ADN 21BL MENTAL HEALTH NURSING LABORATORY (LAB)
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for Mental Health Assessment.42Interview Questions Using PTAB Format.44Case Study-Mary O., A Schizophrenic Woman who is Withdrawn, Psychotic.46Sample Nursing Care Plan-Mary O.47Case Study-Luisa, a Depressed, Suicidal Patient.49CAMPUS LAB: PART (Professional Assault Response Team).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 collaborate with amultidisciplinary team as demonstrated by reporting to the staff nurse.9. Demonstrate therapeutic skills in interacting with a variety of mentally ill clients usingcritical elements for maladaptive behaviors.10. Demonstrate transfer of therapeutic skills in interacting with a client who is involved in acatastrophic illness involving a life-style change.11. Apply the nursing process in writing daily nursing care plans that reflects thedevelopmental level and developmental self-care requisites of the client.12. Increase self-evaluation appraisal skills as demonstrated by planning and implementingnursing care under the direct supervision of instructor and/or staff.13. Demonstrate safe and effective performance of all nursing skills by completing a givenmultiple client assignment by the end of the shift.5
Long Beach Community College DistrictLONG BEACH CITY COLLEGEAssociate Degree Nursing ProgramADN 21BL – Mental Health Nursing LabOrem’s Self Care ModelConceptual Framework Curriculum ImplementationSELF CARE MODELThe Universal Self CareRequisites are common toall persons regardless ofhealth status.THEORYIMPLEMENTATIONThe Universal Self CareRequisites serve as anoutline for learning. ThoseUniversal Self CareRequisites dealing with thepsychosocial aspects arehighlighted throughout thecourse.Health Deviation Self CareRequisites are needsgenerated by illness and themedical diagnosticprocedures and treatmentsassociated with disease.The concept of HealthDeviation Self CareRequisites is discussed as itrelates to the continuum ofMental Health and MentalIllness.Developmental Self CareRequisites are needsassociated withdevelopment throughout thelife cycle.The promotion ofDevelopmental Self CareRequisites and clientteaching are alsohighlighted throughout thecourse.CLINICALIMPLEMENTATIONStudents continue to applyall previously learned skillsin the medical/surgicalsetting to meet theUniversal Self CareRequisites.During campus lab, studentsobserve, practice anddemonstrate competence ina wide variety ofcommunication skillsappropriate to depressed,manic, angry, anxious,delusional, hallucinating,withdrawn, andmanipulative clients. Basedon these communicationskills, as well as utilizingthe nursing process (assess,plan, set goals, intervene,and evaluate), the studentdevelops a plan of care inthe wholly compensatory,partially compensatory, andsupportive educative mode.6
Long Beach Community College DistrictLONG BEACH CITY COLLEGEAssociate Degree Nursing ProgramADN 21BL – Mental Health Nursing LabClinical Course Requirements1. Review pertinent material from previous courses including: Physical Assessment,Intravenous Skills, Diagnostic Tests, Vocabulary, Math, Orem’s Self-Care NursingTheory, and Medication Administration.2. Arrive to clinical on time and prepared for your assignment for the day.3. Complete thorough written nursing care plans by designated time.4. Complete Process Recordings each clinical day of the psychiatric portion of the course.5. Submit a Clinical Journal (using a Large Green Book available in the LBCC Bookstore)each Monday while assigned to the psychiatric units beginning the first week of thecourse.6. Maintain appropriate behavior in the clinical setting.7. Achieve an overall grade of 75% or higher in the theory testing by the end of the courseto maintain satisfactory status in the program8. Participate actively in clinical conference discussions.9. Incorporate appropriate terminology in verbal and written communication.10. Assume responsibility for meeting behavioral objectives in the event of absence from theclinical setting.11. Review the basic concepts of the following charting formats: Problem, Intervention,Evaluation (PIE); Data, Action, Response (DAR). Apply the LBCC ConceptualFramework to the Nursing Care Plan for the patient with a Mental Health Deviationand/or Health Deviations in the Medical/Surgical clinical settings.12. Comply with the standards of the College Policy on Academic Honesty, HIPPA andPatient Confidentiality.13. Review and abide by the Attendance Policy in the LBCC Associate Degree NursingStudent Handbook.14. Complete a written case study.15. Complete a written research project.7
