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Microsoft word - week 1 class outline.doc

Psychiatric
CLASS OUTLINE -- WEEK ONE
Discussion/Lecture: Review of Important Concepts from Chapters 5, 9, 10, 11. Please follow your Lecture Outlines in the “Lecture Notes” in the Syllabus. Ch. 4: Psych MH Care in Acute Care Settings Ch. 8: Nursing Process and Standards of Care
Ch. 9: Therapeutic Relationships
Ch. 10: Communication and the Clinical Interview
Note: Read each chapter and fill out your “Lecture Notes Outline” for each
chapter BEFORE CLASS.
Break (approximate time) Best to bring your lunch if in Kirsch Bldg.
Course Overview: Objectives/Greensheet/Required Readings/Registration
• Accountability Statement (in syllabus, need to review quarterly) • Assignment for the Case Study Presentation: Follow the nursing process in presenting your case. Be sure to Include a critical thinking aspect of the case. • Course Objectives (Theory/Concepts follow the Nursing Process)
Legal Issues: Trust, boundaries, confidentiality. Psychosocial Assessment • Orem Self-Care Requisites (review pages in the workbook) • Mental status (handouts in workbook. Video – Is recommended. Title is
“Mental Status Exam”(In Marge’s lab and a Videoguide is in your
Workbook)

• Other recommended/required videos are in Marge’s lab. Homework: Due by Friday Week 2 or as otherwise stated: All work can be completed
early for those who would like a “head start”

Required Video: (by Friday of Week 2) “I’m Still Here”.
• Student Success Questionnaire NOTE: best time to meet me is after class.
• Know Thyself Exercise – located in the Workbook • “Silence” Exercise – Be sure to read the text and reflect what you learn there. • Read “Mental Health Patient’s Rights” booklet (get a copy in clinical).
• Read the Accountability Statement in your Theory Syllabus • Read the (clinical) Greensheet thoroughly and turn in your own
understanding of need to report "out of the ordinary" or "untoward"
events to your clinical instructor by next Tuesday.
• Read laws related to 72 hour "holds", hearings and "certs" in Wk 1 of the Workbook. In Psych. areas keep this in clinical for reference (may also be on exams). • Read "Saying Goodbye to Clients" in the workbook (will be on Exam I). • Review/study the “Mental Status Exam” handout in the Workbook. Please make sure you review how to assess abstract thinking (vs. concrete thinking).
Assignments / Notes / Announcements

1. Weekly Class Schedule: The class outline is a only a rough guide of how the class period will be
used. Student preferences and student input are welcome. There will be required chapters that
will not
be “covered” at all or may receive very little attention (unless of course, there are
questions from the class).
This does not mean that the material is unimportant! It is the student’s
responsibility to read and study the
required readings and to ask for clarification of any
material not understood
(either during theory, in clinical, or during office hours or by special
appointment).

2. NO FOOD OR BEVERAGES IN CLASSROOMS: College and Bio-Health Division strict
orders are that we are not allowed to eat or drink (except for water) in the classroom.

3. Clinical Evaluation Tools: Keep these on your clipboard during clinical and write in the comment
section weekly describing in a few notes what you have done to meet the clinical objectives in each
category. You will be asked to report on your progress by your clinical instructor

5. Support Groups and 12 Step (AA) Meetings: NO MORE THAN TWO STUDENTS AT A TIME
SHOULD ATTEND THESE GROUPS. THERE ARE PLENTY OF GROUPS TO GO AROUND!
STUDENTS SHOULD NOT SIT NEXT TO EACH OTHER IN THE GROUP AND THEY
SHOULD BE RESPECTFUL OF OTHER ATTENDEES AND NOT DISRUPT AND SHOULD
NOT LEAVE GROUPS EARLY. DO NOT TAKE NOTES OR TALK TO EACH OTHER
DURING THE GROUP. Remember that we are all human beings, each with strengths and
weaknesses and there really is no “them and us” (e.g. “those” or” these” people who use drugs).
Think of yourself as being a part of the group you attend and relate to it in some way, rather than
just as an objective observer.

