OUR LADY OF FATIMA UNIVERSITY

College of Nursing, Valenzuela Campus

NCM 105 – CARE OF CLIENTS WITH MALADAPTIVE PATTERNS OF BEHAVIOR

1st semester 2020 – 2021

COURSE SYLLABUS
NCM 105 - CARE OF CLIENTS WITH MALADAPTIVE PATTERNS OF BEHAVIOR

COLLEGE NURSING COURSE DESCRIPTION

The course is designed to focus on health and illness

LEVEL III across the lifespan of clients, population group with acute
and chronic psychosocial difficulties and psychiatric
COURSE illnesses.
NCMS 105
CODE
COURSE OUTCOMES (CO)
Care of Clients
DESCRIPTI with Maladaptive After successful completion of psychiatric Nursing students
VE TITLE Patterns of already have:
Behavior
1. Deliver safe, quality and evidence-based nursing care on
clients with Maladaptive patterns of behavior
General 2.Consider patient individuality in the process of providing
PREREQUIS
Psychology, NCM care to clients with maladaptive patterns of behavior
ITE (S) 3.Exemplify aim for continuing learning through engagement
103
in search and understanding of issues, trends and problems
relating to mental health
CREDIT 4 units Lecture 4.Demonstrate moral and ethical expertise in caring to
UNIT (S) 2 units RLE clients with maladaptive patterns of behavior
5.Provide education to clients, families and community
Lecture: 4 members in any setting
CONTACT hours/week relating to clients with maladaptive pattern of behavior
HOURS (72 hours)
PER RLE: 24
SESSION: hours/week
(102 hours)

