Essentials of Mental Health Nursing

1. Introduction ..................................................................................................................... 1-21
2. Principles and Concepts of Mental Health Nursing ............................................................. 22-52
3. Assessment of Mental Health Status................................................................................. 53-68
4. Therapeutic Communication and Nurse Patient Relationship ............................................... 69-85
5. Treatment Modalities and Therapies used in Mental Disorders ........................................... 86-155
6. Nursing Management of Patient with Schizophrenia and other Psychotic Disorders ............ 156-180
7. Nursing management of Patient with Mood Disorders ..................................................... 181-202
8. Nursing Management of Patient with Neurotic, Stress related and Somatization Disorders.......203-238
9. Nursing Management of Patient with Substance use Disorders ......................................... 239-251
10. Nursing Management of Patient with Personality, Sexual and Eating Disorders .................. 252-267
11. Nursing Management of Childhood and Adolescents Disorders
Including Mental Retardation ....................................................................................... 268-303
12. Nursing Management of Organic Brain Disorders ........................................................... 304-315
13. Psychiatric Emergencies and Crisis Intervention .............................................................. 316-338
14. Legal Issues in Mental Health Nursing ........................................................................... 339-349
15. Community Mental Health Nursing ............................................................................... 350-364
UNIT I- Introduction
 Perspectives of Mental Health and Mental Health Nursing: Evolution of Mental Health Services, Treatments and
Nursing Practices
 Prevalence and Incidence of Mental Health Problems and Disorders
 Mental Health Act
 National Mental Health Policy vis a vis National Health Policy
 National Mental Health programme
 Mental Health Team
 Nature and Scope of Mental Health Nursing
 Role and Functions of Mental Health Nurse in various settings and factors affecting the level of nursing practice
 Concepts of normal and abnormal behaviors
UNIT II - Principles and Concepts of Mental Health Nursing
 Definitions: Mental Health Nursing and Terminology used
 Classification of mental Disorders: ICD
 Review of Personality development, Defense mechanisms
 Maladaptive behavior of individuals and groups: Stress, Crisis and Disaster
 Etiology: Bio-Psycho-Social factors
 Psychopathology of Mental Disorders: Review of structure and function of brain, Limbic system and Abnormal
neuro-transmission
 Principles of Mental Health Nursing
 Standards of Mental Health Nursing Practice
 Conceptual models and the role of Nurse
– Existential Model
– Psycho-analytic Models
– Behavioral Model
– Interpersonal Model
UNIT III- Assessment of Mental Health Status
 History taking
 Mental Status Examination
 Mini Mental Status Examination
 Neurological Examination: review
 Investigation: Related Blood Chemistry, EEG, CT and MRI
 Psychological Tests
 Roles and Responsibility of Nurse
INC Syllabus
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Community Mental Health Nursing
UNIT IV- Therapeutic Communication and Nurse Patient Relationship
 Therapeutic Communication: Types, Techniques, Characteristics
 Type of relationships
 Ethics and Responsibility
 Element of Nurse-Patient contract
 Review of techniques of IPR-Johari window
 Goals, phases, task, therapeutic techniques
 Therapeutic impasses and its interventions
UNIT V- Treatment Modalities and Therapies used in Mental Disorders
 Psychopharmacology
 Psychological therapies
– Therapeutic Community
– Psychotherapy-Individual:
- Psycho-analytical
- Cognitive and Supportive
- Family
- Group
- Behavioral
- Play
- Psychodrama
- Music, Dance, Recreational and Light Therapy
- Relaxation Therapies: Yoga, Meditation, Biofeedback
 Alternative system of Medicine
 Occupational therapy
 Physical therapy: Electroconvulsive therapy
 Geriatric Consideration
UNIT- VI- Nursing Management of Patient with Schizophrenia and Other Psychotic Disorders
 Classification: ICD
 Etiology, psycho-pathology, types, clinical manifestations, diagnosis
