College College of Nursing

Department Nursing

Course Code 801433

Course Name Psychiatric-Mental Health Nursing (Clinical)
Credit Hours 3
Instructor Dr. Faten Mohammad & Mo’tasem AlDaieflih
Office 12 hrs/week
& Office
Hours
Email [email protected], [email protected]

Introduction to the clinical aspects of psychiatric- mental health nursing;

Explore and gain insight into the problems experienced by the mentally ill
person; and the emotional, intellectual social, and spiritual strains that physical
illness causes; thoughts and feelings of the students' regarding their dealing
with the psychiatric patients; Integration of theoretical base from the mental
health nursing course; utilize the nursing process within the therapeutic nurse
Course client relationship with the emphasis on the humanistic holistic approach; and
Description
develop an open communication with health care providers team to facilitate
the client's healing process in a structured environment; Nursing care of
clients with alteration in biopsychosocial adaptation, Schizophrenia and other
psychotic disorder, Mood disorder and suicide ,Anxiety disorders. Providing
holistic care to clients with psychiatric and or mental health problem while
applying the nursing process.

Prerequisite(s) Synchronous with 801431

1.Varcarolis` Manual of psychiatric nursing care, 7th

Edition ,2020 ,Margaret Jordan Halter
Textbook(s) &
Supplementary Links on web search:
Materials
 www.psych.org.
 www.mental health.com

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 1-Demonstrate&apply the mental health assessment & examination sheet that
relevant to the psychiatric patients.

2- Recognize the psychiatric patient's needs in a holistic approach

(Biopsychosocial dimensions).
Objectives 3- Design strategies to meet these needs through nursing interventions that
based on sub-understanding and nursing process
4-Apply principles of psychiatric nursing practice throughout dealing with the
psychiatric patients.
5- Utilize effective communication skill in interdisciplinary team.
6- Recognize nursing role as part of an interdisciplinary team.
Upon successful completion of this course, the learner should be able to:

1-Identify& use appropriately the mental health nursing assessment, mental

status examination and process recording in providing holistic care to clients
based on the steps of nursing process.

2- Select appropriate therapeutic interpersonal communication (Verbal,

Intended Student Nonverbal and Written) with a variety of participants in mental health care
Learning
Outcomes within a variety of health settings.
(ISLOs)
Addressed by the 3- Collect and analyze mental health nursing assessment data to develop and
Course prioritize appropriate nursing diagnoses.

4-Identify and implement the appropriate intervention to the determined

nursing diagnoses/client's complaints.

5-Evaluate interventions to estimate effectiveness and efficiency of actions

promoting client's needs.
Intended Student Learning Outcome s(ISLOs) and Objective Matrix
Reference: 1. Marilyn J. Hockenberry, Cheryl C Rodgers, and David Wilson. (2017)
Intended Student Objective
Learning
Outcomes(ISLOs)

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 ISLOs 1 1, 4

ISLOs 2 5,6

ISLOs 3 1,2,4,5

ISLOs 4 1,3,5,6

ISLOs 5 1,3,5,6

1-Process recording& reporting (Case studies)

2-Oral presentation (Seminars)

Methods of Teaching
3-Interactive discussion
4-Sharing in agency group activities

1.Type all homework, you may use some tools e.g., MS Office, Visio, etc.
2.Students can discuss homework, but no copying, according to the college
Policies* bylaws the minimum penalty of plagiarism is failing the course.
3.Late Submission Penalty 1 mark for each day ……. etc.

Assessment & Evaluation Plan for the Course*

Assessment Weight Description
Seminars 5% It will cover the topics that facilitate for the
students’ provision of nursing care to the
psychiatric patients.
Post Preparatory 25% It includes the variety of questions about the
Lab Written Exam different psychiatric problems and their
management.
Psychiatric – 10% It represents the work sheets that required from the
Mental Health students along the course.
Nursing
Assessment Sheet
Nursing Care Plan 15% It represents the work sheets that required from the
&Case Study students along the course.

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Final Oral Exam 10% It represents the work sheets that required from the
students along the course.
Clinical 5% It will be evaluated throughout the course of
Evaluation Form clinical training.
Final Written 30% It includes the variety of questions about the
Exam different psychiatric problems and their
management.
Total 100%

CALENDAR & OUTLINE OF TOPICS

WEEK TOPIC
1- 1-Introduction to the course and review the course objectives.
(Preparatory lab)

2- 2-Review course objectives and explore the trainers ' thoughts and
feelings regarding their dealing with the psychiatric patients.
3- 1-Discuss the mental health assessment & examination sheet that
relevant to the psychiatric patients.
4- 1-Orientation to hospital policies and setting and routine activities.

