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LONG BEACH CITY COLLEGESchool of Health, Science and MathematicsAssociate Degree Nursing ProgramADN 21BL MENTAL HEALTH NURSINGLABORATORY (LAB)Course SyllabusFall 2012Authorization to use picture for educational purposes obtained via e-mailon February 4, 2006 from Mohamed Osman.Edited by: Peggy Wells, RN, MNDebi Beitler, RN, MSN, FNPFrances Outhwaite, RN, MSN, FNP Copyright 2012, Associate Degree Nursing Program, School of Health and Science, Long Beach CityCollege, 4901 East Carson Street, Long Beach, CA 90808
LONG BEACH CITY COLLEGESchool of Health, Science and MathematicsAssociate Degree Nursing ProgramADN 21BL – Mental Health Nursing LabTABLE OF CONTENTSGENERAL INFORMATION FOR CLINICALTable of Contents.iCourse Information.1Course Outline.3Exit Skills .5Theoretical Framework “Orem”.6Clinical Course Requirements.7Learning Outcomes .8Challenge Policy for Advanced Placement in the ADN program.10Challenge Options: Mental Health Nursing Course.11Application for Credit by Exam.12Skills Assessment Expectations.13Attendance Policy.14Dress Code for the Mental Health Area.15THE JOINT COMMISSION NATIONAL PATIENT SAFETY GOALSHospital Program.16Behavioral Health Care Program.16CAMPUS LAB BEHAVIORAL OBJECTIVESCAMPUS LAB: ASSERTIVE TECHNIQUES.18Assertive, Non-Assertive, Aggressive Behaviors Verbal and Non-Verbal Components.19Film: “When I Say No I Feel Guilty”, Manuel Smith.20Steps in Developing Assertive Behavior.22Assertive Behavior Exercises.23CAMPUS LAB: EDUCATIVE SUPPORTIVE ROLE IN HUMAN SEXUALITY.24Making a Sexual Assessment.25Sexual Attitude Survey.26i
CAMPUS LAB: LEGAL AND ETHICAL ISSUES.27Flow Chart: Lanterman-Petris-Short Act.28Jamison Farabee (Federal Court Case).29Request for Voluntary Admission and Authorization for Treatment .30Application for 72 Hour Detention for Evaluation and Treatment .31Voluntary Patient Advisement .32Notice of Certification for Additional 14 Days Intensive Treatment .33Notice of Certification .34Blank Page .35Patients’ Rights Documentation .36Riese Medication Capacity Petition .37CAMPUS LAB: PROMOTING NORMALCY-APPLICATION OF OREM’S SELF CARECONCEPTUAL FRAMEWORK AND NURSING PROCESS.41Vocabulary for Mental Health Assessment.42Interview Questions Using PTAB Format.44Case Study-Mary O., A Schizophrenic Woman who is Withdrawn, Psychotic.46Sample Nursing Care Plan-Mary O.47Case Study-Luisa, a Depressed, Suicidal Patient.49CAMPUS LAB: PART (Professional Assault Response Team). 50PowerPoint Handout.51CAMPUS LAB: PROMOTING 7Supplemental Learning Activity.58Active Listening Techniques.59Exercises in Concreteness Worksheet.60Techniques that Enhance Communication.61Techniques that Hinder Communication.63Therapeutic Techniques.65Therapeutic Responses Worksheet.66Process Recording.67Skill Assessment-Basic Interaction Skills.69Therapeutic Responses Group Exercise.70Therapeutic Interaction Situation (Process Recording)-Andy.71Therapeutic Interaction Situation (Process Recording)-Margaret.72Active Listening Practice.73Therapeutic Communication using SBAR Technique.74ii
GENERAL INFORMATION FOR MENTAL HEALTH CLINICALCLINICAL LAB: Mental Health Agency Orientation.77Understanding Self Worksheet.78Student Family Genogram.80Class Projects Guidelines.81Guidelines for the Role of Observer of Med Nurse.82Substance Abuse Sub-Rotation.83Substance Abuse Alternative Assignment Day One.84Substance Abuse Alternative Assignment Day Two.85Substance Abuse Sub Rotation – Redgate.86Passages Sub-Rotation.87Passages-Saint Mary Medical Center.88COMPUTER ASSISTED INSTRUCTION INDIVIDUAL ASSIGNMENTComputer Assisted Instruction Individual Assignment.90CASE STUDYGuidelines and Format for the Case Study.92Guide to APA Syle.96Grading Criteria for Case Study.106GENERAL INFORMATION FOR MEDICAL/SURGICAL CLINICALMedical Surgical Clinical Behavioral Objectives.109Behavioral Objectives for Orientation Day of Medical/Surgical Area.110Self-Orientation to a Nursing Unit.111Steps in Making Assignments.113Lab Guidelines for Physical Assessment.114Behavioral Objectives/Guidelines for Group Leader Role.115Group Leader Worksheet.116Peer Evaluation by Group Leader.118iii
