health education syllabus

EMILIO AGUINALDO COLLEGE

SCHOOL OF NURSING

COURSE SYLLABUS IN

CARE OF CLIENT WITH MALADAPTIVE PATTERNS OF BEHAVIOR

Submitted to:

Ms. Obdulia Almarez

Submitted by:

Keycee Donasco

Jaylyn Gamir

Krishia Manuel

Lovella Marasigan

Doris Onwubere

May 19, 2014

EMILIO AGUINALDO COLLEGE

SCHOOL OF NURSING

COURSE SYLLABUS IN

CARE OF CLIENT WITH MALADAPTIVE PATTERNS OF BEHAVIOR

COURSE NAME: CARE OF CLIENT WITH MALADAPTIVE PATTERNS OF BEHAVIOR

COURSE CODE: NCM 105

COURSE DESCRIPTION: The course is designed to focus on health and illness across the lifespan of clients, population group with acute and chronic psychosocial difficulties and psychiatric illnesses.

COURSE CREDIT: 4 units Lecture; 2 units RLE (2units Clinical)

CONTACT HOURS/SEM: 72 Lecture hours; 102RLE hours

PREREQUISITE: General Psychology; NCM 103

CO-REQUISITE: NCM 104

PLACEMENT: 3rd Year; 2nd Semester

TERMINAL COMPETENCIES: At the end of the course and given actual clients with maladaptive patterns of behavior, the student will be able to:

1. Utilize the nursing process in care of individuals, families in community and hospital settings.

Assess clients with their condition through mental status examination, physical examination, interpretation of diagnostic procedure.

Identify actual and potential nursing diagnosis. Plan appropriate nursing interventions with clients and family for identified nursing diagnosis. Implement plan of care with client/s and family. Evaluate the progress of his/her client’s condition and outcomes of care.

2. Apply knowledge and understanding of maladaptive patterns of behavior in providing safe and quality care to clients.

3. Increase self-awareness and therapeutic use of self in the care of clients.4. Ensure a well-organized and accurate documentation.5. Relate with clients and their family and the health team appropriately.6. Observe bioethical concepts, principles, core values and nursing standards in the care of clients.7. Promote personal and professional growth of self and others.

TIME FRAME

PER WEEK

TOPIC INTERMEDIATECOMPETENCIES

CONTENT CLASSROOM

TEACHING

INSTRUCTIONAL MATERIAL

EVALUATION ASSIGNMENT REFERENCE

14 hours

CHAPTER 1FOUNDATION OF

PSYCHIATRIC-MENTAL HEALTH NURSING

A. Mental Health and Mental Illness

B. Diagnostic and Statistical Manual Disorders

C. Historical Perspectives of Treatment of Mental Illness

D. Mental Illness in the 21st Century

At the end of the topic the students will be able to:

Define mental health and mental illness.

Discuss the purpose of diagnostic and statistical manual of mental disorder.

Identify the important historical landmark in psychiatric care.

Discuss current trends in mental

Lecture Questioning and Discussion

Simulation

Power point presentation

Handouts

White board marker and board

Textbook:Videbeck, Sheila L. (2011) Psychiatric-Mental Health Nursing, 5th edition, Lippincott Williams & Wilkins )

Written examination

Recitation

Evaluation of the assignment passed

Answer chapter 1 critical thinking question of the textbook page 13

Videbeck, Sheila L. (2011) Psychiatric-Mental Health Nursing, 5th

edition, Lippincott Williams & Wilkins( pages 2-14)

E. Psychiatric Nursing Practice

CHAPTER 2NEUROBIOLOGIC THERIOES

AND PSYCHOPHARMACOLOGY

A. The Nervous System and How It Works

B. Brain Imaging Techniques

C. Causes of Mental Illness

illness

Describe common concerns in psychiatric nursing


Discuss the structures, processes, and functions of the brain.

Identify pertinent teaching for clients and families about brain imaging techniques.

Identify the causes of mental illness.

