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LosAngelesHarborCollege
AssociateDegreeNursingProgram
Nursing343
NursingProcessandPracticeinthePsychosocialAdaptationoftheClient
2017-2018EditionE.Moore
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TABLEOFCONTENTS
FACUTLYCONTACTINFORMATION............................................................................................................................3
COURSEDESCRIPTION..................................................................................................................................................3-4
CREDIT/CONTACTHOURS/PREREQUISITES.........................................................................................................5
STUDENTLEARNING/COURSEOUTCOMES&COMPETENCIES.............................................................6-7
REQUIREDTEXT/SUPPLIMENTARYMATERIAL..................................................................................................8
COURSEPOLICIES..........................................................................................................................................................9-12
GRADINGPOLICY........................................................................................................................................................13-15
CLASSETIQUETTE………………………………………………………………………………………………………………16
LEARNINGACTIVITIESANDRESOURCES
Audio-VisualAssignmentCriteria...........................................................................................................................17-20
GroupProject/Presentation.....................................................................................................................................21-23
CommunityAssignmentandEssayCriteria………………………………………………………………........Seeclinicsyllabus
Unit1Objectives
Unit2Objectives
Unit3Objectives
Unit4Objectives
Unit5Objectives
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LOSANGELESHARBORCOLLEGEASSOCIATEDEGREENURSINGPROGRAM
COURSEOUTLINE
Nursing343NursingProcessandPracticeinthePsychosocialAdaptationoftheClient
FACULTYCONTACTINFORMATION:EdieMoore,RN,MSN,APRNOfficeLocation–Nursing124Officehourspostedoutsideofficemooreev@lahc.eduMailbox471(310)233-4377–nursingdepartmentofficeline/messagesretrievedonlyonteachingdays(310)408-3431–preferredcontactmethod/textingwelcomeCOURSEDESCRIPTION:Thiscourseisdesignedtoprovidecorrelatedneuro-bio-psychosocialtheoreticalknowledgewithclinicalexperienceinplanningandadministeringsafe,patient-centered,andevidence-basednursingcaretothepsychiatricpatientintheacutecaresetting.TheRoyAdaptationModelisutilizedasaframeworkforassessmentwithintheNursingProcessforpatientcare.Emphasisisplacedonholisticcareofthepatientwithmentalhealthdisordersacrossthelifespan,developmentoftherapeuticcommunicationskillsandincorporationofrelevantculturalorethnicconsiderations.Topicsofstudyincludepsychiatrictheoryandtherapy,psychotropicmedications,stress,anxietydisorders,trauma,crisis/disaster,mooddisorders,psychoticdisorders,suicide,eatingdisorders,addiction,anger/aggression,abuse,intimatepartnerviolence,sexualassault,groupandfamilytherapy,somatoform/dissociativedisorders,violence/assault,personalitydisordersandtherapeuticcommunication.Patientsafety,clinicaljudgment,self-assessment,evidence-basedcare,teamwork/collaboration,systemsbasedthinkingforqualityimprovement,informaticsandlife-longlearningarestressedastoolsforprofessionaldevelopment.Thiscourseconsistsoffive(5)studyunits.
UnitI-TheoreticalConceptsandPrinciplesofMentalHealthNursing,TherapeuticRelationships/Communication,NursingProcess,LegalandEthicalIssues,&CultureThisunitpresentsanintroductiontopsychiatricnursingandananalysisofthedominantconceptualmodelsforpsychiatricnursingpractice.Studentnursesbegintoexploreandcultivatetheirownpersonalintegrationwithinthatpractice.Criticalthinkingskillsareemphasizedandtherapeuticcommunicationstrategies,developmentaltheories/therapiesandpatientassessmentmethodologiesarepresented.Abio-psycho-socialapproachisusedinexaminingprinciplesofpatientcenteredcare,thementalhealth-psychiatricillnesscontinuumandthenursingprocessasrelatedtopsychiatricdisorders.Thepsychobiologicalbasisofbehaviorisreviewed.Theconceptsofculture,ethnicity,worldviewandculturalcompetencyareappliedtomentalillness.Thelegalandethicalguidelinesforsafepracticeareidentified.Additionally,theconceptofneurotransmittersinrelationtopsychiatricillnessandpsychotropicmedicationareintroduced.
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UnitII–Stress,SchizophreniaSpectrumDisorders,Substance-RelatedandAddictiveDisorders,Anger,Aggression,&ViolenceTheconceptsofstress,stressmanagement,psychoneuroimmunology,andthegeneraladaptationtheoryarepresented.Contemporaryetiologictheories,pathophysiologytreatments,andnursinginterventionsforthepatientwithschizophreniaandschizophreniaspectrumdisordersareinvestigated.Theroleofthebiologicaltherapies,includingpsychotropicmedicationandrelatedsideeffectsareexplored.Conceptscentraltosubstanceusedisordersarepresented.Theneurotransmittersinvolvedinthebrainrewardsystemactivatedinsubstanceusedisordersaredelineated.Thetheoryandneurobiologyofangerandaggressivebehaviorisexploredalongwiththeprinciplesofde-escalation.UnitIII-BipolarDisorders,DepressiveDisorders,Trauma/Stressor-related&DissociativeDisorders,SuicideThisunitexploresthemajormooddisorders,includingdepression,bipolardisorder,dysthymiaandcyclothymia.Suicideassessmentandinterventionarediscussed.Majortherapiesandnursinginterventionsforthemooddisordersareexamined.Assessmentandnursingcareofthepatientwithtrauma,stress-relatedanddissociativedisordersarepresented.Theuseofthegroupprocessinthementalhealthsettingisexploredwithanemphasisongrouptherapy.Methodologiesforgroupinteractionareexamined,asaregroupleadershipstyles.UnitIV-Anxiety&AnxietyRelatedDisorders,PersonalityDisorders,TherapeuticGroups,FamilyInterventionsAdaptiveandmaladaptivelevelsofanxietyarediscussed,asaredisturbedpattersofcopingwithanxiety,includingthenon-psychoticclinicalsyndromes.Assessmentandnursinginterventionsforeachlevelofanxietyaredelineated.Adaptiveandpathologicmanifestationsofdefensemechanismsareexplored.Thisunitpreparesthelearnertorecognizerigidpatternsoflivingmanifestedinpersonalitydisorders.Theuseofthegroupprocessinthementalhealthsettingisexploredwithanemphasisongrouptherapy.Methodologiesforgroupinteractionareexamined,asaregroupleadershipstyles.Assessmentoffamilystructure,phasesofthefamilylifecycle,andhealthyversusunhealthyfamilyfunctionarepresented.Differenttypesoffamilytherapyareexplored.UnitV–SomaticDisorders,EatingDisorders,Crisis&Disaster,Child,OlderAdult&IntimatePartnerViolence,SexualAssaultPsychologicalstatesthatmanifestphysicallythroughsomaticsymptomdisordersaredelineated.Assessment,evidence-basedtreatmentoptionsandnursinginterventionsforthepatientwitheatingdisordersareinvestigated.Theoreticalconceptsassociatedwithsexualassault,abuseandintimatepartnerviolencearediscussed.Legalresponsibilitiesforreportingarespecified.Adaptiveandineffectiveprocessesrelatedtocrisisanddisastersareexaminedalongwithspecializedinterventionsthatreturnthepatienttoprecrisisfunction.