 Nursing assessment- History, Physical and Mental assessment
 Treatment modalities and nursing management of patients with Schizophrenia and other psychotic disorders
 Geriatric consideration
 Follow-up and home care and rehabilitation
UNIT- VII Nursing Management of Patient with Mood Disorders
 Mood disorders: Bipolar affective disorder, Mania, depression and Dysthymia etc
 Etiology, psycho-pathology, clinical manifestations, diagnosis
 Nursing assessment- History, Physical and Mental assessment
 Treatment modalities and nursing management of patients with Mood disorders
 Geriatric consideration
 Follow-up and home care and rehabilitatio
INC Syllabus
Community Mental Health Nursing
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UNIT- VIII Nursing Management of Patient with Neurotic, Stress Related and Somatization Disorders
 Anxiety disorders, Phobias, Dissociation and conversion disorder, OCD, Somatoform disorders, PTSD
 Etiology, Psycho-pathology, clinical manifestations, diagnosis
 Nursing assessment- History, Physical and Mental assessment
 Treatment modalities and nursing management of patients with Neurotic, Stress related and Somatization
disorders
 Geriatric consideration
 Follow-up and home care and rehabilitation
UNIT IX- Nursing Management of Patient with Substance use Disorders
 Commonly used psychotropic substance: Classification, forms, routes, action, intoxication and withdrawal
 Etiology of Dependence: Tolerance, Psychological and Physical dependence, Withdrawal syndrome, Diagnosis
 Nursing Assessment: History, Physical, Mental assessment and Drug assay
 Treatment (Detoxification, Antabuse and Narcotic antagonist therapy and Harm reduction) nursing management
of patients with substance use disorders
 Geriatric considerations
 Follow-ups and Home care and Rehabilitation
UNIT X- Nursing Management of Patient with Personality, Sexual and Eating Disorders
 Classification of Disorders
 Etiology, psycho-pathology, characteristics, diagnosis
 Nursing assessment- History, Physical and Mental assessment
 Treatment modalities and nursing management of patients with Personality, Sexual and Eating disorders
 Geriatric consideration
 Follow-up and home care and rehabilitation
UNIT XI- Nursing Management of Childhood and Adolescents Disorders Including Mental Retardation
 Classification
 Etiology, psycho-pathology, characteristics, diagnosis
 Nursing assessment- History, Physical, Mental and IQ assessment
 Treatment modalities and nursing management of Childhood disorders including Mental deficiency
 Follow-up and home care and rehabilitation
UNIT XII- Nursing Management of Organic Brain Disorders
 Classification: ICD
 Etiology, psycho-pathology, clinical manifestations, diagnosis and Differential diagnosis (Parkinson’s and
Alzheimer’s)
 Nursing assessment- History, Physical, Mental and Neurological assessment
 Treatment modalities and nursing management of Organic brain disorders
 Geriatric consideration
 Follow-up and home care and rehabilitation
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UNIT XIII- Psychiatric Emergencies and Crisis Intervention
 Types of Psychiatric Emergencies and their management
 Stress Adaptation Model: Stress and Stressor, Coping resources and mechanisms
 Grief: Theories of Grieving Process, Principles, Techniques of counseling
 Types of Crisis
 Crisis intervention: Principles, Techniques and Process
 Geriatric considerations
 Roles and responsibilities of a nurse
UNIT XIV- Legal Issues in Mental Health Nursing
 The Mental Health Act 1987: Act, Sections, Articles and their Implication etc
 Indian Lunacy Act 1912
 Rights of Mentally Ill Clients
 Forensic Psychiatry
 Acts related to Narcotic and Psychotropic Substances and Illegal Drug Trafficking
 Admission and Discharge procedures
 Roles and Responsibility of Nurse
UNIT XV- Community Mental Health Nursing
 Development of community mental health Services
 National mental health program
 Institutionalization versus deinstitutionalization
 Models of preventive psychiatry: Levels of prevention
 Mental health services available at the primary, secondary, tertiary levels including rehabilitation and role of a
nurse
 Mental health agencies: Government and Voluntary, National and International
 Mental health nursing issues for special populations: children, adolescence, women, elderly, victims of violence
and abuse, handicapped, HIV/AIDS etc