Spring 2018

NURS 6623-001 Psychiatric Mental Health Nurse Practitioner (PMHNP) Diagnosis & Management I: Clinical Application

All students are responsible for checking their UTHSCSA Livemail account regularly (i.e., daily or several times every week) to obtain Official University Communication regarding their courses, program and student status.

NOTE: Our campus has enabled the CANVAS MOBILE LEARN application. CANVAS tools such as discussions, quizzes or videos May or May NOT function on all mobile devices. This is because mobile devices are available with rapidly changing and different configurations. Hence, students must not depend on only a mobile device to access course materials. Students must have access to a laptop or desktop device to access course materials and complete assignments.

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

Link to Graduate Clinical Experiences and Typhon guidelines: http://nursing.uthscsa.edu/gradclinical/

January 8, 2018

Monday (Day 1 of 2)

On Campus


All Tracks for Pre-Clinical Orientation

9:00– 10:30: All tracks together - Welcome, Clinical Course Overview, IOR, MOA, Typhon Orientation Room: TBA

10:45– 12:00: Groups by Clinical Track - Rooms: TBA

12:00– 1:00 PM Lunch

1:00 - 4:00 PM Selected Students OSCE: HEB skills lab - Academic & Administrative Building 

Please check Canvas for your scheduled time in HEB skills lab

January 9, 2018

Tuesday (Day 2 of 2)



8:00- 12:00 – Continuation of OSCEs for remaining students

Formative OSCE: HEB Skills Lab Academic Administrative Building (Check CANVAS for schedule of student OSCEs.)

12:00 - 1:00 Lunch

1:00 - 5:00 Continuation of OSCE for remaining students.


Clinical Practicum Placements:

Clinical may begin on January 12th, 2018

Students must have the completed IOR signed and faxed to Ms.Ursan prior to second day of clinical

Fax: 210-567-3813

Students will be placed in practicum by the clinical liaison in collaboration with the faculty.

In the rare event a student must requests a change in clinical assignment, the request along with a clear and compelling rationale,must be submitted to the Clinical Liaison and the assigned faculty.  Such requests will be considered on a case by case basis and approval is at the sole discretion of the faculty. 


Mark Soucy, PhD, RN, APRN, FAANP

Associate Professor, Track and Course Coordinator

School of Nursing 2.134

UT Health San Antonio

7703 Floyd Curl Dr. MSC 7951

San Antonio TX 78229


Tel: 210-567-5893

FAX: 210-567-5822

Office Hours by Appointment - reserve in Starfish


Colleen Lee, MSN, RN, FPMHNP- BC

Clinical Assistant Professor

UT Health San Antonio

7703 Floyd Curl Dr.  MSC 7951

San Antonio, TX 78229

Phone and Office TBA

210.567.5822 (Fax)

Office Hours by Appointment - reserve in Starfish


Primary care experience in health promotion, disease prevention, diagnosis and management of psychiatric illnesses. Additionally, this course emphasizes collaborative, partnership development among patients, families, and interprofessional teams


Credit hour allocation: 6 semester credit hours
Clock hour allocation:
 300 clock hours clinical practicum; 15 clock hours seminar



Upon completion of the Master of Science in Nursing Program (MSN) students will:

  1. Integrate scientific findings from nursing and related sciences, including genetics and genomics, into the delivery of advanced nursing care to populations in diverse settings.
  2. Demonstrate organizational and systems leadership to assure ethical and critical decision-making at all systems’ levels for quality and patient safety.
  3. Incorporate performance improvement strategies for quality, safety, and patient-centered care delivery.
  4. Use improvement science to achieve optimal patient care and care environment outcomes.
  5. Integrate meaningful and usable information systems and healthcare technologies to support safe, quality patient care and healthcare systems effectiveness.
  6. Advocate for policy changes that influence healthcare at appropriate levels.
  7. Lead interprofessional teams using collaborative strategies to effect quality patient care and population health outcomes.
  8. Analyze and incorporate broad ecological and social health determinants to design and deliver evidence-based clinical prevention and population healthcare and services to individuals, families, and aggregates/identified populations.
  9. Integrate the advanced competencies expected of a master’s prepared nurse to design, deliver, and evaluate outcomes of systems of care for individuals, families, and diverse populations.



