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Metropolitan Community College COURSE OUTLINE FORM (Page 1 of 12) Course Title: Mental Health Nursing I Course Prefix & No.: NURS 1300 LEC: CLINICAL: Credit Hours: 1 1 0 COURSE DESCRIPTION: This course is designed to acquaint the student with the concept of mental health as well as alterations in mental health. Topics covered will include a review of select developmental theories and stages of the life cycle. Stress, specific anxiety disorders, defense mechanisms, specific mental health alterations and current treatments, abuses, eating disorders, spirituality, death and grief will be explored. COURSE PREREQUISITE (S): CHEM 1010, ENGL 1010, MATH 1310, and PSYC 1120. Co-requisite(s) BIOS 2310, NURS 1200, NURS 1510, and NURS 1110 RATIONALE: REQUIRED TEXTBOOK (S) and/or MATERIALS: 1. Introduction to Medical Surgical Nursing 5th ed. Linton, A.; Saunders: 9781437717082 2. Nursing Diagnosis Handbook: A Guide to Planning Care: 9th ed Ackley ISBN: 9780232071503 3. Laboratory and diagnostic tests, 8th ed, Corbett ISBN: 0132373327 4. Davis’s Drug Guide for Nurses, 13th ED 2013, Vallerand, FA Davis ISBN:9780803628373 5. Math for Nurses: Stassi, M; Kaplan publishing, 2nd ed ISBN: 9781607140474 6. Mosby’s Dictionary of Medicine, Nursing and Health Professions. Mosby 2007, 8th ed ISBN: 978032304975 Attached course outline written by: Jolene Kotschwar Reviewed/Revised by: Nancy Pares Effective quarter of course outline: Academic Dean: Stacey Ocander Date: 10/26/07 Date: 01/13 Spring 2008 Date: Date: Course Objectives, Topical Unit Outlines, and Unit Objectives must be attached to this form. ESO Revised 3-13-01 Metropolitan Community College COURSE OUTLINE FORM (Page 2 of 12) COURSE OBJECTIVES/TOPICAL UNIT OUTLINE/UNIT OBJECTIVES TITLE : Adult Nursing V COURSE OBJECTIVES: Course Objectives 1. Define basic concepts of mental health PREFIX/NO: NURS 1300 Assessment Measures Quiz 1 2. Discuss cognitive impairment in the elderly. Quiz 2 3. Review developmental stages throughout the lifespan 4. Discuss anxiety disorders, somatoform disorders and crisis which disrupt mental health. 5. Define mental health alterations to include mood disorders, suicide, personality disorders and schizophrenia. 6. Discuss abuse related disorders and the impact they have on the individual. 7. Discuss eating disorders and how they impact the individual. 8. Identify the nurse’s role in assisting clients with spirituality, death and grief Quiz 3 Quiz 4 Group Project Quiz 5 Group Project Quiz 6 Quiz 7 Written Project Comprehensive Final ESO Revised 3-13-01 Metropolitan Community College COURSE OUTLINE FORM (Page 3 of 12) TOPICAL UNIT OUTLINE/UNIT OBJECTIVES: Unit 1 Basic Concepts of Mental Health Unit Objectives: At the completion of this unit the student will be able to: 1. Define mental health. 2. Define mental illness. 3. Discuss current attitudes about mental illness. 4. Describe sociocultural influences on mental health. 5. Discuss the data collection of the client with a mental health alteration. 6. Discuss diagnostic tests as they relate to the client with a mental health alteration. 7. Define the DSM-IVTR. 8. Compare voluntary and involuntary commitment. 9 Describe patient rights as they relate to the client with mental health alterations. 10. Describe basic measures when caring for the client with a mental health alteration. 11. Identify basic treatment modalities for the client with a mental health alteration. 12. Identify legal and ethical concepts specific to the client with a mental health alteration. ESO Revised 3-13-01 Metropolitan Community College COURSE OUTLINE FORM (Page 4 of 12) UNIT II: Cognitive Impairment in the Elderly Unit Objectives: At the completion of this unit the student will be able to: l. 2. Discuss concepts as they relate to the aged individual. Define delirium and dementia. 3. Compare characteristics of delirium and dementia. 4. List the stages and symptoms of Alzheimer’s dementia. 5. Identify medical treatments for clients with cognitive impairment. 6. Identify nursing interventions for clients with cognitive impairment. ESO Revised 3-13-01 Metropolitan Community College COURSE OUTLINE FORM (Page 5 of 12) UNIT III: Review Developmental Stages Throughout the Life Span Unit Objectives: At the completion of this unit the student will be able to: 1. Review concepts specific to health and development. 