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CREDIT/CONTACTHOURS:Thisthree(3)unitcoursehasfive(5)hoursoflectureandeighty-one(81)clinichourspercourse(whichincludesfourhoursinthesimulationlab,fourhoursatacommunity-basedmentalhealthresourceorganization,onehourofclinicalclassroomorientationandseventy-twodirectpatientcarehours).
TRANSFERABLITY:CSU
PREREQUISITES:Forgenericstudents:agradeofCorbetterinfirst,secondandthirdsemesterNursingCoursesandrequiredgeneraleducationcourses.ForLVNtoRNstudents:admissiontotheregisterednursingprogramandsuccessfulcompletionofthethirdsemesterorbyspecialadmissionbytheAdmissionCommittee/NursingSuspensionandReadmissionCommittee.TransferstudentsmustmeeteligibilityrequirementsasdeterminedbytheAdmissionCommittee/NursingSuspensionandReadmissionCommittee.Allstudentsmustdemonstratesafe,correctandcompetentperformanceofclinicalskillstaughtinallpreviouscourses.Studentsarerequiredtoreviewandtobeknowledgeableofcommunicationtheoryandtechniques.
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STUDENTLEARNINGOUTCOMES/COMPETENCIES:Atthislevel,whichcomprisescoursesinthethirdandfourthsemesterofthenursingprogram,studentsareexpectedtocontinuetoapplyandadaptmedicalsurgicalnursingconceptstopatientsacrossthelifespaninavarietyofcommunitybasedhealthcaresettings,modifyplanofcareandmakedecisionsforpatientsatavarietyofdevelopmentalstagesonthebasisofgeneralguidelinesorprinciplesderivedfrompreviousexperiences,organizeandprioritizenursinginterventionswithsupervision,anduseappropriateresourcestoassistinsolvingpatientproblems.Thestudentcanadapttodifferentagegroupsbasicskillsanddevelopsnewskillsapplyingguidelinesthatarebasedoncuesfromexperts.Theyattempttocorrelateandbuildonmedicalsurgicaltheoryandpractice.ProgramLearningOutcomesforlevelthreeare:
1. ApplythenursingprocessusingtheRoyAdaptationModelincaringforindividualsandgroupsacrossthelifespananddevelopmentalstages.
2. Practiceprofessionalbehaviorstandardsofnursingpractice.3. Demonstrateclinicaldecisionmakingthatisaccurateandsafe.4. Providesafe,patient-centeredcare.5. Functioneffectivelywithinnursingandinterprofessionalteamsutilizingeffective
communicationstrategies.6. Incorporateevidence-basedpractices,whichsupportclinicalreasoning.7. Identifyareasforimprovementinqualityandsafetyofhealthcaresystems.8. Utilizetechnologytoresearchpatientinformation,communicatewith
interprofessionalteams,manageknowledge,mitigateerror,andsupportdecision-making.
COURSEOUTCOMES/COMPETENCIES:Attheendofthiscourse,withappropriatestudyandpracticeintheclassroomandclinicalexperience,thefourthsemesterstudentnursewillbeabletoassess,analyzeandcontributetothesafemedicalandpsychosocialneedsofthementalhealthpatientinthepsychiatricsetting.Thestudentwillfocusonthepatientasawholewhilemeetingnursingneedsinthephysiologicalmode,aswellastherapeuticandreferralneedsintheself-concept,rolefunctionandinterdependencemodes.RefertothelistofStudentLearningOutcomes(1-8)listedabovethatwillbeidentifiedandmatchedtoitrelatedcourseoutcomeattheendofeachcompetencyinparentheses.Thenursingstudentwillbeableto:
1. AssessmentalhealthpatientsfromaholisticperspectiveutilizingtheRoyModel(1,3,4,7,8).
2. Compareandcontrastcommontheoreticalframeworksusedinmentalhealth(psychiatric)nursingpractice(1,4,6,8).
3. Relateetiology,pathophysiologyortheory,treatments,nursinginterventions,andself-assessmentforeachtopicdiscussed(1,2,3,4,6,8).
4. Appraisecommondefensemechanismsandtheconceptsofthestressadaptationtheory(1,3,4,6,8).
5. Utilizetheprocessofpsychiatrichistorytakingandmentalstatusexaminationstocompareandcontrastpast,current,andexpectedpatientadaptationlevelsaswellasmeasureprogresstowardmentalwellness(1,3,4,7,8).
