BACHELOR OF SCIENCE IN NURSING
NCMB 317- Care of Client with Maladaptive Patterns of Behavior (Acute & Chronic)
COURSE MODULE COURSE UNIT WEEK
17 17 17
Leadership and Management Roles of the PMHN
Read course and unit objectives
Read study guide prior to class attendance
Read required learning resources; refer to unit terminologies for jargons
Proactively participate in classroom/online discussions
Participate in weekly discussion board (Canvas)
Answer and submit course unit tasks
Videbeck, Sheila L. (2017) Psychiatric-Mental Health Nursing 7th edition. Wolters
Kluwer/Lippincott Williams and Wilkins
Kozier, Barbara, (2017) Kozier & Erb’s Fundamentals of Nursing: Concepts, Process, and
Practice Upper Saddle River, N.J.:Pearson Prentice Hall, 10th edition
At the end of the course unit (CM), learners will:
Cognitive
Discuss the leadership and management roles of a psychiatric-mental health nurse
Understand the organizational structure of a mental health facility
Identify the different interdisciplinary health team members
Discuss current trends in the treatment of people with mental illness.
Discuss the nurse’s role in educating clients and families about current neurobiological
theories and medication management.
Discuss the categories of drugs used to treat mental illness and their mechanisms of
action, side effects, and special nursing considerations
Psychomotor
Participate as a member of a research team in the conduct of research study.
Assume responsibility for lifelong learning, own personal development and maintenance
or enhancement of personal and professional competencies.
Demonstrate continued competence continued competence and professional growth.
Engage in advocacy activities to influence health and social care service policies and
standards.
Model professional behavior all the time.
Engage in advocacy activities to deal with health-related concerns and adopts policies
that foster growth and development of the nursing profession
Customize nursing interventions based on Phil. Culture and values.
Affective
Exemplify love for country in service of Filipinos
Develop emphatic understanding of human beings and their behavior
Clinical Psychologist. Administer and interpret psychological test, and design group
therapy programs
Counseling role - aims to work specifically on the client's presenting problem or
behavior pattern creating difficulty.
Expressive Art Therapist. Uses music, art, movements and others that enable the
client to identify and work on resolving issues
Manager role. provide therapeutic environment (MILIEU THERAPY) for the clients’
recovery which includes unit structure, unit norms, limit setting, unit modification
Mothering role. This includes mothering activities such as bathing, feeding, dressing,
comforting client
Pharmacist. Responsible in dispensing medications ordered by the
physician/psychiatrist. Knowledgeable of chemical structures and actions of the drugs
Psychiatric Nurse. Responsible for the holistic care of the client: focusing on the
promotion of mental health, prevention of mental illness and rehabilitation.
Psychiatric Nursing Aide. Assist psychiatric nurse in providing physical, social and
psychological needs of the clients
Psychiatric Social Worker. Responsible in taking the client’s social and family history,
community support and referral of cases.
Psychiatrist. Responsible in the diagnosis, treatment and rehabilitation of clients.
Occupational Therapist. Assist patient’s ability to perform useful tasks that may
contribute to patients socializations and recovery
Recreational Therapist. Provides activities that promote constructive use of leisure or
unstructured time
Socializing agent - to help client learns to behave successfully in social situations and
utilizing ward group’s activities
Teacher role. This occurs as the nurse performs her nursing tasks such as setting
example, orienting client to ward policies, giving health teaching, etc.
Technician role. This includes skills in the performance of all nursing procedures such
as giving bed bath, serving foods, administering medications, etc.
PART 1. Leadership and Management Roles of the PHMN (page 130)
A. Organizational structure of a mental health facility
1. Mental health team
1.1. Psychiatrist. Responsible in the diagnosis, treatment and rehabilitation of clients.
1.2. Clinical Psychologist. Administer and interpret psychological test, and design group
therapy programs
1.3. Pharmacist. Responsible in dispensing medications ordered by the
physician/psychiatrist. Knowledgeable of chemical structures and actions of the
drugs
1.4. Psychiatric Nurse. Responsible for the holistic care of the client: focusing on the
promotion of mental health, prevention of mental illness and rehabilitation.
1.5. Psychiatric Nursing Aide. Assist psychiatric nurse in providing physical, social
and psychological needs of the clients
1.6. Psychiatric Social Worker. Responsible in taking the client’s social and family
history, community support and referral of cases.