Long Beach Community College DistrictLONG BEACH CITY COLLEGEAssociate Degree Nursing ProgramADN 21BL – Mental Health Nursing LabClinical Learning OutcomesUpon satisfactory completion of mental health the student will Professional RoleAdvance the level of nursing by demonstrating sensitivity to the uniqueenvironment in the psychiatric setting, community clinics and acute care settings.Increase self-evaluation appraisal skills as demonstrated by becoming selfdirected in assuming responsibility for own performance and professionalism inthe clinical facility.Compare adaptive and maladaptive behaviors associated with mental healthdeviations.CommunicationDemonstrate therapeutic communication skills in interacting with a variety ofclients with mental health deviations using critical elements for maladaptivebehaviors.Demonstrate transfer of therapeutic skills in interacting with a client who isinvolved in a catastrophic health deviation involving a life-style change.Orem Self Care Theory as it relates to the Nursing ProcessApply in the clinical setting, Orem's self-care theory and the nursing process as abaseline for planning nursing care to a client with a mental health deviation/orhealth deviations in the mental health clinical setting and in the medical surgicalclinical setting.Analyze the coping patterns and nursing interventions needed to promotenormalcy for your clients.Incorporate into the nursing care plan the self care demands and deficitsrequiring interventions for clients with mental health deviations and/or healthdeviations associated with acute/ chronic illnessApply the nursing process in writing daily nursing care plans that reflects thedevelopmental level and developmental self-care requisites of the client.Increase self-evaluation appraisal skills as demonstrated by planning andimplementing nursing care under the direct supervision of instructor and/staff.Critical ThinkingUtilize the Mental health concepts and the mental health/illness continuum as ithas an impact on their client's care.Utilize evidence-based information and critical thinking in the provision ofnursing care to multiple patients.8
SafetyDemonstrate safe and effective performance of all nursing skills by completinga multiple client assignment by the end of the shift.Demonstrate safe medication administration with 100% accuracy.Teaching/LearningUtilize the educative-supportive mode in teaching patients and familiesinformation regarding their health deviation.Develop a medication teaching plan incorporating the unique teaching needs ofindividuals with Mental Health DeviationsEvaluate outcomes of teaching plan for an individual in the Mental Health settingUtilize current technology to enhance knowledge base.Collaborative Management of CareAnalyze and evaluate the role of the 3rd semester student and collaborate witha multidisciplinary team as demonstrated by reporting to the staff nurse.Manage the care of patients with behavioral health deviations and the medical/surgicalpatient.9
LONG BEACH CITY COLLEGEAssociate Degree Nursing ProgramADN 21BL – Mental Health Nursing LabChallenge Policy for Advanced Placement in the ADN ProgramSelf-Learning Module: Complete the self-learning module for the medical/surgical and mentalhealth hospitals by the end of the third week.Independent Project: The student will complete one written Case Study to be assigned by theinstructor. The Case Study must follow written guidelines and is due on Friday of the secondweek of the course.Clinical: The clinical experience is to be individualized to meet the needs of the student. Thestudent is advised to attend orientation days unless he/she works on the assigned unit. Anappointment must be made with the teaching team by Monday of the second week to be tested inthe clinical settings. The student and instructor will plan two or more days on a medical surgicaland an acute psychiatric unit during which the student is to demonstrate his/her capabilities inassessing, planning, implementing and evaluating nursing care of the assigned patients. Clinicalperformance