Fall 2020

NURS 6416-001 Psychiatric Mental Health Nurse Practitioner (PMHNP) Diagnosis & Management: Concepts & Theory II

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.

COVID-19
Students are expected to follow all policies related to COVID-19 found on the university webpage: https://wp.uthscsa.edu/coronavirus/.

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 
Please be sure to check the Current Computer Requirements

The course begins online the first day of the semester, August 24, 2020.  Students must log into Canvas and select this course for further instructions.  Week 1 (the first week) is online.  The first synchronous virtual class is Week 2, August 31, 2020. Classes are held virtually through Canvas Conference Tool

Please log in to Canvas prior to the start of the course to begin your preparation for week 1.  The readings are required and will prepare you to begin your discussion for week 1.

Classes are virtual with synchronous dates as follows:

 

Week/Day	Time	Location
Week 1 Monday August 24, 2020	Online	Online - Module and Discussion 1
Week 2 Monday August 31, 2020	5:00 – 8:50 PM	Canvas Conference Tool
Week 3 Monday September 7, 2020	Online Monday Holiday	Online - See Canvas Modules and Online Discussion 2
Week 4 Monday September 14, 2020	Online	Online - See Canvas Modules and Online Discussion 3
Week 5 Monday September 21, 2020	5:00 – 8:50 PM	Canvas Conference Tool
Week 6 Monday September 28, 2020	Online	Online - Discussion 4
Week 7 Monday October 5, 2020	5:00 – 8:50 PM	Canvas Conference Tool
Week 8 Monday October 12, 2020	Online	Online & Discussion 5
Week 9 Monday October 19, 2020	Online	Online & Discussion 6
Week 10 Monday October 26, 2020	5:00 – 8:50 PM	Canvas Conference Tool
Week 11 Monday November 2, 2020	Online	Online & Discussion 7
Week 12 Monday November 9, 2020	5:00 – 8:50 PM	Canvas Conference Tool
Week 13 Monday November 16, 2020 Barkley DRT Pretest Virtual Online Proctored 5:00 - 6:30 Exam and 6:30 - 7:30 Debrief	Online	Online & Online Discussion 8
Week 14 Monday November 23, 2020	On Campus All Students including Laredo Students HEB Skills Lab OSCE 12:00 - 5:00 PM	In Person  HEB Skills Lab  OSCE
Week 15 Monday November 30, 2020	5:00 - 8:50 PM Virtual Class	Canvas Conference Tool OSCE SOAP Notes Due Presentations
Week 16 Monday December 7, 2020	5:00 – 7:00 PM	Canvas Conference Tool Final Exam - Examplify

                                   

FACULTY CONTACT INFORMATION

Mark Soucy, PhD, RN, APRN, FAANP
Associate Professor/Clinical
PMHNP Track and Course Coordinator
Room 2.134
Mobile: 210-269-8651

Office Hours by Appointment through Starfish - Virtual 
Email: soucy@uthscsa.edu

Douglas Dillion, DNP, RN, PMHNP-BC
Assistant Professor/Clinical
Course Faculty
Room: TBA
Telephone: TBA
FAX: 210-567-5822
Office Hours by Appointment through Starfish - Virtual
email: TBA

Rose Saldivar, DNP, RN, FNP-BC, PMHNP-BC
Assistant Professor/Clinical
Course Faculty
email: Saldivarr@uthscsa.edu
Office Phone: 956-326-2573
Mobile Phone: 956-236-1824
Office Room: Texas A&M International University CNS-315 L
Office Hours by Appointment through Starfish - Virtual

Marta Vives, DNP, RN, PMHNP-BC
Assistant Professor/Clinical
Course Faculty
Email: vivesm1@uthscsa.edu
Office Phone: 210-450-8194
Office FAX: 210-567-5822
Office Room: 2.334
Office Hours: By appointment through Starfish

COURSE DESCRIPTION

The focus of this course is refinement of the Psychiatric Mental Health Nurse Practitioner (PMHNP) role in health promotion, disease prevention, diagnosis and management in psychiatric practice with diverse populations across the lifespan. Using problem-based and self-directed learning strategies, disorders of the remaining physiologic systems and psychiatric disorders are examined. Emphasis is placed on differentiating signs and symptoms to formulate possible diagnoses and determining the effect of the illness on the family. In addition, the nurse practitioner’s role as a collaborative member of the interprofessional team will be evaluated.