WEEK LECTURE SKILLS LABORATORY

Week Course Unit 1 – Introduction and History of
1 Psychiatry and Psychiatric Nursing
A. Introduction to Psychiatric-Mental Health
Nursing
1. Psychiatric Nursing and Mental Health
Nursing
1. 2. Scopes of Psychiatric Nursing
1. 2.1. General Setting
RLE UNIT 1 – Relevant Theories in
Understanding Human Behavior
A. Psychoanalytic Models
1. Sigmund Freud (1856-1939)
2. Anna Freud (1895-1982)
B. Neo-Freudian Models
1. Alfred Adler (1870-1937)
2.Carl Gustav Jung (1875-1961)
2. 2.2. Community Setting 3 Otto Rank (1884-1939)
3. - Primary care 4. Erich Fromm (1900-1980
4. - Secondary care C. Interpersonal Relation Models
5. - Tertiary care 1. Harry Stack Sullivan (1892-1949)
6. 2.3. Psychiatric Setting D. Humanist Theories
7. 3. The Mental Health Nurse 1. Abraham Maslow (1921-1970)
3.1. Role 2. Frederick S. Perl’s (1893-1970)
3.2. Essential qualities 3. Carl Rogers (1902-1987)
4. Interdisciplinary Team
5. Basic Principles of Psychiatric Nursing
Practice
B. Overview of the History of
Psychiatry and Psychiatric Nursing
1. 5 Benchmark in Psychiatry
and Psychiatric Nursing
- Period of Enlightenment-
1790’s
- Period of Scientific study –
1800’s
- Period of Psychopharmacology-
1950’s
- Period of Community Mental
Health-1960’s
- Decade of the brain-1990’s
2. History of Psychiatry in the Philippines
- The Spanish Regime
- The American Regime
- The Japanese Occupation
- The Era of Liberation
- The 20th Century
Course Unit 2 - Concepts of Mental Health RLE Unit 2 – Therapeutic Communication and
and Mental Illness Therapeutic Relationships
A. Mental Health and Mental Illness A. Therapeutic Communication
1. Differences between mental health 1. Definition
And mental illness 2. Elements of Communication
2. Criteria of Mental Health 3.Therapeutic Communication
3. Criteria of Mental Illness Techniques
4. Classification of Mental Illness 4. Non-therapeutic Communication
4.1. Psychosis Techniques
4.2. Neurosis B. Therapeutic Nurse-Patient Relationship
4.3. Organic 1. Definition
4.4. Functional 2.Therapeutic Use of Self
5. Factors Contributing to Mental Illness 3. Phases in the Development of
5.1. Biologic Factors Nurse-Client Relationship
- Genetic Factor. 4. Barriers to Therapeutic
- Neurostructural Factor C. Coping and Defense Mechanisms
- Neurochemical Factor 1. Coping defined
5.2. Individual Factors 2. Defenses mechanism defined
5.3. Interpersonal Factor 3. Purposes of Defense mechanisms
5.4. Environmental Factor 4. Commonly used normal defense
6. Factors that may increase the risk of mechanisms that may help an individual
developing a mental illness deal with reality.
7. Complications linked to mental illness 5. Compensatory defense mechanisms
 B. Diagnostic Statistical Manual of Mental
Disorders 5th Edition (DSM-5)
1. Bipolar and related disorders
2. Schizophrenia spectrum and related
disorders
3. Anxiety and anxiety related disorders
4. Obsessive-Compulsive and Related
Disorders
4. Traumatic and Stressor Related Disorders
5. Somatic Symptoms Disorder and Related
Disorders
6. Dissociative Disorders
7. Personality disorders
8. Feeding and eating disorders
9. Sleep and wake disorders
10. Sexual & Paraphilic Disorders
11. Neurocognitive disorders
12. Neurodevelopmental disorders
 13. Alcohol or Substance Use Disorder
Week Course Unit 3 – Treatment Modalities RLE Unit 3 – Therapeutic Activities IN
3 A. Physical Therapy Psychiatric Setting
1.Psychopharmacolgy 1. Remotivation therapy
1.1.Antipsychotic drugs 1.1. Description/Definition
1.2.Antidepressant drugs 1.2. Goals
1.3.Antimanic drugs 1.2. Topics suggested/What to avoid
1.4.Antianxiety drugs 1.3. Steps
1.5. Anticholinergic and other mood 2. Music therapy and Art therapy
stabilizing drugs 2.1. Description/Definition
2. Electroconvulsive Therapy 2.2. Goals
3. Transcranial Magnetic Stimulation 2.3. Types
4. Vagus Nerve Stimulation/ Deep brain 2.4. Process
stimulation 3. Occupational therapy
5. Light Therapy 3.1. Description/Definition
B. Psychotherapy 3.2. Goals
1. Individual Therapy 3.3. Occupational therapy process
2. Family therapy 3.4. Activities suggested
3. Group Therapy 3.5. Areas of practice in occupational
3.1. Psychoeducation Group therapy
3.2. Self-help groups 4. Recreational therapy
- Alcoholic anonymous – 4.1. Description/Definition
alcoholics 4.2. Goals
- Al- Anon – wives of alcoholics 4..3. Types
- Group for children of alcoholics 4.4. Process
- Overeaters Anonymous 5. Dance movement therapy
3.3. Support groups 5.1. Description/Definition
- Those for cancer or stroke victims, 5.2. Goals
- Person with aids, 5..3. Types
- Family members of someone who 5.4. Process
has committed suicide, 6. Play therapy
- Mothers Against Drunk driving 6.1. Description/Definition
(MADD), Role Reversion 6.2. Goals
4. Psychotherapy 6..3. Types
- Cognitive therapy 6.4. Process
- Behavioral therapy
 - Humanistic therapies.
- Interpersonal psychotherapy
C. Milieu Therapy
1. Unit structure
2. Unit structure
3. Limit setting
4. Unit modification
Week Course Unit 4 – Care of Client with Bipolar RLE Unit 4 – Psychosocial Skills in the
4. Disorders Psychiatric-Mental Health Nursing Practice
A. Bipolar disorders A. Psychosocial Skills
1. Bipolar I disorder 1. Patient’s History and Psychosocial
2. Bipolar II disorder. assessment
3. Cyclothymic disorder. 1.1. Client initial information - patient’s
4. Other types. These include, for name,
example, bipolar and related disorders Address, and age, gender, etc.
induced by certain drugs or alcohol or 1.2. Presenting problems
due to a medical condition, such as 1.3. Present and Past Health History
Cushing's disease, multiple sclerosis or 1.4. Relevant Family History
stroke. 1.5. Response to mental health problems
B. Major depressive disorder - Relationship change
C. Include in the discussion the following - Role change
1. Definition - Lifestyle change
2. Signs and symptoms - Self-concept change
3. Diagnostic criteria 1.6. Risk assessment on suicidal or
4. Theories of etiology homicide
5. Treatment and management 1.7 Psychosocial development of the patient
6. Understand how the nursing process 1.8. Manifestations assessed in patients
Is applied in the care f client with During the interview
Bipolar and related disorders 2. Mental Status Examination
2.1. A- Appearance and behavior
2.2. T- Thinking
2.3. O - Orientation
2.4. M - Memory
2.5. I – Intellectual functioning
2.6. C – Cognitive functioning
3. Process Recording
4. Nursing process
4.1. Assessment,
4.2. Diagnosis,
4.3. Planning,
4.4. Implementation
4.5. Evaluation.