Research on the newest develop drug for psychiatric patients

Videbeck, Sheila L. (2011) Psychiatric-Mental Health Nursing, 5th edition, Lippincott Williams & Wilkins ( pages 18-39)

D. Role of Nurse’s in Research and Education

E. Psychopharmacology

Explain the role of nurse’s in research and education

Discuss the categories of drug use to treat mental illness and their mechanisms of action, side effects, and special nursing consideration

24 hours

CHAPTER 3PSYCHOSOCIAL THEORIES AND

THERAPY

A. Psychosocial Theories

B. Treatment Modalities


Explain the different Psychosocial theory

Describe the different psychosocial treatment of

Lecture, Questioning and Discussion

Reporting

Simulation


Handouts


Textbook:Videbeck, Sheila L. (2011) Psychiatric-Mental Health Nursing, 5th edition,

Recitation

Role playing(psychosocial theories)



Videbeck, Sheila L. (2011) Psychiatric-Mental Health Nursing, 5th edition, Lippincott Williams & Wilkins ( pages 44-62)

C. Nurse and Psychosocial Intervention

CHAPTER 4TREATMENT SETTING AND THERAPEUTIC PROGRAM

A. Treatment Setting

B. Psychiatric Rehabilitation Programs

C. Special Populations of Clients with Mental Illness

modalities

Choose appropriate nursing intervention in different situation


Discuss traditional treatment settings.

Describe different types of residential treatment setting.

Describe community treatment programs that

Lippincott Williams & Wilkins

Research on the programsfor psychiatric rehabilitationat least 3 programs

Videbeck, Sheila L. (2011) Psychiatric-Mental Health Nursing, 5th edition, Lippincott Williams & Wilkins ( pages 65-75 )

D. Interdisciplinary Team

E. Psychosocial Nursing in Public Health and Home Care

will provide services to people with mental illness.

Identify barrier to effective treatment for homeless people with mental illness.

Discuss the issues related to people with mental illness in the criminal justice system.

Describe the roles of different members of multidisciplinary mental health-care team.

Identify the different roles of the nurse in the varied treatment settings and programs.

34 hours

CHAPTER 5THERAPEUTIC RELATIONSHIPS

A. Components of a Therapeutic Relationship

B. Types of Relationships

C. Establishing the Therapeutic Relationship

D. Behavior that Diminish the Therapeutic Relationship

E. Role of Nurse in a Therapeutic Relationship


Identify the component of a therapeutic relationship.

Enumerate the types of relationship.

Explain the importance of values, beliefs and attitudes in development of the nurse client relationship.

Describe the importance of self-awareness and therapeutic use of self in the nurse client relationship.

Identify self-awareness issues that can

Lecture and Discussion


Handouts


Textbook: Videbeck, Sheila L. (2011) Psychiatric-Mental Health Nursing, 5th edition, Lippincott Williams & Wilkins

oral examination(recitation)

Do an advance reading on chapter 5


edition, Lippincott Williams & Wilkins ( pages 80-95)

enhance or hinder the nurse client relationship.

Define Carper’s four patterns of knowing ng give examples of each.

Describe the differences between social, intimate, and therapeutic relationships.

Describe and implement the phases of the nurse-client relationship as outlined by Hildegard Peplau.

Explain the negative behaviors that can hinder or diminish the nurse –client relationship.

Explain various possible roles of the nurse in the nurse-client relationship.

44 hours

CHAPTER 6THERAPEUTIC

COMMMUNICATION

A. Therapeutic Communication

B. Verbal and Nonverbal Communication Skill

C. Understanding the Meaning of Communication, Context and Spirituality


Describe the goals of therapeutic communication.

Identify therapeutic and non-therapeutic verbal communication skill.

Discuss nonverbal communication skill.

Discuss communication, context and spirituality.


Simulation


Handouts


Textbook:Videbeck, Sheila L. (2011) Psychiatric-Mental Health Nursing, 5th edition, Lippincott Williams & Wilkins

Written examination (Quiz)

Recitation





D. Therapeutic Communication Assertive

Communication

E. Community Based Care

Discuss boundaries in therapeutic communication with respect to distance and use of touch.

Demonstrate selective response to a client in a given situation.

54 hours

CHAPTER 7CLIENT RESPOND TO ILLLNESS

A. Individual, Interpersonal and Cultural Factors


Discuss the influences of age, growth, and development on client’s response to illness.

Identify the roles that


Simulation


Handouts


Textbook: Videbeck, Sheila L. (2011) Psychiatric-Mental Health Nursing, 5th edition, Lippincott

Role playing

Quiz





physical health and biologic makeup play in a client’s response to stressors.

Explain the importance of personal characteristics in a client’s responds to stressors.

Explain the influence of interpersonal factors on client’s responds to illness.

Explain cultural factor that they may assess and consider when working with clients of different cultural backgrounds.

Williams & Wilkins

CHAPTER 8ASSESSMENT

A. Factors Influencing Assessment

B. How to Conduct the Interview

C. Content of the Assessment

D. Assessment of Suicide or Harm Toward Others

E. Data Analysis


Identify the categories used to assess the client’s mental status.

