School of Nursing  - UT Health Science Center San Antonio

Fall 2008

NURS.3220 Strategies for Professional Nursing: Mental Health Transitions

This course resides in the Department of Chronic Nursing Care

This course is Web Enhanced with WebCT icon
Please be sure your to check the Current Computer Requirements

FACULTY

C. Jean Smith, MSN, RN, BC, CNA
E-mail: smithc3@uthscsa.edu 
Phone: (210) 358-1266
Cell: (210) 885-8260
Pager: (210) 756-4338 
Office: 2.126
Office Hours: As Arranged 
Chronic Nursing Care Department

 Della F. Wagner , MSN, RN
E-mail: WagnerD@uthscsa.edu
Phone: (210) 567-0879
Cell: (210)416-6452
Pager: 235-0315
Office: 2.122
Office Hours;  Thursday 12 Noon - 2:00 PM or By appt.
Chronic Nursing Care Department


COURSE DESCRIPTION
This course focuses on the therapeutic use of self in the care of patients experiencing psychiatric-mental health transitions. Psychiatric and mental health transitions and therapeutic modalities are analyzed and integrated to customized care. A clinical practicum provides an opportunity to implement therapeutic relationships and customize nursing process with individuals and families experiencing mental health transitions. Culturally sensitive assessment and intervention strategies with diverse patients are addressed.

CREDIT AND TIME ALLOCATION

2 semester hours credit : 1 Theory / 1 Clinical   (15 class hours, 45 clinical hours)

Students should anticipate at least 3 hours of work time each week for theory and at least 3 hours work time for clinical preparation and documentation time.


PREREQUISITES
The student must be a licensed LVN and be enrolled in the flexible process program.

COURSE OBJECTIVES
  1. Integrate previous learning in application of the nursing process to provide customized care to individuals and families experiencing transitions across the psychiatric-mental health continuum.
  2. Participate as partners with individuals, families and communities in the customized therapeutic care process to protect, promote and restore optimal mental health.
  3. Apply therapeutic communications skills specific to psychiatric-mental health nursing care with individuals and families when enacting professional practice.
  4. Use critical thinking skills in designing and implementing comprehensive psychiatric-mental health care.
  5. Apply theory and research findings in providing care for individuals and families experiencing transitions across the psychiatric-mental health continuum.
  6. Demonstrate the ability to partner through collaborative relationships with individuals and families.
  7. Conform to the ethical and legal principles that reflect the standards of nursing practice and professional codes in the transformation from LVN to RN.
  8. Practice behaviors that demonstrate active participation in the integrated learning process.

CLINICAL OBJECTIVES
  1. Apply the nursing process with patients experiencing psychiatric-mental health problems in varied environments.
  2. Perform mental health assessments and Mental Status Exams.
  3. Implement strategies for health promotion, risk reduction, and disease prevention for individuals and families with psychiatric-mental health alterations.
  4. Participate in therapeutic modalities such as milieu, individual, group, family therapies, educational and support groups and community based programs.
  5. Use assessment data to identify nursing diagnosis, planning, delivery and evaluation of quality nursing care in various environments.
  6. Integrate appropriate therapeutic nursing skills into the nursing process when providing care to include the patient's presenting problem(s) and related physical, emotional, intellectual, social, and spiritual aspects of the patient's experiences.
  7. Identify important factors of family assessment.
  8. Identify cultural variables in mental health nursing and how it affects nursing care.
  9. Access and use technology to meet patient needs.

CRITERIA FOR EVALUATION / GRADES

Successful completion of NURS.3220 requires satisfactory completion of both the clinical and theoretical objectives of the course.

Clinical performance is graded pass/fail and consists of successful completion of the clinical objectives. Students that miss 10% or greater clinical time will not progress in the course during the semester the time is missed in. Lack of successful completion of any portion of the clinical requirements will result a grade of F in the course, regardless of the grade in theory.

Theory is given a letter grade and is based on exams, written assignment/discussion, and class participation. If the student passes clinical, the course grade will be the grade achieved in theory.

In order to pass the theory portion of the course, the student must achieve a weighted average of at least 70% on the three examinations and a weighted average of 70 on all of the graded activities. The theory grade is based on the following activities and weights:

20% - Exam I
20% - Exam 2
20% - Final Exam

40% -  Written/ Blackboard/class discussion
Pass/Fail - Participation in class
Pass/Fail - Clinical
100% - Total

A = 90-100%
B = 80-89%
C = 70-79%
D = 60-69%
F = Below 60%

Assessment Technologies Institute®, LLC (ATI) RN Content Mastery Series®

UTHSCSA School of Nursing utilizes the ATI RN Content Mastery Series® & the RN Comprehensive Predictor® practice and proctored exams to assist students in preparing for the NCLEX-RN® exam (generic and LVN flexible process students). Through practice and proctored examinations, students are able to assess their own knowledge and receive feedback and direction for content review throughout the program of study.

The proctored exams are administered in specific courses in both undergraduate tracks (i.e. ATI Pharmacology in N3312 Pharmacotherapeutics; ATI Fundamentals in N3610 Chronic Health Transitions, ATI Leadership in N4410 Leader-Manager, etc.). The proctored exam is required to complete the course.

In order for a student to take the course related proctored exam, documentation of achieving ≥ 70% on the content series practice exam is required. The content practice exams can be taken as many times as necessary to achieve ≥ 70%.

Students will receive additional points added to the corresponding course grade for a Level 3 or Level 2 performance on the proctored exam (after achieving ≥ 70% on graded course requirements). For a Level 3 performance on the exam, 3 points will be added. For a Level 2 performance on the exam, 1 point will be added.


SCHOLASTIC DISHONESTY
Students are expected to be above reproach in all scholastic activities. Students who engage in scholastic dishonesty are subject to disciplinary penalties, including the possibility of failure in the course and dismissal from the university. "Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, and submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts." Regents Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22.

American with Disabilities Act (ADA) Accommodations
Any student seeking ADA Accommodations under the American with Disabilities Act should contact the Associate Dean for Students within the first week of the semester so that appropriate accommodations may be arranged. A Request for Accommodations (Form 100) must be completed. These forms are available in the Office for Students Room: 1.118-16

REQUIRED TEXT / REFERENCE
  Videbeck, Sheila L. (2007). Psychiatric Mental Health Nursing. Lippincott, 4rd Ed..

RECOMMENDED (OPTIONAL) TEXT / REFERENCE

 American Psychological Association (2001).  Publication Manual of the American Psychological Association

      (5th ed).  Washington, DC:  Author.

 Schultz, Juith M. & Videbeck, Sheila L. (2007.  Lippincott's Manual of Psychiatric Nursing Care Plans,
      Lippincott, 7th Ed.


CONTENT OUTLINE
N/A

CALENDAR - First Week Only
Please check the Fall 2008 Schedules for recent updates on Class Dates & Room.
Date Topic / Assignment Due

Wednesday,  09/27/08   

Time:  5:00 - 6:50 PM

Room: 1.228 NS

Read Chapters 1-4