Mental Health Nursing

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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
• factors affecting the level of nursing practice
• Concepts of normal and abnormal behavior.

Principles and Concepts of Mental Health Nursing

• Definition : mental health nursing and terminology used
• Classification of mental disorders: ICD.
• Review of personality development,
• Defense mechanisms.
• Manipulative behavior of individuals and groups:
• stress, crises and disaster(s).
• 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-analytical models.
• Behavioral; models.
• Interpersonal model.

Assessment of mental health status.History taking.

• Mental status examination.
• Mini mental status examination.
• Neurological examination: Review.
• Investigations: Related Blood chemistry, EEG, CT & MRI.
• Psychological tests Role and responsibilities of nurse
• Therapeutic communication and nurse-patient relationshipTherapeutic communication: types, techniques, characteristics
• Types of relationship,
• Ethics and responsibilities
• Elements of nurse patient contract
• Review of technique of IPR- Johari Window
• Goals, phases, tasks, therapeutic techniques
• Therapeutic impasse and its intervention

Treatment modalities and therapies used in mental disorders

• Psycho Pharmacology
• Psychological therapies 
• Therapeutic community/ Milieu Therapy
• psychotherapy 
• Individual
• Psychoanalytical,
• cognitive & supportive,
• family,
• Group,
• Behavioral
• Play
• Psychodrama,
• Music,
• Dance
• Recreational
• Light therapy,
• Relaxation therapies
• Yoga,
• Meditation,
• Bio feedback
• Alternative systems of medicine
• Psycho social rehabilitation process
• Occupational therapy
• Physical Therapy: electro-convulsive therapy
• Geriatric considerations
• Role of nurse in above therapies

Nursing management of patient with Schizophrenia, and other psychotic disorders

Nursing management of patient with mood disorders

• Bipolar affective disorder,
• Mania
• depression and
• Dysthamia

Nursing management of patient with neurotic, stress related and somatization disorders

• Anxiety disorder,
• Phobias
• Dissociation
• Conversion disorder
• Obsessive compulsive disorder,
• Somatoform disorders
• Post traumatic stress disorder

Nursing management of patient with substance use disorders

• Terminology 
• Dependence
• Intoxication
• Withdrawal
• Tolerance
• Detoxification
• Abuse
• Alcohol Dependence Syndrome
• Cocaine Abuse
• Cannabis Abuse
• LSD Abuse

Nursing management of patient with Personality, Sexual and Eating disorders

• Personality Disorders
• Sexual Disorders
• Eating Disorders
• Anorexia Nervosa
• Bulimia Nervosa
• PICA Eating

Nursing management of childhood and adolescent disorders including mental deficiency

Nursing management of organic brain disorders

• Dementia
• Parkinson
• Alzheimer's dementia
• Delirium

Psychiatric emergencies and crisis intervention

• Psychiatric emergencies and their management
• Stress adaptation Model
• Coping Mechanism
• Grief - Theories of grieving process
• Principles, techniques of counseling
• Crisis & Intervention
• Geriatric considerations
• Role and responsibilities of nurse

Legal issues in Mental Health Nursing

• The Mental Health Act 1987
• Indian lunacy Act. 1912
• Rights of mentally ill client
• Forensic psychiatry
• Acts related to narcotic and psychotropic substances and illegal drug trafficking
• Admission and discharge procedures
• Role and responsibilities of nurse

Community Mental Health Nursing

• Development of Community Mental Health Services
• National Mental Health Programme
• Institutionalization Versus De-institutionalization
• Levels of Prevention
• Mental Health Services available at the primary, secondary, tertiary levels including rehabilitation and Role of 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.

Insomnia
Conflict Resolution Approaches