evolution of therapies for psychiatric disorders. Identify ways each theorist contributes to the nurse’s ability to assess a patient’s behaviors. Identify Peplau’s framework for the nurse-patient relationship. Serious Mental Illness: Describe common problems and the effects of serious mental illness on daily functioning, interpersonal relationships, and quality of life. Discuss five evidence-based practices for the care of the person with serious mental illness. Explain the role of the in the care of the person with serious mental illness. Discuss the causes of treatment non-adherence, and plan interventions to promote treatment adherence. Therapeutic Groups: Identify basic concepts related to group work and phases of group development. Define task and maintenance roles of group members. Discuss the therapeutic factors that operate in all groups. Interpersonal Theories Behavioral Theories Cognitive Theories Humanistic Theories Biological Theories Milieu Therapy Serious Mental Illness (Ch. 30) Mental Illness Across Lifespan Issues Confronting Those with Mental Illness Resources for Persons with Serious Mental Illness Treatment Approaches Nursing Care of Patients with Serious Mental Illness Current Issues Therapeutic Groups (Ch. 34) Therapeutic Factors Common to all Groups Planning a Phases of Group Development Group Member Roles Nurse as a Group Leader
communication, and identify examples of nonverbal communication. Identify attending behaviors the nurse might focus on to increase communication skills. Relate problems that can arise when nurses are insensitive to cultural aspects of patients’ communication styles. Demonstrate the use of techniques that can enhance communication, highlighting what makes them effective. Demonstrate the use of techniques that can obstruct communication, highlighting what makes them ineffective. Week 2 Mon: 2/6/12 Wed: 8/8/12 CLO # 1, 2, 3, 4, 5, 6, 7, 8, 9 The Nursing Process and Standards: Compare the different approaches you would consider when performing an assessment with a child, an adolescent, and an older adult. Explain three principles a nurse follows in planning actions to reach agreed-upon Demonstrate basic nursing interventions and evaluation of care following the ANA’s Standards of Practice. Compare and contrast Nursing Interventions Classification (NIC), The Nursing Process and Standards (Ch. 8) Standard 1: Assessment Standard 2: Diagnosis Standard 3: Outcome Identification Standard 4: Planning Standard 5: Implementation Standard 6: Evaluation Documentation Lecture Video: Schizophrenia – Understanding the Disorder Quiz # 1 Varcarolis: Read Chapters: 25, 8, 15, 6 & 3 ATI: Review Chapters: 5, 29, 27, 14 & 22 Complete ATI Application Exercise View ATI video: “Restraint Use” in Chapter 2
Nursing Outcomes Classification (NOC), and evidence-based practice (EBP). Schizophrenia Ch. 15 Describe the progression of symptoms, focus of care, and intervention needs for the prepsychotic through maintenance phases of schizophrenia. Discuss the findings that indicate that schizophrenia is a brain disorder. Differentiate among the positive and negative symptoms of schizophrenia in terms of psychopharmacological treatment and effect on quality of life. Discuss how to deal with common reactions the nurse may experience while working with a patient with schizophrenia. Compare and contrast the conventional antipsychotic medications with atypical antipsychotics. Role-play intervening with a patient who is hallucinating, delusional, and exhibiting disorganized thinking. Psychopharmacology Schizophrenia (Ch. 15) Epidemiology Comorbidity Etiology: a. Biological Factor b. Psychological Factor c. Environmental Factor Course of the Disorder Phases of Schizophrenia Application of the Nursing Process Communication Techniques Health Teaching and Health Promotion Milieu Management Promotion of Self-Care Activities Pharmacological Interventions Nursing Skills Software: Clinical Simulation, Mental Health II “Paranoid Schizophrenia” Nursing Skills Software: Clinical Simulation, Mental Health II “Major Depressive Disorder”
