MENTAL HEALTH NURSING - I

PLACEMENT: V SEMESTER

THEORY: 3 Credits (60 hours)

DESCRIPTION:

This course is designed to develop basic understanding of the principles and standards of mental health
nursing and skill in application of nursing process in assessment and care of patients with mental health
disorders.

COMPETENCIES: On completion of the course, the students will be competent to

1. Trace the historical development of mental health nursing and discuss its scope.

2. Identify the classification of the mental disorders.

3. Develop basic understanding of the principles and concepts of mental health nursing.

4. Apply the Indian Nursing Council practice standards for psychiatric mental health nursing in
supervised clinical settings.

5. Conduct mental health assessment.

6. Identify and maintain therapeutic communication and nurse patient relationship.

7. Demonstrate knowledge of the various treatment modalities and therapies used in mental disorders.
8. Apply nursing process in delivering care to patients with mental disorders.

9. Provide nursing care to patients with schizophrenia and other psychotic disorders based on
assessment findings and treatment/therapies used.

10. Provide nursing care to patients with mood disorders based on assessment findings and
treatment/therapies used.
Unit Time Learning Outcomes Content Teaching/ Assessment
(Hrs) Learning Methods
Activities
I 6(T) Describe the Introduction  Lecture Essay  Short
historical  Perspectives of Mental Health cum answer
development & and Mental Health Nursing, Discussion
current trends in evolution of mental health
mental health services, treatments and
nursing Discuss the nursing practices
scope of mental  Mental health team
health nursing  Nature & scope of mental
Describe the health nursing
concept of normal &  Role & functions of mental
abnormal behaviour health nurse in various settings
and factors affecting the level
of nursing practice
 Concepts of normal and
abnormal
II 10(T) Define the various Principles and Concepts of Lecture cum Essay  Short
terms used in Mental Health Nursing Discussion  answer
mental health  Definition: mental health Explain
Nursing Explain the nursing and terminology used using Charts
classification of  Classification of mental  Review of
mental disorders disorders: ICD11, DSM5, personality
Explain the Geropsychiatry manual developmen
psychodynamics of classification t
maladaptive  Review of personality
behaviour Discuss development, defense
the etiological mechanisms
factors &  Etiology bio-psycho-social
psychopathology of factors
mental disorders  Psychopathology of mental
Explain the disorders: review of structure
principles and and function of brain, limbic
standards of Mental system and abnormal
health Nursing neurotransmission
Describe the  Principles of Mental health
conceptual models Nursing
of mental health.  Ethics and responsibilities
 Practice Standards for
Psychiatric Mental Health
Nursing (INC practice
standards)
 Conceptual models and the
role of nurse: o Existential
model
o Psychoanalytical models o
Behavioural model o
 Interpersonal model
 Preventive psychiatry and
rehabilitation
III 6(T) Describe nature, Mental Health Assessment Lecture cum Essay
purpose and process  History taking Discussion   Short answer
of assessment of  Mental status examination Demonstrati  Assessment
mental health status  Mini mental status on  of mental
examination Practice health status
 Neurological examination session 
 Investigations: Related Blood Clinical
chemistry, EEG, CT & MR practice
I  Psychological tests
IV 6(T) Identify therapeutic Therapeutic Communication Lecture cum Essay
communication & and Nurse Patient Relationship Discussion   Short answer
techniques Describe  Therapeutic communication: Demonstrati  OSCE
therapeutic Types, techniques, on  Role
relationship characteristics and barriers Play 
Describe  Therapeutic nurse-patient Process
therapeutic relationship recording 
impasses and its  Interpersonal relationship- Simulation
interventions  Elements of nurse patient (video)
contract,
 Review of technique of IPR-
Johari window
 Therapeutic impasse and its
management
V 10(T) Explain treatment Treatment modalities and Lecture cum Essay
modalities and therapies used in mental Discussion   Short answer
therapies used in disorders Demonstrati  Objective
mental disorders  Physical therapies: on  Group type
and role of the Psychopharmacology, work 
nurse  Electro Convulsive therapy Practice
 Psychological Therapies: session 
Psychotherapy, Behaviour Clinical
therapy, CBT practice
 Psychosocial: Group therapy,
Family therapy, Therapeutic
Community, Recreational
therapy, Art therapy (Dance,
Music etc), Occupational
therapy
 Alternative &
Complementary: Yoga,
Meditation, Relaxation
 Consideration for special
populations
VI 8(T) Describe the Nursing management of Lecture and Essay
 etiology, psycho- patient with Schizophrenia, and Discussion  Short answer
dynamics/ other psychotic disorders  Case  Assessment
pathology, clinical  Prevalence and incidence discussion of patient
manifestations,  Classification  Case management
diagnostic criteria  Etiology, psychodynamics, presentatio problems
and management of clinical manifestation, n
patients with diagnostic criteria/formulations  Clinical
Schizophrenia, and Nursing process practice
other psychotic  Nursing Assessment: History,
disorders Physical and mental
assessment
 Treatment modalities and
nursing management of
patients with Schizophrenia
and other psychotic disorders
 Geriatric considerations and
considerations for special
populations
 Follow up and home care and
rehabilitation
VII 6(T) Describe the Nursing management of Lecture and Essay
etiology, psycho- patient with mood disorders  Discussion  Short answer
dynamics, clinical Prevalence and incidence   Case  Assessment
manifestations, Mood disorders: Bipolar discussion of patient
diagnostic criteria affective disorder, mania  Case management
and management of depression and dysthymia etc. presentatio problems
patients with mood  Etiology, psycho dynamics, n
disorders clinical manifestation, diagnosis  Clinical
 Nursing Assessment History, practice
Physical and mental  Essay
assessment  Short
 Treatment modalities and answer
nursing management of 
patients with mood disorders Assessment
 Geriatric considerations/ of patient
considerations for special managemen
populations t
 Follow-up and home care
and rehabilitation
VIII 8(T) Describe the Nursing management of Lecture and Essay
etiology, psycho- patient with neurotic, stress Discussion  Short answer
dynamics, clinical related and somatisation  Case  Assessment
manifestations, disorders discussion of patient
diagnostic criteria  Prevalence and incidence  Case management
and management of  classifications presentatio problem
patients with  Anxiety disorders – OCD, n
neurotic, stress PTSD, Somatoform disorders,  Clinical
related and Phobias, Disassociative and practice
somatization Conversion disorders
disorders  Etiology, psychodynamics,
clinical manifestation,
diagnostic criteria/
formulations
 Nursing Assessment: History,
Physical and mental
assessment
 Treatment modalities and
nursing management of
patients with neurotic and
stress related disorders
 Geriatric considerations/
considerations for special
populations
 Follow-up and home care
and rehabilitation