Northeast Alabama

Revised Spring 2014

NORTHEAST ALABAMA

COMMUNITY COLLEGE

I.NUR 108: Psychosocial Nursing

Theory 2 credit hours

Clinical1 credit hour

Total3credit hours

CLASS MEETING DATES/TIMES/LOCATION

TBA

CLINICAL DATES/TIMES/LOCATION

TBA

INSTRUCTOR, CONTACT INFORMATION, CONTACT POLICY, OFFICE HOURS/LOCATION

Mrs. Jane Hopson, Course Coordinator

Health Education Building, Office 226

The AlabamaCollege System

Psychosocial NursingNUR 108

COURSE DESCRIPTION:

This course is designed to provide an overview of psychosocial adaptation and coping concepts used when caring for clients with acute and chronic alterations in mental health in a variety of settings. Topics include therapeutic communication skills, normal and abnormal behaviors, treatment modalities, and developmental needs. Upon completion of this course, students will demonstrate the ability to assist clients in maintaining psychosocial integrity through the use of the nursing process.

VI.PREREQUISITE(S)/CO-REQUISITE(S)

PREREQUISITE COURSE:

BIO 201 and BIO 202

ENG 101 – English Composition I

MTH 116 (or higher)

NUR 102 – Fundamentals of Nursing

NUR 103 – Health Assessment

NUR 104 – Introduction to Pharmacology

NUR 105– Adult Nursing

NUR 106 – Maternal and Child Nursing

CO-REQUISITE COURSES:

NUR 107 – Adult/Child Nursing

NUR 109 – Role Transition

VII. TEXTBOOK(S) AND OTHER LEARNING RESOURCES

See Reading Assignment

VIII.COURSE OBJECTIVES

1.Explain the practical nurse’s role in psychiatric and mental health care.

2.Describe various treatment modalities for clients with mental health alterations.

3.Utilize the nursing process when providing care for clients experiencing mental health emergencies.

4.Utilize the nursing process when providing care for clients experiencing psychiatric disorders.

IX.PROFESSIONAL COMPETENCIES

Explain the practical nurse’s role in psychiatric and mental health care.
Assist with providing a variety of treatment modalities while caring for clients with psychiatric and mental health issues.
Apply the nursing process to clients experiencing mental health emergencies.
Use the nursing process to intervene for selected psychiatric disorders.

MODULE A – INTRODUCTION TO PSYCHIATRIC/MENTAL HEALTH

NURSING

A1.0 Explain the role of the practical nurse in psychiatric and mental health care.

A1.1 This module is measured cognitively.

A1.1.1 Define terms associated with psychiatric and mental health nursing.

A1.1.2 Explain myths and misconceptions of mental illness.

A1.1.3 Explain selected theories related to mental health.

A1.1.4Explain the various roles of the practical nurse working in psychiatric and mental health agencies.

A1.1.5 Explain legal and ethical issues associated with psychiatric and mental health nursing.

A1.1.6 Identify the practical nurse’s use of the Diagnostic and Statistical Manual of Mental Disorders, Text Revised (DSM-IVTR).

A1.1.7 Identify composition and functions of the multidisciplinary psychiatric team.

A1.1.8 Explain the influence of cultures on treatment for mental health issues.

MODULE B – TREATMENT MODALITIES

B1.0 Assist with providing a variety of treatment modalities while caring for

clients with psychiatric and mental health issues.

B1.1 Given a variety of scenarios and clinical situations, assist the health care team with providing care for clients with psychiatric and mental health issues.

B1.1.1 Define key terms associated with treatment modalities.

B1.1.2 Identify classifications of psychopharmacology.

B1.1.3 Identify actions associated with psychopharmacology.

B1.1.4 Identify indications for use of psychopharmacology.

B1.1.5 Identify side affects of psychopharmacology.

B1.1.6 Identify adverse reactions to psychopharmacology.

B1.1.7 Explain the nursing implications in psychopharmacology.

B1.1.8 Explain electro-convulsive therapy.