2- Select the client you will work during the training course.

5- 1-Explore nature& atmosphere of health setting to meet requirement

of therapeutic relationship with the mentally ill client.

2-Meet your client

3- Record the assessment data that are relevant to the client.

4- Point out the client's needs.

5-Meet for review of a selected presentation

6- 1-Meet your client

2-Review assessment.

3-Set the plan of care in accordance with the patient’s needs

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 &problems.

4- Attend seminar discussion.

7- 1-Follow unit routine.

2-Meet your client

3- Review assessment, summary of client's complaints /needs and

plan of care.

4- Implement the planned care &use the unit activities when suitable.

5- Write a nursing note.

6-Attend seminar discussion.

8- 1-Meet your client.

2- Implement the plan of client's care.

3-Share in unit activities.

4- Record dialogue between you and your client.

5- Evaluate the communication between staff and clients.

6-Review client's medication /therapeutic effect& Untoward side

effects.

7- Attend seminar discussion

9- 1-Meet with your client.

2- Upgrade plan of care.

3- Share in unit activities according to the policy.

4- Know more about the treatment modalities that are used by the
health team members.

5-Attend seminar discussion

10- 1-Meet your client

2-Cntinue in upgrading plane of care.

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 3- Share in unit activities according to the policy.

4- Attend seminar discussion.

11- 1-Follow unit routine.

2- Continue in upgrading plan of care.

3- Documentation.

4- Identify treatment modalities.

5- Attend seminar discussion.

12- - As in previous week in addition to:

1- Focus on terminating the therapeutic relationship with Your

client.

2- Identify your own needs related to the separation.

3-Attend seminar discussion.

13- - As in previous week in addition to:

1- Focus on terminating the therapeutic relationship with Your client.

2- Identify your own needs related to the separation.

3-Attend seminar discussion.

14- CONDUCTION OF FINAL WRITTEN EXAM.

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 Jerash University
Faculty of Nursing
Psychiatric –Mental Health Nursing
Assessment sheet and Nursing Care Plan
(10%)

:Student Profile

:Student's Name: Student ID

:Instructor's Name: Date of Submission

:I-Patient's profile (Personal Data)

-:Name: Age-

:Sex: Religion-

) ( Marital Status: Married ( ) Single-

) ( Divorced ( ) Widowed

) ( Education: Illiterate( )Elementary-

) ( Primary ( ) Intermediate college ( ) University
-:Occupation-

-:Address-

:Date of admission-

Mode of admission: Voluntary ( ) Involuntary admission ( ) -

) ( Emergency ( ) Criminal act

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:Diagnosis-

II-History
-:Present History Of Present Illness-1
Current Complaint:(Statement in the client's own words of why he or she is -
hospitalized or seeking help or what made him or her different lately)

Present Symptoms/ problems (arranged in chronological -2

-: order)

Past History Of Present Illness:-3

:Previous Hospitalization & treatment-4

:Previous admission (No)

) ( Type of treatment: Drugs ( ) E.C.T ( ) Psychotherapy

:Compliance with the treatment/ adhere to medical regimen

Effect of treatment (desirable therapeutic effect, untoward side effects)

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:Medical/Surgical History-5

Family History ( Medical & psychiatric):-6

?Does any one of the patient's relatives have any psychiatric or medical illness
?If yes describe it

:III-Mental Status Examination

Physical Assessment-1

: Physical Appearance.1

A-Dress, clothes: appropriate or inappropriate to age, weather & setting

B-Grooming and hygiene: neat, unkempt, clean, dirty
C-Odor: no smell, perspiration, offensive odor
D-Cosmetics: no make up, florid, careless, bright, heavy, appropriate
E-Body posture: Any unusual posture, stooped, relaxed, good, poor, falls
.easily
.F-General appearance: injuries, scars, body deformities, etc

