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Mental Health Nursing

Placement : Third Year


Time : Theory - 90 hours

Practical - 270 hours Clinical Training - 95 hours (2 weeks)

Course Description: This course is designed for developing an understanding of the modern approach to mental health, identification, prevention and nursing management of
common mental health problems with special emphasis on therapeutic interventions for individuals, family and community.

Tim Learning Objective Teaching Learning Assessment method


Unit e Content Activities
(Hr
s)
I 5 Describes Lecture discussion Essay type Short answers
the historical Introduction Objective type Assessment of
development & current Perspectives of Mental Health and Mental Health nursing : evolution of Explain using charts skills with check list
trends in mental health mental health services, treatments and nursing practices,
Assessment of patient
nursing Prevalence and incidence of mental health problems and disorders Review of personality
Describe Mental Health Act management problem
development
the epidemio-logy of National Mental health policy
mental health problems National Mental health programme
Describe Mental Health team
the National Mental Nature and scope of mental health nursing
Health Act, Role and functions of mental health nurse in various settings and
programmes and factors affecting the level of nursing practice
mental health policy Concepts of normal and abnormal behaviour
Discusses the scope of
mental
health nursing
Describe the concept of
normal
& abnormal behaviour
II 5 Defines the various Principles and Concepts of Mental Health Nursing Lecture discussion Essay type Short answers
terms used in mental Definition: mental health nursing and terminology used Objective type Assessment of
health nursing Classification of mental disorders : ICD Explain using charts skills with check list
Explains the classi- Review of personality development, defense mechanisms Assessment of patient
fication of mental Review of personality
Maladaptive behaviour of individuals and groups: stress, crisis and management problem
disorders development
disaster(s)
Explain psycho
dynamics of Etiology: bio-psycho-social factors
maladaptive behaviour Psychopathology of mental disorders: review of structure & function of
Discuss the etiological brain, limbic system and abnormal neuro transmission
factors, psychopa- Principles of Mental health Nursing
thology of mental Conceptual models and the role of nurse:
disorders o Existential Model
Explain the Principles o Psycho-analytical models
& standards of mental o Behavioural model
health nursing o Interpersonal model
Describe the conceptual
models of mental health
nursing
III 8 Describe nature, Assessment of mental health status Lecture discussion Essay type Short answers
purpose & process of History taking Objective type Assessment of
assessment of mental Mental status examination Demonstration skills with check list
health status Mini mental status examination Assessment of patient
Neurological examination : review Practice session management problem
Investigations : Related Blood chemistry, EEG, CT & MRI
Psychological tests Role and responsibilities of nurse Clinical practice

Assessment of skills with


checklist

IV 6 Identify therapeutic Therapeutic communication and nurse-patient relationship Lecture discussion Essay type Short answers
communication Therapeutic communication: types, techniques, characteristics Objective type Assessment of
techniques Types of relationship, Demonstration skills with check list
Describe therapeutic Ethics and responsibilities Assessment of patient
relationship Role play
Elements of nurse patient contract management problem
Describe therapeutic
impasse and its Review of technique of IPR-Johari Window
Goals, phases, tasks, therapeutic techniques Process recording
interven-tion
Therapeutic impasse and its intervention

V 14 Explain treatment Treatment modalities and therapies used in mental disorders Lecture discussion Essay type Short answers
modalities & therapies Psycho Pharmacology Objective type Assessment of
used in mental disorders Psychological therapies: Therapeutic community, psycho therapy- Demonstration skills with check list
and role of the nurse individual: psycho-analytical, cognitive & supportive, Family, Group, Assessment of patient
behavioural. Play, Psycho-drama, Music, Dance, Recreational & Light Group work management problem
therapy, Relaxation therapies : Yoga, Meditation, bio feedback
Alternative systems of medicine Practice session
Occupational therapy
Physical Therapy: electro convulsive therapy Clinical practice
Geriatric considerations
Role of nurse in above therapies
VI 5 Describe the etiology, Nursing management of patient with Schizophrenia, and other psychotic Lecture discussion Essay type Short answers
psycho-pathology, disorders Objective type Assessment of
clinical manifesta-tions, Classification: ICD Case discussion skills with check list
diagnostic criteria & Etiology, psycho-pathology, Assessment of patient
manage-ment of types, clinical manifestations, diagnosis Case presen-tation
patients with management problem
Nursing Assessment - History, Physical & mental assessment
Schizophrenia, and Clinical practice
Treatment modalities and nursing management of patients with
other psychotic
Schizophrenia & other psychotic disorders
disorders
Geriatric considerations Assessment of patient
Follow up and home care and rehabilitation management problems