patient with marginal coping behaviors. Apply principles of deescalation with a moderately angry patient. Describe criteria for the use of seclusion or restraint over verbal intervention. Discuss types of assessment and their value in the nursing process. Week 3 Mon: 2/13/12 Wed: 2/13/12 CLO # 1, 2 , 3 , 4, 5, 6, 7, 9 Depressive Disorders: Compare and contrast major depressive disorder and dysthymic disorder. Discuss the links between the stress model of depression and the biological model of depression. Identify behaviors in patients with depression in regard to each of the following areas: (a) affect, (b) thought processes, (c) feelings, (d) physical behavior, and (e) communication. Identify nursing diagnoses for patients with depression, and include outcome criteria. Identify principles of communication useful in working with patients with depression. Compare the advantages of the selective serotonin reuptake inhibitors (SSRIs) over the tricyclic antidepressants (TCAs).. Depressive Disorders (Ch. 13) Major Depressive Disorder Dysthymic Disorder Epidemiology Comorbidity Etiology (Biological and Psychological Factors) Application of the Nursing Process Communication Techniques Health Teaching and Health Promotion Milieu Management Promotion of Self-Care Activities Pharmacological Interventions Electroconvulsive Therapy Transcranial Magnetic Stimulation Lecture Video: Mood Disorder – Depressive Disorder Part 1 and 2 Video: Understanding Electro-Convulsive Therapy (ECT) Section 1 Exam Varcarolis: Read Chapters: 13, 14, 24 ATI: Review Chapters: 12, 20, 13, 10, 21, 28, 25, 32 Complete ATI Application Exercise Nursing Skills Software: Clinical Simulation, Mental Health II “Dysthymic Disorder”
Describe the types of depression for which electroconvulsive therapy (ECT) is most helpful. Bipolar Disorders: Identify nursing diagnoses appropriate for a patient with mania, and include supporting data. Identify methods of communication that may be used with a patient experiencing mania. Distinguish between signs of early and severe lithium toxicity. Compare and contrast basic clinical conditions that may respond better to anticonvulsant therapy with those that may respond better to lithium therapy. Evaluate specific indications for the use of seclusion for a patient experiencing mania. Review items presented in the patient and family teaching plan (see Box 14-2) with a patient with bipolar disorder. Distinguish the focus of treatment for a person in the acute manic phase from the focus of treatment for a person in the continuation or maintenance phase. Suicide Ch. 24 Bipolar Disorders (Ch. 14) Types of Bipolar Disorder Epidemiology Comorbidity Etiology (Biological, Environmental and Psychological Factors) Application of the Nursing Process Communication Milieu Management Promotion of Self-Care Activities Pharmacological Interventions Electroconvulsive Therapy Support Groups Health Teaching and Health Promotion Suicide (Ch. 24) Risk Factors
Describe the profile of suicide in the United States, noting psychosocial and cultural factors that affect risk. Identify three common precipitating events. Describe risk factors for suicide, including coexisting psychiatric disorders. Identify the most frequent coexisting psychiatric disorders. Identify the components of SAD PERSONS scale to assess suicide risk. Describe possible reactions a nurse may have when beginning work with suicidal patients. Discuss examples of primary, secondary, and tertiary (postvention) interventions. Describe basic-level interventions that take place in the hospital or community. Identify key elements of suicide precautions and environmental safety factors in the hospital. Etiology (Biological, Psychosocial, Cultural and Societal Factors) Application of the Nursing Process Verbal and Nonverbal Clues Lethality of Suicide Plan Assessment Tools Self-Assessment Milieu Management Health Teaching and Health Promotion Case Management Pharmacological Intervention Week 4 Mon: 2/20/12 Wed: 2/22/12 CLO # 1, 2 , 3 , 4, 5, 6, 7, 9 Care for the Dying and for Those Who Grieve Ch. 32 Compare and contrast the specific goals of end-of-life care inherent in the hospice model with those of the medical model. Analyze the effects of specific interventions nurses can implement Care for the Dying and for Those Who Grieve (Ch. 32) Hospice and Palliative Care Nursing Care at the End of Life Styles of Confronting the Prospect of Lecture Video: Domestic Violence “Portrait of Abuse Part 1 Varcarolis: Read Chapters: 26, 29, 27 ATI: Review Chapters: 31