6. Establishandmaintainnurse-patientboundariesincludingappropriateuseofself-disclosure(2,3,4).
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7. Demonstrateculturallysensitivecareandgrowingculturalcompetencebyexploringpersonalbiases/stereotypesandapplyingknowledgeofappropriateskillsnecessaryforworkingwithculturallydiversepatients/groups(1,2,3,4,5,6,7,8).
8. Demonstratetherapeuticcommunicationtechniques(verballyandinwriting)toassess,implement,andevaluatecareforpatientsacrossthelifespanwithmentaldistress,disabilityordisorder(2,3,4,5,6,7).
9. Relateknowledgeofthemechanismofaction,dosagerange,routes,druginteractions,therapeuticeffect,sideeffects,andnursingimplicationsofallmedicationsprescribedtothepatient(2,3,4,6,7,8).
10. Displaycriticalthinkingabilitiesintheclassroomandclinicalsettingforassessment,planning,implementingandevaluatingcareforthepatientwithcomplexmultisystemneeds(1,2,3,4,5,6,7,8).
11. Managenursingdiagnoses,prioritiesforcare,andspecificmeasurable,behaviorallystatedgoals/outcomesforthepatientand/orthepatientgroupwithpsychosocialneeds(1,2,3,4,5,6,8).
12. Planandimplementevidence-basedtherapeuticnursinginterventionsandtreatments,utilizingtheRoyAdaptationModel,withintheNursingProcessframework,topromoteadaptivebehaviorbyfocusingonrealityorientationandself-care,andbyassistingwithsocialization,decisionmaking,andproblemsolving(1,2,3,4,5,6,7,8).
13. Evaluatetherapeuticnursinginterventionsused,adjustingthepatient'splanofcareasneeded(1,3,4).
14. Appraiseandrelateownfeelingsinthetherapeuticrelationship,evaluateownbehaviorandperformanceobjectively(2,3,4,5).
15. Displayeffectivecommunicationandcollaborationwiththepatient,staff,peersandinstructorstoachievepatientoutcomes(2,3,4,5,8).
16. Utilizeandevaluateforvalidity,informationsystemsincludingtheInternetandothercomputerassistedlearningmethodsandtheassignedtexts,toresearchpsychiatricconditionsandlocatethemostcurrentevidence-basedinformationforeachcondition(2,3,4,5,6,8).
17. Demonstratebehaviorsconsistentwithmentalhealth(psychiatric)nursingpracticelegalandethicalstandards(2,3,4).
18. Displayknowledgeofthepatientadvocateroleandappropriatementalhealthcommunitybasedservices(2,4,6,7,8).
19. MaintainstandardssetbyTheJointCommission's"BehavioralHealthCareNationalPatientSafetyGoals"and"DoNotUse"list(2,3,4,5).
20. Advocateforpatientsandfamilies(3,4,5).21. Demonstrateconcise,accurate,andcompletewrittenorelectronicdocumentation
skills(5,8).
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REQUIREDTEXT:Halter,M.J.(Ed.).(2014).Varcarolis’foundationsofpsychiatricmentalhealthnursing:A
clinicalapproach(7hed.).St.Louis,MO:SaundersElsevierISBN978-1-4557-5358-1
Houghton,P.M.&Houghton,T.J.(2010).APA:Theeasyway!(3rded.).Pratt,M.M.(Ed.).Flint,MI;Houghton&HoughtonISBN-13: 978-0923568962 ISBN-10: 0923568964
REFERENCETEXTS:AmericanPsychiatricAssociation(2013).Diagnosticandstatisticalmanualofmental
disorders(5thed.).Arlington,VA:AmericanPsychiatricPublishing.Seo-Cho,J.M.(1999).Nursingprocessmanual:AssessmenttoolfortheRoyadaptationmodel.
Glendale,CA:PolarisPublishingCompany.RECOMMENDEDTEXTS:Varcarolis,E.M.(2011).Manualofpsychiatricnursingcareplans(4thed.).St.Louis,MO:
SaundersElsevier.ISBN978-1-4377-1782-2
ORVarcarolis,E.M.(2014).Manualofpsychiatricnursingcareplans(5thed.).St.Louis,MO:
SaundersElsevier. ISBN978-1-4557-4019-9SUPPLEMENTARYMATERIALS:ParSCOREScantronAnswerSheetsX6 1largeredandwhiteform(F-1712-PAR-L) 5smallredandwhiteforms(F-289-PAR-L)Copiesofthefollowingforeachclinicalweek:ProcessRecordings(Twoperweek)DailyCharting/MentalStatusAssessment(Twoperweek)NursingProcess(Twoperclinicalrotation)NursingHistoryandAssessmentforms(Twoperclinicalrotation)WeeklyClinicalEvaluationTool(WCET)(Oneperrotation)ADDITIONALINSTRUCTIONALMATERIALS:NursingLearningLab-DVDAudiovisualEquipmentKanopy-Netflixlikevideostreaming(useLAHClibrarylogin) http://lahc.kanopystreaming.com/restricted?destination=frontpage
