New York University

College of Nursing
Baccalaureate Program
Spring 2018 – First Half

Course Number: NURSE-UN.241

Course Title: ACUTE PSYCHIATRIC NURSING

Course Description: This course focuses on bio-psychosocial models as a perspective for

viewing health promotion of persons and groups experiencing vulnerabilities and alterations
in mental health across the lifespan. The nursing process is applied to individuals and groups
in acute care mental health settings.

Credits: Three (3)

Hours: 3 hours lecture/week
8 hours clinical/week
Times & Location: Lecture:
433 1st Avenue Room LL1-10
12:30-3:15 PM, Thursday
Clinical days: Monday, Wednesday, Friday
Faculty:
Course Coordinators:
James Weidel, PhD, FNP-BC, PMHNP-BC
Phone: 212-992-7199
Office: 433 1st Avenue Room #403
E-mail: jw194@nyu.edu
Office hours: By appointment

Michelle Knapp, DNP, PMHNP-BC

Phone: 212-992-5967
Office: 433 1st Avenue Room #407
E-mail: mk3461@nyu.edu
Office hours: By appointment

Faculty Associate: Melissa Morelli-Walsh, CNM-BC

Morelc01@nyu.edu

Prerequisites: N41.0120, N41.0239, N41.0240, N41.1435

Co-requisites: N41.1241, N41.1436, N41.1261

Course Outcomes
Upon successful completion of this course the learner will be able to:

1. Apply the nursing process to promote optimal mental health wellness based on
neurobiological, psychoanalytic, cognitive and behavioral theories.
2. Provide patient-centered care for patients within their environments and across the
life span based on an assessment of biological, psychological, and socio-cultural
factors.
3. Demonstrate therapeutic communication skills in caring for patients with acute
mental health alterations and vulnerabilities.
 New York University
College of Nursing
Baccalaureate Program
Spring 2018 – First Half

4. Advocate for high quality, safe and culturally appropriate care for patients with
mental health alterations and vulnerabilities.
5. Collaborate effectively with the patient and inter-professional healthcare team to
optimize wellness in patients experiencing mental health vulnerabilities.
6. Provide patient education related to environmental, socio-economic, and political
factors that impact access and delivery of mental health services.
7. Demonstrate moral/ethical caring for patients experiencing mental health
alterations.

Teaching/Learning Strategies
Lecture/Discussion, Group/Seminar Discussion, Visual Presentations, Critical Thinking
Questions, Group Presentations, On and Off-Campus Clinical Experiences
Required Textbook
Townsend, Mary C. (2015). Psychiatric mental health nursing: Concepts of care in
evidence-based practice. (8th ed.). Philadelphia, PA: F.A. Davis.
Supplemental Readings
American Nurses Association, American Psychiatric Nurses Association and International
Society of Psychiatric Nurses (2014). Scope and standards of psychiatric-mental health
nursing practice. Washington, DC: ANA.
Suggested Journals
Journal of Psychiatric and Mental Health Nursing,
Archives of Psychiatric/Mental Health Nursing,
International Journal of Mental Health Nursing
Journal of the American Psychiatric Nurses Association
Professional Nursing Organizations Websites
American Psychiatric Nurses Association
http://www.apna.org
International Society for Psychiatric Nurses
http://www.ispn-psych.org
International Nurses Society on Addictions
http://www.IntNSA.org
 New York University
College of Nursing
Baccalaureate Program
Spring 2018 – First Half

Internet Resources for Mental Health and Substance-Related Disorders

Mental Health: A Report of the Surgeon General
http://www.surgeongeneral.gov/library/mentalhealth/toc.html
Mental Health: Culture, Race, and Ethnicity: A Supplement to Mental Health: A Report
of the Surgeon General.
http://www.surgeongeneral.gov/library/mentalhealth/cre
Mental Health Parity Act
http://www.cms.hhs.gov/hipaa/hipaa1/content/mhpa.asp
National Alcohol and Alcohol Abuse Association (NIAAA)
http://www.niaaa.nih.gov
National Institute of Drug Abuse (NIDA)
http://www.nida.nih.gov
National Institute of Mental Health (NIMH)
http://www.nimh.nih.gov/
Substance Abuse and Mental Health Services Administration (SAMHSA)
http://www.samhsa.gov

Grading Policy: The passing Grade for the course is C=73 per the NYUCN Policy. See
NYU College
of Nursing Academic Bulletin at http://www.nyu.edu/nursing/bulletin/index/html

GRADING FOR COURSE:

Didactic Requirements:

Psychiatric Exam I Midterm 35% Thursday 02/15/18 in class

Psychiatric Exam II Final 35% Thursday 03/08/18 (same as class time)
Smart Recovery Reaction Paper 10% Saturday 02/10/18 at 11:59pm
Classroom Participation 10% On-going
V-Simulations 10% **See Syllabus for corresponding due date
SIR II/Course Evaluations Complete/Incomplete

**A didactic failure (Grade = C- or less) or a clinical failure results in a failure for the
course.
Students in danger of failing the course at Midterm will meet with the Course
Coordinators.
 New York University
College of Nursing
Baccalaureate Program
Spring 2018 – First Half

Clinical Requirements:
Clinical Performance Evaluation Pass/Fail
Reflective Journals (2) Pass/Fail
CLINICAL GRADING
The clinical portion of this course is graded on Pass/Fail basis. You must achieve a
passing grade in clinical to pass the course. Clinical instructors will assess the student’s
demonstration of competencies in the following based on the …
1. Knowledge/Theoretical Principals
2. Client Assessment/Planning Nursing Care
3. Implementation of Care
4. Therapeutic Interaction
5. Professional Accountability