Physical Measures Approximately.2

Weight: about KG-1

Length: about CM-2

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: Body Systems Assessment-3
.That may be due to medical problem or as side effects of medication
A-Vital signs( pulse , blood pressure , respiration , temperature , pain)
B-Urinary tract problem: As change in frequency of urination or
discoloration in urine
C-Gastrointestinal tract problem: like nausea , vomiting constipation ,
diarrhea
D-C.N.S: as dizziness, drowsiness , vertigo
E-Endocrine: as overweight , change in menstrual cycle , gynacomestia
F-Skin: hypersensitivity , skin discoloration

.For each problem describe date of onset ,its management

Activities Of Daily Living-4

:A-Sleep
Numbers of sleep hours during night
Time of going to bed
Time of getting out of bed
Awakening during the night
Sleep during the day
Night mares or night terrors
Night sedation
Feeling of being rested upon awakening

:B-Nutrition
Appetite : increase or decrease ( describe what you eat at each meal , how
. many meals and times)
) ( Poor appetite ( ) Well appetite
Polyphagia ( ) Food Refusal
) ( Manner of eating: rapidly ( ) , slowly ( ) , noising with food
Food preferred and not favorable

C-General Activity

: Active

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:over active ( hyperactive)evidenced by

:Under active( hypoactive)evidenced by

:Need to be encouraged evidenced by

d-Self Care ( regarding washing , dressing or bathing )

:Able evidenced by-
:Relatively able ( need to be motivated , need assistance ) evidenced by-

:Unable evidenced by-

e-Recreation , Hobbies , Interests

.Describes an average daily activity

Cognitive ( Intellectual )Assessment -2

: Thinking-1

: A-Rate Of Thoughts (Speech)

Parallel to activity (within normal limits)
Rapid Slow
Mute Stuttering

: B-Volume( intensity)
Loud Soft
Whisper Inaudible
.Within normal limits
:C-Spontaneity

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responds only to questions, offers information, answers limited
to yes or no
: D-Form of thoughts (Speech)
Coherent
:Incoherent
Flight of idea Looseness of association
Clang association Blocking
Word salad Circumstantiality
Perseveration Confabulation
Echolalia Neologism
Tangentiality Preoccupation
: With evidence for your selection of any one of previous examples

:e-Content of thought
Delusion
Hypochondriasis
Phobia
Obsession
Day dreaming

With evidence for your selection of any one of previous examples

:Perception-2
Hallucination
Illusion
Depersonalization
De realization

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With evidence for your selection of any one of previous examples

:Orientation -3
Time
Place
person

:Memory-4

Intact or impaired with example

:a-Immediate( recall)

:b-Short term memory

:c-Recent

:d-Remote

:Attention-5
Attentive-
) ( Alert ( ) Lethargic
) ( Distracted

:Concentration-6

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b-Able to concentrate(
with serial 7, 11 ,13 test or days of
week or months of year in reverse order)

General Information-7

Judgment-8
Realistic
Unrealistic
For any one of the previous comment you selected gives
.explanation for it ( why)

: Logical Reasoning-9
a-Abstract thinking

b-Concrete thinking

Insight-10
Regarding the patient's ability to recognize his , her illness,
. nature of his illness , causes & place
Insightful
Partial insight
Insight less/denial

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 Emotional Assessment-3
:Mood
What mood does the client convey?( detected by the patient facial
expression , motor activity , movement and content of talk)
Sadness Anxious
Angry Shameful
Depressed Frightened
Despair Helplessness
Hopelessness Ambivalent
Indifference Hostile
Elated(euphoric)or excessive feeling of well being or feeling too
.good
)Exaltation) intense happiness with feeling of grandeur

Social Assessment-4

Self –esteem( it is a client's judgment of himself / herself,

important to self or others , liking self)

Realistic self –Esteem

High Self-Esteem

Low Self-Esteem

: Interpersonal relationships
Is the patient's relationship to others in his environment
Trust relationship( who is the support system) parents , brother ,
.… sister , aunt , uncle , friends

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With whom does the patient feels comfortable and at ease and
?why

: Support system
?Who in the family is most supportive and helpful to the patient

What is the communication pattern within the patient's

family( who talks to whom , who makes decisions) ( high
expressed emotion , criticism , nagging , low expressed
emotion , warm , caring , acceptance)

Process Recording Form& plan of Care

Student –Client Interaction

?Who is initiative

:Objectives for the interaction

Description for one of your conversation with the client

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Summarize what you pick up from this interaction with the
.client regarding the patient concerns

:Nursing Diagnosis
Physical Expected Nursing Evaluation
problems Outcomes Intervention