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COURSEPOLICIES:ClinicalPerformance:AllstudentsmustadheretotheNursingProgramdresscodeandagencypolicy.Studentsinthepsychiatricnursingclinicalareaarerequiredtowearappropriate,professionalnon-uniformclothing,andclosedtoed/lowornoheeledfootwear.Nojeans,t-shirtsornon-collaredshirts,tight,short,orsuggestive,clothing,necklaces,rings(otherthanaweddingband),earrings,bracelets,facialjewelryorbodypiercingmaybeworn.Scrubsmaybeallowedatcertainagenciesandthusneedstobeverifiedwiththeclinicalinstructor.Allclothingwillbecleanandneatatalltimes.Effectivepersonalhygienewillbemaintained.Priortotheseconddayofclinicalcare,thestudentmusthavecompletedpreliminarypertinentpatientresearchandpreparationforsafeandcomprehensivecare.Thismustincludeaphysicalandpsychiatrichistoryandbeginningassessmentaswellasdocumentationofallmedications.Informationonpatientmedicationsubmittedwillincludedosage,route,indication,mechanismofaction,sideeffects,nursingimplications,incompatibilitiesandotherpertinentpatientdata.Inadequatepreparationforcarewillresultindismissalfromtheclinicalareawithanunsatisfactoryratingforthatday.Astudentmustperformsatisfactorilyforaminimumof75%(61hours)ofclinicalpatientcaredays.Anystudentbehaviorthatputsapatientinjeopardy(including,butnotlimitedto,emotional,physical,environmentaljeopardy),hasthepotentialtocauseharm,resultsinactualharmorinjury,orthatislifethreatening,willresultinimmediateremovalofthestudentfromtheclinic.ThefourthsemesterfacultyteamandChairpersonoftheHealthSciencesDivisionwillreviewharmfulstudentbehaviors.Suchbehaviorswillresultinclinicalfailure,terminationfromthecoursewithagradeof"F"andpossiblesuspensionorexpulsionfromtheNursingProgram.ClinicalEligibility:Tobeeligibleforclinicalattendanceallstudentsarerequiredtohavethefollowing:photocopiesofcurrentAmericanHeartAssociationBLScertificationcard;OSHAcertification;FITtesting;backgroundcheckclearance;drugscreen;currentmalpracticepolicy;proofofTBskintestorCXRifskintestispositive;positiverubellatiter,Varicellatiter,rubeolatiter,polio,andhepatitisBtiters;proofofannualinfluenzavaccine,andphysicalexaminationandmedicalclearancewithinthepasttwoyears.Additionaltraining,testing,anddocumentationmayberequiredperclinicalagency.ForcompleteClinicalRequirements,seetheStudentHandbookonlineat:http://www.lahc.edu/classes/nursing/
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ATTENDANCEPOLICY:Classabsencesarenottoexceedonelecture.Therearenounexcusedabsences.Studentsareexpectedtocontacttheleadinstructorintheeventofanunplannedabsenceassoonaspossible.Reasonsforexcusedabsencesarelimitedtopersonalillness,deathofanimmediatefamilymember,orpersonalemergency.Awrittenstatementfromaphysicianorotherpersoninvolvedinhelpingthestudentresolvethepersonalemergencymustvalidateanyabsenceduringthefinalweek.Clinicalhourscannotbemissed.NursingstudentsareurgedNOTtobeabsentexceptforintheaforementionedcircumstances,andareremindedthatthestudentisresponsibleforALLinformation,announcements,andlearningmaterialsgivenduringclasstime.Two(2)tardies(greaterthan15minuteslate)willbecountedasoneabsenceinthissix(6)weekcourse.Absencethatexceedsthespecifiedmaximumisconsideredexcessiveandmayresultinexclusionfromthecourseorreceivingan“F”grade.REMEDIATONREADMISSIONPOLICY:Ifastudentfailstocompletethiscoursewithapassinggrade,includingexitingthecoursebeforecompletionbyexclusionoraWithdrawal,thestudentisrequiredtocompleteanExitInterviewwiththeclinicalinstructororleadinstructorandthenursingremediationcounselor.Tobereadmittedtotheprogram,thestudentmustcompleteareadmissionrequestformandsubmittheform,totheDepartment’sAdministrativeSecretary.TheNursingSuspensionandReadmissionCommitteewillconsiderthestudentrequestandreadmissionwillbedeterminedbyeligibilityofcurrentadmissionpolicies,numberofpreviousexits,completionofanyrequiredremediation,andavailablespace.Readmissiontotheprogramisnotautomatic;studentsmustcompletetheprograminatimelymanner.Studentsoutoftheprogramfortwoormoresemestersmaybeaskedtodoremediationworkand/orrepeatpriorcoursescompleted.PleaserefertotheStudentHandbookfortheSuspensionandReadmissionPolicyandProcedureforthiscourse.ACADEMICDISHONESTY:TheDistrictAcademicDishonestyPolicy9803.28describesacademicdishonestyviolationsasfollows:“ViolationsofAcademicIntegrityinclude,butarenotlimitedto,thefollowingactions:cheatingonanexam,plagiarism,workingtogetheronanassignment,paperorprojectwhentheinstructorhasspecificallystatedstudentsshouldnotdoso,submittingthesametermpapertomorethanoneinstructor,orallowinganotherindividualtoassumeonesidentityforthepurposeofenhancingonesgrade.”AcademicdishonestywillnotbetoleratedintheNursingDivision.Forfurtherclarification,thenursingfacultyhasaddresseddefinitionsforthefourmajorformsofacademicdishonesty.
• Plagiarism-presentingtheworkofanotherasifitwerestudent’sownwork.Eachtimeasourceisutilized,acitationforthesourcemustbeincludedinthetextofthepaper.
• Cheating-engaginginanactofdeceptionwheneverbymisrepresentingmasteryofinformationonanacademicexercisethathasnotbeenmastered.
• Fabrication-falsifyingresearchorinventsinformationwiththeintenttodeceive.• Academicmisconduct-violationofcollegepolicies,tamperingwithgrades.
