Nursing 352

NURS 352: Mental Health Nursing

Prerequisites: Upper division standing

Credit Hours: (5) Three hours lecture; six hours practicum

Development of nursing knowledge and skill for mental health promotion, protection, and restoration.

Detailed Description of Content of the Course

The course provides the theoretical basis for and clinical experience in applying the nursing process to provide mental health care. The objectives and content of this Level 1 Course are derived from the School of Nursing’s philosophy and conceptual framework, and facilitate achievement of the School’s program objectives.  Additionally, the Essentials for Baccalaureate Education for Professional Nursing Practice are conceptualized to include community based nursing practice. The major topics and skills covered in this course represent areas covered on standardized achievement examinations and the NCLEX-RN Test Plan.  Current research and advancement in theory and clinical practice also determine content.

Topical Outline:
1. Introduction
        a. Definitions of mental health/illness
        b. ANA Standards of Psychiatric-Mental Health Clinical Nursing Practice
        c. Conceptual framework
        d. Cultural, legal, and ethical mental health issues
        e. Community-based mental health care
2. Psychiatric Assessment
        a. Psychiatric history
        b. Mental status examination
        c. DSM-IV-TR classification
        d. Suicide assessment and intervention
        e. Violence assessment and intervention
        f. Family assessment and intervention
3.Treatment modalities
        a. Therapeutic relationships and communication
        b. Psychopharmacology and ECT
        c. Cognitive-behavioral therapy
        d. Group process and therapy
        e. Crisis intervention
        f. Therapeutic environment
4. Mental health promotion strategies
        a. Assertiveness
        b. Self-awareness
        c. Self-esteem
        d. Support groups
        e. Stress management
        f. Relaxation techniques
        g. Coping enhancement
        h. Social support
        i. Self-nurture
6. Psychopathology and nursing interventions
        a. Anxiety, somatoform, and dissociative disorders
        b. Mood disorders
        c. Schizophrenia
        d. Personality disorders
        e. Eating disorders
        f. Substance abuse
        g. Sexual disorders
        h. Organic mental disorders

Detailed Description of Conduct of Course

The following teaching strategies will be employed:

Lecture, discussion, videotapes, filmstrips, small group activities, clinical practice, clinical conferences, student presentations, written projects and computer-assisted instruction.

Goals and Objectives of the Course

1. Accepts oneself as an independent learner who is beginning to assimilate new knowledge, concepts, and experiences of mental health nursing practice.
2. Demonstrates the application of basic therapeutic nursing interventions for the efficient, safe, and comassionate delivery of mental health nursing care and accepts accountability for actions.
3. Demonstrates clinical thinking through examining the ANA Standards of Psychiatric-Mental Health Clinical Practice, Nursing’s Social Policy Statement, evidenced-based research findings, and various health issues.
4. Uses standardized terminology in a care environment that reflects nursing’s unique contribution to mental health patient outcomes.
5. Examines how mental health care policies, legislative processes, finance, and regulatory environments influence nursing practice and mental health care delivery.
6. Applies basic communication skills required for professional mental health nursing practice in the clinical and classroom setting and accepts accountability.
7. Recognizes the client as a partner in developing mental health promotion and disease prevention strategies across the lifespan.
8. Examines the decision-making process for ethical dilemmas in classroom and mental health clinical setting and accepts accountability for actions.  Identifies personal, professional, and environmental risks that impact mental health promotion.
9. Develops an awareness of patients as well as healthcare professionals’ spiritual beliefs and values and how those beliefs and values impact mental health care.

Assessment Measures
May include:
• Test; Exam; Quiz
• Paper
• Project, Individual or Group
• Care Plan
• Oral Presentations
• Class Participation

The course grade is determined by an evaluation of the extent to which the student meets the stated course objectives. Students must have a minimum of a 80% "C" in theory (measured through testing). Students must also demonstrate satisfactory clinical performance to pass the course. The clinical practicum is pass/fail. A minimum course grade of 80% "C" is required for the course to count for the major.

Other Course Information

Students With Disabilities: If you are seeking classroom accommodations under the Americans With Disabilities Act, you are required to register with the Disability Resource Office (DRO). The DRO is located in Room 32, Tyler Hall, telephone 540-836350. To receive academic accommodations for this class, please obtain the proper DRO forms and meet with me no later than the second week of the semester.

Honor Code: By accepting admission to Radford University, each student makes a commitment to understand, support, and abide by the University Honor Code without compromise or exception. Violations of academic integrity will not be tolerated. This class will be conducted in strict observance of the Honor Code. Refer to your Student Handbook for details.

Review and Approval

May 2001 Undergraduate Curriculum Janet Hardy Boettcher, Revision Director

February 2011, Kim Carter, Director