75) are required for progression in the program. Fall
       semester offering only.

III.      Statement of Course Need:
This is a standard clinical nursing course that fulfills the need for students to integrate
traditional and integrative mental health concepts and therapeutic standards of care into their
clinical practice. The New Jersey Board of Nursing requires this course content for the A.A.S.
in nursing.

IV.       Place of Course in College Curriculum;
This is a required course in a four semester nursing clinical course sequence for the A.A.S.
degree in nursing as mandated by the New Jersey Board of Nursing and the National League
for Nursing.

V.        Outline of Course Content:
          Historical Perspectives in Psychiatric Nursing
          Theoretical Perspectives in Psychiatric Nursing
          Psychiatric Nursing Practice Standards
          Personality Disorders
          Childhood Psychiatric Disorders
          Substance Abuse Disorders
          Anxiety and Dissociative Disorders
          Affective Disorders, Suicide and Grief
          Schizophrenia, Psychotic and Organic Disorders
          Sexual Disorders
          Trauma, Violence and Abuse
          The influence of contemporary, social, political, economical, ethical and legal issues on
              psychiatric nursing

VI.   Educational Goals and Learning Outcomes:
      Educational Goals
  1. The student will function as a provider of care by:
         1.1. Integrating holistic human needs in the provision of a safe and effective care
              environment (G.E. 1, 2 ,4)
         1.2 Demonstrating critical thinking in clinical decision making when maintaining
              physiologic and psychosocial integrity (G.E. 1, 2, 3,)
         1.3 Collaborating appropriately with members of the health care team for the
              effective provision of care (G.E. 2)
         1.4 Constructing therapeutic interventions using the nursing process (G.E. 2, 4)
         1.5 Integrating principles of growth and development across the lifespan in the
              promotion and maintenance of health (G.E. 1, 2, 4, 5, 6)
         1.6 Utilizing teaching/learning principles to improve outcomes when caring for
              clients at different levels of wellness (G.E 1, 2, 3)
         1.7 Utilizing and maintaining clinical practice standards when planning and
              delivering care (G.E. 3, 7)

  2. The student will function as a manager of care by:
         2.1. Synthesizing concepts of community based care in the promotion and
               maintenance of health (G.E. 2)
         2.2 Integrating concepts of health care delivery systems in the contemporary
               society in order to deliver effective care (G.E. 3, 4)
         2.3 Employing concepts of current trends in health care when planning and
              delivering client care (G.E. 6, 7)
         2.4 Utilizing appropriate communication techniques within the organizational
              structure and with clients and groups (G.E. 1, 2)

  3. The student will function as a member within the profession of nursing by:
         3.1 Employing ethical behaviors, based on the Code of Ethics for Nurses, when
               providing care (G.E. 5)
         3.2 Implementing caring behaviors which respect and reflect values, customs and
               culture of clients, families and groups (G.E. 4, 5, 6)
         3.3 Engaging in activities for professional development, self-growth and life-long
               learning (G.E. 1)
            3.4 Demonstrating accountability by following the legal guidelines for
                professional practice in the Statutes and Regulations of the New Jersey Board
                of Nursing (G.E. 5)

Learning Outcomes
The student will be able to:
        • Apply psychiatric-mental health concepts, theories and appropriate therapeutic
          interventions to clients demonstrating a variety of psychiatric behaviors and
        • Manage safety and comfort principles and psychomotor skill competencies with
          clients demonstrating a variety of psychiatric behaviors and disorders.
        •   Compare and contrast theoretical and methodological concepts of psychiatric
            mental health nursing when caring for clients with a variety of psychiatric
        •   Differentiate major psychiatric disorders and therapeutic interventions for
            individuals experiencing various psychiatric disorders.
        •   Compare current research and critically analyze scholarly work in psychiatric-
            mental health nursing.
        •   Create effective progress notes and psychiatric plans of care utilizing critical
            thinking and effective assessment skills
        •   Examine qualities necessary for the effective practice of psychiatric nursing:
            integrity, cooperation, collaboration, dependability, responsibility, judgment,
            initiative, self-confidence, and appropriate physical presentation.
        •   Collaborate, cooperate and establish effective professional working relationships
            with mental health practitioners, students and instructor.
        •   Select effective therapeutic communication during informal client interactions and
            during formal counseling sessions.
        •   Choose appropriate interventions for clients with a variety of psychiatric disorders
            based on developmental stages of the client.
        •   Assess client’s level of coping in response to a maturational or situational crisis.
        •   Demonstrate a beginning level ability to function effectively as a therapeutic group
            leader by planning and presenting a stress management technique in a group
        •   Predict the interactions, side effects and potential complications of polypharmacy
            with clients experiencing various psychiatric disorders.
        •   Analyze how the New Jersey State Board of Nursing Statutes and Regulations,
            nursing care standards and agency protocols affect nursing practice.

