FAR EASTERN UNIVERSITYInstitute of Nursing

NCM 105MALADAPTIVE PATTERNS OF BEHAVIOR

Part 1COURSE OUTLINE

Course Description:This course is designed to focus on health and illness across the lifespan of clients, population

groups with acute and chronic psychosocial difficulties and psychiatric illnesses.

Course Objective: At the end of the 36 hours discussion, the student will be able to apply the nursing process in

caring for clients with maladaptive patterns of behavior.

I. Overview of Psychiatric Nursing A. Definition of Terms

1. Mental Health2. Mental Illness / Mental Disorders

B. Components of Mentally HealthC. Evolution of Mental Health Psychiatric Nursing Practice D. The Mental Health Nurse

1. Roles2. Essential Qualities

E. The Mental health illness continuum

II. Mental health psychiatric nursing practice A. Personality Theories and determinants of psychopathology: Implications to mental –

health psychiatric nursing practice. 1. Neurobiological Theories2. Developmental Theories

a. Sigmund Freud b. Erik Erikson (1902–1994): c. Jean Piaget (1896–1980)

3. Interpersonal Theoriesa. Harry Stack Sullivan (1892–1949): b. Hildegard Peplau (1909–1999):

4. Humanistic Theoriesa. Abraham Maslow (1921–1970); b. Carl Rogers (1902–1987)

5. Behavioral Theoriesa. Ivan Pavlov (1849–1936) b. B. F. Skinner (1904–1990)

6. Existential Theoriesa. Viktor Frankl b. Frederick “Fritz” Perls c. William Glasser

B. General Assessment Considerations 1. Principles and Techniques of Psychiatric Nursing Interview2. Psychosocial Assessment3. Mental Status Examination

C. Building Nurse – Client Relationship 1. Nurse –client interaction VS nurse-client relationship2. Therapeutic Use of Self3. Therapeutic Communication

a. Characteristicsb. Techniques

4. Therapeutic nurse- client relationshipa. Phasesb. Goals c. Roles of a Nurse

D. Documentation in Psychiatric Nursing Practice1. Problem-oriented recording

SOAP2. Narrative recording3. Process Recording

E. Therapeutic modalities, psychosocial skills and nursing strategies 1. Biophysical / somatic interventions

a. Electroconvulsive and other somatic therapiesb. Psychopharmacology

2. Supportive Psychotherapya. Nurse-patient relationship therapyb. Group Therapyc. Family Therapy

3. Counseling4. Mental health teaching / client education5. Self-enhancement growth / therapeutic groups6. Assertiveness training7. Stress management8. Behavior modification9. Cognitive restructuring10. Milieu therapy11. Play therapy12. Psychosocial support interventions13. Psycho spiritual interventions14. Alternative medicine / therapies

F. Concept of Anxiety1. Defining Characteristics of Anxiety

2. Levels of Anxiety3. Manifestations of Levels of Anxiety

a. Physiologicb. Psychologic

4. Ego Defense Mechanismsa. Four levels of Defense

G. Crisis1. Types of Crisis2. Phases of Crisis Development3. Characteristics of Crisis4. Crisis Intervention

References:1. Videbeck, Sheila L., Psychiatric Mental Health Nursing, 5th Edition Copyright 2010 by Lippincott

Williams & Wilkins2. Keltner, Norman et al, Psychiatric Nursing, 6th edition, Copyright 2011 by Mosby Elsevier3. Shives, Louise R., Basic Concepts of Psychiatric - Mental Health Nursing, 8th edition, Copyright 2011 by

Lippincott Williams & Wilkins4. Boyd, Mary Ann., Psychiatric Nursing: Contemporary Practice, 5th Edition Copyright 2011 by Lippincott

Williams & Wilkins5. Townsend, Mary C., Psychiatric Mental Health Nursing: Concepts of Care in Evidence – Based Practice ,

7th Edition Copyright 2011 by Lippincott

FAR EASTERN UNIVERSITYInstitute of Nursing

NCM 105MALADAPTIVE PATTERNS OF BEHAVIOR

Part 2COURSE OUTLINE

Course Description:This course is designed to focus on health and illness across the lifespan of clients, population

groups with acute and chronic psychosocial difficulties and psychiatric illnesses.

Course Objective: At the end of the 36 hours discussion, the student will be able to apply the nursing process in

caring for clients with maladaptive patterns of behavior.