GROUP TASK:
1. The class will be divided into groups
depending upon the number of students.
2. Each group will discuss among themselves the
case scenario provided.
3. Each group should make their PowerPoint for
presentation.
4. Each group should present their case in a
synchronous session via zoom class for 30
minutes.

Week Course Unit 5 – Care of Clients with
5 Schizophrenia Spectrum and Related
Disorders
1. Schizophrenia
2. Other Related Disorders
2.1. Delusional Disorders
2.2. Brief Psychotic Disorders
2.3. Schizophreniform
2.4. Schizoaffective Disorders
2.5. Catatonia
2.6 Attenuated Psychosis Syndrome
2.7. Shared Psychotic Disorders
Week PRELIMNARY EXAMNATION
6
Week Course Unit 6 & 7 - Concepts of Anxiety and
7&8 care of clients with anxiety related disorders
A. Anxiety
1. Anxiety vs. Fear
2. Levels of Anxiety
3. Manifestations of Levels of Anxiety
B. Anxiety-Related Disorders
1. Anxiety disorders across the lifespan
1.1. Phobias
1.1.1. Specific Phobia
1.1.2. Social Phobia
1.1.3. Agoraphobia
1.2. Panic Disorder
1.3. Generalized Anxiety Disorder
1.4. Separation Anxiety Disorder
1.5. Selective Mutism
2. Obsessive – Compulsive and Related
Disorders
2.1. Obsessive – Compulsive Disorders
2.2. Body Dysmorphic Disorder
2.3. Hoarding Disorder
2.4. Trichotillomania
2.5. Excoriation Disorder
3. Traumatic and Stressor Related Disorders
3.1. Post-traumatic Stress Disorder
3.2. Acute Stress Disorder
3.3. Adjustment Disorder
3.4. Selective Attachment Disorder
3.5. Disinhibited Social Engagement
Disorder
5. Each group should submit their manuscript
and PowerPoint through email or Canvas upload.
6. Students presentation will be graded with the
use of a Rubric.
RLE Unit 5 - Care of Clients with
Schizophrenia Spectrum and Related
Disorders
- Review the disorder
GROUP TASK:
1. The class will be divided into groups
depending upon the number of students.
2. Each group will discuss among themselves the
case scenario provided.
3. Each group should make their PowerPoint for
presentation.
4. Each group should present their case in a
synchronous session via zoom class for 30
minutes.
5. Each group should submit their manuscript
and PowerPoint through email or Canvas upload.
6. Students presentation will be graded with the
use of a Rubric.
PRELIMNARY EXAMNATION
RLE Unit 6 & 7- Concepts of Anxiety and care
of clients with anxiety related disorders
- Review Hans Selye’s response to stress
GROUP TASK: Case # 1
1. The class will be divided into groups
depending upon the number of students.
2. Each group will discuss among themselves the
case scenario on obsessive-compulsive disorder
3. Each group should make their PowerPoint for
presentation.
4. Each group should present their case in a
synchronous session via zoom class for 30
minutes.
5. Each group should submit their manuscript
and PowerPoint through email or Canvas upload.
6. Students presentation will be graded with the
use of a Rubric.
GROUP TASK: Case #
1. The class will be divided into groups
depending upon the number of students.
2. Each group will discuss among themselves the
case scenario on post-traumatic stress disorder
3. Each group should make their PowerPoint for
presentation.
4. Each group should present their case in a
synchronous session via zoom class for 30
minutes.
5. Each group should submit their manuscript
and PowerPoint through email or Canvas upload.
 4. Somatic Symptoms Disorder and Related 6. Students presentation will be graded with the
Disorders use of a Rubric.
4.1. Somatic symptoms disorder .
4.2. Malingering disorder
4.3. Conversion disorder
4.4. Factitious disorder
4.5. Illness Anxiety Disorder
4.6. Pseudocysis
5. Dissociative Disorders
5.1. Dissociative identity disorder
5.2. Dissociative Amnesia
