SYLLABUS CARE OF CLIENTS WITH MALADAPTIVE PATTERNS OF BEHAVIOR

Course Code:
NCM 105
Course Name:
CARE OF CLIENTS WITH MALADAPTIVE PATTERNS OF BEHAVIOR
Course Description:
The course is designed to focus on health and illness across the lifespan of clients with acute and chronic
psychosocial difficulties and psychiatric illnesses. The students will be prepared to develop self-awareness/ therapeutic
interaction, ability to apply scientific
information in care decisions and professional
behaviors, as they utilize theory and research in nursing and related disciplines, in the care of individuals, families, and
groups. Related learning experience in acute care settings and community are provided for students to engage in
individual and group strategies that promote and maintain mental health.
Course Credit:
4units lecture; 2units RLE (2units Clinical)
Prerequisite:
General Psychology, NCM 100, NCM 103
Placement:
3rd Year; 2nd semester
Course Objectives:
At the end of the course the student will be able to:
1. Apply knowledge and understanding of maladaptive patterns of behavior in providing safe and quality care to clients.
2. Apply the nursing process at a beginning level in the care of individuals, families and groups for quality improvement.
3. Demonstrate critical thinking regarding legal and ethico-moral issues pertinent to mental health.
4. Perform novice leadership skills in the management of records and resources in nursing practice for mental health
clients.
5. Demonstrate communication skills in relating with clients and collaborating with members of the psychiatric team.
6. Appreciate the role of the nurse in research and health education.
7. Observe bioethical concepts/ principles and core values and nursing standards in the care of clients; and,
8. Undertakes action for personal and professional growth.

Objectives

Content
I.

Overview of Psychiatric Nursing

A. History
B. The Mental Health Nurse
1.
Role
2.
Essential qualities
C. The Mental Health Team
D. The mental health illness
continuum

T/A

T-L-A

Assessment Task

Resource
Materials /
References

Evaluation
Paper and
pencil test
Power
point
presentati
on

II.

Psychiatric Nursing Practice

A. Theories of Psychopathology
1. Psychoanalytic, Behavioral,
Interpersonal, Cognitive,
Humanistic, Psychobiologic,
Cognitive, Psychosocial and
Psychospiritual
B. General Assessment
Considerations
1. Principles and techniques of
Psychiatric Nursing Interview
2. Mental Status Examination
3. Diagnostic Examinations Specific
to Psychiatric Patients
C. Building nurse-client relationship
1. Therapeutic Use of Self
2. Therapeutic Communication
Characteristics
Techniques
D. Documentation in psychiatric
nursing practice
1. Problem Oriented Recording
2. SOAP
3. Narrative Recording
4. Process Recording
E. Therapeutic Modalities
1. Electroconvulsive and other
Somatic therapies
2. Psychopharmacology
3. Psychosocial/ Interpersonalrelated therapy
4. Group therapy
5. Family therapy
6. Therapeutic Environment
7. Alternative Medicine/Therapies

F. Concept of anxiety
1. Defining characteristics of
Anxiety
2. Levels of Anxiety
3. Manifestations of Levels of
Anxiety
Physiologic/ Psychologic
4. Ego Defense Mechanisms
Four levels of Defense
G. Crisis
1. Types of crisis
Phases
Characteristics
Crisis intervention
III.

Care of clients with maladaptive

patterns of behavior across the
lifespan (childhood, adolescent,
adulthood)
A. Anxiety-Related Disorders
1. Anxiety disorders across the
lifespan
Panic Disorder
Phobias
Post traumatic stress
disorder
Acute Stress disorder
Obsessive-compulsive
disorder
Generalized Anxiety Disorder
B. Somatoform disorders
1. Somatization disorder
2. Conversion disorder
3. Hypochondriasis
4. Pain disorder

5. Body Dysmorphic disorder

C. Dissociative disorders
1. Depersonalization
Psychogenic Amnesia
Psychogenic Fugue
Dissociative Identity
Disorder/ Multiple Personality
disorder
2. Psychophysiologic Response and
Sleep Disorders
3. Personality Disorders
Childhood Personality
Disorders
a. Conduct Disorder
b. Oppositional Defiant
Behavior
Odd/ Eccentric Behaviours
a. Paranoid, Schizoid, and
Schizotypal Personality
Disorder
Dramatic, Emotional, Erratic
Behaviours
a. Antisocial, Borderline,
Narsicistic, and Histrionic
Personality Disorder
Anxious, Fearful Behaviors
a. Obsessive compulsive,
Dependent personality
disorder and Avoidant
personality disorder
Passive aggressive
4. Substance-Related disorder
Substance abuse
Substance dependence
Substance intoxication

Substance withdrawal
Abused substances
a. Alcohol
b. Barbiturates CNS
Depressants
c. Inhalants
d. Opioids (Narcotics)
e. Stimulants
f. Hallucinogens
g. Polysubstance
dependence
5. Mood Disorders
Reactive Attachment disorder
Bipolar I disorder
Bipolar II disorder
Cyclothymic disorder
Dysthymic disorder
Major Depressive Disorder
Clients at risk for suicidal and
self-destructive behaviour
6. Schizophrenia and other
Psychoses
Schizophrenia
a. Catatonic type
b. Paranoid type
c. Undifferentiated type
d. Disorganized type
e. Residual type
Other Psychotic Disorders
a. Schizophreniform
disorder
b. Schizoaffective disorder
c. Delusional disorder
d. Brief Psychotic disorder
e. Shared Psychotic

disorder
7. Cognitive Disorders
Fetal Alcohol Syndrome
Attention deficit hyperactive
disorder
Autism
Delirium
Dementia
Alzheimers Disease
Diffuse Lewy Body disease
Korsakoffs Disease
Huntingtons Disease
Picks Disease
Vascular and Multi-infarct
Dementia
8. Eating disorders
Pica
Rumination
Feeding disorders
Anorexia Nervosa
Bulimia Nervosa
9. Abuse and violence across the
lifespan
Victims of violent behaviour
Child/Spouse/Elderly
Torture and ritual abuse
Rape and Sexual Assault
IV.
V.

Legal issues affecting mental

health nursing
Future trends and issues in mental
health nursing practice
Community-Based mental health
programs

Course Requirements:
Class attendance and participation
On time submission of requirements
Completed number of quizzes
Major examinations

Grading System:
Attendance:
10%
Oral/ Written Quiz:
30%
Assignments/Participation/ Requirements
20%
Major Examinations
100%

Prepared by:

Approved by:

Clinical instructor

Dean

40%