CREDIT AND TIME ALLOCATION

Credit Hour Allocation: 4 semester credit hours
Clock Hour Allocation: 60 clock hours class

PREREQUISITES

• NURS 5339 Leadership for Quality, Safety, and Health Policy
• NURS 5306 Advanced Theory for the Practice of Nursing
• NURS 5307 Using Research for the Practice of Nursing
• NURS 5356 Financial and Economic Evidence in Healthcare
• NURS 6315 Informatics and Health Care Technologies
• NURS 6250 Health Promotion, Health Protection and Disease Prevention
• NURS 5338 Advanced Pathophysiology
• NURS 6302 Advanced Pharmacotherapeutics
• NURS 6110 Advanced Health Assessment and Clinical Reasoning: Clinical Application
• NURS 6210 Advanced Health Assessment and Clinical Reasoning
• NURS 6312 Advanced Mental Health Concepts
• NURS 6412 PMHNP Diagnosis & Management: Concepts & Theory I

PROGRAM OUTCOMES

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.

COURSE OUTCOMES

1. Apply theoretical concepts to the management of healthy patients and families during developmental transitions and life-style adjustments across the lifespan including focus on vulnerable populations at risk for mental health problems (Essentials I, III, VIII).
2. Demonstrate progressive self-directed learning of course concepts by applying knowledge of acute and chronic psychiatric illness to diagnose and manage patients and families across the life span as health status varies (Essentials I, IX).
3. Integrate history and physical exam data with the knowledge of pathophysiology and psychopathology of acute and chronic diseases across the life span to develop appropriate differential diagnoses and initiate appropriate patient-centered interventions (Essentials I, IV, VII, IX).
4. Integrate traditional and complementary pharmacological interventions into the treatment and management of psychiatric illnesses (Essentials I, IX).
5. Integrate social, cultural, and spiritual components in patient-centered plans of care for patients and families (Essentials I, VIII).
6. Demonstrate core professional values and ethical/legal standards in the implementation of the Nurse Practitioner role (Essentials I, III, IV, IX).
7. Continue to identify and integrate evidence-based findings to the diagnosis and management of psychiatric illnesses across the life span (Essentials I, VIII and IX).
8. With progressive competence, continue to examine, evaluate, and demonstrate professional development in the role of the nurse practitioner in the diagnosis and management of health and wellness as well as acute and chronic psychiatric illnesses across the life span as a member of an interprofessional team (Essential II, VII, VIII, IX).
9. Analyze patient safety, quality indicators, and outcome improvement in the delivery of quality psychiatric care to patients (Essentials I, III).

GRADING SCALE FOR GRADUATE COURSES

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)

CRITERIA FOR EVALUATION / GRADES

Criteria for assignments, evaluation and grades are posted online inside Canvas. See course packet and additional course information inside Canvas.

Evaluation of learning and outcome achievements are measured by rubrics for online discussions, and other course assignments as well as computerized examinations. Assignments are due on the due dates and times posted inside Canvas including discussion posts.    

Students are required to use a laptop or desktop with a web camera and microphone for classes and for taking examinations.  Be sure you have a reliable internet connection.  Examinations are taken using Examplify Software which requires the above capabilities.

Exam I                        20% of Grade

Exam II                       20% of Grade

Final Exam                   30% of Grade (New content and cumulative) 

Discussions (8)             20% of Grade

OSCE:                          10% of Grade (5% SP Examination & 5% SOAP)

Total Possible              100%

Grading Scale for Graduate Course:

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)

CLASSROOM ATTENDANCE

Attendance in class is an expectation of each student.

APA GUIDELINES

The APA Publication Manual 7th edition is required for use in all nursing school programs. 

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.

