FAR EASTERN UNIVERSITY

Institute of Nursing
NCM 105
MALADAPTIVE PATTERNS OF BEHAVIOR
Part 1
COURSE OUTLINE
Course Description:
This course is designed to focus on health and illness across the lifespan of
clients, population groups with acute and chronic psychosocial difficulties and
psychiatric illnesses.
Course Objective:
At the end of the 36 hours discussion, the student will be able to apply the
nursing process in caring for clients with maladaptive patterns of behavior.
I.

II.

Overview of Psychiatric Nursing

A. Definition of Terms
1. Mental Health
2. Mental Illness / Mental Disorders
B. Components of Mentally Health
C. Evolution of Mental Health Psychiatric Nursing Practice
D. The Mental Health Nurse
1. Roles
2. Essential Qualities
E. The Mental health illness continuum
Mental health psychiatric nursing practice
A. Personality Theories and determinants of psychopathology:
Implications to mental health psychiatric nursing practice.
1. Neurobiological Theories
2. Developmental Theories
a. Sigmund Freud
b. Erik Erikson (19021994):
c. Jean Piaget (18961980)
3. Interpersonal Theories
a. Harry Stack Sullivan (18921949):
b. Hildegard Peplau (19091999):
4. Humanistic Theories
a. Abraham Maslow (19211970);
b. Carl Rogers (19021987)
5. Behavioral Theories
a. Ivan Pavlov (18491936)
b. B. F. Skinner (19041990)
6. Existential Theories
a. Viktor Frankl
b. Frederick Fritz Perls
c. William Glasser

B. General Assessment Considerations

1. Principles and Techniques of Psychiatric Nursing Interview
2. Psychosocial Assessment
3. Mental Status Examination
C. Building Nurse Client Relationship
1. Nurse client interaction VS nurse-client relationship
2. Therapeutic Use of Self
3. Therapeutic Communication
a. Characteristics
b. Techniques
4. Therapeutic nurse- client relationship
a. Phases
b. Goals
c. Roles of a Nurse
D. Documentation in Psychiatric Nursing Practice
1. Problem-oriented recording
SOAP
2. Narrative recording
3. Process Recording
E. Therapeutic modalities, psychosocial skills and nursing strategies
1. Biophysical / somatic interventions
a. Electroconvulsive and other somatic therapies
b. Psychopharmacology
2. Supportive Psychotherapy
a. Nurse-patient relationship therapy
b. Group Therapy
c. Family Therapy
3. Counseling
4. Mental health teaching / client education
5. Self-enhancement growth / therapeutic groups
6. Assertiveness training
7. Stress management
8. Behavior modification
9. Cognitive restructuring
10.Milieu therapy
11.Play therapy
12.Psychosocial support interventions
13.Psycho spiritual interventions
14.Alternative medicine / therapies
F. Concept of Anxiety
1. Defining Characteristics of Anxiety
2. Levels of Anxiety
3. Manifestations of Levels of Anxiety
a. Physiologic

b. Psychologic
4. Ego Defense Mechanisms
a. Four levels of Defense
G. Crisis
1. Types of Crisis
2. Phases of Crisis Development
3. Characteristics of Crisis
4. Crisis Intervention
References:
1. Videbeck, Sheila L., Psychiatric Mental Health Nursing, 5th Edition Copyright 2010 by Lippincott
Williams & Wilkins
2. Keltner, Norman et al, Psychiatric Nursing, 6th edition, Copyright 2011 by Mosby Elsevier
3. Shives, Louise R., Basic Concepts of Psychiatric - Mental Health Nursing, 8th edition, Copyright 2011 by
Lippincott Williams & Wilkins
4. Boyd, Mary Ann., Psychiatric Nursing: Contemporary Practice, 5th Edition Copyright 2011 by Lippincott
Williams & Wilkins
5. Townsend, Mary C., Psychiatric Mental Health Nursing: Concepts of Care in Evidence Based Practice ,
7th Edition Copyright 2011 by Lippincott

FAR EASTERN UNIVERSITY

Institute of Nursing
NCM 105
MALADAPTIVE PATTERNS OF BEHAVIOR

Part 2
COURSE OUTLINE
Course Description:
This course is designed to focus on health and illness across the lifespan of
clients, population groups with acute and chronic psychosocial difficulties and
psychiatric illnesses.
Course Objective:
At the end of the 36 hours discussion, the student will be able to apply the
nursing process in caring for clients with maladaptive patterns of behavior.
I.

