VNSG 1301.501 (3:3:0)
MENTAL HEALTH AND MENTAL ILLNESS
Technical Education Division
SOUTH PLAINS COLLEGE
Fall - 2015
VNSG 1301 - MENTAL HEALTH and MENTAL ILLNESS
Alisha Edmunds, BSN, RN
Plainview Center - 104E
PHONE / E-MAIL:
806-296-9611 ext.4408 / [email protected]
Monday: 0900-1200 Tuesday: 1300-1600 Wednesday: 1000-1200 Thursday and Friday: BY APPOINTMENT
SOUTH PLAINS COLLEGE IMPROVES EACH STUDENT’S LIFE ************************************************************************************** COURSE DESCRIPTION: This course is the study of personality development, human needs, common mental mechanisms, and factors influencing mental health and mental illness. It includes common mental disorders and related therapy. STUDENT LEARNING OUTCOMES: The student will describe the underlying principles and theories of positive mental health and human behaviors: having an understanding of emotional responses, coping mechanisms, and therapeutic communication skills. The student should be able to incorporate the nursing process in this study of human behavior with an emphasis on emotional and mental abnormalities and treatment modalities. COURSE COMPETENCIES: Student must complete this course with a grade of 77% or above based on the following objectives: 1. 2. 3. 4. 5. 6. 7. 8. 9.
Utilize appropriate therapeutic communication skills to effectively gather data and exchange information in the mental health setting. Describe and contrast effective and ineffective emotional behaviors in response to the environmental stressors. Identify major theories of personality development throughout the life span. Describe the theoretical concepts related to the effect of sociocultural influences on the way people develop and process life. Discuss the legal and ethical aspects involved in voluntary and involuntary treatment of mental health and illness. Identify, assess and evaluate the nursing process in relation to the current standards in classifications of behavior, deviant patterns of behavior and chemical abuse. Identify current trends of therapy for the mentally ill client, and the nurse’s role in the therapeutic process. Identify major diagnostic categories of mental illness according to current mental health standards. Utilize appropriate nursing diagnosis to implement a nursing care plan for the patient being treated for a mental health condition.
ACADEMIC INTEGRITY: Refer to the Plainview Student Handbook and the SPC catalog. SCANS & FOUNDATION SKILLS: C – 5, 6, 7, 9, 11, 14, 15, 16, 17 F – 1, 2, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17 VERIFICATION OF WORKPLACE COMPETENCIES: NCLEX-PN Licensure Exam eligibility following successful completion of the one-year vocational nursing program. TEXTBOOK: Townsend, Mary C., DSN, PMHCNS-BC (2014). Essentials of Psychiatric Mental Health Nursing – Concepts of Care in Evidence-Based Practice, 6th Edition F.A. Davis Company/ Philadelphia. ATI Content Mastery Series Review Module PN Mental Health Nursing, Edition 9.0 ATTENDANCE POLICY: Refer to the SPC Catalog and the Plainview Student Handbook. This course is a 3 semester hour course (48 contact hours) with 3 hours allowable absence. COURSE REQUIREMENTS: 1. 2. 3.
Read textbook assignments prior to class in preparedness for class discussion. Participation in self-awareness and group discussion. Term paper utilizing theoretical concepts related to personality and adaptive mechanisms, following provided rubric. Points will be deducted for not following the guidelines per instructor discretion. Intermittent review quizzes, unit exams, and a comprehensive final exam will be given. The ATI Benchmark Exam (Mental Health & Illness Proctored Assessment) will be completed before the final exam and will be recorded as a unit exam. ATI “Topics to Review” will be required for the student to complete. Due dates will be announced.
GRADING: Units Exams/Final/ATI Benchmark Quizzes
93 - 100 84 – 92
Term Paper Class Participation CAI Programs (Lab)
20% 5% 10%
C D F
77 – 83 70 – 76 69 or below
Term Paper due on or before 11-30-15 by 1600 CAI Programs (Lab) Psychiatric Nursing 1, 2, 3, 4 Print results due on 11-23-15 by 1600
SCHEDULE OF CLASSES: 8-28-15
Review syllabus, textbooks, term paper rubric
Mental Health and Mental Illness ATI Chapter 1
CHAPTER 2 CHAPTER 3
Concepts of Personality Development Biological Implications
Ethical and Legal Issues
Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing
Relationship Development and Therapeutic Communication ATI Chapter 5 Milieu therapy- The Therapeutic Community ATI Chapter 6
Intervention in Groups ATI Chapter 7
CHAPTER 10 CHAPTER 11
Intervening in a Crisis The Recovery Model
Complementary and Psychosocial therapies ATI Chapter 6
EXAM 2 CHAPTER 13
1 hr. Neurocognitive Disorders ATI Chapter 15
CHAPTER 14 CHAPTER 15
Substance-Related and Addictive Disorders Schizophrenia Spectrum and Other Psychotic Disorders ATI Chapters 13 & 16
Depressive Disorders ATI Chapter 16
CHAPTER 17 CHAPTER 18
Bipolar and Related Disorders Anxiety, Obsessive-Compulsive Disorders ATI Chapters 12 & 18
CHAPTER 19 CHAPTER 20
Trauma and Stressor-Related Disorders Somatic Symptom and Dissociative Disorders
Issues Related to Human Sexuality and Gender Dysphoria Eating Disorders
CHAPTER 22 11-9-15
Personality Disorders ATI Chapter 23
EXAM 3 CHAPTER 25
1 hr. Survivors of Abuse and Neglect ATI Chapter 28
CHAPTER 26 CHAPTER 27
The Aging Individual Community Mental Health Nursing
CHAPTER 28 CHAPTER 29
The Bereaved Individual Military Families
COURSE OUTLINE: UNIT I: Foundations of Mental Health Nursing Chapter 1 Understanding Mental Health and Mental Illness Objectives: 1. 2. 3.