Anxiety and Anxiety Disorder Ch. 12 Compare and contrast the four levels of anxiety in relation to perceptual field, ability to learn, and physical and other defining characteristics. Identify defense mechanisms, and consider one adaptive and one maladaptive use of each. Identify genetic, biological, psychological, and cultural factors that may contribute to anxiety disorders. Describe clinical manifestations of each anxiety disorder. Formulate appropriate nursing diagnoses that can be used in treating a person with an anxiety disorder. Name defense mechanisms commonly found in patients with anxiety disorders. Describe feelings that may be experienced by nurses caring for patients with anxiety disorders. Identify nursing outcome criteria for patients with an anxiety disorder. Describe basic nursing interventions used for patients with anxiety disorders. Discuss classes of medications appropriate for anxiety disorders. Anxiety and Anxiety Disorder (Ch. 12) Levels of Anxiety Defenses Against Anxiety Panic Disorder Phobias Obsessive-Compulsive Disorder Generalized Anxiety Disorder Posttraumatic Stress Disorder Acute Stress Disorder Substance-Induced Anxiety Disorder Anxiety Due to Medical Conditions Epidemiology Comorbidity Etiology (Biological and Psychological Factors)
Somatoform, Factitious, and Dissociative Disorder: Compare and contrast essential characteristics of the somatoform, factitious, and dissociative disorders. Give a clinical example of what be found in each of the somatoform disorders. Describe psychosocial interventions that would be appropriate for a patient with somatic complaints. Describe disorders that are conscious attempts to deceive health care professionals. Explain the key symptoms of the four dissociative disorders. Compare and contrast dissociative amnesia and dissociative Identify nursing interventions for patients with somatoform, conversion disorder and dissociative disorders. Family Interventions Ch. 35 Differentiate between functional and dysfunctional family patterns of behavior as they relate to family functions. Somatoform, Factitious, and Dissociative Disorder (Ch. 22) Somatization Disorder Hypochondriasis Pain Disorder Body Dysmorphic Disorder Coversion Disorder Factitious Disorder with Physical Symptoms Factitious Disorder with Psychological Symptoms Malingering Depersonalization Disorder Dissociative Amnesia Dissociative Dissociative Identity Disorder Epidemiology Etiology (Biological and Psychological Factors) Family Interventions (Ch. 35) Family Functions Family Cycle Working with the Family Communication Techniques Family Therapy Case Management
Compare and contrast family therapy and behavioral family therapy. Identify family theorists and their contributions to the family therapy movement. Analyze the meaning and value of the family’s sociocultural context when assessing and planning intervention strategies.. Distinguish between the nursing intervention strategies of a basic level nurse and those of an advanced practice nurse with regard to counseling and psychotherapy and psychobiological issues. Week 6 Mon: 3/5/12 Wed: 3/7/12 CLO # 1, 2 , 3 , 4, 5, 6, 7, 9 Addictive Disorders Ch. 18 Compare and contrast the terms substance abuse and substance dependence, as defined by the Discuss components of the assessment process to be used with a person who is chemically dependent. Discuss the symptoms of alcohol withdrawal and alcohol delirium and the recommended treatments for each. Describe the signs of alcohol poisoning and the appropriate Addictive Disorders (Ch. 18) Tolerance and Withdrawal Flashbacks Synergistic Effects Antagonistic Effects Codependency Epidemiology Comorbidity (Psychiatric and Medical) Etiology a. Biological b. Psychological c. Sociocultural Factors Application of the Nursing Process Lecture Video: Substance Abuse Video: Care for Dementia Section 2 Exam Varcarolis: Read Chapters: 18 and 17 ATI: Review Chapters: 17, 24, 16 Complete ATI Application Exercise Nursing Skills Software: Clinical Simulation, Mental Health III “Alcohol Dependence”
