Placement : 1st Year
Course Description
This course is designed to assist students in developing expertise and indepth
understanding in the field of Psychiatric Nursing. It will help students
to appreciate the client as a holistic individual and develop skill to function
psychiatric nurse specialist . It will further enable the student to function
as educator, manager, and researcher in the field of Psychiatric nursing
At the end of the course the students will be able to:
1. Appreciate the trends and issues in the field of psychiatry and
psychiatric nursing.
2. Explain the dynamics of personality development and human
behaviour.
3. Describe the concepts of psychobiology in mental disorders and its
implications for psychiatric nursing
4. Demonstrate therapeutic communications skills in all interactions
5. Demonstrate the role of psychiatric nurse practitioner in various
therapeutic modalities
6. Establish and maintain therapeutic relationship with individual and
groups
7. Uses assertive techniques in personal and professional actions
8. Promotes self-esteem of clients, others and self
9. Apply the nursing process approach in caring for patients with mental
disorders
10. Describe the psychopharmacological agents, their effects and nurses
role
11. Recognize the role of psychiatric nurse practitioner and as a member
of the psychiatric and mental health team
12. Describe various types of alternative system of medicines used in
psychiatric settings
13. Incorporate evidence based nursing practice and identify the areas of
research in the field of psychiatric nursing
Course Content
Units Hours Content
I 15 Introduction
�� Mental Health and Mental Illness
�� Historical perspectives
�� Trends, issues and magnitude
�� Contemporary practices
�� Mental health laws/Acts
�� National mental health program -National mental health
authority, state mental health authority
�� Human rights of mentally ill
�� Mental Health/ Mental Illness Continuum
�� Classification of mental illnesses-ICD, DSM
�� Standards of Psychiatric nursing
�� Challenges and Scope of psychiatric nursing
�� Multi-disciplinary team and role of nurse
Role of psychiatric nurse- extended and expanded
II 10 Concepts of Psychobiology
�� The Nervous System:
• An Anatomical Review
• The Brain and limbic system
• Nerve Tissue
• Autonomic Nervous system
• Neurotransmitters
�� Neuroendocrinology
• Pituitary, Thyroid Gland
• Circadian Rhythms
�� Genetics
�� Neuro psychiatric disorders
�� Psychoimmunology
• Normal Immune response
• Implications for psychiatric Illness
�� Implications for Nursing
III 10 Theories of Personality
Development and relevance to
nursing practice
�� Psychoanalytic Theory- Freud’s
�� Interpersonal Theory-Sullivan’s
�� Theory of Psychosocial Development-Erikson’s
�� Theory of object relations
�� Cognitive Development Theory
�� Theory of Moral Development
�� A Nursing Model-Hildegard E.Peplau
IV 5 Stress and its management
�� An introduction to the concepts of stress
�� Psychological Adaptation to stress
�� Stress as a Biological Response.
�� Stress as an Environmental Event.
�� Stress as Transaction between the Individual and the
Environment.
�� Stress management.
V 10 Therapeutic communication and interpersonal relationship
�� Review communication process, factors affecting
communication
�� Communication with individuals and in groups
�� Techniques of therapeutic communication-touch therapy
�� Barrier of communication with specific reference to
psychopathology
�� Therapeutic attitudes
�� Dynamics of a therapeutic Nurse-client relationship;
Therapeutic use of self Gaining self-awareness
�� Therapeutic nurse-patient relationship its phases ; Conditions
essential to development of a therapeutic relationship
�� Therapeutic impasse and its management
VI 10 Assertive Training
�� Assertive Communication
�� Basic Human Rights
�� Response Patterns
• (Nonassertive Behavior
• Assertive Behavior
• Aggressive Behavior
• Passive-Aggressive Behavior)
�� Behavioral Components of Assertive Behavior
�� Techniques that Promote Assertive Behavior
�� Thought-Stopping Techniques Method
Role of The Nurse
VII 10 Promoting Self-Esteem
�� Components of Self-Concept
�� The Development of Self-Esteem
�� The Manifestations of Low-Self-Esteem
�� Boundaries
Role of The Nurse
5 Women and Mental Health
• Normal reaction to conception, pregnancy and puerperium
• Problems related to conception, pregnancy and puerperium
and its management.
