P S Y C H IA T R IC (M E N T A L H E A L T H ) N U R S IN G

P la c e m e n t: II Y e a r
H o u rs o f In stru c tio n
T h e o ry 1 5 0 h rs
P ra c tic a l 9 5 0 h rs
T o ta l : 1 1 0 0 H o u rs

Course Description
This course is designed to assist students in developing expertise and in-
depth understanding in the field of Psychiatric Nursing. It will help students
to develop advanced skills for nursing intervention in various psychiatric
conditions. It will enable the student to function as psychiatric nurse
practitioner/specialist. It will further enable the student to function as
educator, manager, and researcher in the field of Psychiatric nursing

Objectives
At the end of the course the students will be able to:

1. Apply the nursing process in the care of patients with

mental disorders in hospital and community
2. Demonstrate advanced skills/competence in nursing management
of patients with mental disorders
3. Identify and care for special groups like children, adolescents,
women, elderly, abused and neglected, people living with
HIV/AIDS.
4. Identify and manage psychiatric emergencies.
5. Provide nursing care to critically ill patients with mental disorders
6. Utilize the recent technology and various treatment modalities in
the management of patients with mental disorders
7. Demonstrate skills in carrying out crisis intervention.
8. Appreciate the legal and ethical issues pertaining to
psychiatric nursing.
9. Identify areas of research in the field of psychiatric nursing.
10. Prepare a design for layout and describe standards for management
of Psychiatric units/emergency units/hospitals
11. Teach p s y c h i a t r i c nursing to undergraduate students & in-
service nurses.

1
 COURSE OUTLINE
T – Theory

Unit Time Learning Content Teaching / Assessme

(Hrs) Outcomes Learning nt
Activities Method
s
I 2 Explain the principle of Principles and practice of Psychiatric nursing  Lecture  Short
psychiatric nursing answer
□ Review

Crisis Intervention

ll 10 Explain the definition, phases, □ Crisis, Definition

types and other psychiatric □ Phases In The Development of A Crisis
emergencies and its Long
management □ Types of Crisis; Dispositional, Anticipated Life essay
Transitions Traumatic Stress, Maturational/ question
Development, Reflecting Psychopathology  Discussion
□ Psychiatric Emergencies and their management
□ Grief and grief reaction
□ Crisis Intervention; Phases
□ Post-traumatic stress disorder (PTSD)
□ Role of the Nurse

Anger/ Aggression Management

Explain definition , cause and
Ill 4 □ Anger and Aggression, Types,
type of anger and its
management Predisposing Factors
 Lecture cum
□ Management Discussion Short
Role of The Nurse answer

The Suicidal Client

lV 5
Explain cause, risk factor □ Epidemiological Factors
and management of
suicidal client □ Risk Factors

 Predisposing Factors: Theories of Lecture

Suicide-Psychological, Sociological,
Biological Question-
answer
Nursing Management
Disorders of Infancy, Childhood, and
5 Explain Disorder of infancy Adolescence
V
, childhood and
□ Mentally Challenged
adolescence
□ Autistic Disorders Lecture Method
□ Attention-Deficit/Hyperactivity Disorder
Long
□ Conduct Disorders, behavioral disorders essay
□ Oppositional Defiant Disorder

2
 □ Tourette’s Disorders
□ Separation Anxiety Disorder
Psychopharmacological Intervention and Nursing
Management
Vl 5 Explain , delirium, Delirium, Dementia, and Amnestic Disorders
Dementia, amnesia and
psychopharmacological □ Delirium Short
intervention ques
□ Dementia answer
□ Amnesia
 Lecture cum
□ Psychopharmacological Intervention and discussion
10 Nursing Management
Explain substance related Substance-Related Disorders
Vll
use disorder and classes of
psychoactive drug □ Substance-Use Disorders
□ Substance-Induced Disorders Multiple
□ Classes Of Psychoactive Substances choice
 Discussion question
□ Predisposing Factors
10
Explain definition, Schizophrenia and Other Psychotic Disorders
Vlll predisposing factor, (Check ICD10)
schizophrenia types, and
other psychotic Disorder □ Nature of the Disorder
□ Predisposing Factors
□ Schizophrenia -Types  Discussion