         •   Analyze community agencies and groups by attending/participating in two
             community experiences in a primary or secondary health-care setting.
         •   Examine historical movements in mental health care and in particular the role of
             psychiatric-mental health nursing within the larger mental-health system.
         •   Evaluate contemporary social, political, cultural, legal, ethical, and economic
             issues influencing trends in psychiatric-mental health nursing.
         •   Examine effective communication skills that will establish effective professional
             working relationships with mental health professional, students, instructor and
             members of the psychiatric-mental health team.
         •   Select effective therapeutic communication in the context of the nursing process.
         •   Assess professional behavior and high ethical standards as defined by the ANA
             Code of Ethics and current ethical guidelines.
         •   Create concern for the dignity and welfare of others by speaking and behaving
             respectfully and maintaining confidentiality in regard to client communication and
             student and faculty sharing in pre and post conference groups.
         •   Assess self-awareness and personal growth and evaluate ones ability to use self in
             a therapeutic manner.
         •   Seek supervision from instructor concerning client care, self-awareness and self-
             growth issues.
         •   Demonstrate client advocacy by recognizing and insuring client and colleague’s
             legal rights are safeguarded.
         •   Assess legal aspects of care and appropriate nursing interventions.

VII. Modes of Teaching and Learning:
         •   Lecture and discussion
         •   Reading assignments
         •   Case studies
         •   Clinical Laboratory Practice
         •   Journal writing
         •   Audio-Visual Aids
         •   Clinical Training Day (This is required prior to attending clinical. Clinical
             Training Day is designed to prepare students for their clinical experience. Each
             student has the opportunity to work as a counselor and a client within their clinical
             group. The clinical instructor gives constructive feedback. Clinical Training Day
             is an excellent opportunity for students to practice therapeutic responding
         •   Community Experiences
VIII. Papers, Examinations and other Assessment Instruments:
       •    Comprehensive Nursing Care Plans
       •    Research Paper
       •    Community Visit Paper
       •    Journals
       •    Stress Management Demonstration Group

IX. Grade Determinants: (see specific assignments in syllabus)
                   1. Theoretical: Minimum Passing Grade of 75% is required
                              4 Quizzes = 40% of total grade
                              1 Final Exam (Comprehensive) = 50% of total grade
                              1 Critical Analysis Research Paper = 10% of total grade
                   2. Clinical Grade:
                                  a. Student must meet all clinical objectives at satisfactory level
                                  b. Stress Management Demonstration Group Work (pass/fail)
                                  c. Psychiatric Nursing Worksheets (pass/fail)
                                  d. 12 Journal Entries (pass/fail)
                                  e. Community Visit Paper (pass/fail)
The student is required to pass all components of the grade determinants in order to
successfully complete this course.

X. Texts and Materials
Required: Will include DSM Reference book, stress management text and a psychiatric nursing
text and a psychiatric nursing care plan text and all course manuals.
Please note: the current course syllabus and the RVCC bookstore are the resources for the
most up-to-date information regarding required text books.)
XI. Resources:
The RVCC library and electronic resources in the Department of Health Science Education Lab
provide the materials and resources needed for this course. The resources available in the clinical
laboratory setting supplement these resources.


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