PROFESSIONAL CODE OF CONDUCT

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.

http://catalog.uthscsa.edu/schoolofnursing/policiesandprocedures/

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.

• Be courteous about what you say to or about others in any electronic format. In electronic communication the golden rule is "Remember the Human." Remember there is a real person with real feelings on the receiving end of your email or post.
• Be respectful and open to opinions and ideas that differ from yours. The exchange of diverse thoughts, ideas and opinions are an important part of the scholarly environment. Keep in mind that the people in your classes may come from different backgrounds and have views that may vary significantly from your own.
• Flaming (defined as posting of messages that are deliberately hostile and insulting in an online social context) is never appropriate. While everyone (learners and instructors alike) is encouraged to share ideas and opinions openly, you should never use insults or resort to name-calling even if you disagree strongly with what someone else has written.
• When responding to messages or posts made by others, address the ideas, not the person.
• It’s often best to avoid using sarcasm and humor online. Without social cues, such as facial expressions and body language, a remark meant as humorous could come across hurtful or offensive. Keep in mind that ‘emoticons’ (such as J) may not convey your tone or intent.
• Capitalizing whole words is generally seen as SHOUTING and is difficult for most people to read. Use all capital letters sparingly, such as to highlight an important word or point.
• Think and reread what you’ve written before you post! Make sure that what you’ve written makes sense (is clear and to the point).
• Remember you are responsible for the content you communicate on CANVAS. What you write represents you, so use appropriate language. Remember that all writing should be professional, consisting of complete sentences, and free of grammatical and spelling errors.
• Be aware that distributing copyrighted materials, such as articles and images, is illegal. Most of the materials on the Internet are copyrighted. The only time it’s ok to distribute materials from the Internet is when you are sure those materials are "fair use." To be safe, if you want to share materials with classmates and/or your instructor, share the web link or URL only.
• To avoid plagiarism, make sure you properly cite all source materials. All materials should be cited unless you are the author of the content.
• Protect your privileges in online communication (avoid posting spam or emailing chain letters).

ADA ACCOMMODATIONS

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.

REQUIRED TEXT / REFERENCE

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

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

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)

American Psychological Association. (2010). Publication Manual of the American Psychological Association (6th Ed). Washington DC: Author ISBN-13: 978-1-4338-0562-2

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

Carlat D.J. (2017). The Psychiatric Interview. 4th Ed. Philadelphia, PA: Lippincott Williams & Wilkins; ISBN-13: 978-1496327710

Dulcan, M.K., (Ed.) (2016) Dulcan’s Textbook of Child and Adolescent Psychiatry, 2nd Ed. Washington, D.C.: American Psychiatric Association Publishing. Use electronic version available through library in psychiatry online. 

Dunphy, L.M. , Windland-Brown, J.E., Porter, B.O., &Thomas, D.J. (2019). Primary Care: Art & Science of Advance Practice Nursing, 5th Ed. F.A. Davis. ISBN: 9780803695290

First, MB (2013) DSM-5 Handbook of Differential Diagnosis  American Psychiatric Publishing Inc  ISBN: 9781585624621 Note that this text is available through Briscoe Library electronically if you choose not to purchase the actual text

Goldenberg , I., Stanton, M. & Goldenberg H. (2017) Family Therapy: An Overview (9th Ed). Belmont CA: Cengage. ISBN 13: 978-1305092969

Kasper, DL, Fauci AS, Hauser SL, Longo, DL, Jameson JH, & Loscalzo J. (eds). (2015). Harrison’s Principles of Internal Medicine 19th Ed. electronic resource. 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

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

Stahl, S. M. (2017). Stahl’s Essential Psychopharmacology: Prescriber’s Guide (6th Ed). ISBN 978-1316618134

Stahl, S. (2013) Stahl’s Essential Psychopharmacology: Neuroscientific Basis and Practical Applications 4th Edition. Paperback Edition. ISBN: 9781107686465

Stephens, D.C., Blazer, D.G. & Thakur, M.E. (2015). The American Psychiatric Publishing Textbook of Geriatric Psychiatry. Washington DC: American Psychiatric Publishing. Use the electronic version available through the library in psychiatric online.

