MENTAL HEALTH NURSING - I

PLACEMENT: V SEMESTER
THEORY: 3 Credits (60 hours)
PRACTICUM: Clinical: 1 Credit (80 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.
11. Provide nursing care to patients with neurotic disorders based on assessment findings and
treatment/ therapies used.

COURSE OUTLINE
T – Theory
Unit Time Learning Outcomes Content Teaching/Learning Assessment
Methods
(Hrs) Activities
I 6 (T) Describe the Introduction  Lecture cum  Essay
historical Discussion
development &  Perspectives of Mental Health and Mental  Short answer
current trends in Health Nursing, evolution of mental
mental health nursing health services, treatments and nursing
practices
Discuss the scope of
mental health nursing  Mental health team
Describe the concept  Nature & scope of mental health nursing
of normal &  Role & functions of mental health nurse
abnormal behaviour in various settings and factors affecting
the level of nursing practice
 Concepts of normal and abnormal
behaviour
 II 10 (T) Define the various Principles and Concepts of Mental Health  Lecture cum  Essay
terms used in mental Nursing Discussion
health Nursing  Short answer
 Definition: mental health nursing and  Explain using
Explain the terminology used Charts
classification of
mental disorders  Classification of mental disorders: ICD11,  Review of
DSM5, Geropsychiatry manual personality
Explain the classification development
psychodynamics of
maladaptive  Review of personality development,
behaviour defense mechanisms

Discuss the  Etiology bio-psycho-social factors

etiological factors &  Psychopathology of mental disorders:
psychopathology of review of structure and function of brain,
mental disorders limbic system and abnormal
Explain the principles neurotransmission
and standards of
 Principles of Mental health Nursing
Mental health
Nursing  Ethics and responsibilities
Describe the  Practice Standards for Psychiatric Mental
conceptual models of Health Nursing (INC practice standards)
mental health nursing
 Conceptual models and the role of nurse:
o Existential model

Unit Time Learning Outcomes Content Teaching/Learning Assessment

Methods
(Hrs) Activities
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 Discussion
of assessment of  History taking  Short answer
 Demonstration
mental health status  Mental status examination  Assessment of
 Practice session mental health
 Mini mental status examination
status
 Clinical practice
 Neurological examination
 Investigations: Related Blood chemistry,
EEG, CT & MRI
 Psychological tests

IV 6 (T) Identify therapeutic Therapeutic Communication and Nurse-  Lecture cum  Essay
communication & Patient Relationship Discussion
techniques  Short answer
 Therapeutic communication: Types,  Demonstration
techniques, characteristics and barriers  OSCE
 Role Play
Describe therapeutic  Therapeutic nurse-patient relationship
relationship  Process recording
 Interpersonal relationship-
 Simulation (video)
 Elements of nurse patient contract,
 Review of technique of IPR- Johari
Describe therapeutic window
impasses and its
interventions  Therapeutic impasse and its management
 V 10 (T) Explain treatment Treatment modalities and therapies used  Lecture cum  Essay
modalities and in mental disorders Discussion
therapies used in  Short answer
mental disorders and  Physical therapies:  Demonstration
 Objective type
Psychopharmacology,
role of the nurse  Group work
 Electro Convulsive therapy
 Practice session
 Psychological Therapies: Psychotherapy,
Behaviour therapy, CBT  Clinical 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 etiology, Nursing management of patient with  Lecture and  Essay
psycho-dynamics/ Schizophrenia, and other psychotic Discussion
pathology, clinical disorders  Short answer
 Case discussion
manifestations,
 Prevalence and incidence  Assessment of
diagnostic criteria  Case presentation patient
and management of  Classification management
patients with  Clinical practice problems
Schizophrenia, and  Etiology, psychodynamics, clinical
other psychotic manifestation, diagnostic
disorders criteria/formulations

