Wesleyan University-Philippines

Mabini Extension, Cabanatuan City

College of Nursing and Allied Medical Sciences
Vision:
Mission:

We envision Gods reign through a Christian Institution of learning inspired by Methodist traditions for the transformation of society.
To participate in the transformation of the society through academic excellence and service sustained by Christian values.

Course Name: Psychiatric Nursing

Course Code: NCM 105
Term: Second Semester
Time dedicated per week: 4hours/week
Prerequisite: NCM 105
Placement: 3rd Year, 2nd Semester
COURSE DESCRIPTION

The course is designed to focus on health and illness across the lifespan of clients, population groups with acute and chronic psycho- social difficulties
and psychiatric illnesses.

PROGRAM OUTCOMES

At the end of the course, and given actual clients with maladaptive patterns of behavior, the student shall be able to:
1. Utilize the nursing process in the care of individuals, families in community and hospital settings.
- Assess client/s with his/her/their condition through mental status examination, physical examination,
interpretation of diagnostic procedures.
- Identify actual and potential nursing diagnosis.
- Plan appropriate nursing interventions with client/s and family for identified nursing diagnosis.
- Implement plan of care with client/s and family.
- Evaluate the progress of his/her/their clients condition and outcomes of care.
2. Apply knowledge and understanding of maladaptive patterns of behavior in providing safe and quality care to clients.
3. Increase self-awareness and therapeutic use of self in the care of clients.
4. Ensure a well-organized and accurate documentation system.
5. Relate with client/s and their family and the health team appropriately.
6. Observe bioethical concepts/ principles, core values and nursing standards in the care of clients.
7. Promote personal and professional growth of self and others.

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PRELIMINARY PERIOD
LEARNING OUTCOMES

Demonstrate in depth knowledge on the WUP Mission,

Vision, Goals and the Objectives of the College.

CONTENT

A. Course Introduction and Overview WUP Mission, Vision, Goals

WUP Core Values

METHODS

ASSESSMENT
METHOD

Discussion
Show video clip
re: WUP

Reflect on the
relevance of the
mission and
vision.

NUMBE
R OF
HOURS
REQUIR
ED

HOURS

Integrate the
meaning.
Given an actual client with maladaptive patterns of
behaviors, students will be able to:
1. Describe characteristics of mental health and
mental illness.
2. Identify important historical landmarks in
psychiatric care.
3. Discuss the current trends in the treatment of
people with mental illness.
4. Discuss the American Nurses Association
standards of practice for psychiatric-mental
health nursing.
5. Discuss common student concerns about
psychiatric nursing.

1. Discuss the structures, processes and functions

I.

I. Overview of Psychiatric Nursing

A. Mental Health and Mental Illness

1. Evolution of Mental Health and Mental Illness
2. The Mental Health-Illness Continuum
3. Criteria of Mental Health
4. Statistical Manual of Mental Disorder

Classroom
participative
discussion

Oral questioning

Classroom

Oral questioning

Quiz

3
HOURS

B. Level of Practice
1. The Mental Health Nurse
a. Essential Qualities
b. Roles and Responsibilities as a Team Leader
2. Guiding Principles/Standards of Care
3. Interdisciplinary Team in Mental Health
II.

Mental health-psychiatric nursing practice

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of the brain.
A.
2. Describe the current neurobiologic research
and theories that are the basis for current
psychopharmacologic treatment of mental
disorders.
3. Discuss the nurses role in educating clients
and families about current neurobiologic
theories and medical management.
4. Identify pertinent teaching for clients and
families about brain imaging techniques.
B.
5. Explain the basic beliefs and approaches of the
different personality theories.

1. Describe how the nurse uses the necessary

components involved in building and
enhancing the nurse-client relationship.

C.

2. Describe and implement the phases of nurseclient relationship as outlined by Hildegard

Peplau.
3. Explain the negative behaviors that can hinder
or diminish the nurse-client relationship.
D.
4. Describe the goals of therapeutic
communication.
5. Identify therapeutic and non therapeutic

participative
Personality theories and determinants of psychopathology: discussion
implications for mental health-psychiatric nursing practice
1. Psychoanalytic
2. Behavioral
3. Interpersonal
4. Cognitive
5. Humanistic
6. Psychobiologic
7. Cognitive
8. Psychosocial
9. Psychospiritual
10. Eclectic
General assessment considerations
1. Principles and techniques of Psychiatric nursing
interview
2. Mental status examination
3. Diagnostic examinations specific to psychiatric
patients
1.
Building nurse-client relationship
Classroom
1. Nurse-client
interaction
vs.
nurse-client participative
relationship
discussion
2. Therapeutic use of self
3. Therapeutic communication
a. Characteristics
b. Techniques
4. Goals in the one-to-one relationship
5. Phases in the development of nurse-client
relationship
Documentation in the psychiatric nursing practice
2. Problem-oriented recording
a. SOAP
3. Narrative recording

Quiz

HOURS

Oral questioning

3
HOURS

Quiz

Page 3 of 11

verbal communication skills.