1.7. Occupational Therapist
- Assist patient’s ability to perform useful tasks that may contribute to patients
socializations and recovery
- Focus on the client’s functional abilities and ways to improve functioning such
as working with arts and crafts
1.8. Recreational Therapist
- Helps the client to achieve a balance of work and play in his/her life
- Provides activities that promote constructive use of leisure or unstructured
time
1.9. Expressive Art Therapist. Uses music, art, movements and others that enable the
client to identify and work on resolving issues
2. Roles and functions
2.1. Technician role - this includes skills in the performance of all nursing procedures
such as giving bed bath, serving foods, administering medications, etc.
2.2. Counseling role - aims to work specifically on the client's presenting problem or
behavior pattern creating difficulty.
2.3. Teacher role - this occurs as the nurse performs her nursing tasks such as setting
example, orienting client to ward policies, giving health teaching, etc
2.4. Socializing agent - to help client learns to behave successfully in social situations
and utilizing ward group’s activities
2.5. Mothering role - this includes mothering activities such as bathing, feeding,
dressing, comforting client
2.6. Manager role –provide therapeutic environment (MILIEU THERAPY) for the clients’
recovery
- Structure, norms, limit setting, unit modification
B. Policies and procedures
C. Physical set-up and resources
D. PMHN Roles
1. Coordination of Multidisciplinary Health for Integrated Delivery of Client Services
2. Resource Allocation
E. Positive Practice Environment in Psychiatric Nursing Practice.
F. Quality Assurance, Continuous Quality Improvement and Risk Management
Programs in Psychiatric Nursing Process
PART 2. Psychiatric Nursing Role as Member of the Research Team (page 131)
- Continuing Professional Development Program
A. In-Service Training Programs
B. Continuing Education Program
C. Formal Education
D. Self-Directed Learning Initiatives
1. On-line Learning
F. Health Advocacy Programs
1. Positive Mental health
2. Suicide Prevention
3. Prevention of Substance Abuse
4. Healthy-Lifestyle
5. Tobacco-free Programs
PART 3. Filipino Culture, Values and Practices in Relation to the Care of the Clients with
Maladaptive Patterns of Behavior (page 132 ADPCN Manual)
PART 4. . Online Databases/ Journal Articles Related Assessment and Provision of Care
of Clients with Maladaptive Patterns of Behavior. (Page 133 ADPCN Manual)
PART 5. Attributes and Core Values of a Nurse in Psychiatric Mental Health Practice.
(Page 133 ADPCN Manual)
Boyd (2017), Essentials of Psychiatric Nursing, Wolters/Kluwer
Holland (2018), The Nurses Guide to Mental Health Medicines Elsevier/Mosby
Keltner (2019), Psychiatric Nursing 8th edition, St. Louis, Mo.: Elsevier/Mosby.
Kozier, Barbara, (2017) Kozier & Erb’s Fundamentals of Nursing: Concepts, Process, and
Practice 10th edition Upper Saddle River, N.J.:Pearson Prentice Hall
Pullen, Richard (2010) Nursing Made Incredibly Easy. Varcarolis (2015), Manual of Psychiatric
Nursing Care Planning 5th edition, Elsevier/Mosby
Videbeck, Sheila L. (2017) Psychiatric-Mental Health Nursing 7th edition. Wolters
Kluwer/Lippincott Williams and Wilkins
Read further the following topics:
1. Policies and procedures in a Psychiatric setting
2. Physical set-up and resources
3. PMHN Roles
3.1. Coordination of Multidisciplinary Health for Integrated Delivery of Client Services
3.2. Resource Allocation
4. Positive Practice Environment in Psychiatric Nursing Practice.
5. Quality Assurance, Continuous Quality Improvement and Risk Management Programs in
Psychiatric Nursing Process
6. Psychiatric Nursing Role as Member of the Research Team (page 131)
7. Continuing Professional Development Program of a PMHN
- In-Service Training Programs
- Continuing Education Program
- Formal Education
- Self-Directed Learning Initiatives
- On-line Learning
8. Health Advocacy Programs
8.1. Positive Mental health
8.2. Suicide Prevention
8.3. Prevention of Substance Abuse
8.4. Healthy-Lifestyle
8.5. Tobacco-free Programs
9. Filipino Culture, Values and Practices in Relation to the Care of the Clients with
Maladaptive Patterns of Behavior
10. Online Databases/ Journal Articles Related Assessment and Provision of Care of Clients
with Maladaptive Patterns of Behavior.
11. Attributes and Core Values of a Nurse in Psychiatric Mental Health Practice.
GROUP TASK:
1. Propose a health advocacy programs on the following:
- Positive Mental health
- Suicide Prevention
- Prevention of Substance Abuse
- Healthy-Lifestyle
- Tobacco-free Programs
2. Share your work through synchronous meeting using your PowerPoint
presentation by group
