Care of Clients with Maladaptive
Patterns of Behavior, Acute and Chronic
STUDENT ACTIVITY SHEET BS NURSING / THIRD YEAR
Session # 1
LESSON TITLE: INTRODUCTORY CONCEPTS IN MENTAL Materials:
HEALTH NURSING
Textbook, Notebook, Bondpaper, Paper and
LEARNING OUTCOMES: Ballpen
At the end of the lesson, the nursing student can: References
1. Discuss the concept of Mental Health and Mental Illness. Videbeck, S. L., (2014). Mental and Psychiatric
2. Explain the roles and functions of the Mental Health Nurse. Health Nursing. 6th Edition. Lippincott, Williams
3. Identify the factors affecting Mental Health. and Wilkins. Philadelphia, PA.
4. Apply the roles and essential qualities of a mental health
nurse in both the classroom and clinical setting; and [Link]
5. Describe the use of the American Psychiatric Association
Diagnostic and Statistical Manual of Mental Disorders V. [Link]
psychiatric-mental-health-nurses-competent-
caring/
SUBJECT ORIENTATION AND GETTING TO KNOW ACTIVITY (30 minutes)
On the first day of meeting, the following will be the preliminary activities:
1. The instructor will introduce himself/herself and the complete title of the course: NUR 198 (Care of Clients with
Maladaptive Patterns of Behaviour, Acute and Chronic).
2. The instructor will distribute the syllabus/course outline to the students and discuss the contents.
3. The assessment and grading system will be provided to the students.
4. The instructor will discuss any specific course requirements such as class rules and regulations, expected activities and
grading system.
“Getting to Know Class Activity”
The instructor will let you introduce yourself starting from the last student at the back. Each one of you must give the
following information: Complete Name, Nick Name and 1 Happiest Experience. After one student introduces
himself/herself, he/she turns to the person to the left/right shake hands and say “How About You?”
MAIN LESSON (30 minutes)
You are to read the following lesson from your book:
MENTAL HEALTH
According to the World Health Organization (WHO, 2020), mental health is a state of well-being in which
an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively, and
is able to make a contribution to his or her community.
There is no single definition of Mental Health. The general accepted definition is a state of emotional
psychological and social wellness evidenced by satisfying interpersonal relationships, effective behavior
and coping, positive self - concept and emotional stability
MENTAL HEALTH NURSING
Also known as psychiatric nursing, is a specialized field of nursing practice that involves the care of
individuals with a mental health disorder to help them recover and improve their quality of life.
This document and the information thereon is the property of PHINMA
Education (Department of Nursing) 1 of 4
FACTORS AFFECTING MENTAL HEALTH
1. Individual- biologic makeup, autonomy, independence, self - esteem, capacity for growth, vitality, emotional
resilience, reality orientation, belonging, coping and stress management
2. Interpersonal - effective communication, ability to help others, intimacy, connectedness, separateness
3. Social - cultural - sense of community, access to adequate resources, intolerance to violence, support of
diversity among people, positive yet realistic view of one’s world, poverty
MENTAL ILLNESS
A mental illness can be defined as a health condition that changes a person's thinking, feelings, or
behavior (or all three) and that causes the person distress and difficulty in functioning.
Mental illness is defined by the American Psychiatric Association as a clinical significant behavioral or
psychological syndrome or pattern that occurs in an individual and is associated with present distress such as a
painful symptom, a disability, increased risk of suffering death, pain or a loss of freedom.
DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS, 5TH EDITION
A taxonomic and diagnostic tool developed by the American Psychiatric Association used internationally
as a principal authority for psychiatric diagnoses. It contains a set of specific diagnostic criteria for mental
disorders each based on clinical experience and research.
New addition to mental disorders include: Internet Gaming Disorder
ROLES OF THE MENTAL HEALTH NURSE
1. Stranger: the role assumed by both nurse and patient when they first meet
2. Resource person: provides health information to a patient who has assumed the consumer role
3. Teacher: helps the patient grow and learn from experience with the health care system
4. Leader: helps the patient participate in a democratically implemented nursing process
5. Surrogate: assumes roles that have been assigned by the patient, based on significant past relationships, as
in the psychoanalytical phenomenon of transference
6. Counsellor: helps the patient integrate the facts and feelings associated with an episode of illness into the
patient’s total life experience
7. Patient Advocate: enables the patient and his relatives to know their rights and responsibilities.
8. Case Manager: supervises over other nurses in providing coordination of care to a client diagnosed with a
mental disorder
9. Researcher: identifies research questions, design and conduct scientific studies, collect and analyze data and
report the findings of studies in the area of mental health.
