VNSG 1400 Nursing in Health and Illness I



|Behavioral Objectives |Content |Learning Opportunities |

|Discuss basics of communication. |Basics of Communication |Neeb, K. (2006) Fundamentals of Mental Health Nursing |

| |Components |Chapter 2, 3, 4, 6, 7 |

| |Sender | |

| |Receiver |Burton, M. & Ludwig, M. (2011) Fundamentals of Nursing Care: Concepts,|

| |Message |Connections, & Skills. |

| |Types |Chapter 6 |

| |Verbal | |

| |Nonverbal | |

| |Challenges and adaptive techniques to deal with them. | |

|Discuss communication techniques that enhance or block communication. |Therapeutic Communication |Video |

| |Blocks |#220 “Nurse & Patient Interactions: Blocks to |

| |False reassurance/social cliches |Therapeutic Communications" |

| |Minimizing/belittling |#263 “Transcultural Perspectives in Nursing: |

| |The word "Why" |Communication |

| |Advising | |

| |Agreeing or disagreeing |VIDEO TVCC Website |

| |Close-ended questions | |

| |Providing the answer with the question |Nurse-Patient Relationships in Communications |

| |Changing the subject |Peer Relations in Communications |

| |Approving/disapproving | |

| |Stereotyping |See Communication Packet |

| |Probing/multiple questions | |

| |Techniques | |

| |Clarifying terms Reflecting/repeating | |

| |Open-ended questions | |

| |Asking for what you want or need | |

| |Identifying thoughts and feelings | |

| |Using empathy | |

| |Silence | |

| |Giving information | |

| |Using general leads | |

| |Stating implied thoughts and feelings | |

| |Summarizing | |

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|Discuss the mechanics involved in working in a group. |Group Work | |

| |Content vs. progress | |

| |Roles of group members | |

| |Functions of groups | |

| |Stages of group development | |

| |Group phases | |

| |Types of groups | |

|Identify and explain the various factors in history that have influenced|Historical Factors |Neeb … Chapter 1, 4 |

|mental health care. |Trailblazers | |

| |Nursing | |

| |Florence Nightingale | |

| |Dorothea Dix | |

| |Linda Richards | |

| |Mary Mahoney | |

| |Others |Neeb … Chapter 6 |

| |Benjamin Rush | |

| |Hippocrates | |

| |Sigmund Freud | |

| |Phillippe Pinel | |

| |Facilities |Neeb … Chapter 3 |

| |Breakthroughs | |

| |Laws |Burton…….Chapter 3 |

| |Issues | |

| |Professionalism | |

| |Confidentiality | |

| |Responsibility | |

| |Current laws | |

| |Patient advocacy | |

| |Community resources | |

| |Mental Health Patient Bill of Rights | |

| |Influences |Neeb … Chapter 5 |

| |Culture |Hopper … Chapter 56 |

| |Religion |Burton … Chapter 8 |

| |Ethnicity | |

| |Parenting styles | |

| |Stereotypes | |

| |Prejudices | |

| |Inherited Characteristics | |

|Identify the major personality development theorists and discuss the |Theorists |Neeb … Chapter 4 & 9 |

|philosophy of each. |Freud | |

| |Erickson | |

| |Piaget | |

| |Maslow | |

|List the characteristics of mental health. |Characteristics of a Mentally Healthy Person |Neeb … Chapter 4 & 9 |

| |Knows and accepts self. | |

| |Sincere concern for others | |

| |Ability to accept and express love | |

| |Sets realistic goals |Video |

| |Can stand alone or receive help |Johny Lingo |

| |Willing to try new things | |

|State the process and components used to administer nursing care in |Nursing Care |Neeb … Chapter 7 |

|mental health. |Nursing process |Burton … Chapter 4 |

| |Assessment | |

| |Patient problem | |

| |Plan | |

| |Implement | |

| |Evaluate | |

| |Components of a mental health assessment | |

| |Awareness and reality orientation | |

| |Appearance and behavior | |

| |Speech and communication | |

| |Mood and affect | |

| |Memory | |

| |Thinking/cognition | |

| |Perception | |

| |Judgement | |

|Identify the healthy and unhealthy ways in which an individual may |Handling Stress and Anxiety |Neeb … Chapter 6, 8, & 9 |

|handle stress or anxiety. |Healthy ways | |

| |Implosive therapy | |

| |Problem solving | |

| |Modeling | |

| |Role play | |

| |Confrontation | |

| |Assertiveness training | |

| |Assertive behavior | |

| |Behavior modification | |

| |Systemic relaxation | |

| |Desensitization | |

| |Unhealthy ways | |

| |Dependence |Neeb … Chapter 9, 12, 14 |

| |Domination | |

| |Withdrawal | |

| |Incongruence | |

| |Passive behavior | |

| |Aggressive behavior | |

| |Manipulative behavior | |

|Identify and define defense mechanisms. |Defense Mechanisms |Neeb … Chapter 6 |

| |Denial | |

| |Repression | |

| |Dissociation | |

| |Rationalization | |

| |Compensation | |

| |Reaction formation | |

| |Regression | |

| |Sublimation | |

| |Projection | |

| |Displacement | |

| |Conversion reaction | |

| |Identification | |

| |Intellectualization | |

|Describe and discuss anxiety disorders. |Anxiety Disorders |Neeb … Chapter 10 |

| |Definition | |

| |Types |VIDEO TVCC Website |

| |Anxiety | |

| |Phobias |Acute & Posttraumatic Stress Disorders |

| |Obsessive-compulsive |Obsessive-Compulsive Disorders |

| |Characteristics |Panic Disorder & Agoraphobia |

| |Treatment modalities |Specific & Social Phobia |

| |Nursing intervention | |

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|Discuss crisis and intervention. |Crisis and intervention |Neeb … Pages 141-145 |

| |Definition |Chapter 8 & 18 |

| |Phases of crisis | |

| |Goals of crisis intervention | |

| |Legal considerations | |

| |Resources | |

| |Crisis hotline | |

| |Mental-health mental-retardation (MHMR) | |

| |Child protective services | |

| |Counselor | |

| |Family & significant others | |

|Identify the five stages of grief/death according to Kubler-Ross. |Stages of Grief/Dying |Neeb … Pages 66, 74-76 |

| |Denial | |

| |Anger | |

| |Bargaining | |

| |Depression | |

| |Acceptance | |

|Discuss the nurse’s role in caring for clients and family experiencing |Nurse’s Role |Hopper … Chapter 3, 16, 56 |

|death and dying. |Therapeutic communication | |

| |Assisting through the grieving process | |

| |Supporting cultural beliefs | |

| |Referrals | |

| |Legal issues | |

| |Advanced Directives | |

| |Living wills | |

| |Right-to-die | |

| |Organ donation | |

| |Asking the family | |

| |Preparation for harvesting | |

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