B1.1.9 Explain cognitive-behavioral therapy.

B1.1.10Explain alternative therapies.

B1.1.11Explain group therapies.

B1.1.12Explain family therapies.

B1.1.13 Explain individual therapies.

B1.1.14 Explain interpersonal psychotherapy.

B1.1.15 Describe nutritional considerations for clients experiencing mental health issues.

B1.1.16Identify community resources available for caring for culturally diverse clients experiencing mental health issues.

B1.1.17Explain monitoring client compliance with the treatment plan.

MODULE C – MENTAL HEALTH EMERGENCIES

C1.0 Apply the nursing process to clients experiencing mental health emergencies.

C1.1 Given various scenarios and clinical situations, assist with providing nursing care for clients experiencing mental health emergencies.

C1.1.1 Define key terms associated with mental health emergencies.

C1.1.2 Identify phases of mental health crises.

C1.1.3 Explain the interventions for clients experiencing mental health crises.

C1.1.4 Explain roles of the practical nurse in providing assistance to clients experiencing mental health crises.

C1.1.5Explain legal and ethical issues for providing nursing care to clients experiencing mental health crises.

C1.1.6Explain the signs and symptoms of suicide.

C1.1.7Explain interventions to prevent suicide.

C1.1.8Explain types of abuse related to domestic, child, and dependent adult clients.

C1.1.9Explain interventions related to domestic, child, and dependent adult abuse.

C1.1.10Define the nurse’s responsibility for documenting and reporting suspected abuse of children and dependent adults.

C1.1.11Explain the clinical manifestations of sexual abuse.

C1.1.12Explain the nurse’s role in suspected sexual assault.

C1.1.13Explain anger and aggression management.

C1.2 Use critical thinking to develop a nursing care plan for clients with mental health emergencies.

MODULE D – NURSING INTERVENTIONS FOR SELECTED

PSYCHIATRIC DISORDERS

D1.0 Use the nursing process to intervene for selected psychiatric disorders.

D1.1Given various scenarios and clinical situations, develop a nursing care plan for clients experiencing selected psychiatric disorders.

D1.1.1 Define key terms associated with selected psychiatric disorders.

D1.1.2 Identify elements of a nursing care plan for clients experiencing selected psychiatric disorders.

D1.2 Given various scenarios and clinical situations, use the nursing process to provide care for clients experiencing selected psychiatric disorders.

D1.2.1 Explain nursing interventions for clients experiencing selected psychiatric disorders.

D1.3 Given various scenarios and clinical situations, use critical thinking skills to determine appropriate communicationtechniques with clients experiencing selected psychiatric disorders.

D1.3.1 Differentiate between appropriate techniques used to communicate with clients experiencing selected psychiatric disorders.

X. OUTLINE OF MODULES

MODULE A – INTRODUCTION TO PSYCHIATRIC/MENTAL HEALTH

NURSING

Definitions of mental health/mental illness
Theories related to mental health
Role of the practical nurse
Legal and ethical issues
DSM-IVTR
Multidisciplinary team
Cultural diversity

MODULE B – TREATMENT MODALITIES

Psychopharmacology

○Classifications

○Actions (Pharmacokinetics)

○Indications for use

○Side effects

○Adverse reactions

○Nursing implications

Therapies

○Electro-convulsive therapy

○Cognitive-behavioral

○Alternative therapies

Group
Families
Individual

Nutritional considerations
Community resources
Monitoring compliance

MODULE C– MENTAL HEALTH EMERGENCIES

Crisis

○Definitions

○Stages

○Interventions

Suicide

○Signs and symptoms

○Interventions

Violence

○Abuse – domestic/child/dependent adult

○Sexual abuse

○Anger and aggression

MODULE D – NURSING INTERVENTIONS FOR SELECTED

PSYCHIATRIC DISORDERS

Substance abuse
Schizophrenia
Mood disorders
Anxiety disorders
Cognitive impairment
Mental retardation
Alzheimer’s
Dementia
Eating disorders
Personality disorders
Childhood disorders
Attention Deficit Disorders (ADD, ADHD)
Oppositional defiance
Impulse control
Conduct disorders

XI. EVALUATION AND ASSESSMENT

A.Theory

1.Tests announced or unannounced may be given throughout the course and

may incorporate various teaching/learning methods (for example: situational, multiple choice, discussion, performances, etc).