Unit Time Learning Outcomes Content Teaching/Learning Assessment

Methods
(Hrs) Activities
Nursing process
 Nursing Assessment: History, 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 etiology, Nursing management of patient with  Lecture and  Essay
psycho-dynamics, mood disorders Discussion
clinical  Short answer
 Prevalence and incidence  Case discussion
manifestations,  Assessment of
diagnostic criteria  Mood disorders: Bipolar affective  Case presentation patient
and management of disorder, mania depression and dysthymia management
patients with mood etc.  Clinical practice problems
disorders
 Etiology, psycho dynamics, clinical
manifestation, diagnosis
 Nursing Assessment History, Physical and
mental assessment
 Treatment modalities and nursing
management of patients with mood
disorders
 Geriatric considerations/ considerations
for special populations
 Follow-up and home care and
rehabilitation
 VIII 8 (T) Describe the etiology, Nursing management of patient with  Lecture and  Essay
psycho-dynamics, neurotic, stress related and somatisation Discussion
clinical disorders  Short answer
 Case discussion
manifestations,
 Prevalence and incidence  Assessment of
diagnostic criteria  Case presentation patient
and management of  classifications management
patients with  Clinical practice problems
neurotic, stress  Anxiety disorders – OCD, PTSD,
related and Somatoform disorders, Phobias,
somatization Disassociative and 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

References (Bibliography:)

1. Gail Wiscars Stuart.Michele T. Laraia. “Principles and practice of psychiatric nursing”, 8th edition,
, Elseveir, India Pvt.Ltd. New Delhi 2005
2. Michael Gelder, Richard Mayou, Philip Cowen, Shorter oxford text book of psychiatry, Oxford
medical publication, 4 the ed. 2001.
3. M.S. Bhatia, A concised text Book of Psychiatric Nursing, CBS publishers and distributors, Delhi
2nd ed. 1999.
4. M.S. Bhatia, Essentials of Psychiatry, CBS publishers and distributors, Delhi
5. Mary C Townsend. “Psychiatric Mental Health Nursing”. Concept of care, 4th edition. F.A.Davis
Co. Philadelphia 2003.
6. Bimla Kapoor, Psychiatric nursing, Vol. I & II Kumar publishing house Delhi, 2001
7. Niraj Ahuja, A short textbook of pstchiatry, Jaypee brothers,new delhi, 2002.
8. The ICD10, Classification of mental and behavioural disorders, WHO, A.I.T.B.S. publishers,
Delhi,2002
9. De Souza Alan, De Souza Dhanlaxmi, De Souza A, “National series – Child psychiatry” 1st ed,
Mumbai, The National Book Depot, 2004
10. Patricia, Kennedy, Ballard, “Psychiatric Nursing Integration of Theory and Practice”,
USA, Mc Graw Hill 1999.
11. Kathernic M. Fort in ash, Psychiatric Nursing Care plans, Mossby Year book. Toronto
12.Sheila M. Sparks, CynthiaM. Jalor, Nursing Diagnosis reference manual 5 th edition, Spring
house, Corporation Pennsychiram’s
13.R. Sreevani, A guide to mental health & psychiatric nursing, Jaypee brothers, Medical
Publishers (ltd)_, New Delhi 1st edition.
14.R. Baby, Psychiatric Nursing N.R. Brothers, Indore, 1st edition 2001.
15. Varghese Mary, Essential of psychiatric & mental health nursing,
16. Foundations Journals of mental health nursing
17. American Journal of Psychiatry
18. Deborah Antai Otoing. “Psychiatric Nursing” Biological and behavioral concepts. Thomson.
Singapore 2003
19. Mary Ann Boyd. “Psychiatric Nursing”. Contemporary practice. Lippincott. Williams and
Wilkins. Tokyo.
Internet Resources –

