Mental Health Nursing-II Book B.Sc Nursing Sixth Semester

Unit

Contents

Hrs

I

Nursing Management of Patients with Substance Use Disorders

· Prevalence and incidence

· Commonly used psychotropic substance: classifications, forms, routes, action, intoxication and withdrawal

· Psychodynamics/etiology of substance use disorder (Terminologies: Substance Use, Abuse, Tolerance, Dependence, Withdrawal)

· Diagnostic criteria/formulations

· Nursing Assessment: History (substance history), Physical, mental assessment and drug and drug assay

· Treatment (detoxification, antabuse and narcotic antagonist therapy and harm reduction, Brief interventions, MET, refusal skills, maintenance therapy) and nursing management of patients with substance use disorders

· Special considerations for vulnerable population

· Follow-up and home care and rehabilitation

6

II

Nursing Management of Patient with Personality and Sexual Disorders

· Prevalence and incidence

· Classification of disorders

· Etiology, psychopathology, characteristics, diagnosis

· Nursing Assessment: History, Physical and mental health assessment

· Treatment modalities and nursing management of patients with personality, and sexual disorders

· Geriatric considerations

· Follow-up and home care and rehabilitation

6

III

Nursing Management of Behavioural & Emotional Disorders occurring during Childhood and Adolescence (Intellectual disability, Autism, Attention deficit, hyperactive disorder, Eating disorders, Learning disorder)

· Prevalence and incidence

· Classifications

· Etiology, psychodynamics, Characteristics, diagnostic criteria/formulations

· Nursing Assessment: History, Physical, mental status examination and IQ assessment

· Treatment modalities and nursing management of childhood disorders including intellectual disability

· Follow-up and home care and rehabilitation

8

IV

Nursing Management of Organic Brain Disorders (Delirium, Dementia, Amnestic Disorders)

· Prevalence and incidence

· Classification

· Etiology, psychopathology, clinical features, diagnosis and Differential diagnosis

· Nursing Assessment: History, Physical, mental and neurological assessment

· Treatment modalities and nursing management of organic brain disorders

· Follow-up and home care and Rehabilitation

5

V

Psychiatric Emergencies and Crisis Intervention

· Types of psychiatric emergencies (attempted suicide, violence/ aggression, stupor, delirium tremens and other psychiatric emergencies) and their managements

· Maladaptive behaviour of individual and groups, stress, crisis and disaster(s)

· Types of crisis

· Crisis intervention: Principles, Techniques and Process

- Stress reduction interventions as per stress adaptation model

- Coping enhancement

- Techniques of counseling

6

VI

Legal Issues in Mental Health Nursing

· Overview of Indian Lunacy Act and The Mental Health Act, 1987

· (Protection of Children from Sexual Offence) POSCO Act

· Mental Health Care Act (MHCA), 2017

· Rights of mentally ill clients

· Forensic psychiatry and nursing

· Acts related to narcotic and psychotropic substances and illegal drug trafficking

· Admission and discharge procedures as per MHCA, 2017

· Role and responsibilities of nurses

4

VII

Community Mental Health Nursing

· Development of Community Mental Health Services:

· National mental health policy viz. National Health Policy

· National Mental Health Program

· Institutionalization versus Deinstitutionalization

· Model of Preventive psychiatry

· Mental Health Services available at the primary, secondary, tertiary levels including rehabilitation and nurses‘ responsibilities

· 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.

5