  1. Provide patient-centered mental healthcare with emphasis on health promotion, disease prevention, health protection, anticipatory guidance, counseling, and disease management of patients and families during developmental transitions and life-style adjustments in psychiatric practice across the lifespan (Essentials I, VIII, IX).
  2. Integrate knowledge of acute and chronic psychiatric illness to diagnose and manage patients and families from birth through old age as health status varies (Essentials I, IV, IX).
  3. Integrate history and physical examination data with the knowledge of pathophysiology and psychopathology of acute and chronic psychiatric disorders from birth through old age to develop appropriate differential diagnoses, and initiate appropriate customized interventions (Essentials I, IX).
  4. Integrate traditional and complementary pharmacological interventions into the treatment and management of psychiatric illnesses (Essentials I, IX).
  5. Integrate social, cultural, explanatory models, and spiritual components in patient-centered plans of care (Essentials I, IX).
  6. Demonstrate core professional values and ethical/legal standards in the implementation of the nurse practitioner role (Essentials I, VIII, IX).
  7. Create a climate of patient-centered care to include confidentiality, privacy, comfort, emotional support, education, mutual trust and respect (Essentials II, IX).
  8. Use self-reflection to evaluate progress in professional development as an integral member of the interprofessional team (Essential II, VII, IX).


A = 4 points (90-100)
B = 3 points (80-89)
C = 2 points (75-79)
D = 1 point (66-74)
F = 0 points (65 or below)


Grade for the Course is Pass or Fail.  See course packet inside Canvas for more details.

Written assignments are required. Clinical Seminar Participation Required.

Students must pass clinical practicum to pass the course regardless of written assignment grades.  

300 hours of clinical practicum required at minimum
Note that orientation hours do not count toward clinical hours.

See course packet in CANVAS for details.


Attendance in class is an expectation of each student.


The APA Publication Manual 6th edition is required for use in all nursing school programs. 


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.


Students who are nurses or are preparing to enter the profession of nursing are expected to treat others with respect and compassion. “The principle of respect for persons extends to all individuals with whom the nurse interacts. The nurse maintains compassionate and caring relationships with colleagues and others with a commitment to the fair treatment of individuals, to integrity-preserving compromise and to resolving conflict. This standard of conduct precludes any and all prejudicial actions, any form of harassment or threatening behavior, or disregard for the effects of one’s actions on others” (American Nurses Association Code for Nurses, Interpretive Statement 1.5).

The students, faculty, Department Chairs, Associate Deans, and the Dean of the School of Nursing of the University Texas Health Science Center San Antonio subscribe to the highest standards of conduct. Our aim is professional behavior beyond reproach. Failure to abide by the signed code of professional conduct may lead to suspension and/or permanent dismissal from the UTHSCSA SON. In particular, we subscribe to the provisions of the Code of Ethics for Nurses (http://bit.ly/1mtD5p2) and the following points of conduct.


School of Nursing Netiquette Guidelines for Online Interaction

Netiquette guidelines provide information for behaving properly online, when using email, tweets or texts so that you may successfully communicate your thoughts in a manner that is respectful and avoids misunderstandings with others.


Any student seeking reasonable accommodations through the Americans with Disabilities Act (ADA) should contact either the Associate Dean for Admissions and Student Services within the first week of the semester or schedule a meeting with the UTHSCSA ADA Compliance Office so that appropriate accommodations may be arranged. A request for accommodations (Form ADA-100: http://uthscsa.edu/eeo/form100-Faculty-student-resident.pdf) must be completed and submitted to the Executive Director of the ADA Compliance Office before accommodations can be provided. Additional information can be provided in the Student Success Center, Room 1.118 or through the ADA Compliance Office website: http://uthscsa.edu/eeo/request.asp.



Please note only one new text listed.  Students should already have the others.

American Psychiatric Nurses Association, International Society of Psychiatric Mental Health Nurses, American Nurses Association. (2014) Psychiatric-Mental Health Nursing Scope and Standards of Practice Nursebooks.org ISBN: 9781558102507

American Nurses Association (2015). Nursing: Scope and standards of practice, 3rd Ed. Silver Springs, MD: Nursingbooks.org. ISBN: ISBN: 978-1-55810-619-2

American Nurses Association (2015). Guide to the Code of Ethics for Nurses with Interpretive Statements: Development, Implementation and Application. ISBN: 9781558106031

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Paperback (DSM-5). American Psychiatric Association. ISBN 978-0-89042-555-8 (you should already have this text)

Beck, J.S. (2011). Cognitive Behavioral Therapy: Basics and Beyond 2nd Edition. Guilford Press. ISBN: 978-1-60918-504-6 you should already have this text

Blazer DG, Steffens DG, Busse EW. The American Psychiatric Publishing Textbook of Geriatric Psychiatry. 5th ed. Washington, DC: American Psychiatric Publishing; 2015. Use the electronic edition available through the library