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 Psychiatric Expected Nursing Evaluation
Problems Outcomes Intervention

Medication Brochure

Medication Dose Frequency Side Comments

name effects

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 Jerash University
Faculty of Nursing
Evaluation Criteria for Final Oral Exam (10%)

:Student name
:.ID no
:Subject
:Date of exam
:Teacher/clinical instructor name
:Teacher/clinical instructor signature

Item Yes No Notes

:Assessment
.States patient profile-
Presents brief history about the patient-
States significant physical & psychiatric -
findings
:Planning
Identify expected outcomes-
Establish priotorizing while rearrange the -
patient problems
:Implementation
Apply nursing process steps systematically -
in providing nursing care
Discuss treatment plan for the patient -
including pharmacological
&nonpharmacological intervention
: Evaluation
Evaluates client's response to intervention to-
.the stated objectives
Communication with instructor

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 University of Jerash
Faculty of Nursing
Seminar Evaluation Form (5%)

Student Name: …………………………………………………………

Student NO: ……………….
Subject Title: ……………………………………………………………..
Date: …………………………….

Item 0 1 2
*Written Assignment:
1 Cover sheet (University, title, student name, Written content outline)
2 Clear object
3 Clear introduction
4 Organized in systematic sequence
5 English language & spelling
6 Content ( concise, simple, clear, based on scientific knowledge)
7 Present a list of references / sources
8 Focus on nursing role
9 Time compliance in delivering the assignment
Total Grade: 18 points (…../18 )
*Oral Presentation:
1 Introduction of self & subject
2 Fluency of English language
3 Clarifies technical terminology
4 Use clear & relevant examples
5 Speech based on scientific knowledge
6 Attract audience interest & attention
7 Control group activity
8 Clarify the role according to the topic
9 Give chance for interaction, asking questions for participation
10 Develop conclusion related to purpose of presentation
Total Grade: 20 points (…../20 )
*Media (Instructional Materials):
1 Relevant, easily understandable
2 Meet the stated objectives
3 Simple, clear, attractive, and covering one specific idea
4 Show creativity
Total Grade: 2 points (…../2 )

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 Student score: =

Evaluator name & signature: ……………………...........

........……………………………………… :Student Signature

Professional Appearance & Ethics 1st Evaluation 2nd Evaluation

0 1 2 0 1 2

1 Complies with dress code and grooming standards for clinical

practice.

2 Protects and advocates for patient rights (privacy, autonomy,

confidentiality).

3 Demonstrate professional demeanor in interactions with client,

family, peers and staff.

4 Complies with hospital policies and regulations.

Nursing Intervention and Outcome Evaluation 0 1 2 0 1 2

5 Demonstrates complete mental status examination.

6 Knowing about relevant laboratory and diagnostic test results.

7 Complete nursing assessment.

8 Develops and classified a plan of nursing care based on findings.

9 Establishes priorities of patients nursing diagnosis.

10 Reports abnormal data and changes in patient condition.

11 Performs nursing interventions.

12 University
Evaluate effectiveness of therapeutic of Jerash
plan outcome.

13
Faculty of Nursing
Demonstrates flexibility in adapting to changing situation.
Clinical Evaluation Form (10%)

Student Name: …………………………………………………………

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 Safe practice 0 1 2 0 1 2

14 Checks for patient ID and correct procedures at all times.

15 Uses standard precautions (washing hands, wearing appropriate

personal protective equipment, avoiding needle sticks).

16 Maintain an environment free of hazards.

17 Obtain patient medication information including classification,

indication, action, dosage, side effect, interactions, & nursing implication

Communication 0 1 2 0 1 2

18 Adopts communication strategies based on clients and culture.

19 Conveys mutual respect, trust, support, and appreciation for others.

20 Collaborates with other health care team members regarding patient

care needs.

21 Contribute to group / team activities.

22 Collaborate with individual family.

23 Using therapeutic communication technique (verbal & non-verbal) with

patients.

Total: ………/46 Total: ………/46

Comments:
……………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………………………
……………………………………………………………………………………
Student score of 1st evaluation: (Totalx15)/46 = ……./20%
..……./15% Score Keys:
Student signature for 1st evaluation: …………………………………
% 0: Not observed.
Student score of 2nd evaluation: (Totalx15)/46 = ……./20%
1: Unsatisfactory.
..……./15%
Student signature for 2nd evaluation: ……………………………….
2: Satisfactory.
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