Van Leeuen, A.M. & Bladh, M.L. (2019).  Davis’s Comprehensive Handbook of Laboratory & Diagnostic Tests with Nursing Implications 8^th Ed.  F.A. Davis ISBN: 9780803674950

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. & 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

RECOMMENDED (OPTIONAL) TEXT / REFERENCE

Boyd M.A. (2018). Psychiatric Nursing: Contemporary Practice. 6th ed. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins ISBN/ISSN 9781451192438

Stern, TA (2016) Massachusetts General Hospital Comprehensive Clinical Psychiatry. London: Elsevier.

Electronic Resource Available through UT Health Briscoe Library.

Tusaie, KR & Fitzpatrick JJ (Eds) (2017) Advanced practice psychiatric nursing 2nd Ed ISBN: 9780826132536

CONTENT OUTLINE

Content Outline
A. Psychiatric Care of Special Populations
    1. Mood Disorders in Women of Childbearing Years
    2. Psychopharmacology in Pregnancy and Breast Feeding
    3. Assessment of Elder Populations

    4.Mood & Anxiety and Psychopharmacology in the Elderly

B. Cultural Psychiatry
         1. Assessment of Cultural Factors in Psychiatric Mental Health Practice 
         2. Complementary and Alternative Medicine

C. Child and Adolescent Psychiatric Disorders
    1. Neurodevelopmental Disorders
       a.Attention Deficit Disorders
       b.Intellectual Disabilities
       c.Communication Disorders
       d.Autistic Spectrum Disorders
       e.Motor Disorders
    2. Conduct Disorders
    3. Elimination Disorders

D. Psychopharmacology in the Child and Adolescent

E. Child and Adolescent Psychotherapies

F. Child and Adolescent Special Populations

G. Schizophrenia and Other Psychotic Disorders

H. Advanced Pharmacology of the Antipsychotics

I. Disruptive, Impulse Control Disorders

J. Obsessive Compulsive and Related Disorders

K. Trauma and Stress Related Disorders

L. Pharmacology of the Anxiolytics

M. Clinical Evaluation of the Complex Psychiatric Patient

N. Feeding and Eating Disorders

O. Dissociative Disorders

P. Sexual Dysfunctions

Q. Gender Dysphoria

R. Family Therapy

S. Continuation of CBT

T. Group Therapy

Note: Content is not necessarily delivered in this order

CALENDAR - 1st Day Only

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

Semester begins 8/24/2020

This course begins August 24, 2020 with online modules & assignments listed inside Canvas

The first virtual class on Canvas Conference Synchronous date is August 31, 2020

Please review Canvas for Module 1 required reading.  Module 1 includes Special Populations: Women of Childbearing Years, Geriatric Psychiatry and Introduction to Family Therapy.  Reading to get started includes the following:

Required Reading for Week 1 (Partial List):

Blazer, D. The psychiatric interview of older adults. Chapter 4. In Blazer, D.G. & Steffens, D.C. (Eds.)'s The American Psychiatric Publishing Textbook of Geriatric Psychiatry (4th Ed). Arlington, VA: American Psychiatric Publishing, Inc. Available online (Links to an external site.)

Wang, S., Thakru, M.E. & Murali Doraiswamy, R.(2015). Use of the Laboratory in the Diagnostic Workup of Older Adults.  Chapter 5 in Blazer, D.G. & Steffens, D.C. (Eds.)'s The American Psychiatric Publishing Textbook of Geriatric Psychiatry (5th Ed). Arlington, VA: American Psychiatric Publishing, Inc. Available online.

DSM-5:  Premenstrual Dysphoric Disorder Chapter/Section

Perese: Perese, E.R. (2012). Prevention of Psychiatric Disorders. In Perese, E.R. (Ed) Psychiatric Advanced Practice Nursing: A Biopsychosocial Foundation for Practice. Philadelphia: F.A. Davis.

For full calendar and details, please refer to information posted in Canvas on the first day of the semester

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