Care of clients with maladaptive patterns of behavior across the lifespan

(childhood, adolescent, adulthood)
A. The Nursing Process application to Psychiatric Nursing Practice
1. Assessing human response to the different maladaptive patterns
of behavior
a.
Self- awareness and use of self
b.
Bio-Psycho-Social and Behavioral Data
2. Nursing Diagnosis and Outcome Identification
3. Planning and Implementing nursing intervention
a. Biological
b. Psychosocial
4. Evaluation and treatment Outcomes
B.

Maladaptive Patterns of Behavior

1. Age related Maladaptive Patterns Disorders Across the Lifespan
2. Anxiety-Related Disorders
a.
Anxiety Disorders across the lifespan
Panic Disorders
Phobias
Post-traumatic Stress Disorders
Acute Stress Disorders
Obsessive-compulsive Disorders
Generalized Anxiety Disorders
b.
Somatoform Disorders
Somatization Disorders
Conversion Disorders
Hypochondriasis
Pain Disorder
Body Dysmorphic Disorders
c.
Dissociative Disorders
Depersonalization
Pychogenic Amnesia
Dissociative Identity Disorder / Multiple Personality
Disorders
3. Psychophysiologic Response and Sleep
4. Personality Disorders

a. Childhood Personality Disorders

Conduct Disorders
Oppositional Defiant Disorders
b. Odd /Eccentric Behaviors
Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder
c. Dramatic. Emotional, Erratic Behaviors
Antisocial Personality Disorder
Borderline Personality Disorder
Narcissistic Personality Disorder
Histrionic Personality Disorder
d. Anxious, Fearful Behaviors
Obsessive Compulsive Personality Disorder
Dependent Personality Disorder
Avoidant Personality Disorder
e. Passive Aggressive Behaviors
5. Substance-related Disorders: substance abuse, dependence,
intoxication, withdrawal and polysubstance dependence
a. Central Nervous System Depressants
Alcohol
Sedative-hypnotics and Anxiolytics
Opoids
b. Central Nervous System Stimulants
Caffeine
Nicotine
Amphetamine and Cocaine
c. Hallucinogens
d. Cannabis
e. Inhalants
f. Nursing Issues
6. Mood Disorders
a. Reactive attachment Disorder
b. Bipolar I Disorder
c. Bipolar II Disorder
d. Cyclothymic Disorder
e. Dysthymic Disorder
f. Major Depressive Disorder
g. Clients at risk for suicidal and self-destructive behavior
7. Schizophrenia and other Psychoses
a.
Schizophrenia
Catatonic Type
Paranoid Type
Undifferentiated Type
Disorganized Type
Residual Type
b.
Other Psychotic Disorders

8. Cognitive

Schizophreniform Disorders
Schizoaffective Disorder
Delusional Disorder
Brief Psychotic Disorder
Shared Psychotic Disorder
Disorders

a. Fatal alcohol Syndrome

b. Mental Retardation
c. Attention deficit hyperactivity disorder
d. Autism
e. Delirium
f. Dementia
g. Alzheimers Disease
h. Diffuse Lewy Body Disease
i. Korsakoffs Disease
j. Huntingston;s Disease
k. Picks Disease
l. Vascular and Multi-Infarct Dementia
9. Eating Disorders
a. Pica
b. Rumination
c. Feeding Disorders
d. Anorexia Nervosa
e. Bulimia Nervosa
10.Psychosexual Disorders
a. Gender Identity Disorder
b. Sexual Dysfunctions
c. Paraphilias
11.Abuse and Violence
a. Victims of Violent Behavior
Child
Spouse
elderly
b. Torture and ritual abuse
c. Rape and sexual assault
C. Legal Issues affecting mental health nursing
D. Future Trends and issues in Mental Health Nursing
E. Community-Based Mental Health Programs
References:
1. Videbeck, Sheila L., Psychiatric Mental Health Nursing, 5th Edition Copyright 2010 by Lippincott
Williams & Wilkins
2. Keltner, Norman et al, Psychiatric Nursing, 6th edition, Copyright 2011 by Mosby Elsevier
3. Shives, Louise R., Basic Concepts of Psychiatric - Mental Health Nursing, 8th edition, Copyright 2011 by
Lippincott Williams & Wilkins
4. Boyd, Mary Ann., Psychiatric Nursing: Contemporary Practice, 5th Edition Copyright 2011 by Lippincott
Williams & Wilkins
5. Townsend, Mary C., Psychiatric Mental Health Nursing: Concepts of Care in Evidence Based Practice ,
7th Edition Copyright 2011 by Lippincott

6.

NCLEX-RN Psychiatric Nursing Practice Mad Incredibly Easy!, Kindle Edition Copyright 2010 by
Lippincott Williams & Wilkins