Formulate questions to obtain information in each category.

Describe the client’s functioning in terms of self-concept, roles, and relationship.

Recognize key physiologic functions that frequently impaired in people with mental




disorder.

Obtain and organize psychosocial assessment data to use as a basis for planning nursing care.

Examine one’s own feeling and any discomfort discussing suicide, homicide, or self-harm behaviors with a client.

64 hours

CHAPTER 9LEGAL AND ETHICAL ISSUES

A. Legal Consideration


Describe the rights of the


Group discussion

Simulation


Handouts


Written examination (Quiz)

Recitation

Evaluation of the assignment



edition, Lippincott

B. Ethical Issues

client in psychiatric setting.

Discuss the legal and ethical issues related to seclusion and restraint.

Describe the component of malpractice.

Identify pertinent ethical issues in the practice psychiatric nursing.

Discuss the meaning of standard care.

Describe the most common types of torts in the mental health setting.

Textbook:Videbeck, Sheila L.(2011) Psychiatric-Mental Health Nursing, 5th edition, Lippincott Williams & Wilkins

passed Williams & Wilkins ( pages 156-164)

CHAPTER 10ANGER, HOSTILITY AND

AGGRESSION

A. Onset and Clinical Course

B. Related Disorders

C. Etiology

D. Treatment

E. Applying the Nursing Process

F. Workplace Hostility

G. Community Based Care


Discuss anger, hostility, and aggression

Describe psychiatric disorders that may be associated with an increased risk for hostility and physical aggression in clients

Describe the sign and symptoms and behaviors associated with the five phases of aggression

Discuss appropriate nursing intervention for client during the five phases of

Do an advance reading of chapter 10( pages 166-177)



aggression

Describe important issues for nurses to be aware of when working with angry, hostile, or aggressive

74 hours

CHAPTER 11ABUSE AND VIOLENCE

A. Clinical Picture of Abuse and Violence

B. Characteristics of Violent Families

C. Intimate Partner Violence

D. Child Abuse

E. Elder Abuse

F. Rape and Sexual Assault


Discuss the characteristics, risk factors, and family dynamics of abusive and violent behavior.

Describe responses to abuse, specifically posttraumatic stress disorder.

Apply the nursing process to the care of


Simulation


Handouts



Written examination( short quiz)

Recitation





G. Community Violence

H. Psychiatric Disorders Related to Abuse and Violence

I. Application of Nursing Process

client who survived abuse and violence.

Provide education to client’s families, and communities to promote prevention and early intervention of abuse and violence.

Evaluate their own experiences feeling, attitudes, and beliefs about abusive and violent behavior.

84 hours

CHAPTER 12GRIEF AND LOSS

A. Types of Losses


Identify the types of losses for which


Reporting


Handouts


Recitation


Interview 3 people regarding the grief and loss they experience and how they manage to cope with it.


edition, Lippincott

B. Grieving Process

C. Dimension of Grieving

D. Disenfranchised Grief

E. Complicated Grieving

people may grieve.

Discuss various theories related to understanding the grief process.

Describe the five dimension of grieving.

Discuss universal and cultural specific mourning rituals.

Discuss disenfranchised grief.

Identify factors that increase a person’s susceptibility to compilations related to grieving.

Discuss factors that are critical


Long Examination

Williams & Wilkins ( pages 205-223)

to integrating loss into life.

Apply the nursing process to facilitate grieving for clients and families.

9 MIDTERM EXAMINATION

104 hours

CHAPTER 13ANXIETY, ANXIETY DISORDERS, AND STRESS RELATED ILLNESS

A. Anxiety as a Respond to Stress

B. Onset and Clinical Course

C. Related Disorders

D. Etiology

E. Treatment

At the end of the topic the

students will be able to:

Describe anxiety as a responds to stress.

Describe the level of anxiety with behavioral changes related to each levelDiscuss the use of defense mechanisms by people with anxiety


Reporting

Simulation


Handouts



Written examination( short quiz)

Recitation





F. Elder Considerations

G. Community Based Care

H. Mental Health Promotion

I. Panic Disorder

J. Phobias

K. Obsessive-Compulsive Disorder

L. Generalized Anxiety Disorder

M. Posttraumatic Stress Disorder

N. Acute Stress Disorder

disorders.

Describe the current theories regarding the etiologies of major anxiety disorder.

Evaluate the effectiveness of treatment including medication for client with anxiety disorders.

