MENTAL HEALTH NURSING-I Book B.Sc Nursing 5th Semester

Unit

Learning Outcomes

Content

Time

(Hrs)

I

Describe the historical development & current trends in mental health nursing

Discuss the scope of mental health nursing

Describe the concept of normal & abnormal behaviour

Introduction:

·         Perspectives of Mental Health and Mental Health Nursing, evolution of mental health services, treatments and nursing practices

·         Mental health team

·         Nature & scope of mental health nursing

·         Role & functions of mental health nurse in various settings and factors affecting the level of nursing practice

·         Concepts of normal and abnormal behavior Concept

6 (T)

II

Define the various terms used in mental health Nursing Explain the classification of mental disorders

Explain the psychodynamics of maladaptive behaviour

Discuss the etiological factors & psychopathology of mental disorders

Explain the principles and standards of Mental health Nursing

Describe the conceptual models of mental health nursing

Principles and Concepts of Mental Health Nursing:  

·         Definition: mental health nursing and terminology used

·         Classification of Mental Disorders: ICD11, DSM5, Geropsychiatry manual classification

·         Review of personality development, defense mechanisms

·         Etiology bio-psycho-social factors

·         Psychopathology of mental disorders: review of structure and function of brain, limbic system and abnormal neurotransmission

·         Principles of Mental health Nursing

·         Ethics and responsibilities

·         Practice Standards for Psychiatric Mental Health Nursing (INC practice standards)

·         Conceptual models and the role of nurse: o

• Existential model

• Psychoanalytical models

• Behavioural model o Interpersonal model

·         Preventive psychiatry and rehabilitation

10(T)

III

Describe nature, purpose and process of assessment of mental health status

Mental Health Assessment

·         History taking

·         Mental status examination

·         Mini mental status examination

·         Neurological examination

·         Investigations: Related Blood chemistry, EEG, CT & MRI

·         Psychological tests

6 (T)

IV

Identify therapeutic communication & techniques

Describe therapeutic relationship

Describe therapeutic impasses and its interventions

Therapeutic Communication and Nurse-Patient Relationship

·         Therapeutic Communication: Types, techniques, characteristics and barriers

·         Therapeutic nurse-patient relationship

·         Interpersonal relationship-

·         Elements of nurse patient contract,

·         Review of technique of IPR- Johari window

·         Therapeutic impasse and its management

6 (T)

V

Explain treatment modalities and therapies used in mental disorders and role of the nurse

Treatment Modalities and Therapies used in Mental Disorders

·         Physical Therapies: Psychopharmacology,

·         Electro Convulsive therapy

·         Psychological Therapies: Psychotherapy, Behaviour therapy, CBT

·         Psychosocial: Group therapy, Family therapy, Therapeutic Community, Recreational therapy, Art therapy (Dance, Music etc.), Occupational therapy

·         Alternative & Complementary: Yoga, Meditation, Relaxation

·         Consideration for special populations

10 (T)

VI

Describe the etiology, psycho-dynamics/ pathology, clinical manifestations, diagnostic criteria and management of patients with Schizophrenia, and other psychotic disorders

Nursing Management of Patient with Schizophrenia, and other Psychotic Disorders

·         Prevalence and incidence

·         Classification

·         Etiology, psychodynamics, clinical manifestation, diagnostic criteria/ formulations

Nursing Process

·         Nursing Assessment: History, Physical and mental assessment

·         Treatment modalities and nursing management of patients with Schizophrenia and other psychotic disorders

·         Geriatric considerations and considerations for special populations

·         Follow up and home care and

8 (T)

VII

Describe the etiology, psycho-dynamics, clinical manifestations, diagnostic criteria and management of patients with mood disorders

Nursing Management of Patient with Mood Disorders

·         Prevalence and incidence

·         Mood Disorders: Bipolar affective disorder, mania depression and dysthymia etc.

·         Etiology, psycho dynamics, clinical manifestation, diagnosis

·         Nursing Assessment History, Physical and mental assessment

·         Treatment modalities and nursing management of patients with mood disorders

·         Geriatric considerations/ considerations for special populations

·         Follow-up and home care and rehabilitation

6 (T)

VIII

Describe the etiology, psycho-dynamics, clinical manifestations, diagnostic criteria and management of patients with neurotic, stress related and somatization

Nursing Management of Patient with Neurotic, Stress Related and Somatisation Disorders

·         Prevalence and incidence

·         Classifications

·         Anxiety disorders – OCD, PTSD, Somatoform disorders, Phobias, Disassociative and Conversion disorders

·         Etiology, psychodynamics, clinical manifestation, diagnostic criteria/ formulations

·         Nursing Assessment: History, Physical and mental assessment

·         Treatment modalities and nursing management of patients with neurotic and stress related disorders

·         Geriatric considerations/ considerations for special populations

·         Follow-up and home care and rehabilitation

8 (T)