includes:1. Completing the nursing care of two psychiatric patients who have been diagnosed withdepression, bipolar disorder, schizophrenia, or paranoid behavior.2. Assessing psychiatric patient’s behavior according to PTAB format (Perception,Thinking, Affect, Behavior). Completing one Process Recording as directed by theinstructor on assigned patients.3. Completing the nursing care of 3 to 4 medical/surgical patients chosen by the instructor.4. Preparing 21BL nursing care plans and setting short term goals utilizing Orem’s SelfCare conceptual framework and the nursing process within the time allowed.5. Implementing the appropriate nursing responses and interventions.6. Evaluating the responses and nursing interventions attempted.7. Reporting and recording pertinent information using PIE (Problem, Intervention,Evaluation) or DAR (Data, Action, Response) format according to hospital policy.8. Administering medications with 100% accuracy by passing medications to specificpatients or to a team of patients, as assigned by the instructor.9. Completing designated skill testing with 100% accuracy by the end of the second week ofthe course.10
LONG BEACH CITY COLLEGEAssociate Degree Nursing ProgramADN 21BL – Mental Health Nursing LabChallenge Option: Mental Health Nursing CourseRefer to the Department Policy: Policies for Transfer Credit, Advanced Placement and Credit byExamination for Associate Degree Nursing Program, as listed in the Long Beach City Collegecatalogue.Interested Students must let the instructor know by the first day of the first week of the course.An appointment will be made for them to take the theory test by Friday of the first week of thecours
Smeltzer, Bare, Hinkle, & Cheever, Brunner & Suddarth’s textbook of medical surgical nursing, latest edition Handbook of nursing diagnosis, latest edition Leifer & Hartson, Growth and development across the lifespan, latest edition LBCC ADN 21B / 21BL Course Syllabus LBCC Asso
The Associate Degree Nursing (ADN) program at PRCC is designed to prepare graduates for a challenging and satisfying career as a registered nurse. The ADN program is offered on the Forrest County (FC) and on the Poplarville campuses. There are three options: Traditional ADN, LPN to ADN Day, and LPN to ADN Evening.
CORE COMPETENCY PROGRAM LEVEL LOs COURSE LEVEL LOS NURSING CONCEPTS Semester 2 Level 2 ADN 241 ADN 261 ADN 241 ADN 261 2. Intentional Learning with Reflection Demonstrate skills of intentional learning, critical thinking, and reflection in order to purposefully perform their duties and provide holistic care to the clients they serve.
Click the green "Apply" link next to Nursing, A.D.N., and then click "Create Your Account" to begin the application process. To apply to the ADN program, a student must complete all pre-requisites before starting the program. Admission to and completion of Pre-Nursing coursework does not guarantee admission to the ADN program.
Major Courses: The Nursing: RN/ADN to BSN Program Major Requirements NUR 301 Baccalaureate Nursing Role NUR 310 Health Care Policy, Economics, Regulation, and Ethics NUR 315 Nursing Research and Expanded Evidence-Based Practice NUR 320 Population Health Students may transfer in up to two 300 or 400 nursing courses provided they meet program requirements.
Mental Health, Mental Health Europe NGO and the UK Royal College of Psychiatrists7. "No health without mental health" has also been adopted by the Irish organisation Mental Health Ireland, Supporting Positive Mental Health. Burden of Mental Disorders Mental disorders have been found to be common, with over a third of people worldwide
Associate Degree in Nursing Student Handbook 2019-2020 Revised: July, 2019 SCC's nursing education program is accredited by the Accreditation Commission for Education in Nursing (ACEN) *This Associate Degree in Nursing Handbook supersedes any previous ADN handbooks. All other ADN handbooks are deemed invalid.
mental illnesses, stigma associated with mental health nursing, and negative perceptions of psychiatric patients and mental health care create barriers to attracting new nursing graduates to choose mental health nursing for their career (Happell et al., 2014, Hoekstra et al., 2010, Linden and Kavanagh, 2012, Nadler-Moodie and Loucks, 2011,
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