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CHALLENGE/CREDITBYEXAMINATIONPROCEDURE:StudentsrequestingcreditbyexaminationforcoursesintheRegisteredNursingProgrammustmeettheLosAngelesHarborCollege“CreditbyExamination”policypriortorequestingcreditbyexaminationinplaceofenrollinginandcompletinganynursingcourse.Asstatedinthecatalogue,thepolicyrequirementsinclude,butarenotlimitedto,thefollowing:
• Becurrentlyregisteredandhaveaminimumcumulativegradepointaverageof2.0• Havecompleted12unitswithintheLosAngelesCommunityCollegeDistrict• Nottobecurrentlyenrolledin,orhavecompletedamoreadvancedcourseinthis
discipline• Meetallothercriterialistedinthecollegecataloguefor“CreditbyExamination”
Afterfulfillingtheabovecriteria,thestudentmayrequestthenecessarymaterialsfordemonstratingcompetencyinboththeclinicalandtheorycoursecontent.Forcreditinthisnursingcourse,thestudentmustmeetallprerequisitecoursestoNursing343.Theseprerequisitesinclude,butarenotlimitedto,thefollowingGeneralEducationcourses:Psychology1,Psychology41,Sociology1,Speech101or121,Microbiology1or20,Anatomy1,Physiology1,andEnglish101.PrerequisiteNursingCoursesinclude:Nursing311,Nursing313,Nursing315,Nursing321,Nursing323,Nursing325,Nursing333,Nursing335,andNursing339.THEORYCOMPONENTThestudentmustcompletethegradedcomponentsexpectedofastudentenrolledinNursing343witha75%orhighercompetence.Thesecomponentsinclude:
• FiveUnitExaminations• FinalExamination• KaplanExamination• AudiovisualWrittenAssignment• GroupPresentation• SpeakerReactionPapers
CLINICALCOMPONENTUponsuccessfulcompletionofthetheoryportionofthecourse,thestudentwillcompleteeighty-oneclinicalhoursintheacutecarepsychiatricsetting.Todemonstrateclinicalcompetence,thestudentwill:
• CompletetwopracticecareplansheetsandtwocomprehensivewrittenNursingCarePlansfortwodifferentpatientsutilizingappropriatediagnosesasspecifiedintheNursing343course
• CompleteaPsychiatricNursingHistory&Assessmentformtwopatients• CompleteaMentalStatusAssessmentformforeachpatient• CompletetenProcessRecordings• TheseformswillbegradedonaCredit/Noncreditbasis.
Thestudentisexpectedtohavecompletedthecoursesyllabuspacketmaterialsandassignedreadingaspreparationpriortotakingtheexaminationsandparticipatingintheclinicaltesting.
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COLLEGEANDDEPARTMENTPOLICIES:SeeLosAngelesHarborCollegeCatalogandNursingStudentHandbookavailableonlineat:http://www.lahc.edu/classes/nursing/BOARDPOLICIES/ACCOMODATIONS:1. DisabilityAccommodationStatement:Nursingstudentswithaverifieddisabilitywho
mayneedareasonableaccommodation(s)forthisclassareencouragedtonotifytheinstructorandcontacttheDSPSOfficeortheOfficeforSpecialServicesassoonaspossible.Allinformationwillremainconfidential.
2. BoardRule9803.28.AcademicDishonesty.ViolationsofAcademicIntegrityinclude,butarenotlimitedto,thefollowingactions:cheatingonanexam,plagiarism,workingtogetheronanassignment,paperorprojectwhentheinstructorhasspecificallystatedstudentsshouldnotdoso,submittingthesametermpapertomorethanoneinstructor,orallowinganotherindividualtoassumeone’sidentityforthepurposeofenhancingone’sgrade.
3. BoardRule9803.14.Obstructionordisruptionofclasses,administration,disciplinaryprocedures,orauthorizedCollegeactivities.
4. BoardRule9803.19.AlcoholandDrugs.AnypossessionofcontrolledsubstanceswhichwouldconstituteaviolationofHealthandSafetyCodesection11350orBusinessandProfessionalCodesection4230,anyuseofcontrolledsubstancethepossessionofwhichareprohibitedbythesame,oranypossessionoruseofalcoholicbeverages.
5. TitleIX(ofthe1972EducationAmendments)protectsstudentsandstaffalikefromdiscriminationbasedonsex,includingSexualHarassmentandSexualAssault,whichareformsofSexualMisconduct.UnderTitleIX,allpeopleintheeducationalenvironmentmustbetreatedequitably,regardlessofsex,sexualorientationorexpression,and/ortransgenderidentity.IfyouhaveexperiencedorlearnedofapossibleviolationofTitleIXand/orwouldliketoknowaboutoptions,resources(includingconfidentialservices),thelaw,orDistrictpolicy,pleasedonothesitatetocontactaTitleIXCoordinator.
LAHCCampusTitleIXCoordinators:PeggyLoewyWellisch(310)[email protected]&DawnReid(310)[email protected]
DistrictTitleIXOffice:OfficeforDiversity,Equity,andInclusion(213)[email protected]
PleaseseetheLAHCCollegeCatalog(https://www.lahc.edu/classes/schedules.html)foralistingofallDistrictBoardRules.Also,refertotheStudentDisciplineProcedurefordueprocessfordisciplinaryissues,grievancesandthestudentappealprocess.AllstudentsarerequiredtoreadtheStudentNurseHandbook.
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GRADINGPOLICY:Criteriaforsuccessfulcompletionofthiscourseareasfollows:
• Satisfactoryacademicperformanceasevidencedbyattainmentof75%orbetteraverageoverallfortheweeklyandfinalexaminationsandthetwonursingprocesses.
• Satisfactoryclinicalperformanceasevidencedbymeetingallclinicalcriteriaatthe75%levelorbetter.
• Satisfactorycompletionofallwrittenassignments.• Lateassignmentscanonlybegivenamaximumgradeof75%.