Define mental health and mental illness in your own words. Discuss the stigma of mental illness in our society Acknowledge the vulnerability of people with mental illness.
I. II. III. IV.
Mental health and Mental Disorders Historical perspectives and Stigma of Mental Illness Nurses Role in Mental Health Promotion Vulnerability of the Mentally Ill
Chapter 2 Ethical and Legal Issues Objectives: 1. 2. 3. 4. 5.
Clarify your own personal values and how they can pertain to nursing practice. Provide nursing care based on the ethical values of the profession. accountability in the Apply the nursing process as an ethical decision-making model. Identify ways to avoid malpractice issues. Plan nursing interventions to protect the legal and ethical rights of clients with psychiatric disorders.
Ethics in Nursing/ Personal Values, Codes of Ethics for Nurses, Standards of care and Ethical Principles
Legal Aspects of Mental Health Nursing, Types of Laws, Nurse Practice Acts, Psychiatric Hospitalization Legal Rights for Mental Health Clients Competency Americans with Disabilities Act Advance Care Directives Nurses Responsibility in Documentation Malpractice Standards of Culturally Appropriate Care
III. IV. V VI VII VIII IX
Chapter 3 Personality Theory Objectives: 1. 2. 3. 4.
Explain how personality theories form a basis for psychotherapy. Recognize the purpose and use of defense mechanisms in clients and yourself. Plan nursing interventions to promote clients psychosocial development. Make decisions about client care and priorities based on Maslow’s hierarchy of needs.
Outline: I. II.
Development of Personality Psychoanalytic, Ego, Biological, Trait, Behaviorist and Learning, Cognitive, Existential and Humanistic, and Interpersonal Theories
Chapter 4 Mentally Healthy Nursing Objectives: 1. 2. 3. 4.
Discuss ways to use caring in your nursing practice. Identify factors that cause burnout in nurses. Plan ways to prevent nursing burnouts. Plan strategies to promote your own mental health.
Outline: I. II.
Attributes of Caring Burnout
Chapter 5 The Nurse Client Relationship and Communication Objectives: 1. 2. 3.
Develop effective communication skills that will promote trusting nurse-client relationships, Recognize and avoid communication barriers. Conduct therapeutic communication as a nursing intervention with clients.
Outline: I. II. III. IV. V.
Therapeutic use of self Nurse-Client relationship Communication Process Effective Communication Strategies Barriers to Communication
Chapter 6 Stress and Coping Objectives: 1. 2. 3. 4.
Explain how stress affects an individual acutely and chronically. Differentiate between adaptive and maladaptive coping methods. relationship between Assess clients stress levels. Promote clients adaptive coping abilities.
Outline: I. II. III
Homeostasis The Stress response Adaptation to Stress
Chapter 7 Psychobiology and Psychopharmacology Objectives: 1. 2. 3. 4.
Teach clients about the biological basis of the major mental disorders. Reinforce client teaching about the desires effects and adverse effects of psychotropic medications. Safely and effectively administer psychotropic medications. Apply the nursing process to clients receiving psychotropic medications.
Outline: I. II.
Psychobiology, Mental Disorders, Brain Anatomy and Function, Genetics of Mental Illness and Neuroendocrine System Psychopharmacology, Pharmacokinetics, Pharmacodynamics.
SCANS COMPETENCIES C-1 C-2 C-3 C-4
TIME – Selects goals – relevant activities, ranks them, allocates time, prepares and follows schedules. MONEY - Uses or prepares budgets, makes forecasts, keeps records and makes adjustments to meet objectives. MATERIALS & FACILITIES – Acquires, stores, allocates and uses materials or space efficiently. HUMAN RESOURCES – Assess skills and distributes work accordingly, evaluates performances and provides feedback.