CAMPUS MEDICAL/SURGICAL LABSPeripheral Venipuncture.121Skill Assessment-Peripheral Venipuncture.123Skill Assessment-Laerdal Virual IV.124Skill Retesting Guidelines.125Third Semester Skill Retesting.126Skill Reassessment-IV Therapy.127Skill Reassessment-Medication Administration by Peripheral Intermittent Infusion Device.128Skill Reassessment-Subcutaneous Medication Administration.129Skill Reassessment-Intramuscular Medication Administration.130Skill Reassessment-Combining Medications for Injection.131Chart Review and Simulated Hospital Experience.132Simulated Hospital: Chemotherapy.136Simulated Hospital: Spinal Cord Injury.137Simulated Hospital: Alcohol Withdrawal Syndrome.138Simulated Hospital: Aggressive Patient.139MENTAL HEALTH NURSING CARE PLANSNursing Care Plans.141PROCESS RECORDINGSProcess Recordings.144MEDICAL/SURGICAL NURSING CARE PLANSMedical/Surgical Nursing Care Plans.147MEDICAL/SURGICAL CLINICAL TASKS SHEETS AND MEDICATION SHEETSMedication Worksheet.150Task Sheet.152Report Sheet.153COMMUNICATION SKILLS GUIDELINESPsychiatric Nursing Communication Skills Guidelines.154Lab Critical Elements.155Communication Skills Assessment Evaluation Sheets.160STUDENT CLINICAL EVALUATIONStudent Clinical Evaluation.170iv
LONG BEACH CITY COLLEGEAssociate Degree Nursing ProgramADN 21BL – Mental Health Nursing LabCourse InformationCourse DescriptionADN 21BL, Mental Health Nursing is a study of Orem's Theory of Nursing as it relatesto mental health and/or mental illness in the client with acute/chronic debilitatingdiseases. Emphasis is placed on communication skills which is the focus of the course.Time Allotment, Sequencing and Enrollment3 college semester unitsOn-Campus Lab/Clinical: 20.25 hours per week for 8 weeks: total of 162 hoursIn the third semester this course is offered every eight weeks to the maximum number ofstudents permitted. Concurrent enrollment in ADN 21B and ADN 203AD is required.Required TextsVarcarolis, Foundations of psychiatric mental health, latest editionVarcarolis, Manual of psychiatric nursing care planning: Diagnosis, clinical tools &psychopharmocology, latest edition.Smeltzer, Bare, Hinkle, & Cheever, Brunner & Suddarth’s textbook of medical surgicalnursing, latest editionHandbook of nursing diagnosis, latest editionLeifer & Hartson, Growth and development across the lifespan, latest editionLBCC ADN 21B / 21BL Course SyllabusLBCC Associate Degree Nursing Student HandbookRecommended ReadingAudio-visual assignments in Learning CenterPotter & Perry, Fundamentals of nursing: Concepts, process & practice, latest editionDrug guideBoyer, Math for Nurses: A Pocket Guide to Dosage Calculation and Drug Preparation,latest editionTeaching MethodsLecture and DiscussionFour quizzes and a final examinationWritten Assignments (worksheets, projects)Reading AssignmentsTake Math for Meds Test by end of 1st week of course; Pass by end of 3rd weekClass Presentations: Written and Oral Research ProjectATI monitored Computer testing ReviewCourse EvaluationsCritical Thinking Exercises- Computer Programs1