Nursing343isacombinedcourse.Failureofeitherthetheoryorclinicalportionresultsisafailureoftheentirecourse.Tosuccessfullypasstheclinicalportionofthiscourse,thestudentmustpassallcriticalclinicalcriteriawitha“Satisfactory”ratingandperformataSatisfactorylevelforallclinicalcriteria75%(61clinicalhours)orgreater.Two“Unsatisfactory”weeklyratingswillresultinclinicfailure.Examscoresandclassroomperformancewilldeterminethefinalcoursegradeifstudentperformanceinclinicalispassing.Ifthefinalclinicalgradeisbelowapassingscore,thehighestcoursegradethatcanbeearnedisaD.Note:A“D”isnotapassinggradeinthenursingprogram.Thiscoursehasatotalof310pointspossible.Thefinalgradeisdeterminedfromsixtheorytests,thefinalexamination,thewrittenaudiovisualreactionpapers,andsatisfactorycompletionoftheclinicalcomponentasfollows:FiveUnitexams 40pointsFinalexamination 80pointsAVWrittenAssignment 40pointsSpeakerReactionPapers(2) 5pointsGroupPresentation 10pointsTotalPoints 335ClinicPapers Pass/NotPass
Prep/PathophysiologySheetsTwoNursingProcesses
TwoPracticeCarePlanWorksheets TwoNursingHistoryandAssessments ProcessRecordings(1-2perclinicalday) DailyCharting/MentalStatusAssessment(1-2perclinicalday) CommunityResourceExperienceAssignment(typedusingoutlinecriteria) WeeklyClinicalEvaluationRecord(withdocumentedbehaviors)Allrequiredpaperworkmustbecompletedandratedpassinordertopassthetheoryandclinicalcomponentsforthiscourse.
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LetterGrade Points90–100%=A 300-33581–89%=B 270-29975–80%=C 250–26960–74%=D 200–249Below60%=F 199orless
KaplanExaminationExtracreditwillbeawardedforobtainingcompetencyontheKaplanexaminationasfollows:Meetsnationalnorm(66%)–1pointFivepercentabovenationalnorm(71%)–2pointsTenpercentabovethenationalnorm(76%)–3points*InordertoreceiveadditionalpointsfromKaplanintegratedtest,studentMUSTbeinpassingstatus(75%orgreater).NormpercentagesaresubjecttochangebasedondatareceivedfromKaplan.MakeUpExams
Therearenoscheduledmakeupexams.Studentsareurgedtocontactinstructorifmajorillnessrequiresmissinganexam.Thegradeobtainableforanexamtakenafterthescheduledtestingdayis75%.Make-upexamsmaybemultiplechoice,fill-in,essay,orassessmentand/ornursingcareplans,oracombinationofalltheabove.Toreceiveagradeof“W”(withdrawal)fortheclass,thestudentmustofficiallydropthecourseinadmissionsbytheendofthe4thweekofthecourse.
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LEARNINGRESOURCES: ComputerLab NursingLearningLab SimulationLabLearningResourceCenter(MainLibrary) HospitalLibrariesKanopyonlinevideoseries-http://lahc.kanopystreaming.com/restricted?destination=frontpageMETHODSOFINSTRUCTION:Lecture,Discussion,Seminars Role-PlayingReadingAssignments HospitalClinicalExperience ClinicalPerformanceGuestSpeakersAudiovisualMaterial(DVD,YouTube)SimulationLaboratoryCaseStudiesCommunityExperienceGroupProject
STUDYTIME:Thiscoursehasfive(5)hoursoflectureperweekandatotalofeighty-one(81)clinichourspercourse.Foreachlecturehour,therearethree(3)studyhours,andforeachlabhourthereisone(1)studyhour.Totalstudytimeequalsapproximatelythirty-one(31)hoursperweek.Inaddition,thereisahighlyrecommendedweeklytutorial,Nursing318.Minimalanticipatedtimeforcompletionofeachweek'sassignmentwithclass/clinicaltimeandstudytimeisfifty-two(52)hoursperweek.METHODSOFEVALUATION:WeeklyUnitExaminationFinalSummativeExaminationAssignedWrittenPapersGroupPresentationClinicalPerformanceClinicalPaperworkCompliancewithCollege,NursingProgram,andCoursePoliciesProficiencylevelachievedinKaplanExam
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ClassEtiquetteAstudentenrollinginthenursingprogrammayrightfullyexpectthatthefacultyandadministratorswillmaintainanenvironmentinwhichthereisfreedomtolearn.Thisrequiresthattherebeappropriateconditionsandopportunitiesintheclassroom.
1. Notextingandcellphoneuseduringclasstime
2. Noelectronicdeviceswithtonesthatmaycauseclassdisruption
3. Nochildren,friends,orguestintheclassroom,stimulationlab,andclinicalsettings
4. Nofood/drinksintheclassroomatanytime(waterisokay)
5. Anyexcessivetalkingwillresultindismalofthestudentfromtheclass
6. Seatsmaybeassignedatthediscretionoftheinstructor
7. Notaping,recording,photographyorcomputerrecordingoftheclasswithoutpermission.
8. Pleasebringyourtextbooktoclass(forclassroomuse)asitwillbereferredtooften
9. Demonstrateprofessionalbehaviorsinclass,includingbutnotlimitedto:promptandtimely
arrivaltoclass,usingrespectfultone,language,attitude,Nofallingasleepinclass
10. Academicintegrityisexpectedbythecollegeandtheprofessorwillupholdtheseexpectations.
Anyviolationwillresultinzeropointsfortheexam/assignmentinquestionandapossible1-2days
suspensionfromtheclass.Beawarethatthismayresultinfailureofthecourse
11. Theprofessormaydismissstudent(s)fromtheclassiftheyarebeingdisruptiveinanyway
12. DONOTseekinformationaboutthiscoursefrominappropriatesources.Ifyouhaveaquestion
abouttheclass,asktheprofessororclinicalinstructorsofrecord
13. Duringtesting,nocaps,hats,orlargesweatshirtsaretobeworn.Nobeveragecontainersonthe
desks.Allbelongingsmustbeplacedinadesignedareaoftheclassroom
14. Thetestingpolicyisincludedinthesyllabusandwillbefollowedwithoutexception
15. Anytalkingaftertheinstructorhasannouncedthatthetesthasofficiallybegun,willresultin
“zero”pointsforthetest.