• Counselling – Premarital, marital and genetic
Units Hours Content
VIII 10 The nursing process in
psychiatric/mental health nursing
�� Mental health assessment- History taking, mental status
examination
�� Physical and neurological examination
�� Psychometric assessment
�� Investigations, Diagnosis and Differential diagnosis
�� Interpretation of investigations
�� Nurse’s role
�� Nursing case management
• Critical pathways of care
�� Documentation
• Problem-oriented recording
• Focus charting
• The PIE method
IX 35 Psycho social and physical therapies
�� Individual therapy
�� Behavioural Therapy- Relaxation therapy, cognitive therapy,
positive- negative reinforcement, bio-feedback, guided imagery,
ab-reactive therapy
�� Group Therapy
�� Family Therapy
�� Milieu Therapy
�� The Therapeutic Community
�� Occupational therapy
�� Recreational therapy
�� Play therapy
�� Music therapy
�� Light therapy
�� Color therapy
�� Aroma therapy
XI 5 Electroconvulsive Therapy
�� Historical Perspectives
�� Indications
�� Contraindications
�� Mechanisms of Action
�� Side Effects
�� Risks Associated with Electroconvulsive Therapy
�� The Role of The Nurse in Electroconvulsive Therapy
X 10 Psychopharmacology
�� Historical Perspectives
�� Role of a Nurse in Psychopharmacological Therapy
• Antianxiety Agents
• Antidepressants Agents
• Mood stabilizers
• Antipsychotics
• Sedative-Hypnotics
• Central Nervous System Stimulants
�� Future developments
Units Hours Content
XII 15 Alternative systems of medicine in mental health
�� Types of Therapies
• Herbal Medicine
• Unani
• Siddha
• Homeopathic
• Acupressure and Acupuncture
• Diet and Nutrition
• Chiropractic Medicine
• Therapeutic Touch and Massage
• Yoga
• Pet Therapy
Practical
S.No. Area of Posting No. of Week Total Hours
1 Acute Psychiatric Ward 4 120 Hours
2 Chronic Psychiatric ward 4 120 Hours
3 Psychiatric Emergency Unit 2 60 Hours
4 O.P.D 2 60 Hours
5 Family Psychiatric Unit 2 60 Hours
6 Community Mental Health Unit 4 120 Hours
7 Rehabilitation / Occupational Therapy
Unit/Half way home/ Day care centre
4 120 Hours
Total 22 Weeks 660 Hours
Student Activities
• History taking
• Mental health assessment
• Psychometric assessment
• Personality assessment
• Process recording
• Therapies- Group Therapy
• Family Therapy
• Psychotherapy
• Milieu Therapy
• The Therapeutic Community
• Occupational therapy
• Recreational therapy
• Play therapy
• music therapy
• Pet therapy
• Counselling
• Assisted ECT
• Assisted EEG
• Case studies
• Case presentation
• Project work
• Socio and psycho drama
• Field visits
Hours of Instruction
Theory 150 hours
Practical 650 hours
Total : 800 hours
Course Description
This course is designed to assist students in developing expertise and indepth
understanding in the field of Psychiatric Nursing. It will help students
to appreciate the client as a holistic individual and develop skill to function
psychiatric nurse specialist . It will further enable the student to function
as educator, manager, and researcher in the field of Psychiatric nursing
Objectives
1. Appreciate the trends and issues in the field of psychiatry and
psychiatric nursing.
2. Explain the dynamics of personality development and human
behaviour.
3. Describe the concepts of psychobiology in mental disorders and its
implications for psychiatric nursing
4. Demonstrate therapeutic communications skills in all interactions
5. Demonstrate the role of psychiatric nurse practitioner in various
therapeutic modalities
6. Establish and maintain therapeutic relationship with individual and
groups
7. Uses assertive techniques in personal and professional actions
8. Promotes self-esteem of clients, others and self
9. Apply the nursing process approach in caring for patients with mental
disorders
10. Describe the psychopharmacological agents, their effects and nurses
role
11. Recognize the role of psychiatric nurse practitioner and as a member
of the psychiatric and mental health team
12. Describe various types of alternative system of medicines used in
psychiatric settings
13. Incorporate evidence based nursing practice and identify the areas of
research in the field of psychiatric nursing
Course Content
Units Hours Content
I 15 Introduction
�� Mental Health and Mental Illness
�� Historical perspectives
�� Trends, issues and magnitude
�� Contemporary practices
�� Mental health laws/Acts
�� National mental health program -National mental health
authority, state mental health authority
�� Human rights of mentally ill
�� Mental Health/ Mental Illness Continuum
�� Classification of mental illnesses-ICD, DSM
�� Standards of Psychiatric nursing
�� Challenges and Scope of psychiatric nursing
�� Multi-disciplinary team and role of nurse
Role of psychiatric nurse- extended and expanded
II 10 Concepts of Psychobiology
�� The Nervous System:
• An Anatomical Review
• The Brain and limbic system
• Nerve Tissue
• Autonomic Nervous system
• Neurotransmitters
�� Neuroendocrinology
• Pituitary, Thyroid Gland
• Circadian Rhythms
�� Genetics
�� Neuro psychiatric disorders
�� Psychoimmunology
• Normal Immune response
• Implications for psychiatric Illness
�� Implications for Nursing
III 10 Theories of Personality
Development and relevance to
nursing practice
�� Psychoanalytic Theory- Freud’s
�� Interpersonal Theory-Sullivan’s
�� Theory of Psychosocial Development-Erikson’s
�� Theory of object relations
�� Cognitive Development Theory
�� Theory of Moral Development
�� A Nursing Model-Hildegard E.Peplau
IV 5 Stress and its management
�� An introduction to the concepts of stress
�� Psychological Adaptation to stress
�� Stress as a Biological Response.