Student EvaluationPercent of possible points will equal the theory grade. This course totals 250 points.QuizzesFinal ExaminationTotal PointsPossible Points150100250Student Course GradeThe theory and lab portion of this course must be taken concurrently and both theory andlab must be passed in order for the student to proceed in the program. The student willreceive the same letter grade for theory and for lab unless he/she is less than satisfactoryclinically in which case the policy in the Student Handbook for marginal orunsatisfactory clinical ratings will be followed.Course InstructorsPeggy Wells, RN, MNOffice HDebi Beitler, RN, MSN, FNPOffice IFrances Outhwaite, RN, MSN, FNP Office J(562) 938-4101 pwells@lbcc.edu(562) 938-4182 dbeitler@lbcc.edu(562) 938-4604 fouthwaite@lbcc.eduInstructor’s office hours are posted on individual instructor’s office doors. Part-time instructorsmay be reached by special arrangement with the individual instructor.2
LONG BEACH CITY COLLEGEAssociate Degree Nursing ProgramADN 21BL – Mental Health Nursing LabCourse OutlineCourse ContentI. Management of Assaultive Behaviora. Dealing with aggressive patientsb. Self protection skillsc. Skills assessmentII. Assertion Skillsa. Broken record responsesb. Comparing assertion with aggressionc. Fogging techniquesd. Skills assessmentIII. Therapeutic Communication Skillsa. Direct and Indirect questioningb. Techniquesc. Blocks or hindersd. Developing a process recordinge. Group participationf. Milieu managementIV. Interacting with Psychotic/Non-Psychotic Patientsa. Subjective techniquesb. Critical elementsc. Skill assessmentV. Interacting with a Patient with a Behavioral Problema. Subjective techniquesb. Critical elementsc. Skill assessmentVI. Venipuncturea. Types of devicesb. Procedurec. SimCath practiced. Skill practiceVII.Case Studya. Guidelines for case studyb. Format for case study3
VIII.Research Presentationa. Guidelines for projectb. Division of group workc. Presentation of projectIX. Clinical Laboratorya. Application of ethical and legal nursing standardsb. Adaptation of Mental Health/Mental Illness Continuumc. Formulation of subjective and objective data based. Analysis and synthesis of patient datae. Formulation of nursing diagnoses and collaborative problemsf. Implementation of nursing plan of careg. Interacting with patients with complex mental health deviations or catastrophicillnessesh. Completing a process recordingi. Analysis and synthesis of techniques used4
LONG BEACH CITY COLLEGEAssociate Degree Nursing ProgramADN 21BL – Mental Health Nursing LabExit SkillsExit Skills: Clinical Behavioral Objectives/Learning OutcomesUpon satisfactory completion of mental health the student will:1. Apply in the clinical setting Orem’s self care theory and the nursing process as a baselinefor planning nursing care of the mentally ill and/or medical/surgical client.2. Utilize the mental health concepts and the mental health/mental illness continuum as ithas an impact on the client’s care.3. Analyze the coping patterns and nursing interventions needed to promote normalcy foryour clients.4. Compare adaptive and maladaptive behavior associated with mental illness.5. Incorporate into the nursing care plan the self demands and deficits requiringinterventions for clients with psychiatric problems and/or acute/chronic illness.6. Advance the level of nursing by demonstrating sensitivity to the unique environment inthe psychiatric setting, community clinics and acute care setting.7. Increase self-evaluation appraisal skills as demonstrated by becoming self-directed inassuming responsibility for own performance in the clinical facility.8. Analyze and evaluate the role of the 3rd semester student as they
LONG BEACH CITY COLLEGE School of Health, Science and Mathematics Associate Degree Nursing Program ADN 21BL MENTAL HEALTH NURSING LABORATORY (LAB) Course Syllabus Fall 2012 Authorization to use picture for educational purposes obtained via e-mail on February 4, 2006 from Mohamed Osman.