AdoptedbyDr.FrancesEason,EdD,MSN,CNE,ANEF
EastCarolinaUniversitySchoolofNursing
RefertoLAHCStudentHandbookasneeded
17
LEARNINGACTIVITIESANDRESOURCES
Audio-VisualLearningAssignment
Forthisassignment,youwillberequiredtowriteanacademicpaperusingtwoaudiovisualresourcesandtwoevidence-basedresearch-papers.Instructions:Selectadiagnosisofintereststudiedinthiscourse.Inadditiontoyourtextbook,readaboutthisdisorderfromavarietyofsources.Findtworesearchstudiestobeusedinthebodyofyourpaper.Findtwoaudio-visualfilmsrelatedtothispsychiatricconditiontoview.BOTHaudiovisualsneedtobedocumentarystylefilmsandbe30minutesorgreaterinlength.Youmaywatchtwofromthelistbelow,findthemonlineoronyourown.OnlineresourcesincludeKanopystreamingserviceprovidedbyLAHClibrary(http://lahc.kanopystreaming.com/restricted?destination=frontpage)andYouTubethathaveamultitudeofdocumentariesonoursubjectmatter.Finally,youwillneedaresourcefornursinginterventionsfortheselectedcondition.Writea6-10-pagepaper(excludingtitle,abstractandreferencepage)inAPAformatusingthefollowingcriteria:
• Abriefsynopsisoftheselectedaudiovisualfilmsorothermedia(nottoexceed1-1/2pagesforbothdocumentaries).
• Adiscussionofboththebiologic(neurotransmitters,genetics,etc.)andpsychologicaletiologies(psychoanalytical,behavioral,cognitive,social,humanistic,etc.).Supportdatawithreferences/studiesorreputablesourcesofinformation.
• Adescriptionofthepathophysiology(neurotransmitterchanges,signs/symptoms)and/ortheory(completedescriptionofthephenomenon).Forexample,inthecaseofintimatepartnerviolenceorsexualassault,theremaynotbeapathophysiology.Insuchacase,describethephenomenonandsubjectcompletely.Describehowapatientwiththisdisorderpresents(i.e.thinksandbehaves).
• Threetofiveprioritynursinginterventions.Describehowyouwouldusetheseclinicallyandtherationalefortheiruse.Thinkaboutwhatwouldbethemostimportantconsiderationsandprioritizetheseinorder.
• Adiscussionoftwo(2)evidence-basedresearchpapersthatpresentsthenewestresearchinthefield.Describethestudy,theresearchfindingsandtheimportanceoftheresearchorhowitwillbeused.
• Adiscussionofyourthoughtsorfeelingsinoneormoreparagraph(s)aboutwhatyouwatchedwritteninthefirstperson(i.e.,Ilearned…Ifelt…Icanusethisinformationto…etc.).Describehowyoucanusethisinformationinyourprofessionalcapacityandpersonallife.Thisistheonlysectionofthepaperthatshouldbewrittenfromasubjectiveviewinthefirstperson.
YouwillberequiredtosubmityourpaperInAPAformat.RecommendedresourcesforunderstandingandapplyingAPAstylecanbefoundhere:http://www.apastyle.org/learn/index.aspxhttps://owl.english.purdue.edu/owl/section/2/10/AkeychallengeforthisassignmentwillbethedevelopmentofyourskillatAPAstylereferencing.Akeyissueinreferencingisbeingsuretofindtheoriginaldatasourceforresearchfindings.Itisyourresponsibilitytofollowdatatotheprimary(original)sourceifatallpossible.Rememberthechapterauthorsofatextbookarenotresearchers.Thetextbookauthorsshouldnotbeusedtocitedata.Thesechapterauthorsgivealistofreferenceswhere
18
theyobtainedtheirdataattheendofeachchapter.Youshouldnotusetheseresourcesfromtheendofthebookchapterunlessyoumakeeveryefforttoaccesstheoriginalwork.Ifyoucannotaccesstheoriginalarticle,youcanthenfollowthe“citingindirectsourcesorsecondaryreferencing”format(https://owl.english.purdue.edu/owl/resource/560/3/).Youneedtohaveaclearunderstandingofthetermsecondaryreferenceorindirectsourceandmakeeveryefforttogototheprimarysourceinyourresearch.(See-http://apastyle.org/learn/faqs/cite-another-source.aspx?_ga=1.254548872.163937692.1468868352).Anothercommonerrorisforastudenttofinda“reviewarticle”whereanexpertreviewscurrentresearchinthefieldandcitesthereviewauthorastheresearcher.Insummary,youshouldnotciteyourtextbookchapterauthorsoranyauthorofareviewarticlefordatawithoutgoingtotheoriginalsource.Understandwhatyouareconsideringforinclusioninyourpaper.Askyourself,isthistheresearcharticleoramIreadingareviewbyanexpertofmanydifferentstudies?Actualresearcharticlesarerequiredforthispaper.Reviewsaregoodforincreasedunderstandingofyoursubjectbutnottobeusedasyourresearcharticles.Anothertypeofresearcharticleisameta-analysis,whichisallowedforuseasyourresearcharticle(s)andisconsideredthestrongestevidence-basedresearch.Additionally,askyourself,isthisaninformationalwebsite(suchasWebMD,WikipediaorMayoclinic)?Thesecitesaregoodforincreasedunderstandingbutnotforcitingresearch.Youarefreetoincludetheseinyourpapernottofulfilltherequirementfortworesearch-basedarticles.Lastly,youareexpectedtogooutsidethebooktoincreaseyourunderstandingofthechosencondition.Donotsimplysummarizewhatisinthebookbutaddtowhatyoufindinthetextbook.