4. Process recording

6. Discuss nonverbal communication skills and

understanding levels of meaning and context.
7. Identify categories used to assess the clients
health status.

1. Describe the different therapeutic modalities.

2. Identify the psychosocial theory on which each
treatment strategy is based.

Given an actual client with maladaptive patterns of

behaviors, students will be able to:
1. Describe anxiety as a response to stress.
2. Describe the levels of anxiety with behavioral
changes relates to each level.

E. Therapeutic modalities, psychosocial skills and nursing Classroom

strategies
participative
5. Biophysical/somatic interventions
discussion
a. Electroconvulsive and somatic other
therapies
b. Psychopharmacology
6. Supportive psychotherapy
a. Nurse-patient relationship therapy
b. Group therapy
c. Family therapy
7. Counseling
8. Mental health teaching/client education
9. Self enhancement, growth/therapeutic groups
10. Assertiveness training
11. Stress management
12. Behavior modification
13. Cognitive restructuring
14. Milieu therapy
15. Play therapy
16. Psychosocial supportive interventions
17. Psychospiritual interventions
18. Alternative medicines/therapies
F. Concept of Anxiety
19. Defining characteristics of anxiety
20. Levels of anxiety

Oral questioning
Quiz

3
HOURS

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21. Manifestations of levels of anxiety

a. Physiologic
b. Psychologic
22. Ego defense mechanism
a. Four level of defense
G. Crisis
23. Types of crisis
24. Phases of crisis development
25. Characteristics of crisis
26. Crisis intervention
MIDTERM PERIOD
Discuss the Nursing process and its
significance to psychiatric nursing
practice and relating it to the
implementation of mental care.

1. Discuss the use of defense

mechanisms by people with
anxiety disorders.
2. Describe the current theories
regarding the etiologies of
major anxiety disorders.
3. Evaluate the effectiveness of
treatment including

III.

Care of clients with maladaptive behavior across the lifespan (childhood, adolescent, Classroom
adulthood)
participative
A. The Nursing Process as applied to Psychiatric Nursing Process
discussion
1. Assessing human response to the different maladaptive behavior
a. Self-awareness and use of self
b. Bio-psycho-social and behavioral data
2. Nursing diagnosis and outcome identification
3. Planning and implementing nursing intervention
a. Biological
b. Psychosocial
4. Evaluation and treatment outcomes
A. Maladaptive patterns of behavior
1. Age-Related Maladaptive Patterns: Disorders Across the Lifespan
2. Anxiety-related Disorders
a. Anxiety disorders across the lifespan
Panic disorder
Phobias
Post Traumatic Stress Disorder
Acute Stress Disorder
Obsessive-compulsive Disorder
Generalized Anxiety Disorder

Classroom
participative
discussion

Oral questioning
Quiz

Oral questioning
Quiz

3
HOURS

3
HOURS

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medications for clients with

anxiety disorders.
4. Apply the nursing process to
the care of clients with
anxiety and anxiety disorders.
5. Provide teaching to clients,
families, caregivers and
communities to increase
understanding of anxiety and
stress-related disorders.
Identify, classify and describe the
different maladaptive patterns of
behavior and the necessary medical
and nursing interventions to be
enforced.

1. Describe personality
disorders in terms of the
clients difficulty in
perceiving, relating to, and
thinking about self, others
and the environment.
2. Discuss factors thought to
influence the development of

a. Somatoform Disorders
Classroom
Somatization Disorder
participative
Conversion Disorder
discussion
Hypochondriasis
Pain disorder
Body Dysmorphic disorder
b. Dissociative disorders
Depersonalization
Psychogenic amnesia
Psychogenic fugue
Dissiociative identity disorder/Multiple personality
disorder
3. Psychophysiologic response and sleep
4. Personality disorders
a. Childhood personality disorder
Conduct disorder
Oppositional defiant behavior
b. Odd-eccentric behavior
Paranoid personality disorder
Schizoid personality disorder

Classroom
participative
discussion

Oral questioning
Quiz

Oral questioning
Quiz

3
HOURS

3
HOURS

Page 6 of 11

personality disorders.

1. Explain the trends in

substance abuse and discuss
the need for related
prevention programs.
2. Discuss the characteristics,
risk factors and family
dynamics prevalent with
substance abuse.