5.3. Depersonalization/Derealization
disorder
C. Treatment and application of the nursing
process
Week Course Unit 8: Personality Disorders RLE Unit 8: Personality Disorders
9 A. Types
1. Cluster A - Odd/ eccentric behaviors GROUP TASK:
1.2. Paranoid personality disorder 1. The class will be divided into groups
1.3. Schizoid personality disorder depending upon the number of students.
1.4. Schizotypal personality disorder 2. Each group will discuss among themselves the
2. Cluster B - Dramatic, emotional, erratic case scenario provided.
behaviors 3. Each group should make their PowerPoint for
2.1. Antisocial personality disorder presentation.
2.2. Borderline personality disorder 4. Each group should present their case in a
2.3. Narcissistic personality disorder synchronous session via zoom class for 30
minutes.
2.4. Histrionic personality disorder
5. Each group should submit their manuscript
3. Cluster C - Anxious, fearful behaviors
and PowerPoint through email or Canvas upload.
3.1. Obsessive compulsive personality 6. Students presentation will be graded with the
disorder use of a Rubric.
3.2. Dependent personality disorder
3.3. Avoidant personality disorder
B. Treatment and application of the nursing
process
Week Course Unit 9: Care of clients with Feeding, RLE Unit 9: Care of clients with Feeding,
10 Eating and Sexual Disorders Eating and Sexual Disorders
A. Feeding and Eating disorders
1. Anorexia Nervosa (AN) GROUP TASK:
2. Bulimia Nervosa (BN) 1. The class will be divided into groups
3. Binge Eating Disorder (BED) depending upon the number of students.
4. Other Specified Feeding and Eating 2. Each group will discuss among themselves the
Disorder (OSFED) case scenario provided.
5. Pica 3. Each group should make their PowerPoint for
6. Rumination Disorder presentation.
7. Avoidant/Restrictive Food Intake 4. Each group should present their case in a
Disorder (ARFID) synchronous session via zoom class for 30
8. Unspecified Feeding or Eating Disorder minutes.
(UFED) 5. Each group should submit their manuscript
9. Other: and PowerPoint through email or Canvas upload.
9.1. Muscle Dysmorphia 6. Students presentation will be graded with the
9.2. Orthorexia Nervosa (ON) use of a Rubric.
B. Categories of Sexual Disorders
1. Male Sexual Disorders
1.1. Delayed ejaculation
1.2. Premature Ejaculation
 1.3. Erectile Disorder
1.4. Male Hypoactive Sexual Disorder
(HSDD)
2. Female Sexual Disorder
2.1. Female Orgasmic disorder
2.2. Female Sexual Interest disorder
2.3. Genito-pelvic pain/Penetration
Disorder
C. Treatment and application of the nursing
process
Week Course Unit 10. Care of clients with Sleep RLE Unit 10. Care of clients with Sleep
11 Disorders and Paraphilia Disorders and Paraphilia
A. Sleep Disorders
1. Insomnia Disorder GROUP TASK:
2. Hypersomnolence 1. The class will be divided into groups
3. Narcolepsy depending upon the number of students.
4. Breathing-related sleep disorders 2. Each group will discuss among themselves the
5. Circadian rhythm sleep-wake disorder case scenario provided.
6. Restless legs and substance 3. Each group should make their PowerPoint for
medication-induced sleep disorder presentation.
7. Parasomnias 4. Each group should present their case in a
8. Substance-/medication- induced sleep synchronous session via zoom class for 30
disorder minutes.
B. Categories of Paraphilia 5. Each group should submit their manuscript
1. Sexual Masochistic Disorder and PowerPoint through email or Canvas upload.
2. Sexual Sadistic Disorder 6. Students presentation will be graded with the
3. Exhibitionistic Disorder use of a Rubric.
4. Fetishistic Disorder
5. Frotteuristic Disorder
6. Pedophilic Disorder
7. Tansvestic Disorder
8. Voyeuristic Disorder
C. Gender Dysphoria

