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LESSON PLAN

Name of Evaluator: ;Respected Madam(Mrs.) Baljinder Kaur

Name of Student :Kawaljit Kaur

Subject :Psychiatric-Mental Health Nursing

Topic :Principles & Standards of Mental Health Nursing

Date :08-12-2012

Venue :BSc. Nursing III year classroom

Group :BSc. Nursing III year

Number of Students :60

Method of presentation :Lecture cum discussion

A.V.Aids :Powerpoint presentation, OHP, Phamplet, Bibliography

Card

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 SOURCE OF PREVIOUS KNOWLEDGE : Previous classes, Books.
GENERAL OBJECTIVE
At the end of the teaching the group will be able to comprehend knowledge regarding of Principlesof Mental Health
Nursing and Standards of Mental Health Nursing.
SPECIFIC OBJECTIVES
At the end of teaching the group will be able to:-
 define psychiatric nursing.
 explain principles of Mental Health Nursing.
 explain standards of Mental health Nursing.

Sr. Specific Time Subject Matter Teaching- A.V.Aids

No. Objectives Learning
Activities
1. Establish 1 min. SELF INTRODUCTION Self Introduction ________
rapport with I am Kawaljit Kaur, student of MSc. nursing I year at MHR DAV Institute of
the group Nursing Jalandhar

2. Announce/ 2 min. ANNOUNCEMENT OF TOPIC Announcing the ________

State the Today, we will discuss about:- topic
topic  Principal of Mental Health Nursing
 Standards of Mental Health Nursing
3. Appraise the 2 min. Asking questions _______
PREVIOUS KNOWLEDGE
previous Q. What do you mean by Psychiatry ?
knowledge of Q. What are the principle followed in Mental Health
the group Nursing ?

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4. Introduction 2 min. INTRODUCTION TO THE TOPIC Q. What do you Blackboard
the topic to Psychiatry:-It is a branch of medicine that deals with diagnosis, treatment and mean by
the group prevention of mental illness. Psychiatry?
Psychiatric Nursing:- It is a specialized area of nursing practice, employing
theories of human behavior as it is a science and the purposeful use of self as it
is an art in the diagnosis and treatment of human responses to actual or
potential mental health problems (American Nurses Association 1994)

Thus Psychiatric Nursing deals with the:-

* Promotion of mental health.

*Prevention of mental illness
*Rehabilitation

Sr. Specific Time Subject Matter Teaching- A.V.Aids

No. Objectives Learning
Activities
Both physical and mental health's are interdependent. A nurse who is
responsible for total health care of a person must take care of both physical and
emotional needs, therefore she should develop a basic understanding and skills
in Psychiatric Nursing to achieve total health care.

5. Explain the 20 min. PRINCIPLE'S OF MENTAL HEALTH NURSING Q. How the Transparency
principles of The following principles are general in nature and form guidelines for acceptance of
mental health emotional care of a patient. These principles are based on the concept that each mentally ill
nursing individual has an intrinsic worth and dignity and has potentialities to grow. person
expressed?
1)Patient is accepted exactly as he is:- Accepting means being non-
judgmental. Acceptance conveys the feelings of being loved and cared.
Acceptance does not mean complete permissiveness but setting of positive

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behavior's to convey to him the respect as an individual human being. A nurse
should be able to convey to the patient that she may not approve everything
what he does, but he will not be judged or rejected because of his behavior.
Acceptance is expressed in the following ways:-

a) Being non-judgmental and non-punitive:-

The patient's behavior is not judged as right or wrong, good or bad patient is
not punished for his undesirable behavior. All direct (chaining, Restraining,
putting, him in a separate room) and indirect (ignoring his presence or
withdrawing attention) methods of punishment must be avoided. A nurse who
shows acceptance does not reject the patient even when he behaves contrary to
her expectations.

b) Being sincerely interested in the patient:-

Being sincerely interested in another individual means considering. The other
individual's interest. This can be demonstrated by:-

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Sr. Specific Time Subject Matter Teaching- A.V.Aids
No. Objectives Learning
Activities
5 Explain the 20 min  Studying patient's behavior pattern. Q. What type of
principles of  Allowing him to make his own choices and decisions as for as possible. behavior by a
mental health psychiatric nurse
 Being aware of his likes and dislikes.
nursing should be
 Being honest with him. avoided while
 Taking time and energy to listen to what he is saying. talking to a
 Avoiding sensitive subjects and issues. mentally ill
c) Reigniting and reflecting on feelings which patient may express:- person?
When patient talks, it is not the content that is important to note, but the
feeling behind the conversation, which has to be reignited and reflected.

d) Talking with a purpose:- The nurse's conversation with a patient must

revolve around his needs, wants and interest, indirect approaches like

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 reflection open ended question's focusing on a point, presenting reality
are more effective when the problems are not obvious.Avoid evaluative,
hostile, probing questions and use understanding responses, which may
help the patient to explore his feelings.

e) Listening:- listening is an active process. The nurse should take time and
energy to listen to what the patient is saying. She must be a Sympathetic Q. Why a
listener and show genuine interests. nurse/psychiatrist
use subtle and
f) Permitting patient to express strongly held feelings. acceptable
manner
2) Self realization and understanding must be used as a therapeutic tool. approach?
An understanding of self makes the nurses aware of his/her strengths and
aggressive. This helps the nurse in understanding the strength and limitation's
of other people also.

Sr. Specific Time Subject Matter Teaching- A.V.Aids

No. Objectives Learning
Activities
5 Explain the 20min 3) Be consistent to enhance patient's sense of emotional security:-
principles of Consistency in people, situations and environment enhances the sense of
mental health emotional security in the patient.
nursing
4) Reassure the patient:- Patient needs to be reassured in order to win his
confidence but false reassurance should be avoided. The nurse should have
empathy with the patient.

