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)233-4321loewywp@lahc.edu&DawnReid(310)233-4237reidd@lahc.edu

DistrictTitleIXOffice:OfficeforDiversity,Equity,andInclusion(213)891-2315TitleIX@email.laccd.edu

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

19

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