2.All nursing exams should be taken on the day they are scheduled. In the event of illness, bereavement, or court attendance, the studentis required to notify the course coordinator or clinical instructor PRIOR to the test. Immediately upon return to campus, the student is required to submit documentation which supports the absence. A make-up exam will be given at the end of the semester IF appropriate documentation has been provided at the time of the absence.

3.All students are required to attend test reviews following exams. Students who score less than 75% on unit exams are required to complete a remediation assignment in the computer lab on a designated day. Students must score a minimum of 80% on the remediation assignment. Remediation assignments must be submitted to the instructor on the day of remediation.

STUDENTS WHO DO NOT COMPLETE REQUIRED REMEDIATION ASSIGNMENTS WILL NOT BE ALLOWED TO TAKE THE NEXT UNIT EXAM AND WILL TAKE A MAKE-UP EXAM AT THE END OF THE SEMESTER.

4.Required written assignments are due by the end of the scheduled class period.

B. Clinical

1.Performance in the clinical setting is evaluated according to the form, Evaluation of Clinical Performance. A final evaluation of satisfactory in clinical performance is required to progress in nursing. A rating of unsatisfactory in clinical performance will result in a grade of “F” for the nursing course regardless of any other grading component in the course.

2.Students may not attend clinical lab until they have successfully completed all required assignments in order to provide safe client care.

C.Course Grade

1.The course grade is a composite grade based on the following:

a.Unit tests

b.Comprehensive final examination

c.Clinical performance evaluation

Student must achieve a grade of 75% or above in each course to continue in the nursing program. A grade below 75% will result in a “D” or an “F” depending on the numerical score.

2.Course and instructor evaluation by each student is required.

3.Conference with the clinical instructor is required each semester.

4.In the event of a failing grade, students are urged to see their instructor for a conference.

XII.ATTENDANCE

A. Students are expected to attend all classes for which they are registered. The student must be present 80% of the scheduled class dates in order to demonstrate the expected course outcomes and successfully apply theoretical concepts to the clinical practicum. Students who are unable to attend class regularly, regardless of the reason or circumstance, should withdraw from that class before poor attendance interferes with the student’s ability to achieve the objectives required in the course. Withdrawal from class can affect eligibility for federal financial aid. Withdrawal from class can prohibit progression in nursing and allied health programs.

B.Students are expected to attend all clinical rotations required for each course. Only excused absences (a maximum of one) will be considered for make up. However, due to limited clinical space and time, clinical make up days cannot be guaranteed. Failure to complete clinical rotations will prohibit progression in nursing and allied health programs.

XIII.STATEMENT ON DISCRIMINATION/HARASSMENT

The College and the Alabama Board of Education are committed to providing both employment and educational environments free of harassment or discrimination related to an individual’s race, color, gender, religion, national origin, age, or disability. Such harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment or discrimination will not be tolerated.

XIV.AMERICANS WITH DISABILITIES

The Rehabilitation Act of 1973 (Section 504) and the American with Disabilities Act of 1990 state that qualified students with disabilities who meet the essential functions and academic requirements are entitled to reasonable accommodations. It is the student’s responsibility to provide appropriate disability documentation to the College. Please contact the ADA representative.

XV. COURSE CALENDAR

Course Calendar will be provided to student by the first day of class.

XVI.STUDENT ACKNOWLEDGEMENT FORM

I have received the Course Syllabus for NUR 108: Psychosocial Nursing.

My signature indicates that I have read and understand the contents.

______

Student’s Signature

______

Print Name

______

Date

The AlabamaCollege System