FUNCTIONS OF THE MENTAL HEALTH NURSE
1. Counselling: intervention and communication techniques, problem solving, stress management, behavior
modification, crisis intervention
2. Milieu Therapy: maintain therapeutic environment, teaching skills, encourage communication between clients
and others, promote growth through role modeling
3. Self - Care Activities: encourage independence, increase self - esteem, improve function and health
4. Psychologic Interventions: administer medications, teaching, client observation
5. Health Teaching
6. Case Management: implementation and evaluation of client care plan in a mental health facility
7. Health Promotion and Maintenance
CHECK FOR UNDERSTANDING (20 minutes)
You are to answer the quiz and write the rationale relative to your answer. This is a graded activity equivalent to 20 points:
1 Point for the correct answer and 1 Point for the correct rationale. Erasures or any alterations are not allowed.
Multiple Choice. Direction: Encircle the letter of the correct answer and write the rationale.
1. A mental health nurse who exercises supervision over other nurses in providing coordination of care to a client
diagnosed with a mental disorder is performing which particular role?
A. Researcher C. Case Manager
B. Care Provider D. Patient Advocate
This document and the information thereon is the property of PHINMA
Education (Department of Nursing) 2 of 4
RATIONALE:
2. The nurse is teaching a client important life skills that can be useful around the house when he leaves the mental health
facility. The nurse is performing which function?
A. Case Management C. Self - Care Activities
B. Counselling D. Milieu Therapy
RATIONALE:
3. An individual who prefers to be alone and isolated may be at risk for mental disorders because which factor affecting
mental health is impaired?
A. Interpersonal factors C. Family factors
B. Social - cultural factors D. Individual factors
RATIONALE:
4. According to the American Psychiatric Association, which is not a possible cause of mental disorder:
A. Death of a parent C. Rape
B. Loss of a limb D. A complete family
RATIONALE:
5. According to the World Health Organization, health involves wellness of the following human aspects, EXCEPT:
A. Physical C. Social
B. Mental D. Economic
RATIONALE:
6. A nurse who is directly responsible for providing care to an individual client such as administering medication or
teaching a life skill is performing which vital role of the mental health nurse?
A. Case Manager C. Care Provider
B. Researcher D. Patient Advocate
RATIONALE:
7. The nurse advises a client to join yoga classes as a method to relieve stress would be fulfilling the function of:
A. Health Teaching C. Milieu Therapy
B. Counselling D. Psychotherapy
RATIONALE:
8. When a client presents at the Emergency Room with peculiar behaviors and a strong desire for self - harm, the
diagnosis of the specific mental disorder of that client will have to be based on:
A. Client verbalization C. Client history
B. Client behaviour D. Criteria from DSM V
RATIONALE:
9. A client develops a trusting relationship with a nurse he picture as his brother. The nurse helps the client feed himself
as he functions as a:
This document and the information thereon is the property of PHINMA
Education (Department of Nursing) 3 of 4
A. Leader C. Resource Person
B. Stranger D. Surrogate
RATIONALE:
10. Nurse C is investigating the effect of a new antipsychotic medication administered to the Schizophrenic clients in
Pavilion 3 of a psychiatric unit. He is playing the role of:
A. Advocate C. Researcher
B. Counsellor D. Surrogate
RATIONALE:
RATIONALIZATION ACTIVITY – During Face – to - Face Interaction with the Students
The instructor will lead the activity and calls a student to stand and give the answer to 1 question in the CFU. Students
who are able to answer correctly get to choose the student who will answer the next question, however, when the student
is unable to give the correct answer, the instructor chooses another student to answer.
LESSON WRAP-UP (30 minutes)
You will now mark (encircle) the session you have finished today in the tracker below. This is simply a visual to help you
track how much work you have accomplished and how much work there is left to do.
You are done with the session! Let’s track your progress.
AL Strategy: Muddiest Point
You are to write down 2 – 3 questions or confusing points in a ¼ sheet of paper. The instructor will answer your
questions.
This document and the information thereon is the property of PHINMA
Education (Department of Nursing) 4 of 4