�� Stress as an Environmental Event.
�� Stress as Transaction between the Individual and the
Environment.
�� Stress management.
V 10 Therapeutic communication and interpersonal relationship
�� Review communication process, factors affecting
communication
�� Communication with individuals and in groups
�� Techniques of therapeutic communication-touch therapy
�� Barrier of communication with specific reference to
psychopathology
�� Therapeutic attitudes
�� Dynamics of a therapeutic Nurse-client relationship;
Therapeutic use of self Gaining self-awareness
�� Therapeutic nurse-patient relationship its phases ; Conditions
essential to development of a therapeutic relationship
�� Therapeutic impasse and its management
VI 10 Assertive Training
�� Assertive Communication
�� Basic Human Rights
�� Response Patterns
• (Nonassertive Behavior
• Assertive Behavior
• Aggressive Behavior
• Passive-Aggressive Behavior)
�� Behavioral Components of Assertive Behavior
�� Techniques that Promote Assertive Behavior
�� Thought-Stopping Techniques Method
Role of The Nurse
VII 10 Promoting Self-Esteem
�� Components of Self-Concept
�� The Development of Self-Esteem
�� The Manifestations of Low-Self-Esteem
�� Boundaries
Role of The Nurse
5 Women and Mental Health
• Normal reaction to conception, pregnancy and puerperium
• Problems related to conception, pregnancy and puerperium
and its management.
• Counselling – Premarital, marital and genetic
Units Hours Content
VIII 10 The nursing process in
psychiatric/mental health nursing
�� Mental health assessment- History taking, mental status
examination
�� Physical and neurological examination
�� Psychometric assessment
�� Investigations, Diagnosis and Differential diagnosis
�� Interpretation of investigations
�� Nurse’s role
�� Nursing case management
• Critical pathways of care
�� Documentation
• Problem-oriented recording
• Focus charting
• The PIE method
IX 35 Psycho social and physical therapies
�� Individual therapy
�� Behavioural Therapy- Relaxation therapy, cognitive therapy,
positive- negative reinforcement, bio-feedback, guided imagery,
ab-reactive therapy
�� Group Therapy
�� Family Therapy
�� Milieu Therapy
�� The Therapeutic Community
�� Occupational therapy
�� Recreational therapy
�� Play therapy
�� Music therapy
�� Light therapy
�� Color therapy
�� Aroma therapy
XI 5 Electroconvulsive Therapy
�� Historical Perspectives
�� Indications
�� Contraindications
�� Mechanisms of Action
�� Side Effects
�� Risks Associated with Electroconvulsive Therapy
�� The Role of The Nurse in Electroconvulsive Therapy
X 10 Psychopharmacology
�� Historical Perspectives
�� Role of a Nurse in Psychopharmacological Therapy
• Antianxiety Agents
• Antidepressants Agents
• Mood stabilizers
• Antipsychotics
• Sedative-Hypnotics
• Central Nervous System Stimulants
�� Future developments
Units Hours Content
XII 15 Alternative systems of medicine in mental health
�� Types of Therapies
• Herbal Medicine
• Unani
• Siddha
• Homeopathic
• Acupressure and Acupuncture
• Diet and Nutrition
• Chiropractic Medicine
• Therapeutic Touch and Massage
• Yoga
• Pet Therapy
Practical
Total = 660 Hours
1 Week = 30 Hours
S.No. Area of Posting No. of Week Total Hours
1 Acute Psychiatric Ward 4 120 Hours
2 Chronic Psychiatric ward 4 120 Hours
3 Psychiatric Emergency Unit 2 60 Hours
4 O.P.D 2 60 Hours
5 Family Psychiatric Unit 2 60 Hours
6 Community Mental Health Unit 4 120 Hours
7 Rehabilitation / Occupational Therapy
Unit/Half way home/ Day care centre
4 120 Hours
Total 22 Weeks 660 Hours
Student Activities
• History taking
• Mental health assessment
• Psychometric assessment
• Personality assessment
• Process recording
• Therapies- Group Therapy
• Family Therapy
• Psychotherapy
• Milieu Therapy
• The Therapeutic Community
• Occupational therapy
• Recreational therapy
• Play therapy
• music therapy
• Pet therapy
• Counselling
• Assisted ECT
• Assisted EEG
• Case studies
• Case presentation
• Project work
• Socio and psycho drama
• Field visits
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