VII 5 Describe the etiology Nursing management of patient with mood disorders Lecture discussion Essay type Short answers
psycho-pathology, Mood disorders: Bipolar affective disorder, Mania Objective type Assessment of
clinical manifestations, depression & dysthamia etc Case discussion skills with check list
diagnostic criteria and Etiology, psycho-pathology, clinical manifestations, diagnosis, Assessment of patient
management of patients Nursing Assessment History, Physical and mental assessment Case presentation
with mood disorders management problem
Treatment modalities and nursing management of patients with mood
disorders Clinical practice
Geriatric considerations
Follow-up and home care and rehabilitation Assessment of patient
management problems

VIII 8 Describe the etiology , Nursing management of patient with neurotic, stress related and Lecture discussion Essay type Short answers
psycho-pathology, somatization disorders Objective type Assessment of
clinical manifesta-tions, Anxiety disorder, Phobias, Dissociation and Conversion disorder, Case discussion skills with check list
diagnostic criteria and Obsessive compulsive disorder, somatoform disorders, Post traumatic Assessment of patient
manage-ment of stress disorder Case presentation
patients with neurotic, management problem
Etiology, psycho-pathology, clinical manifestations, diagnosis
stress related and Nursing Assessment-History, Physical & mental assessment Clinical practice
somatization disorders
Treatment modalities and nursing management of patients with
neurotic, stress related and somatization disorders Assessment of patient
Geriatric considerations management problems
Follow-up and home care and rehabilitation

IX 5 Describe the etiology Nursing management of patient with substance use disorders Lecture discussion Essay type Short answers
psycho-pathology, Commonly used psychotropic substance: Classification, forms, routes, Objective type Assessment of
clinical manifesta-tions, action, intoxication & withdrawal Case discussion skills with check list
diagnostic criteria and Etiology of dependence: tolerance, psychological and physical Assessment of patient
manage-ment of dependence, withdrawal syndrome, diagnosis, Case presentation
patients with substance management problem
Nursing Assessment - History, Physical, mental assessment and drug
use disorders assay
Treatment (detoxification, antabuse and narcotic antagonist therapy and Clinical practice
harm reduction) & nursing management of patients with substance use
disorders Assessment of patient
Geriatric considerations management problems
Follow-up and home care and rehabilitation

X 4 Describe the etiology Nursing management of patient with Personality, Sexual & Eating disorders Lecture discussion Essay type Short answers
psycho-pathology, Classification of disorders Objective type Assessment of
clinical manifesta-tions, Etiology, psycho-pathology, characteristics, diagnosis, Case discussion skills with check list
diagnostic criteria and Nursing assessment-History, Physical and mental assessment Assessment of patient
manage-ment of Case presentation
Treatment modalities and nursing management of patients with management problem
patients with
Personality, Sexual & Eating disorders
personality, Sexual & Clinical practice
Eating disorders Geriatric considerations
Follow-up and home care and rehabilitation
Assessment of patient
management problems

XI 6 Describe the etiology Nursing management of child-hood and adolescent disorders including Lecture discussion Essay type Short answers
psycho-pathology, mental deficiency Objective type Assessment of
clinical manifesta-tions, Classification Case discussion skills with check list
diagnostic criteria and Etiology, psycho-pathology, characteristics, diagnosis, Nursing Assessment of patient
manage-ment of assessment-History, Physical, mental and IQ assessment Case presentation
childhood and management problem
Treatment modalities and nursing management of childhood disorders
adolescent disorders including mental deficiency Clinical practice
including mental
Follow-up and home care and rehabilitation
deficiency
Assessment of patient
management problems

XII 5 Describe the etiology, Nursing management of organic brain disorders Lecture discussion Essay type Short answers
psycho-pathology, Classification : ICD? Objective type Assessment of
clinical manifesta-tions, Etiology, psycho-pathology, clinical features, diagnosis, and Case discussion skills with check list
diagnostic criteria and Differential diagnosis (parkinsons and alzheimers) Assessment of patient
manage-ment of organic Nursing assessment-History, Physical, mental and neurological Case presentation
brain disorders management problem
assessment
Treatment modalities and nursing management of organic brain Clinical practice
disorders
Geriatric considerations
Follow-up and home care and rehabilitation Assessment of patient
management problems