6. Suggested study for the Week 2 class on Schizophrenia: There are three videos in the nsg skills
lab that outline in logical order the signs and symptoms of this disease process including factors that cause the disease. Videoguides are in your Workbook for your use as optional study-guides.
7. Guidelines for Case Study Group Presentations: Turn in a typed outline of your presentation on
the day of your presentation. Please have handouts of the case study for the whole class. Involve the
class and generate some discussion as part of your presentation by presenting a well thought out
critical thinking question. Your plan is up to your own creativity. You may use role-play, skits,
panels, etc. You may use video clips or other visual/auditory media or props. However please do not
use games or bring candy/food for “prizes”. The basic theory chapters should be read by everyone in
the class, prior to class. Rebecca will review the theory for each topic. The Nursing Application is
done by the student group. Timing is approximate, but Case Studies should be about 30 to 45
minutes and include your Case Study, Assess., Nsg.Dx, Goals, Interventions, Nurse's subjective
response, Evaluation/Discussion and a critical thinking component/. For Case Studies, use a case
from clinical class, the textbook, design your own original case—either from your own clinical
experience or make it a composite of cases. Use the case studies in the text as guidelines of what to
present. Please be patient and flexible if we need to postpone yours (rare) until a subsequent class or
do it earlier. It is hard to tell how long everything will take. Also in the event of professional class
speakers, holidays, etc. that could cause us to adjust a bit. Case Study Presentations on real
patients are confidential; avoid using info of a specific nature that could identify a specific
patient within our class only to maintain confidentiality.


8. HAVE YOU CHECKED OUT THE EVOLVE TEXT WEBSITE YET? It has some study
questions for exams and other study aids. Many students report the site is helpful, esp. for HESI. 9. Word to the Wise: Keep up with your reading and read ahead as much as possible. Some chapters
are very “heavy” (e.g. Chemical Dependency, Psychobiology) and you may need to take more time
than usual to study these chapters. Be prepared for class and the lectures and presentations will be
more worthwhile and make reviewing for exams much easier. Psychiatric nursing requires reading
and thinking about the material, in addition to memorizing terminology and facts. Be sure to learn
nursing implications for meds you are responsible for learning as these will be on exams.

10. Use your Class Workbook: It has a few self-study exercises. and suggestions for study.
.
11. Videos in Marge’s Lab: There are many good videos in the lab that are relevant to this course
including some brand new ones. See the Psychiatric Nursing shelf in the lab and ask Marge for assistance. Videos will count toward class points. 12. Reaction/Response Papers/Other: Required one page response papers are due on these topics:
Mental Health Care/Attitudes (due Week 2) this is a “free form” response on anything you would
like to share about your own cultural background or your own personal experience related to mental
health/illness; Suicide (due Week 3) a response question is located in the Workbook; Complete the
Nursing Management of Alcohol Withdrawal—A Self Learning Module located in your Workbook
(due Week 4); and Family Violence (due Week 5) a response question is located in your Workbook.
Please type all of the response papers and do a spell check.
These are for part of the 50 class points.

IMPORTANT STUDY ALERT AND MEDICATION INFORMATION:
“Know” these medications and study them for the exams: (“Knowing” means that for each
medication, know the drug category, indications, drug action, main side effects, toxic effects,
patient teaching information, other nursing implications including e.g. blood levels and
maintenance doses for Lithium). You do not need to memorize the dosages of the medications.
A
medication not on this list could appear on an exam, but if you study and
learn these you will most likely learn all that will be on the exams. Take
advantage of your opportunity to improve your exam scores by learning this
drug-related information.

Exam I: (TBA most likely will be Week 2 on first week’s readings.))
Thorazine, Haldol, Zyprexa, Seroquel, Artane, Benadryl, Welbutrin, Prozac, Nardil
Exam II: (Date is Friday of Week 4)
Welbutrin, Prozac, Effexor, Luvox, Nardil
Exam III: HESI Comprehensive EXAM (Date is Friday of Week 6 and TBA week for the second
half of the qtr)
Lithium, Depakote, Haldol, Thorazine, Risperdal, Ativan, Valium, Librium, Klonopin, BuSpar,
Inderal, Anafranil, Buprenex
Know the medical treatment of alcohol withdrawal syndrome using benzodiazepines.

Source: http://www.deanza.fhda.edu/faculty/sherwood/Class-Outlines/Week%201%20Class%20Outline.pdf

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