Fall 2021

NURS 6219-01 PMHNP Dx & Mgmt Concepts & Theory 3

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 WebCT icon
Please be sure to check the Current Computer Requirements

Please log in to Canvas for required readings and assignments which are due by Monday August 30, 2021.

We will not meet on August 23, 2021 because students are required to attend clinical orientation from 08:00 - 11:50 AM. 

Regular classes will resume on August 30, 2021

FACULTY CONTACT INFORMATION

Mark Soucy, PhD, RN, APRN, FAANP

Associate Professor/Clinical

Course and Track Coordinator

School of Nursing

UT Health San Antonio

7703 Floyd Curl Drive

San Antonio, TX 78229

Email: soucy@uthscsa.edu

Telephone: 210-269-8651

FAX: 210-567-2788

Office Hours: See Starfish for Virtual Hours by Appointment

 

Marta Vives, DNP, RN, APRN, FPMHNP-BC

Lt Col USA (Retired)

Assistant Professor/Clinical

PMHNP Course Faculty

School of Nursing

UT Health San Antonio

7703 Floyd Curl Drive

San Antonio, TX 78229

Email: vivesm@uthscsa.edu 

Office Phone: 210-450-8475

Office Room: 2.330

Office Hours: See Starfish for Virtual Hours by Appointment


COURSE DESCRIPTION

This course provides the remaining theoretical basis for the competencies of the Psychiatric Mental Health Nurse Practitioner in health promotion, diagnosis, and management of patients with actual and potential psychiatric disorders listed in the Diagnostic & Statistical Manual of Mental Disorders across the lifespan.  Emphasis is on integrating psychotherapy, psychopharmacology, complementary and alternative approaches to the treatment of patients across the continuum of care.  Problem-based and self-directed learning strategies are used to review acute and chronic psychiatric disorders, analysis of data, formulation of differential diagnoses and development of patient-centered treatment plans in collaboration with families and interprofessional teams.

CREDIT AND TIME ALLOCATION

Credit hour allocation: 2 semester credit hours
Clock hour allocation: 30 clock hours class

PREREQUISITES

PREREQUISITES
NURS 6338 Advanced Pathophysiology
NURS 6302 Advanced Pharmacotherapeutics
NURS 6210 Advanced Health Assessment & Clinical Reasoning
NURS 6110 Advanced Health Assessment & Clinical Reasoning: Clinical Application
NURS 6410 PMHNP Diagnosis and Management: Concepts and Theory 1
NURS 6411 PMHNP Diagnosis and Management: Concepts and Theory 2

PREREQUISITES or COREQUISITES
NURS 6419 PMHNP Diagnosis and Management: Clinical Application 1
NURS 6111 PMHNP Diagnosis and Management: Clinical Seminar 1


PROGRAM OUTCOMES

Upon completion of the Doctor of Nursing Practice (DNP) Program students will:

  1. Integrate nursing science, ethics, biophysical, psychosocial, analytical, and organizational sources to provide the highest level of specialty nursing practices.
  2. Develop, implement, and evaluate healthcare practices in healthcare systems that ensure quality improvement and patient safety.
  3. Use analytic methods and evidence based practices to improve practice outcomes and the practice environment.
  4. Implement and evaluate ethical healthcare information systems and patient care technology to improve the quality of patient health outcomes and care systems.
  5. Advocate for healthcare practices that advance social justice, equity, and ethical policies within all healthcare arenas.
  6. Employ interprofessional collaborative teams to improve patient and population health outcomes and healthcare delivery systems.
  7. Lead the integration and institutionalization of (evidence based) clinical prevention and population based health guidelines.
  8. Use clinical judgment, systems thinking, accountability, and specialized knowledge to design, deliver, and evaluate evidence based, culturally proficient care to improve patient, population, and health systems outcomes.

COURSE OUTCOMES

1.  Select theoretical concepts of patient centered care incorporating health promotion, disease prevention, and anticipatory guidance, for patients and families with actual and potential psychiatric disorders across the lifespan. (DNP Essentials I, II, VII, VIII; NONPF Competencies: Scientific Foundation 1-4, Quality 1, 2, Independent Practice 1-8)

2.  Analyze findings from psychiatric evaluations, diagnostic studies, and clinical instruments to formulate accurate psychiatric diagnoses based on established criteria in the current edition of the Diagnostic and Statistical Manual of Mental Disorders. (DNP Essentials I, VIII; NONPF Competencies: Scientific Foundation 1-4, Independent Practice 1-4, 8)

3.  Construct patient centered plans of care using current evidence, traditional and alternative/complementary therapies to effectively address the needs of patients with psychiatric mental health disorders across the lifespan. (DNP Essentials I, III, VIII; NONPF Competencies: Scientific Foundation 1-4, Quality 1-3, Practice Inquiry 3, 6, Ethics 1-3, Independent Practice 1-8)