XIII 6 Identify psychiatric Psychiatric emergencies and crisis intervention Lecture discussion Essay type Short answers
emergencies and carry Types of psychiatric emergencies and their management Objective type Assessment of
out crisis interven-tion Stress adaptation Model: stress and stressor, coping, resources and Case discussion skills with check list
mechanism Assessment of patient
Grief: theories of grieving process, principles, techniques of counseling Case presentation management problem
Types of crisis
Crisis Intervention: Principles, Techniques and Process Clinical practice
Geriatric considerations
Role and responsibilities of nurse Assessment of patient
management problems

XIV 4 Explain legal aspects Legal issued in Mental Health Nursing Lecture discussion Essay type Short answers
applied in mental health The Mental Health Act 1987: Act, sections, Articles & their Objective type Assessment of
settings and role of the implications etc. Case discussion skills with check list
nurse Indian Lunacy Act 1912 Assessment of patient
Rights of mentally ill clients management problem
Forensic psychiatry
Acts related to narcotic and psychotropic substances and illegal drug
trafficking
Admission and discharge procedures
Role and responsibilities of nurse

XV 4 Describe the model of Community Mental Health Nursing Lecture discussion Essay type Short answers
preventive psychiatry Development of Community Mental Health Services: Objective type Assessment of
Describes Community National Mental Health Programme Clinical/ field practice skills with check list
Mental health services Institutionalization Versus Deinstitutionalization Assessment of patient
& role of the Field visits to mental
Model of Preventive Psychiatry: Levels of Prevention management problem
Mental Health Services available at the primary, secondary, tertiary health service agencies
levels including rehabilitation and Role of nurse
Mental Health Agencies: Government and voluntary, National and Assessment of field
International reports
Mental health nursing issues for special populations: Children,
Adolescence, Women, Elderly, Victims of violence and abuse,
Handicapped, HIV/AIDS etc.
Mental Health Nursing Practical
Placement : Third Year
Time : Practical - 270 hours (9 Weeks)
Clinical Training - 95 hours (2 Weeks)

Areas Durati Objectives Skills Assignments Assessment


on (in Methods
week)
Psychiatric 1 Assess patients History taking History taking and Assess
OPD with mental health Perform mental status examination mental status performance
problems (MSE) examination 2 with rating scale
Observe & assist Assist in Psychometric assessment Health education -1 Assess each skill
in therapies Observation report with checklist
Perform Neurological examination
Counsel & of OPD Evaluation of
educate patient, & Observe and assist in therapies health education
families Teach patients and family members Assessment of
observation
report
Completion of
activity record
Child 1 Assessment of History taking Case work 1 Assess
Guidance children with Assist in psychometric assessment Observation report performance
clinic various mental Observe and assist in various of different with rating scale
health problems therapies therapies 1 Assess each skill
Counsel and with checklist
Teach family and significant others
educate children, Evaluation of the
families & observation
significant others report
Inpatient 6 Assess patients History taking Give care to 2-3 Assess
ward with mental health Perform mental status examination patients with performa-nce
problems (MSE) various mental with rating scale
To provide Perform Neurological examination disorders Assess each skill
nursing care for Case with checklist
Assist in psychometric assessment
patients with study-1 Evaluation of the
various Record therapeutic communication Care plan-2 case study, care
mental health Administer medications Clinical plan, clinical
problems Assist in Electro-convulsive therapy Presentation - 1 presentation,
Assist in various nb(ECT) Process recording 2 process
therapies Participate in all therapies Maintain drug book recording
Counsel & Prepare patients for Activi-ties of Completion of
educate patients, Daily living (ADL) activity record
families & Conduct admission and discharge
significant others counseling
Counsel and teach patients and
families

Commu- 1 To identify Conduct case work Case work 1 Assess perfor-


nity patients with Identify individuals with mental Observation report mance with
Psychiatry various mental health problems on field visits rating scale
disorders Assists in mental health camps and Evaluation of
To motivate clinics case work and
patients for early observation
Counsel and Teach family
treatment report
members, patients and community
& follow up Completion of
To assist in follow activity record
up clinic
Counsel and
educate patient,
family and
community

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