5) Modify patient's behavior through corrective emotional experiences:-

Psychiatric patient's can't be handled on the basis of intellectual aspect. Major
fours in psychiatry is on feelings. Advising and rationalizing is ineffective in
changing patient's behavior. Role play and social drama may be used to provide

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corrective emotional experiences to the patient. It facilitates patient's insight in
his own behavior.

6) Avoid increasing patient's anxiety:- The nurse should approach The patient
in subtle and acceptable manner. She/he must avoid contradicting patient's
psychotic ideas, place unseasonable demands on the patient which he can't meet
or make him face repeated failures.

7) Observer's the patient behavior objectively to understand and interpret

his/her behavior.

8) Maintain therapeutic nurse-patient relationship.

9) Avoid physical and verbal aggression.

10) Nursing care should be patient centered not focusing on control of

symptoms.

11) Explanation's should be given according to the patient's her level of

understanding.

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Sr. Specific Time Subject Matter Teaching- A.V.Aids
No. Objectives Learning
Activities
The extent of explanations that can be given to the patient depend up on his/her
level of understanding, span of attention, anxiety levels and intellectual ability.
12) Basic principles of psychiatry must be the center of patient care:- Many
procedures used in psychiatric nursing are modified but the principle to
be kept in mind while handling psychiatric patients safety, security,
privacy, confidentiality, comfort, economy of man/money/material and
patient welfare

6 Explain the 25min STANDARDS OF MENTAL HEALTH NURSING Q. When Powerpoint

standards of Standards of presentation
mental health In 1973, The American nurses association issued standards to mental health

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nursing. improve the quality of care provided by psychiatric and mental health nurses. nursing issued?
These standards were last revised in 1994.
They apply to general and specialty working in any setting in which
psychiatric/mental health nursing is practiced. The Psychiatric Nursing
standards have been categorized in to two types:-
I) Professional Practice II) Professional
Standards Performance
standards
It includes
It Includes
a) Theory a) Quality
assurance
b) Assessment/Data b) Continuing
collection education
c) Diagnosis c) Leadership
role
d) Identification of d) Research
expected
outcomes
e) Planning e) Ethical care
f) Implementation of f) Utilization of
therapeutic varied
intervention's resources
g) Evaluation

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Sr. Specific Time Subject Matter Teaching- A.V.Aids
No. Objectives Learning
Activities
6 Explain the 25min a) Theory:- The mental health nurse applies appropriate theory that is Q.In how many Powerpoint
standards of scientifically strong and serves as a basis for decision making regarding types standards presentation
mental health nursing practice. of psychiatric
nursing b) Data collection:- The mental health nurse collect's patient's health data health nursing
that are:- categorized?
 Comprehensive
 Systematic
 Accurate
c) Diagnosis:- The mental health nurse analyses. The assessment data and
disease classification system in determining diagnosis of the patient. Q. What do you

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 understand by
d) . professional
e) Planning:- The mental health nurse develops a plan of care that practice
prescribes interventions to attain expected outcomes. standards?
f) Intervention:- The mental health nurse implements the interventions
identified in the plan of care.
g) Evaluation:- The mental health nurse evaluators the patients progress
in attaining expected outcomes.
h) Quality of practice:- The mental health nurse systematically enhances.
The quality and effectiveness of mental health care.
i) Continuing Education:- The mental health nurse acquires and
maintain current knowledge in nursing practice.
j) Professional Practice Evaluation/Peer Review:- The mental health
nurse evaluates own nursing practices with professional practice
standards, guidelines, rules and regulations and participate in peer
review
k) Interdisciplinary Collaboration:- The mental health nurse
collaborates with members of other discipline/ health care providers in
assessing, planning, implementing, evaluating mental health
care/practices.
l) Research:- The mental health nurse contributes to nursing and
mental health through the use of research.
m) Utilization of Community health system:- The mental health
Sr. Specific Time Subject Matter Teaching- A.V.Aids
No. Objectives Learning
Activities

nurse participates with other members of community health team

in assessing, planning, implementing and evaluating mental
health service and community system to deliver quality patient
care in community.
SUMMARIZATION
7 Conclude the 2 min. Today we have discussed about:- Summarizing the Blackboard
topic  Principles of mental health nursing topic
 Standards of mental health nursing

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 * Professional practice standards
* Professional performance standards
RECAPITALIZATION
8 Appraise the 2 min. - Define mental health nursing? Asking questions Discussion
knowledge - Enlist principles of mental health nursing? from the group.
gained by the - Classify standards of mental health nursing?
group
ASSIGNMENT
9 Give 1 min. - Principles of mental health nursing? Assignment Submission
assignment to - Rationale's of standards? given to the date……….
the group group
BIBLIOGRAPHY
10 Encourage 2 min.  Neeraja K.P. Essentials of mental health and psychiatric nursing. Giving Bibliography
the group for bibliography to card
further study.  Sharma P. Essentials of mental health nursing Jaypee publisher's 2013 . the group
43-48
 Sreevani R.A. Guide to mental health and psychiatric nursing. Jaypee
publishers 2007 . 21-24

SOURCE OF PREVIOUS KNOWLEDGE : Previous classes, Books.

GENERAL OBJECTIVE
At the end of the teaching the group will be able to comprehend knowledge regarding of Principlesof Mental Health
Nursing and Standards of Mental Health Nursing.

SPECIFIC OBJECTIVES

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 At the end of teaching the group will be able to:-
 define psychiatric nursing.
 explain principles of Mental Health Nursing.
 explain standards of Mental health Nursing.

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