Week MIDTERM EXAMINATION MIDTERM EXAMINATION

12
Week Course Unit 11. Care of clients with
13 Neurocognitive Disorder
1. Amnestic Disorder
2. Delirium
3. Dementia
3.1.Dementia due to Vascular
Diseases
3.2. Dementia due to Infections
2.2.1. HIV disorders
2.2.2. Creutzfeldt Jacob Disease
3.3. Substance –induced Dementia
- Korsakoff’s Disease
3.4. Dementia due to Genetic Factor
- Huntington’s Disease
3.5. Dementia due to decrease
metabolisms and functions in the
brain
3.5.1. Alzheimer’s Disease
RLE Unit 1: Care of clients with Neurocognitive
Disorder
GROUP TASK:
1. The class will be divided into groups
depending upon the number of students.
2. Each group will discuss among themselves the
case scenario provided.
3. Each group should make their PowerPoint for
presentation.
4. Each group should present their case in a
synchronous session via zoom class for 30
minutes.
5. Each group should submit their manuscript
and PowerPoint through email or Canvas upload.
6. Students presentation will be graded with the
use of a Rubric.
 3.5.2. Pick’s Disease
3.5.3. Parkinson’s Disease
Week Course Unit 12: Care of children, and RLE Unit 12: Care of children, and
14 adolescence with Neurodevelopmental adolescence with Neurodevelopmental
Disorders Disorders
1. Autism Spectrum Disorder
2. Formerly Diagnosed Disorders GROUP TASK:
2.1. Rett’s Disorder 1. The class will be divided into groups
2.2. Asperger’s Disorder depending upon the number of students.
2.3. Childhood Disintegrative 2. Each group will discuss among themselves the
Disorder case scenario provided.
3. Attention deficit Hyperactive Disorders 3. Each group should make their PowerPoint for
4. Related Disorders presentation.
4.1. Tic Disorders 4. Each group should present their case in a
4.2. Learning Disorders synchronous session via zoom class for 30
minutes.
4.3. Motor Skills Disorders
5. Each group should submit their manuscript
4.4. Communication Disorder
and PowerPoint through email or Canvas upload.
4.5. Elimination Disorders
6. Students presentation will be graded with the
4.5.1. Encopresis use of a Rubric.
4.5.2. Enuresis
5. Intellectual disability disorders
5.1. Mild
5.2. Moderate
5.3. Severe
5.4. Panic
Week Unit Course 13. Care of clients with RLE Unit 13: Care of clients with Substance-
15 Substance-Related Disorders: Related Disorders
A. Common Abused Substances
1. Central Nervous System Depressants GROUP TASK:
1.1. Alcohol 1. The class will be divided into groups
1.2. Sedatives-Hypnotics and depending upon the number of students.
Anxiolytics 2. Each group will discuss among themselves the
1.3. Opioids case scenario provided.
2. Central Nervous System Stimulants 3. Each group should make their PowerPoint for
2.1. Caffeine presentation.
2.2. Nicotine 4. Each group should present their case in a
2.3. Amphetamine and Cocaine synchronous session via zoom class for 30
minutes.
3. Hallucinogens
5. Each group should submit their manuscript
4. Cannabinoids/Opiods
and PowerPoint through email or Canvas upload.
5. Inhalants
6. Students presentation will be graded with the
B. Treatment and application of the nursing use of a Rubric.
process
Week Course Unit 14. Care of clients with RLE Unit 14. Care of clients with Disruptive,
16 Disruptive, Impulse Control and Care of Impulse Control and Care of Clients
Clients Experiencing Abuse and Violence Experiencing Abuse and Violence