Apply the nursing process to the care of clients with anxiety and anxiety disorders.

Provide teaching to clients, families, caregivers, and communities to increase understanding of anxiety and

stress related disorders.

Examine your feelings, beliefs, and attitudes regarding clients with anxiety disorders.

114 hours

CHAPTER 14SCHIZOPHRENIA

A. Clinical Course

B. Related Disorder

C. Etiology

D. Cultural Considerations

E. Treatment

F. Application of Nursing


Discuss various theories of the etiology of schizophrenia.

Describe the positive and negative symptoms of schizophrenia.

Describe a functional and mental status assessment for a client with

Lecture, Questioning and Discussion


Handouts


Textbook:Videbeck, Sheila L. (2011) Psychiatric-Mental Health Nursing, 5th edition, Lippincott Williams & Wilkins

Written examination ( quiz)

Recitation


Do a research on schizophrenia



Process

G. Elder Consideration

H. Community Based Care

I. Mental Health Promotion

schizophrenia.

Apply the nursing process to the care of client with schizophrenia.

Evaluate the effectiveness of antipsychotic medications for clients with schizophrenia.

Provide teaching to clients, families, caregivers, and community members to increase knowledge and understanding of schizophrenia.

Describe the supportive and rehabilitative needs of clients with schizophrenia who live in the

community.

Evaluate their own feelings belief, and attitudes regarding clients with schizophrenia.

124 hours

CHAPTER 15MOOD DISORDERS

A. Categories of Mood Disorders

B. Related Disorders

C. Etiology


E. Major Depressive Disorder Application of

Nursing


Discuss etiologic theories of depression and bipolar.

Describe the risk factors for and characteristics of mood disorder.

Apply the nursing process to the care of client and


Reporting


Handouts



Recitation


Do a written report on mood disorder



Process:Depression

F. Bipolar Disorder Application of

the Nursing Process: Bipolar Disorder

H. Suicide

I. Community-Based Care

J. Mental Health Promotion

families with mood disorders.

Provide education to clients, families, caregivers, and community members to increase knowledge and understanding of mood disorders.

Identify population at risk for suicide.

Apply the nursing process to the care of a suicidal client.

Evaluate their feelings, belief, and attitudes regarding mood disorders and suicide.

134 hours

CHAPTER 16PERSONALITY DISORDERS

A. Categories of Personality Disorders


C. Etiology


E. Treatment

F. Paranoid Personality Disorder

G. Schizoid Personality Disorder

H. Schizotypal Personality Disorder


Describe personality disorder in terms of the client’s difficulty in perceiving, relating to, and thinking about self, others, and the environment.

Discuss factors thought to influence the development of personality disorders.

Apply the nursing process to the care of clients with personality disorders.

Provide


Simulation


Handouts



Recitation

Quiz





I. Anti-Social Personality Disorder

Application of the Nursing Process: Anti-Social Personality Disorder

J. Borderline Personality Disorder

Application of the Nursing Process: Borderline Personality Development

K. Histrionic Personality Disorder

L. Narcissistic Personality Disorder

M. Avoidant Personality Disorder

N. Dependent Personality Disorder

education to clients, families, and community members to increase their knowledge and understanding of personality disorders.

Evaluate their feelings, attitudes and responses to clients with personality disorder.

O. Obsessive-Compulsive Personality Disorder

P. Depressive Personality Disorder

Q. Passive Personality Disorder

R. Elder Consideration

S. Community Based Care

T. Mental Health Promotion

144 hours

CHAPTER 17SUBSTANCE ABUSE

A. Types of Substance Abuse

B. Onset and Clinical Courses

C. Related Disorders


Explain the trends in substance abuse and discuss the need for related prevention



Handouts


Textbook: Videbeck, Sheila L. (2011) Psychiatric-

Role play


Interview a heavy drinker of alcohol or a heavy smoker in your community

Videbeck, Sheila L. (2011) Psychiatric-Mental Health Nursing, 5thedition, Lippincott Williams & Wilkins ( pages 348-369)

D. Etiology

E. Cultural Consideration

F. Types of Substances Treatment

G. Application of the Nursing Process

H. Elder Considerations

I. Community Based RareJ. Mental Health Promotion

K. Substance Abuse in Health Professionals

programs.

Discuss the characteristics, risk factors, and family dynamics prevalent with substance abuse.

Describe the principles of 12 step treatment approach for substance abuse.

Apply the nursing process to the care of clients with substance abuse issues.