I. Care of clients with maladaptive patterns of behavior across the lifespan (childhood, adolescent, adulthood)

A. The Nursing Process application to Psychiatric Nursing Practice 1. Assessing human response to the different maladaptive patterns of behavior

a. Self- awareness and use of selfb. Bio-Psycho-Social and Behavioral Data

2. Nursing Diagnosis and Outcome Identification3. Planning and Implementing nursing intervention

a. Biological b. Psychosocial

4. Evaluation and treatment Outcomes

B. Maladaptive Patterns of Behavior1. Age related Maladaptive Patterns Disorders Across the Lifespan2. Anxiety-Related Disorders

a. Anxiety Disorders across the lifespan Panic Disorders Phobias Post-traumatic Stress Disorders Acute Stress Disorders Obsessive-compulsive Disorders Generalized Anxiety Disorders

b. Somatoform Disorders Somatization Disorders Conversion Disorders Hypochondriasis Pain Disorder Body Dysmorphic Disorders

c. Dissociative Disorders Depersonalization Pychogenic Amnesia Dissociative Identity Disorder / Multiple Personality Disorders

3. Psychophysiologic Response and Sleep4. Personality Disorders

a. Childhood Personality Disorders Conduct Disorders Oppositional Defiant Disorders

b. Odd /Eccentric Behaviors Paranoid Personality Disorder Schizoid Personality Disorder Schizotypal Personality Disorder

c. Dramatic. Emotional, Erratic Behaviors Antisocial Personality Disorder Borderline Personality Disorder Narcissistic Personality Disorder Histrionic Personality Disorder

d. Anxious, Fearful Behaviors Obsessive Compulsive Personality Disorder Dependent Personality Disorder Avoidant Personality Disorder

e. Passive – Aggressive Behaviors5. Substance-related Disorders: substance abuse, dependence, intoxication,

withdrawal and polysubstance dependencea. Central Nervous System Depressants

Alcohol Sedative-hypnotics and Anxiolytics Opoids

b. Central Nervous System Stimulants Caffeine Nicotine Amphetamine and Cocaine

c. Hallucinogensd. Cannabise. Inhalantsf. Nursing Issues

6. Mood Disorders a. Reactive attachment Disorderb. Bipolar I Disorder c. Bipolar II Disorder d. Cyclothymic Disordere. Dysthymic Disorderf. Major Depressive Disorder g. Clients at risk for suicidal and self-destructive behavior

7. Schizophrenia and other Psychosesa. Schizophrenia

Catatonic Type Paranoid Type Undifferentiated Type Disorganized Type Residual Type

b. Other Psychotic Disorders Schizophreniform Disorders Schizoaffective Disorder Delusional Disorder Brief Psychotic Disorder Shared Psychotic Disorder

8. Cognitive Disorders

a. Fatal alcohol Syndromeb. Mental Retardationc. Attention deficit hyperactivity disorderd. Autisme. Deliriumf. Dementiag. Alzheimer’s Diseaseh. Diffuse Lewy Body Diseasei. Korsakoff’s Diseasej. Huntingston;s Diseasek. Pick’s Diseasel. Vascular and Multi-Infarct Dementia

9. Eating Disordersa. Picab. Ruminationc. Feeding Disordersd. Anorexia Nervosae. Bulimia Nervosa

10. Psychosexual Disordersa. Gender Identity Disorderb. Sexual Dysfunctionsc. Paraphilias

11. Abuse and Violencea. Victims of Violent Behavior

Child Spouse elderly

b. Torture and ritual abusec. Rape and sexual assault

C. Legal Issues affecting mental health nursingD. Future Trends and issues in Mental Health NursingE. Community-Based Mental Health Programs

References:1. Videbeck, Sheila L., Psychiatric Mental Health Nursing, 5th Edition Copyright 2010 by Lippincott

Williams & Wilkins2. Keltner, Norman et al, Psychiatric Nursing, 6th edition, Copyright 2011 by Mosby Elsevier3. Shives, Louise R., Basic Concepts of Psychiatric - Mental Health Nursing, 8th edition, Copyright 2011 by

Lippincott Williams & Wilkins4. Boyd, Mary Ann., Psychiatric Nursing: Contemporary Practice, 5th Edition Copyright 2011 by Lippincott

Williams & Wilkins

5. Townsend, Mary C., Psychiatric Mental Health Nursing: Concepts of Care in Evidence – Based Practice , 7th Edition Copyright 2011 by Lippincott

6. NCLEX-RN Psychiatric Nursing Practice Mad Incredibly Easy!, Kindle Edition Copyright 2010 by Lippincott Williams & Wilkins