2 Review Erikson's eight stages of development and describe how mastery of each task relates to one's self concept. 3 Describe the major developmental characteristics and concerns of each of the eight stages. 4. Describe the basic human needs in each level of Maslow's hierarchy of needs. 5. List factors which influence the client's ability to meet physiological and safety needs. 6. Describe nursing measures that will assist the client in meeting physiological and safety needs. 7. Discuss priority needs of the client. 8. Relate how self-esteem can affect the hospitalized individual. ESO Revised 3-13-01 Metropolitan Community College COURSE OUTLINE FORM (Page 6 of 12) UNIT IV: Anxiety Disorders and Crises Unit Objectives: At the completion of this unit the student will be able to: l.. Define stress, stressors, and anxiety. 2. Describe the “fight or flight syndrome”. 3. Define the four levels of anxiety. 4. Describe various coping mechanisms used to deal with stress and anxiety. 5. Describe the major defense mechanisms. 6. Be able to discuss generalized anxiety, panic disorder, phobias, obsessive-compulsive disorder, and posttraumatic stress disorder. 7. Be able to discuss somatoform disorders to include types, risk factors, signs and symptoms. 8. Describe the major types of crisis and what crisis intervention means. 9. Identify medical treatment and nursing interventions for the client with an anxiety or somatoform disorder. 10. Identify major drugs used, actions, side effects and nursing interventions for the client with an anxiety disorder or somatoform disorder. ESO Revised 3-13-01 Metropolitan Community College COURSE OUTLINE FORM (Page 7 of 12) UNIT V: Mental Health Alterations Unit Objectives: At the completion of this unit the student will be able to: l.Describe the mood disorders. 2. Describe the nursing interventions and medical treatment for clients with a mooddisorder. 3. Describe characteristics of an individual with suicide potential. 4. State common age groups for suicide. 5. Define personality disorders. 6. Describe the types of personality disorders. 7. Identify the nursing interventions and medical treatment for personality disorders. 8. Describe behaviors of the schizophrenic and identify causes of schizophrenia. 9. Differentiate the types of schizophrenia. 10. Discuss the medical treatment and nursing interventions for the schizophrenic client. 11. Identify classifications, uses, actions, and side effects for selected classifications of psychoactive medications as they relate to the above mental health alterations. ESO Revised 3-13-01 Metropolitan Community College COURSE OUTLINE FORM (Page 8 of 12) UNIT VI: Abuse Related Disorders Unit Objectives: At the completion of this unit the student will be able to: l.Define substance abuse. 2. List the risk factors for substance abuse. 3. State the factors present in the substance abuser. 4. List the major drugs that are abused. 5. Compare the symptoms of alcohol abuse and drug abuse. 6. List treatments for the client who abuses. 7. Describe nursing care for the substance abuser. 8. Define abuse and victim. 9. Differentiate among different kinds of abuse. 10. Compare characteristics of an abuser and the victim. 11. Identify nursing care to help survivors of abuse. 12. Identify situations that constitute elder abuse. 13. Know the procedures as stated in Nebraska law for reporting suspected abuse. ESO Revised 3-13-01 Metropolitan Community College COURSE OUTLINE FORM (Page 9 of 12) UNIT VII: Eating Disorders Unit Objectives: At the completion of this unit the student will be able to: l .Define anorexia, bulimia and morbid obesity. 2. Identify populations at risk for eating disorders. 3. Identify possible causes of eating disorders. 4 Identify symptoms of three eating disorders. 5. List nursing care and medical treatments for clients with eating disorders. ESO Revised 3-13-01 Metropolitan Community College COURSE OUTLINE FORM (Page 10 of 12) Unit VIII: Spirituality, Death and Grief Unit Objectives: At the completion of this unit the student will be able to: 1. Discuss the basic concepts of spirituality. 2. Describe beliefs and practices related to dying and death. 3. Describe responses of clients and their families to terminal illness and impending death. 