• Disorganized Schizophrenia Long

essay
• Catatonic Schizophrenia
question
• Paranoid Schizophrenia
• Undifferentiated Schizophrenia
• Residual Schizophrenia
□ Other Psychotic disorders
• Schizoaffective Disorder
• Brief Psychotic Disorder
• Schizophreniform Disorder
• Psychotic Disorder Due to a General Medical
Condition
• Substance-Induced Psychotic Disorder

Explain ,epidemiology, □ Treatment and Nursing Management

lX
8 grief response , type of Mood Disorders Short
 Lecture cum
mood disorder and its Discussion question
treatment and nursing □ Historical Perspective answer
management □ Epidemiology
□ The Grief Response
□ Maladaptive Responses To Loss
□ Types Of Mood Disorders
□ Depressive disorders
□ Bipolar disorders

3
 Multiple
□ Treatment and Nursing Management  Lecture cum choice
X 8 Explain anxiety disorder Discussion
epidemiological statistics, Anxiety Disorders question
types discuss treatment □ Historical Aspects
modalities and
psychopharmacological and □ Epidemiological Statistics
nursing management □ How Much is too Much?
□ Types
• Panic Disorder
• Generalized Anxiety Disorder
• Phobias
• Obsessive-Compulsive Disorder
• Posttraumatic Stress Disorder
• Anxiety Disorder Due to a General Medical
Condition
• Substance-Induced Anxiety Disorder
□ Treatment Modalities
Xl 5 □ Psychopharmacology & Nursing Management
Explain, somatoform
disorder historical Class test
Somatoform and Sleep Disorders
perspective, epidemiology,
pain disorder, conversion □ Somatoform Disorders Lecture method
disorder and its Historical Aspects
management
 Epidemiological Statistics
 Pain Disorder
 Hypochondriasis
 Conversion Disorder
Assignme
 Body Dysmorphic Disorder nt on
dissociati
 Sleep Disorder
ve
 Treatment Modalities and Nursing Discussion disorder
4 Explain historical aspect,  Management method and its
Xll managem
epidemiology , application
Dissociative Disorders and Management ent
and treatment modalities
□ Historical Aspects
□ Epidemiological Statistics
Multiple
□ Application of the Nursing Management choice
Lecture cum question
□ Treatment Modalities and Nursing
Xlll Explain development of discussion
8 Management
human sexuality and sexual
disorder Sexual And Gender Identity Disorders
□ Development Of Human Sexuality
□ Sexual Disorders
□ Variation In Sexual Orientation
XlV Explain types , □ Nursing Management Assignme
4
predisposing factors and Lecture Method nt
pharmacology and Eating Disorders
treatment and nursing □ Epidemiological Factors

4
 management □ Predisposing Factors : Anorexia Nervosa And
Bulimia Nervosa obesity
□ Psychopharmacology
□ Treatment & Nursing Management Multiple
XV 4 choice
Explain adjustment and Lecture cum ques
impulse control disorder , Adjustment and Impulse Control Disorders discussion
history ,treatment and □ Historical and Epidemiological Factors
nursing management
• Adjustment Disorders

4 • Impulse Control Disorders

XVl Explain different disease □ Treatment & Nursing Management Short
and treatment and nursing answer
management question
Medical Conditions due to Psychological Lecture cum
Factors discussion
□ Asthma
□ Cancer
□ Coronary Heart Disease
□ Peptic Ulcer
□ Essential Hypertension
□ Migraine Headache
□ Rheumatoid Arthritis
□ Ulcerative Colitis
XVll 8
Explain historical □ Treatment & Nursing Management Panel Multiple
perspective, type, discussion choice
Personality Disorders question
identification, and
treatment management □ Historical perspectives
□ Types of Personality Disorders
• Paranoid Personality Disorder
• Schizoid Personality Disorder
• Antisocial Personality Disorder
• Borderline Personality Disorder
• Histrionic Personality Disorder
• Narcissistic Personality Disorder
• Avoidance Personality Disorder
• Dependent Personality Disorder
• Obsessive-Compulsive Personality Disorder
• Passive-Aggressive Personality Disorders
□ Identification, diagnostic, symptoms