1. Discuss the etiologic theories

of depression and bipolar
disorders.
2. Describe the risk factors for
and characteristics of mood
disorders.
3. Evaluate the effectiveness of
treatment including
medications for clients with

c. Dramatic, emotional, erratic behaviors

Antisocial personality disorder
Borderline personality disorder
Narsicistic personality disorder
Histrionic personality disorder
d. Anxious, fearful behaviors
Obsessive compulsive personality disorder
Dependent personality disorder
Avoidant personality disorder
e. Passive-aggressive
5. Substance related disorders: substance abuse, dependence,
intoxication, withdrawal and polysubstance dependence
a. Central nervous system depressants
Alcohol
Sedatives- hypnotics and anxiolytics
b. Central nervous system stimulants
Caffeine
Nicotine
Amphetamine and cocaine
c. Hallucinogens
d. Cannabis
e. Inhalants
f. Nursing issues
6. Mood disorders
a. Reactive attachment disorder
b. Bipolar I mood disorder
c. Bipolar II mood disorder
d. Cyclothymic disorder
e. Dysthymic disorder
f. Major depressive disorder
g. Clients at risk for suicidal and self-destructive behavior

Classroom
participative
discussion

Oral questioning

Classroom
participative
discussion

Oral questioning

Quiz

Quiz

3
HOURS

3
HOURS

Page 7 of 11

mood disorders.
4. Apply the nursing process to
the care of clients with mood
disorders.
FINAL PERIOD
1. Discuss the various theories
of the etiology of
schizophrenia.
2. Describe the positive and
negative symptoms of
schizophrenia.
3. Describe the functional and
mental status assessment for
a client with schizophrenia.

1. Describe the characteristics

of and risk factors of
cognitive disorders.
2. Distinguish between delirium
and dementia in terms of
symptoms, course, treatment
and prognosis.

7. Schizophrenia and other Psychoses

a. Schizophrenia
Catatonic type
Paranoid type
Undifferntiated type
Disorganized type
Residual type
b. Other Psychotic disorder
Schizophreniform
Schizoaffective disorder
Delusional disorder
Brief psychotic disorder
Shared psychotic disorder

Classroom
participative
discussion

Oral questioning

8. Cognitive disorders
a. Fetal alcohol syndrome
b. Attention deficit hyperactivity disorder
c. Autism
d. Delirium
e. Dementia
f. Alzheimers disease
g. Diffuse Lewey body disease
h. Korsakoffs disease
i. Huntingtons disease
j. Picks disease
k. Vascular and multi-infarct dementia

Classroom
participative
discussion

Oral questioning

Quiz

Quiz

3
HOURS

3
HOURS

Page 8 of 11

1.
Discuss the different
etiologies of Psychosexual Disorders
and dysfunctions.
2.
Evaluate the effectiveness of
treatment including medications for
clients with Psychosexual Disorders
and dysfunctions.
3.
Apply the nursing process to
the care of clients with Psychosexual
Disorders and dysfunctions
4.
Provide teaching to clients,
families, caregivers and communities
to increase understanding of
Psychosexual Disorders and
dysfunctions.

9. Eating disorders
a. Pica
b. Rumination
c. Feeding disorders
d. Anorexia nervosa
e. Bulimia nervosa
10. Psychosexual disorders
a. Gender identity disorder
b. Sexual dysfunctions
c. Paraphilias
11. Abuse and violence
a. Victim of violent behavior
Child
Spouse
Elderly
b. Torture and ritual abuse
c. Rape and sexual assault

Classroom
participative
discussion

Oral questioning
Quiz

3
HOURS

5. Compare and contrast the

symptoms of anorexia nervosa and
bulimia nervosa
6. Discuss various etiologic theories of
eating disorders.
7. Identify effective treatment for
clients with eating disorders.
Describe the

Page 9 of 11

Discuss the legal aspects and issues

that affect and encompasses
psychiatric nursing practice.

B. Legal issues affecting mental health nursing

C. Future trends and issues in mental health nursing practice

Classroom
participative
discussion

Oral questioning
Quiz

3
HOURS

Identify
future
trends
and
improvements in the provision of
psychiatric mental care.
Identify and discuss the different
Overview
of psychiatric
kinds of institutions
thatnursin
cater to
psychiatric or psychological illnesses.
Evolution of mental heal

D. Community-based mental health programs

COURSE REQUIREMENT:
1. Complete attendance
2. Active class participation (Recitation and Group Work)
3. Major Requirement
4. Quizzes
5. Periodic examinations (Prelims, Midterms, and Finals)
6. Return Demonstrations
REFERENCES:
1. Videbeck, N. et al: Psychiatric Mental Health Nursing. LWW.
2. Brady, Noreen: Psychiatric Nursing LWW
3. Cacanindin, Eden: Psychiatric Nursing
4. Keltner, N. et al: Psychiatric Nursing 2nd Ed. Mosby
5. Shives, Louis: Basi Concepts of Psychiatric Nursing.

Page 10 of 11

MAJOR REQUIREMENT:
MIDTERM: Process Recording
FINALS: Portfolio of all Requirements and Activities done
GRADING SYSTEM
Class Participation (Attendance, Attitude, Recitation)
Quizzes
Assignment, Graded recitation, Reports and Project
Psychiatric Affiliation
Exams (PL, MT, FT)

Prepared by:

CARISSA R. BALARIA, RN, MAN

Faculty, CONAMS

10%
15%
20%
25%
30%
100%

Recommending Approval:

Prof. JOSEPHINE O. SAMONTE, RN, MAN

Program Head, Nursing

Approval:

Dr. REYNALDO M. SAMONTE

Dean, CONAMS

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