INFORMATION – Acquires and Uses Information C-5 Acquires and evaluates information. C-6 Organizes and maintains information. C-7 Interprets and communicates information. C-8 Uses computers to process information. INTERPERSONAL – Works With Others C-9 Participates as members of a team and contributes to group effort. C-10 Teaches others new skills. C-11 Serves Clients/Customers – works to satisfy customer’s expectations. C-12 Exercise Leadership – Communicates ideas to justify position, persuades and convinces others responsibility challenges existing procedures and policies. C-13 Negotiates – works toward agreements involving exchanges of resources; resolves divergent interests. C-14 Works With Diversity – Works well with men and women from diverse backgrounds. SYSTEMS – Understands Complex Interrelationships C-15 Understands Systems – Knows how social, organizational, and technological systems work and operate effectively with them. C-16 Monitors and Corrects Performance – Distinguishes trends, predicts impacts in system operations. C-17 Improves Designs Systems – Suggests modifications to existing systems and develops new or alternative systems to improve performance. TECHNOLOGY – Works With a Variety of Technologies C-18 Selects Technology – Chooses procedures, tools, or equipment, including computers and related technologies. C-19 Applies Technology to Task – Understands overall intent and proper procedures for setup and operation of equipment. C-20 Maintains and Troubleshoots Equipment – Prevents, identifies, or solves problems with equipment. FOUNDATION SKILLS BASIC SKILLS – Reads, Writes, Performs Arithmetic and Mathematical Operations, Listens and Speaks F-1 Reading – Locates, understands and interprets written information in prose and in documents such as manuals, graphs and schedules. F-2 Writing – Communicates thoughts, ideas, information and messages in writing and creates documents such as letters, directions, manuals, reports, graphs and flow charts. F-3 Arithmetic – Performs basic computations; uses numerical concepts such as whole numbers, etc. F-4 Mathematics – Approaches practical problems by choosing appropriately from a variety of mathematical techniques. F-6 Speaking – Organizes ideas and communicates orally.
THINKING SKILLS – Thinks Creatively, Makes Decisions, Solves Problems, Visualizes and Knows How to Learn and Reason F-7 Creative Thinking – Generates new ideas. F-8 Decision Making – Specifies goals and constraints, generates alternatives, considers risks, evaluates and chooses best alternative. F-9 Problem Solving – Recognizes problems, devises and implements plan of action. F-10 Seeing Things in the Mind’s Eye – Organizes and processes symbols, pictures, graphs, objects and other information. F-11 Knowing How to Learn – Uses efficient learning techniques to acquire and apply new knowledge and skills. F-12 Reasoning – Discovers a rule or principle underlying the relationship between two or more objects and applies it when solving a problem.
F-13 F-14 F-15 F-16 F-17
PERSONAL QUALITIES – Displays Responsibility, Self-Esteem, Sociability, Self-Management, Integrity and Honesty Responsibility – Exerts a high level of effort and perseveres toward goal attainment. Self-Esteem – Believes in own self-worth and maintains a positive view of self. Sociability – Demonstrates understanding, friendliness, adaptability, empathy and politeness in group settings. Self-Management – Assesses self accuracy, sets personal goals, monitors progress and exhibits self control. Integrity / Honesty – Chooses ethical courses of action. SCANS FOUNDATION AND COMPETENCY SKILLS (by course)
Foundations; (F) ECON 230: 1, 2, 3, 4, 5, 8, 9, 10, 11, 12, 17
Competencies: (C) 2, 15
ENGL 1301 1302
1, 2, 5, 7, 8, 9, 11, 12, 13, 15, 16, 17 1, 2, 5, 7, 8, 9, 11, 12, 13, 15, 16, 17
5, 6, 7, 8 5, 6, 7
1, 2, 10, 11, 12, 17
1, 2, 5, 10, 11, 12, 17
3, 4, 9, 10, 11, 12
1, 2, 10, 11, 12, 15, 16, 17
READ 1314 1, 2, 5, 7, 8, 9, 10, 11, 12, 15, 17 13, 14, 15
1, 5, 6, 7, 8, 9, 10, 12,
2, 4, 5, 6, 7, 8, 9, 10, 13, 14
1, 5, 6, 7, 14
1, 2, 5, 8, 9, 10, 11, 12, 15, 16, 17
1, 2, 4,10,11,12
Example for PSYC: Scans:
Foundation Skills: Competencies:
1, 2, 10, 11 4, 13
Syllabus Statements: Each syllabus should include the following Diversity Statement and the Disabilities Statement appropriate to the location of the course.
In this class, the teacher will establish and support an environment that values and nurtures individual and group differences and encourages engagement and interaction. Understanding and respecting multiple experiences and perspectives will serve to challenge and stimulate all of us to learn about others, about the large world and about ourselves. By promoting diversity and intellectual exchange, we will not only mirror society as it is, but also model society as it can be.
Levelland Campus – Students with disabilities, including but not limited to physical, psychiatric, or learning disabilities, who wish to request accommodations in this class should notify the Disability Services Office early in the semester so that the appropriate arrangements may be made. In accordance with federal law, a student requesting accommodations must provide acceptable documentation of his/her disability. For more information, call or visit the Disability Services Office in the Student Health & Wellness Office, 806-716-2577. Reese Center and the Byron Martin Advanced Technology Center (ATC) – Students with disabilities, including but not limited to physical, psychiatric, or learning disabilities, who wish to request accommodations in this class should notify the Disability Services Office early in the semester so that the appropriate arrangements may be made. In accordance with federal law, a student requesting accommodations must provide acceptable documentation of his/her disability. For more information, call or visit the Disability Services Office at, Reese Center Building 8, 806-716-4675.