XVlll □ Psychopharmacology Short

5 question
Explain, epidemiological □ Treatment & Nursing Management answer
statistics, biological The Aging Individual Lecture Method
theories, psychological
aspect treatment an nursing □ Epidemiological Statistics

5
 management □ Biological Theories
□ Biological Aspects of Aging
□ Psychological Aspects of Aging
□ Memory Functioning
□ Socio-cultural aspects of aging
□ Sexual aspects of aging
□ Special Concerns of the Elderly Population
5
XlX □ Psychiatric problems among elderly population
Explain psychological □ Treatment & Nursing Management Lecture cum
problems and its treatment discussion
and nursing management The person living with HIV Disease Class test
□ Psychological problems of individual
5 HIV/AIDS
XX
Explain Problem related to □ Counseling
Discussion
groups who are vulnerable, Multiple
Method
predisposing factor and □ Treatment & Nursing Management choice
treatment Problems Related to Abuse or Neglect question

□ Vulnerable groups, Women, Children, elderly,

psychiatric patients, under privileged, challenged
XXl 7
□ Predisposing Factors Lecture cum Assignme
Explain different discussion nt
□ Treatment & Nursing management-
community health national Counseling
program and role of nurse
in community mental Community Mental Health Nursing
health hospital □ National Mental Health Program- Community
mental health program
□ The Changing Focus of care
□ The Public Health Model
□ The Role of the Nurse
□ Case Management
□ The community as Client
• Primary Prevention
• Populations at Risk
• Secondary prevention
5
XXll • Tertiary Prevention
Explain ethical and legal Discussion Class test
consideration, types of law □ Community based rehabilitation
and nursing liability Ethical and Legal Issues in
Psychiatric/Mental Health Nursing
□ Ethical Considerations
□ Legal Consideration
• Nurse Practice Acts
• Types of Law
• Classification within Statutory and Common
Law

6
 • Legal Issues in Psychiatric/Mental Health Multiple
XXlll 5 Explain principal of Nursing
rehabilitation, disability Lecture Method Choice
question
assessment, day care centre • Nursing Liability
and correctional homes Psychosocial rehabilitation
□ Principles of rehabilitation
□ Disability assessment
□ Day care centers
□ Half way homes
□ Reintegration into the community
□ Training and support to care givers
Assignme
□ Sheltered workshops nt
XXlV 5 Discussion
Explain psychiatric liaison □ Correctional homes
nursing, post-partum
psychosis treatment and Counseling
counselling □ Liaison psychiatric nursing
□ Terminal Illnesses-Counseling
□ Post-partum psychosis-treatment, care and
counseling
□ Death dying- Counseling
□ Treatment, care and counseling –
• Unwed mothers Short
XXV • HIV and AIDS Panel answer
5 discussion
Explain design, layout
staffing equipment
supplies, norms policy and Administration and management of
documentation about psychiatric units including emergency units
psychiatric unit
□ Design & layout
□ Staffing,
□ Equipment, supplies,
□ Norms, policies and protocols
Asking
□ Quality assurance Question
5 □ Practice standards for psychiatric nursing Discussion
XXV1
Explain staff orientation,
training and other program □ Documentation
Education and training in psychiatric care
□ Staff orientation, training and development,
□ In-service education program,
□ Clinical teaching programs.

7
 Reference

1. Mary C. Townsend,Psychiatric mental health nursing, concepts of care in evidence based practise, 5th
edition, F.A. Davis Company, page numbers:314-319

2. Gail W.Stuart,Michelle T.Lauria, ,8th edition,mosby publications,

3. R Sreevani, A Guide to Mental health and psychiatric nursing, 3rd edition,jaypee publications, page
no:129-131

4. Niraj ahuja, A Short textbook of Psychiatry, 7th edition, jaypee publications, pageno:229-234

5. R sreevani, A Guide to Mental Health and Psychiatric Nursing, 3rd edition, jaypee publications, page
no:274-285.