4.  Design patient-centered plans of care integrating social, cultural, explanatory models and spiritual components to promote mental health and alleviate psychiatric symptoms. (DNP Essentials I, VIII; NONPF Competencies: Scientific Foundation 1-4, Quality 1-3, Practice Inquiry 2, 3, 4, 6, Ethics 1-3, Independent Practice 1-8)

5.  Appraise evidence and clinical guidelines to determine applicability to unique patient characteristics and psychiatric disorders across the lifespan. (DNP Essentials I, III, VI, VIII; NONPF Competencies: Scientific Foundation 1-4, Quality 1-4, Practice Inquiry 3, 6, Ethics 1-3, Independent Practice 1-8)

6.  Evaluate the contribution of the PMH nurse practitioner to the interprofessional team in the diagnosis and management of health, wellness, and psychiatric disorders for patients across the lifespan.  (DNP Essential II, III, V, VI, VII; NONPF Competencies: Scientific Foundation 1-4, Leadership 1-4, 7, Practice Inquiry 4, Health Delivery System 2, 5, Ethics 1-3, Independent Practice 1-3, 4e, 5, 6)

7.  Assess core professional values and ethical/legal standards in the implementation of the PMH nurse practitioner role. (DNP Essentials I, V, VIII; NONPF Competencies: Scientific Foundation 1-4, Quality 1-5, Ethics 1-3, Independent Practice 1-8)


8.  Analyze patient safety, quality indicators, and outcome improvement in the delivery of quality psychiatric care to patients and families. (DNP Essentials II, III, VI; NONPF Competencies: Scientific Foundation 1-4, Quality 1-5, Health Delivery System 3, 5, Independent Practice 1, 2, 3, 8)

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

NURS 6219 Grading Criteria

Exam I

20%

Exam II

20%

Final Exam

20%

Group Mini-Lectures

35%

Online Discussion/Reflection

  5%

Total

100%


CELL PHONE POLICY

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.

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) Code of Ethics with Interpretive Statements. Spring, MD: Nursesbooks.org ISBN: 9781558105997

American Nurses Association (2013) Psychiatric-Mental Health Nursing Scope and Standards of Practice 2nd Ed. Nursebooks.org ISBN: 9781558105553

American Nurses Association (2015). Nursing: Scope and standards of practice, 3rd Ed. Silver Springs, MD: Nursingbooks.org.ISBN: ISBN: 978-1-55810-619-22

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Paperback (DSM-5).  American Psychiatric Association. ISBN: 9780890425558

American Psychological Association (2020). Publication Manual of the American Psychological Association, 7th Ed. American Psychological Association: ISBN: 9781433832161

Carlat, D.J. (2017). The Psychiatric Interview 4thEd. Wolters Kluwer.  ISBN: 978-1496327710

First, M.B. (2013) DSM 5 Handbook of Differential Diagnosis. American Psychiatric Publishing, Inc. ISBN: 9781585624621

Neuroscience Education Institute – Membership Student Rate https://www.neiglobal.com/Members/Become/MBRRates/tabid/192/Default.aspx

Perese, 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. & Ruiz, P. (Eds) (2017). Kaplan & Sadock’s Comprehensive Textbook of Psychiatry, 10th Ed. Philadelphia: Wolters Kluwer. ISBN: 9781451100471

Stahl, S. (2014). The Prescriber’s Guide, 7th Edition. New York, Cambridge University Press. ISBN: 978-1108926010 (see your NEI membership)

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

Tusaie, K.R. & Fitzpatrick, J.J. (Eds.) (2017). Advanced practice psychiatric nursing: Integrating psychotherapy, psychopharmacology, and complementary and alternative approaches across the life span, 2nd Ed. New York, Springer Publishing Company. ISBN: 978-0-8261-3253-6

Van Leeuwen, A.M. & Bladh, M.L. (2019). Davis' comprehensive manual of laboratory and diagnostic tests with nursing implications 8th Ed. FA 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

RECOMMENDED (OPTIONAL) TEXT / REFERENCE

Shea, S.C.(2017) Psychiatric Interviewing: The Art of Understanding: A Practical Guide for Psychiatrists, Psychologists, Counselors, Social Workers, Nurses, and Other Mental Health Professionals, with online video modules 3rd Edition.  Elsevier. ISBN: 978-1437716986

UptoDate (Available through Briscoe Library under Databases - must be logged into campus using VPN first)

CALENDAR - 1st Day Only

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

Log in to NURS 6219 Canvas course for instructions, required readings and assignments due by August 30, 2021.  

There will be no class meeting on Monday, August 23, 2021 since students have clinical orientation in the morning on August 23, 2021.  

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