Provide education to clients, families, and community members to increase knowledge and understanding of substance use and abuse.

Mental Health Nursing, 5th edition, Lippincott Williams & Wilkins

Discuss the nurse’s role in dealing with the chemically impaired professional.

Evaluation your feelings, attitudes, and responses to clients and families with substance use and abuse.

154 hours

CHAPTER 18EATING DISORDERS

A. Overview of Eating Disorders

B. Categories of Eating Disorders and Related Disorders

C. Etiology


Compare and contrast the symptoms of anorexia nervosa and bulimia nervosa.

Discuss various etiologic theories of


Reporting


Handouts


Textbook: Videbeck, Sheila L.(2011) Psychiatric-Mental Health Nursing, 5th edition,

Recitation

Quiz





D. Cultural Consideration

E. Anorexia Nervosa

F. Bulimia

G. Application of the Nursing process

H. Community Based Care

I. Mental Health Promotion

eating disorders.

Identify effective treatment for clients with eating disorders.

Apply the nursing process to the care of clients with eating disorders.

Provide teaching to clients, families, and community members to increase knowledge and understanding of eating disorders.

Evaluate their feelings, beliefs, and attitudes about clients with eating disorders.

Lippincott Williams & Wilkins

164 hours

CHAPTER 19SOMATOFORM DISORDER

A. Overview of Somatoform disorders


C. Related Disorder

D. Application of the Nursing process


F. Mental Health Promotion


Explain what is meant by psychosomatic illness.

Describe somatoform disorders and identify their three central features.

Discuss the etiologic theories related to somatoform disorders.

Discuss the characteristics and dynamics of specific somatoform disorders.

Distinguish


Simulation


Handouts



Recitation

Quiz





somatoform disorders from factitious disorders and malingering.

Apply the nursing process to the care of clients with somatoform disorders.

Provide education to clients, families, and the community to increase knowledge and understanding of somatoform disorders.

Evaluate their feelings, beliefs, and attitudes regarding clients with somatoform disorder.

CHAPTER 20CHILD AND ADOLESCENT

DISORDER

A. Autistic Disorder

B. Attention Deficit Hyperactivity Disorder

Application of the Nursing Process: Attention Deficit Hyperactivity Disorder

C. Conduct Disorder

D. Application of the Nursing Process


F. Mental Health Promotion


Discuss the characteristics, risk factors, and family dynamics of psychiatric disorders of childhood and adolescence.

Apply the nursing process to the care of children and adolescents with psychiatric disorder and their families.

Provide education to clients, families, caregivers, and community members for young clients with psychiatric disorders.

Watch aDocumentation or a YouTube video of child and adolescent disorder and write a comprehensive review or reaction on it.



Discuss the nurse’s role as an advocate for children and adolescents.

Evaluate their feeling beliefs, and attitude about clients with psychiatric disorders and their parents and caregivers.

174 hours

CHAPTER 21COGNITIVE DISORDER

A. Delirium Application of

the Nursing Process: Delirium

B. Dementia Application of

the Nursing Process:


Describe the characteristic of and risk factors for cognitive disorders.

Distinguish between delirium and dementia in terms of symptoms,


Simulation


Handouts


Textbook:Videbeck, Sheila L. (2011) Psychiatric-Mental Health Nursing, 5th edition, Lippincott

Recitation


Long examination


Do a comprehensive written report on cognitive disorder



Dementia

C. Community Based Care

D. Mental Health Promotion

E. Role of the Caregiver

F. Related Disorders

course, treatment, and prognosis.

Apply the nursing process to the care of clients with cognitive disorders.

Identify methods for meeting the needs of people who provide care to clients with dementia.

Provide education to clients, families, caregivers, and community members to increase knowledge and understanding of cognitive disorders.

Evaluate their feelings, beliefs, and attitudes

Williams & Wilkins

regarding clients with cognitive disorders.

18 FINAL EXAMINATION

GRADING SYSTEM:

Class Standing Content: 25%

Attendance 10% Behavior 10% Recitation 15% Requirement 15% Long examination 30%

100%

Class standing 25%

Examination 45%

RLE (Related Learning Experience) 30%

100%

TEXTBOOK:

Videbeck, Sheila L. (2011) Psychiatric-Mental Health Nursing, 5th edition, Lippincott Williams & Wilkins

REFERENCE:

health education syllabus

Documents

care of clients

mental health nursing

causes of mental illness

psychiatric care

actual clients

lifespan of clients

plan of care

mental status examination