A. Categories of Disruptive, Impulse Control GROUP TASK:

and Conduct Disorders 1. The class will be divided into groups
1. Oppositional Defiant Disorder (ODD) depending upon the number of students.
2. Intermittent Explosive Disorder 2. Each group will discuss among themselves the
3. Conduct Disorder case scenario provided.
B. Abuse and Violence 3. Each group should make their PowerPoint for
1. Types of Violence presentation.
1.1. Domestic Violence
 1.2. Community Violence 4. Each group should present their case in a
2. Victims of violent behavior synchronous session via zoom class for 30
2.1. Child minutes.
2.2. Spouse 5. Each group should submit their manuscript
2.3. Elderly and PowerPoint through email or Canvas upload.
3. Types of Abuses 6. Students presentation will be graded with the
3.1. Physical Abuse use of a Rubric.
3.2. Emotional Abuse
3.3. Sexual Abuse
3.4. Neglect
C. Disorders Related to Abuse and Violence
D. Treatment, management and application
of the nursing process
Week Course Unit 15: Care of Clients Experiencing RLE Unit 15: Care of Clients Experiencing
17 Anger, Hostility, Aggression, Crisis, Grief and Anger, Hostility, Aggression, Crisis, Grief and
Loss Loss
A. Anger, Hostility and Aggression
1. Definition of Anger, Hostility & GROUP TASK:
Aggression 1. The class will be divided into groups
2. Responses to Anger depending upon the number of students.
3. Models of Anger, Hostility & 2. Each group will discuss among themselves the
Aggression case scenario provided.
3 1. Biological Theories 3. Each group should make their PowerPoint for
3. 2. Psychological Theories presentation.
4. Stages of Hostility & Aggression 4. Each group should present their case in a
4.1. Triggering synchronous session via zoom class for 30
minutes.
4.2. Escalation
5. Each group should submit their manuscript
4.3. Crisis
and PowerPoint through email or Canvas upload.
4.4. Recovery 6. Students presentation will be graded with the
4.5. Post-crisis use of a Rubric.
5. Management of Hostility and
Aggression
6. .Related Disorders with Hostility and
Aggression
B. Crisis, Grief and Loss
1. Types of Crisis
2. Types of grieving
3. Types of loss
4. Phases of Grieving/Bereavement
5. Responses and Management to
anger, hostility, aggression, crisis,
grieving & Loss
Week
18 FINAL EXAMINATION FINAL EXAMINATION

TEXTBOOK
Videbeck, Shiela. (2017). Psychiatric Mental Health Nursing 7th edition. Philadelphia, PA:
Lippincott William and Wilkins.

REFERENCES (BOOKS/ONLINE WEBSITES/JOURNALS

Keltner (2019), Psychiatric Nursing 8th edition, St. Louis, Mo.: Elsevier/Mosby.
Varcarolis (2015), Manual of Psychiatric Nursing Care Planning 5 th edition, Elsevier/Mosby
Holland (2018), The Nurses Guide to Mental Health Medicines Elsevier/Mosby
Boyd (2017), Essentials of Psychiatric Nursing, Wolters/Kluwer
Mutsatsa (2017), Medicine Management in Mental Health Nursing, SAGE

Can access to YouTube, Google and other electronic communicable disease nursing books
available

Created by: AIDA I. BAUTISTA MAN

Revised August 10, 2020