Cognitive Disorders Ch.17 Compare and contrast the clinical picture of delirium with that of dementia. Discuss three critical needs of a person with delirium, stated in terms of nursing diagnoses. Identify outcomes criteria for patients with delirium. Summarize the essential nursing interventions for a patient with delirium. Recognize the signs and symptoms occurring in the four stages of Alzheimer’s disease. Give an example of the following symptoms assessed during the progression of Alzheimer’s disease: (a) amnesia, (b) apraxia, (c) agnosia, and (d) aphasia. Identify nursing diagnoses suitable for patients with Alzheimer’s disease, and define outcomes. Identify appropriate referrals in the community—including a support group, hotline for information, and respite persons with dementia and their caregivers. Delirium Dementia Epidemiology Comorbidity Etiology a. Biological Factors b. Environmental Factors Health Teaching and Health Promotion Pharmacological Interventions Integrative Therapy Week 7 Mon: 3/12/12 Personality Disorders: Personality Disorders (Ch. 19) Lecture Quiz #3
Wed: 3/14/12 CLO # 1, 2 , 3 , 4, 5, 6, 7, 9 Analyze the interaction of biological determinants and psychosocial stress factors in the etiology of personality disorders. Identify the three clusters of personality disorders as currently defined. Describe characteristics from each cluster. Identify nursing diagnoses for cluster B personality disorders. Describe the emotional and clinical needs of nurses and other staff when working with patients who meet criteria for personality disorders. Discuss nursing outcomes for patients with borderline personality disorder. Identify basic interventions for a patient with impulsive, aggressive, or manipulative behaviors. Eating Disorders Ch. 16 Discuss theories of eating disorders. Compare and contrast the signs and symptoms (clinical picture) of anorexia nervosa and bulimia nervosa. Identify life-threatening conditions, stated in terms of Cluster A Personality Disorder Cluster B Personality Disorder Cluster C Personality Disorder Personality Disorder Not Otherwise Specified Epidemiology Comorbidity Etiology: a. Biological Factors b. Psychological Factors c. Environmental Factors Eating Disorders (Ch. 16) Anorexia Nervosa Bulimia Nervosa Epidemiology Comorbidity (Psychiatric and Medical) Etiology (Biological, Psychological, Environmental and Sociocultural Factors) Video: Personality Disorder Cluster A, B and C Varcarolis: Read Chapters: 19, 16, 20 and 28 ATI: Review Chapters: 17, 18, 23 and 26 Complete ATI Application Exercise Nursing Skills Software: Clinical Simulation, Mental Health III “Anorexia Nervosa” Nursing Skills Software: Clinical Simulation, Mental Health II “Personality Disorder”
nursing diagnoses, for a patient with an eating disorder. Identify outcome criteria for (a) a patient with anorexia nervosa and (b) a patient with bulimia nervosa. Describe therapeutic interventions appropriate for anorexia nervosa and bulimia nervosa in the phase and phase of treatment. Explain the basic premise of cognitive-behavioral therapy in the treatment of eating disorders. Differentiate between the prognoses of anorexia nervosa, bulimia nervosa, and binge eating disorder. Sleep Disorders Ch. 20 Discuss the impact of inadequate on overall health and Describe the social and economic impact of disturbance and chronic sleep deprivation. Recognize the risks to personal and community safety imposed by sleep disturbance and chronic sleep deprivation. Describe normal sleep physiology, and explain the variations in normal sleep. Acute Care Psychological Interventions Pharmacological Interventions Health Teaching and Health Promotion Milieu Management Sleep Disorders (Ch. 20) Consequences of Sleep Loss Normal Sleep Cycle Regulation of Sleep Functions of Sleep Sleep Requirements Sleep Patterns Epdemiology Comorbidity Pharmacological Interventions Health Teaching and Health Promotion
with the four domains of integrative care: mind-body approaches, biologically based interventions, manipulative approaches, and energy therapies. Discuss the techniques used in major complementary therapies and potential applications to psychiatric mental health nursing practice. Discuss how to educate the public in the safe use of integrative modalities. Manipulative Practices, Energy Therapies Week 9 Mon: 3/26/12 Wed: 3/28/12 Course Evaluation ATI Template Remediation due Review Lecture Final Comprehensive Exam Comprehensive Computerized Final Exam