1. Internet Gateway: Psychology http://www.lib.uiowa.edu/gw/psych/index.html

2. Psychoanalytic studies http://www.shef.ac.uk~psysc/psastud/index.html
3. Psychaitric Times http://www.mhsource.com.psychiatrictimes.html
4. Self-help Group sourcebook online http://www.cmhe.com/selfhelp
5. National Rehabilitation Information center http://www.nariic.com/naric
6. Centre for Mental Health Services http://www.samhsaa.gov/cmhs.htm
7. Knowledge Exchange Network http://www.mentalheaalth.org/
8. Communication skills http://www.personal.u-net.com/osl/m263.htm
9. Lifeskills Resource center http://www.rpeurifooy.com
10. Mental Health Net http://www.cmhe.com
 CLINICAL
PRACTICUM MENTAL
HEALTH NURSING - I & II

PLACEMENT: SEMESTER V & VI

MENTAL HEALTH NURSING - I – 1 Credit (80 hours)
MENTAL HEALTH NURSING - II – 2 Credits (160 hours)
PRACTICE COMPETENCIES: On completion of the course, the students will be able to:
1. Assess patients with mental health problems/disorders
2. Observe and assist in various treatment modalities or therapies
3. Counsel and educate patients and families
4. Perform individual and group psychoeducation
5. Provide nursing care to patients with mental health problems/disorders
6. Motivate patients in the community for early treatment and follow up
7. Observe the assessment and care of patients with substance abuse disorders in deaddiction center.
CLINICAL POSTINGS
(8 weeks × 30 hours per week = 240 hours)
Clinical Duration Learning Skills/Procedural Clinical Assessments
Area/Unit (Weeks) Outcomes Competencies Requirements Methods
Psychiatric 2  Assess patients  History taking  History taking  Assess
OPD with mental and Mental status performance with
health problems  Perform mental status examination – 2 rating scale
examination (MSE)
 Observe and  Health education  Assess each skill
assist in therapies  Observe/practice –1 with checklist
Psychometric assessment
 Counsel and  Observation  Evaluation of
educate patients,  Perform Neurological report of OPD health education
and families examination
 Assessment of
 Observing and assisting in observation
therapies report
 Individual and group psycho-  Completion of
education activity record
 Mental hygiene practice
education
 Family psycho-education
Child 1  Assess children  History & mental status  Case work – 1  Assess
Guidance with various examination performance with
clinic mental health  Observation rating scale
problems  Observe/practice report of different
psychometric assessment therapies – 1  Assess each skill
 Counsel and with checklist
educate children,  Observe and assist in various
families and therapies  Evaluation of the
significant others  Parental teaching for child observation
report
with mental deficiency
Inpatient ward 4  Assess patients  History taking  Give care to 2-3  Assess
with mental patients with performance with
health problems  Mental status examination various mental rating scale
(MSE) disorders
 Provide nursing  Assess each skill
care for patients  Neurological examination  Case study – 1 with checklist
with various  Assisting in psychometric
 Clinical Duration Learning Skills/Procedural Clinical Assessments
Area/Unit (Weeks) Outcomes Competencies Requirements Methods
mental health assessment  Care plan  Evaluation of the
problems case study, care
 Recording therapeutic  Clinical plan, clinical
 Assist in various communication presentation – 1 presentation,
therapies
 Administration of medications  Process recording process recording
 Counsel and –2  Completion of
educate patients,  Assist Electro-Convulsive
families and Therapy (ECT)  Maintain drug activity record
significant others  book
Participating in all therapies
 Preparing patients for
Activities of Daily Living
(ADL)
 Conducting admission and
discharge counselling
 Counseling and teaching
patients and families

Community 1  Identify patients  Conduct home visit and case  Case work – 1  Assess
psychiatry with various work performance with
mental disorders  Observation rating scale
& Deaddiction  Identifying individuals with report on field
centre  Motivate patients mental health problems visits  Evaluation of
for early case work and
treatment and  Assisting in organizations of  Visit to observation
follow up Mental Health camp deaddiction report
centre
 Assist in follow  Conducting awareness  Completion of
up clinic meetings for mental health & activity record
mental illness
 Counsel and
educate patient,  Counseling and Teaching
family and family members, patients and
community community

 Observe the  Observing deaddiction care

assessment and
care of patients at
deaddiction
centre