4. Identify nursing measures appropriate for the terminally ill client. 5. List categories of loss. 6. Discuss factors which influence a grief reaction. 7. Discuss age-related beliefs about death. 8. Explore the nurse’s response to working with the terminally ill client. 9. Define the following terms: anticipatory grief hope grieving process hospice denial loss palliative respite care ESO Revised 3-13-01 Metropolitan Community College COURSE OUTLINE FORM (Page 11 of 12) COURSE ASSESSMENT Methods of Instruction: The instructor will provide lectures to explain the theoretical information. Use of technology will incorporate the use of the Elmo for visual enhancement of lecture outlines, overhead transparencies, and video presentations. Small group activities will be utilized to promote critical thinking skills. Methods of Assessing Student Progress: Classroom assessment techniques will be utilized periodically to determine the student’s understanding of the materials being studied. Each unit of study will be assessed per examination. There is a written project. Course Objectives 1. Define basic concepts of mental health Assessment Measures Examination 1 2. Discuss cognitive impairment in the elderly. Examination 1 3. Review developmental stages throughout the lifespan 4. Discuss anxiety disorders, somatoform disorders and crisis which disrupt mental health. 5. Define mental health alterations to include mood disorders, suicide, personality disorders and schizophrenia. 6. Discuss abuse related disorders and the impact they have on the individual. 7. Discuss eating disorders and how they impact the individual. 8. Identify the nurse’s role in assisting clients with spirituality, death and grief Examination 1 Examination 2 Examination 2 Examination 3 Examination 3 Examination 3 Written Project CRITERIA FOR DETERMINING FINAL COURSE GRADE: The examinations are worth 50 points each, and are equal to 85% of the final grade. The assigned written project is worth 25 points, and totals 15% of the final grade. Points are allocated as follows: Examination 1 = 50 points Examination 2 = 50 points Examination 3 = 50 points Written Project = 25 points 175 points total At the end of the course, the points will be converted to the weighted percentage grade. The grading scale is: 93 – 100 = A, 84 – 92 = B, 78 – 83 = C, 70 – 77 = D, Below 70 = F. There will be NO rounding of grades, i.e., a 75.8 = 75%. A final course grade of C (78%) is required to continue in the program. ESO Revised 3-13-01 Metropolitan Community College COURSE OUTLINE FORM (Page 12 of 12) Examinations will be administered as indicated on the course calendar. The written project is due when indicated on the course calendar. Exam reviews will be held the week following the scheduled examination date. Courteous and respectful behavior is expected of every student present to facilitate the learning experience afforded by the review. Tests must be handed back into the instructor at the conclusion of the review. MAKE-UP TEST PROCEDURES: If it is necessary to be absent during an assigned test period, the student must make up the exam prior to the next scheduled class date. Failure to do so will result in a zero for the exam. The student may miss one exam without penalty, as long as the test is made up within the specified time period. If the student misses more than one exam, the exam may be made up, but the maximum score allowed is 80% for the second missed exam, 50% for all others missed. The final examination must be taken on the scheduled date and at the scheduled time. Students may not enter the classroom after the testing has begun. If the student is not in the classroom when tests are being distributed the student must follow the procedure for make-up testing. When it is necessary to make up an examination, it will be placed in the testing center. It is the student’s responsibility to notify the instructor to place the exam in the testing center, and to make an appointment and take the test within the specified period of time. Exceptions to these guidelines may be considered, but only if the student consults with the instructor in advance. LATE ASSIGNMENTS: The written project must be submitted at the time indicated. Failure to submit at the appropriate time will result in a score of zero. ESO Revised 3-13-01