Dunphy, L.M. , Windland-Brown, J.E., Porter, B.O., & Thomas, D.J. (2015). Primary Care: Art & Science of Advance Practice Nursing, 4th Ed. F.A. Davis. ISBN: 9780803638013

Goldenberg H & Goldenberg I. (2013) Family Therapy: An Overview 8th Ed. Belmont CA: Cengage. ISBN13: 978-1-111-82880-6

Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, eds. Harrison’s Principles of Internal Medicine.19th ed. New York, NY: McGraw-Hill; Use the electronic edition through the library

Perse, E.F. (2012) Psychiatric Advanced Practice Nursing: A Biopsychosocial Approach. F.A. Davis. ISBN 98-0-8036-2247-0 (you should already have this text)

Sadock, B.J. & Sadock, V.A. (2015). Kaplan & Sadock's Synopsis of Psychiatry: Behavioral sciences/Clinical Psychiatry, 11th Ed. Philadelphia: Lippincott Williams & Wilkins. ISBN: 978-1-60913-971

Stahl, S. (2013) Stahl’s Essential Psychopharmacology: Neuroscientific Basis and Practical Applications 4th Edition. Paperback Edition. ISBN: 9781107686465 (you should already have this text)

Stahl, S. (2014). The Prescriber’s Guide, 5th Edition. New York, Cambridge University Press. ISBN: 978-1107675025

Van Leeuen, A.M. & Bladh, M.L. (2015). Davis’s Comprehensive Handbook of Laboratory & Diagnostic Tests with Nursing Implications 6th Ed. F.A. Davis ISBN: 978-0-8036-4405-5

Wheeler, K. (2013). Psychotherapy for the advanced practice psychiatric nurse: A how to guide for evidence based practice 2nd Edition Springer Publishing. ISBN: 9780826110008 (you should already have this text)

Yalom, I. D. (2002). The Gift of Therapy: An Open Letter to a New Generation of Therapists and Their Patients. New York: Harper Collins Publishers. ISBN 978-0-06-171961-5

Yalom, I.D. & Leszzcz, M. (2005). The Theory and Practice of Group Psychotherapy 5th Ed. New York: Basic Books.ISBN: 978-0-465-09-284-0

Yearwood E, Pearson G, & Newland J. (Eds.) (2012). Child and Adolescent Behavioral Health: A Resource for Advanced Practice Psychiatric and Primary Care Practitioners in Nursing. Hoboken, NJ: Wiley; ISBN: 978-0-8138-0786-7


Boyd M.A. (2014). Psychiatric Nursing: Contemporary Practice (Enhanced Update). 5th ed. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins ISBN/ISSN: 9781496308740

Carlat D.J. (2012). The Psychiatric Interview. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins; ISBN-13: 978-1451110197

Dulcan, M.K. (Ed.) (2016) Dulcan's Textbook of Child and Adolescent Psychiatry, 2nd Ed. Arlington, VA: American Psychiatric Association Publishing.  ISBN 978-1-58562-493-5 (Use electronic version available through Library).

Gilman S, Newman SW. (2003). Manter and Gatz’s Essentials of Clinical Neuroanatomy and Neurophysiology. 10th ed. Philadelphia, PA: FA Davis. ISBN-13: 978-0803607729


See Canvas for course outline and additional information.

CALENDAR - 1st Day Only

Please check the schedule for recent updates on Class Dates & Room.

Monday January 8, 2018  Pre-Clinical Orientation Day 1

First Day Assignments:

Please read the following required book: Yalom, I.D. (2009) The Gift of Therapy: An Open Letter to a New Generation of Therapists and Their Patients. (Paperback edition). ISBN-13: 978-0-06-171961-5

Please complete the online orientation to Canvas

Week 1 Day 1  Schedule

9:00 – 10:30 AM Room TBA

Orientation to Clinical Process, Clinical Expectations,Semester Assignments, and Clinical Group Seminars

10:30 – 12:00 Room TBA

Clinical Tracks meet separately (Room TBA) Classroom Activities

12:00 – 1:00 PM Lunch


1300 – 1700 Room - HEB Skills Lab - Academic Administration Bldg.

Clinical Scenarios at HEB Skills Center Part 1 (students to check with clinical instructor for which day they are assigned)*

Week 1 Day 2

Tuesday January 9, 2018 Pre-Clinical Orientation Day 2


9:00 – 12:00: Continuation of OSCEs for remaining students:

12:00 - 1:00 Lunch

1:00 - 5:00: Continuation of OSCEs for remaining students

Formative OSCE: HEB Skills Lab Academic Administrative Building 

Students: Check CANVAS to see which day and time you are scheduled to attend the HEB skills center.

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