Therewillbe40pointspossibleforthepaperwith10ofthepointsassignedtoAPAformatting.Youshouldlookatyourpaperaftercompletionandbesatisfiedthatyouhavedescribedtheconditionfully.Besuretoincludebothbiologicandpsychologicaltheoriesaswellassignsandsymptoms.Usereferencesappropriatelyandbeawaretheywillbechecked.Possiblesitestoincreaseyourknowledgebeyondthetextbook.ortofindresearchinclude:SAMSHA,NIMH,NIDA,NAMI,Medscape(Psychiatry&MentalHealthJournals),PsychCentral,AmericanPsychologicalAssociation.Forresearcharticles,somepossibilitiesincludebutarenotlimitedto:
LAHCLibrary-http://libguides.lahc.edu/library
PubMed-http://www.ncbi.nlm.nih.gov/pubmed
Evidence-BasedMentalHealth(openaccess)-http://ebmh.bmj.com/
Cochranecollaboration-http://www.cochrane.org/
Brain&BehaviorResearchFoundation-https://www.bbrfoundation.org/
NursingLearningLabAudiovisualList
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AVNumber Name
DVD18 RecognizingElderAbuse
DVD25 AnxietyDisorders:Medications
DVD26 Assessment,Intervention,Treatment:PsychotropicMedications
DVD27 Depression:Medications
DVD70 MultiplePersonality
DVD72 CounselingSurvivorsofViolence
DVD73 PsychologyofAddiction
DVD74 TheBiologicalMind:DeeplyDepressed
DVD75 GeneralizedAnxietyDisorder:Assessment&Management
DVD76 RootsofAddiction:Drug&BehavioralCompulsions
DVD77 THIN:DeathbyEatingDisorder
DVD78 FromtheBodyCage(BulimiaNervosa)
DVD79 BipolarDisorders
KanopystreamingservicesavailablethroughtheLAHClibrarycanbefoundbysearchingtheLAHClibrarydatabaseforKanopy–(mentalhealth)orfollowingthislink:
http://ezproxy.lahc.edu:2218/catalog/health/mental-health
(seenextpageforgradingrubric)
GRADINGRUBRICFORAVPAPER
20
Element PointsPossible
40
YourScore
Synopsis–clearbriefpresentationinanorganizedmanner
3
BiologicandPsychologicalTheory/PathophysiologyorDescriptionofthePhenomenon
10
Nursinginterventionswithrationale
4
Personalthoughtsandfeelings 3
Meaningfuldiscussionof2researchbasedarticles
10
APAStyleincludinggrammar 10
Total 40
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GroupProject/Presentation
Thepurposeofthisassignmentistoprovidestudentswithanopportunitytoactivelyparticipateintheirlearning,teachotherswhattheyhavelearned,andpracticetheartofpublicspeakinginasafeandsupportiveenvironment.
Objective(s):
• Tofamiliarizestudentswithetiology,pathophysiology,nursinginterventionsandtreatmentsforcommonpsychiatricdiagnoses
• Togainanunderstandingofdrugclassifications,commonsideeffectsversusadverse,rareand/ortoxicsideeffectsofpsychotropicmedications.
• Tohelpprepareforyourfinalexam• Assignment:Studentswillbedividedintogroups.Eachgroupwillbeprovidedwitha
psychiatricdiagnosistoresearchandpresentoneormoreofthefollowingkeyelements:
Etiology(biologicandpsychologicaltheories)
Pathophysiology(signsandsymptoms)
NursingInterventions
PsychotropicDrugInterventions
TreatmentOptions
PatientandFamilyTeaching
AdditionalResourcesforPatientandFamily(Long–Term)
Studentswillselectapresentationmethodfortheassigneddiagnosis:PowerPointPresentation,TeachingBrochure,Game,Song,Skit,HomeMadeMovie,SituationalRolePlay,orEducationalWorkshop.Studentsmayutilizeanysourceofinstructionalmediaasneededtoconveyrequiredinformationtoclass.Examplesmayinclude,butisnotlimitedtoInternetmedia,books,laptops,handouts,props,etc.Becreativeandhavefun!
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GRADINGRUBRICFORGROUPPROJECT/PRESENTATION
Content/Development
5Points
PointsEarned
_____/5
AdditionalComments:Chosenkeyelementsoftheassignment(oneormorefromthelistbelow)arecoveredina
substantiveway:• Presentedbothbiologicandpsychologicaletiologictheories
• Describedordemonstratedsignsandsymptomsofthedisorder
• Demonstratedknowledgecommonnursinginterventionsusedtotreatthedisorder
• Presentedpossibledrugclassificationsusedtotreattheconditionincludingcommonsideandadversesideeffects
• Definedthekeytreatmentrecommendationsforthedisorder
• Explainedkeypointsforpatientandfamilyteaching
• Providedadditionalresourcestoassistthepatientandfamilyinlongtermmanagementofthecondition
Mechanics/Presentation
5Points
PointsEarned
______/5
• Followedrulesofgrammar,usage,andpunctuation
• Nospellingerrorsnoted• Sentenceswerecomplete,clear,andconcise
• Presentationwasgivenin15-30minutes• Groupwaswellpreparedandorganizedforpresentation
• Groupcommunicatedthoroughlyandaccuratelyaboutassignedcondition
Total
10Points
PointsEarned
______/10
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Group Presentation Peer Evaluation
Name & Subject: _________________________ Date: ________________ Objectively evaluate the team’s performance on the following questions. Students attempt to rate without regard to positive or negative feelings that you may have for individual members. Part of professionalism is the ability to honestly rate self and others. Using the scale below, individually rate each member of your group, including yourself.
1= No Participation 2= Slight Participation 3= Moderate participation 4= Significant Participation 5= Outstanding Participation
Study Group Member
Preparedness
(Research, reading, and assignment complete)
Attendance
(On-time and stayed for duration)
Participation
(Contributed best academic ability)
Communication between meetings
(Initiates and responds appropriately)
Overall Contribution