Acute Care Psychiatric Mental Health Nursing Course Policies:

Students are expected to follow the policy on academic honesty found in the College of Nursing
Undergraduate Handbook. For the most up to date version, go to
http://www.nyu.edu/nursing/bulletin/index.html and download.
1. Attendance – Students are required to attend ALL lecture and clinical learning
experiences on time.
2. Preparation & Participation
● Lecture: Students are expected to complete the assigned readings prior to class in
order to understand and participate in the class discussion.
● Homework: Assignments are due the night before class no later than 11pm.
● Cell phones and web surfing: As a courtesy to both faculty and students, please
remember that cell phones should be silenced for the lecture and during clinical
placements. The use of the internet other than for class activities is PROHIBITED
during all classes. Students who disregard these rules may be asked to leave the class
which will affect your participation percentage score.
● Off-Campus and On-Campus Clinical: Depending on the clinical off campus site you
may be asked to bring your stethoscope and watch with a second hand. Students
should download free Epocrates to obtain up to date drug and disease information to
help with your patient teaching. http://www.epocrates.com
3. Students with Disabilities: If you have a disability, special needs or requests you
may enroll with the Moses Center for Students with Disabilities. Please follow the
policies for faculty notification as written in the NYUCN Academic Bulletin at
http://www.nyu.edu/nursing/bulletin/index.html.
4. Exams: It is expected that all students be present to take the Midterm and Final
Examinations. You will be tested on the lecture material, assigned readings,
lectures and in-class discussions. Students wishing exception to the date of the
exams due to extraordinary circumstances or serious illness must petition the
Course Coordinator in writing before the date of the exam. If you are seriously ill
on the day of the exam, you must contact the Course Coordinator before the test
via e-mail. Any student who fails to show up for a scheduled exam without
prior permission from the Course Coordinator will receive an automatic
grade of zero (0) for the exam. Please check the nursing school policy for
lateness to a class test which may result in an automatic failure of the test.
Valid documentation will be required by a certified Health Care Provider and the
 New York University
College of Nursing
Baccalaureate Program
Spring 2018 – First Half

faculty will determine if the reason is valid. If a make-up exam is required, the
Course Coordinator reserves the right to change the format of any make-up exams.
No extra credit is available for this course.

Clinical Requirements:
Dosage Calculation Test: If you did not pass the Dosage Calculation test at the end of
A & E – I, you are required to successfully complete the dosage calculation test (grade
90% or above) by the second week of the semester.

Students must meet the clinical objectives as listed on the Clinical Evaluation Tool
(separate document) in order to pass the clinical component of the course.

Students are expected to attend clinical, both on and off campus, on time and
appropriately attired. Dress Code includes: Modest Business Attire e.g. skirts, dress
slacks, suits with NYU Name Pin. It would be helpful to you to have pockets to carry
your valuables while working due to limited space on the units. Some clinical sites
may require the NYU purple scrubs, please follow the instructions of your clinical
instructor.

Completion of 2 reflective journal entries for off campus clinical is required. Please see
the format listed under Assignments. These journals are meant to be reflective of your
clinical experiences. Please submit to the off campus clinical instructor as directed by the
individual instructor.

Smart Recovery Reaction Paper is due 2/10/18 by 11:59pm. Please post this paper in
the appropriate place under Assignments on NYU Courses.

Participation in on campus simulation exercises: Students are expected to prepare for

simulation by completing the pre-simulation assignment for each simulation exercise.
These assignments are posted under Assignments in NYU Classes. Completion of this
material is essential for the pre-simulation discussion and performance in your simulation
experiences.

***Absences from on and off campus clinical must be reported by e-mail to the clinical
instructor, course coordinator, faculty associate and Ilene Rattner prior to the start of the
clinical experience. Please refer to the undergraduate NYUCN Clinical Absenteeism
Policies, which can be found under resources for this class
NOTE: In addition, students must also complete the electronic clinical absence
notification form (link: https://frms.nursing.nyu.edu/user/login?destination=node/197)
for every missed on/off clinical within 24 hours of the date of missed clinical. Those
students who anticipate missing a clinical(s) because of religious observance must also
complete the electronic clinical absence notification form during the first week of the
academic term.
 New York University
College of Nursing
Baccalaureate Program
Spring 2018 – First Half

V-Sim Dates and Instructions:

Due times and dates:

V-Sims are due by 11:59 PM the Weds night prior to the corresponding class. (Classes are
on Thursday.)

Instructions:
Please use the following instructions to access your v-simulations:

UN 241 Section 1 vSim for Mental Health Nursing instructions

1. If you don't already have access to vSim for Nursing | Mental Health, redeem
your ACCESS CODE and complete registration at http://thePoint.lww.com/activate. The
Access Code will be provided by the faculty via email and will be reviewed during the first
week of class. Please note – thePoint website is the same site you used in Pathophys.

2. From the “My Content” page, click on vSim for Nursing | Mental Health.

3. On the welcome screen or from “My Classes”, select “Join a Class”, enter your CLASS
CODE: 45A91A3B, and click “Enroll”.

4. We encourage you watch the vSim tutorial available as part of the student resources on
thePoint. This will help you understand how to best navigate vSim.

If you experience any problems, check the code again and re-enter it. If it does not work,
contact Lippincott Online Product Support at 1-800-468-1128 or techsupp@lww.com for
assistance.
 New York University
College of Nursing
Baccalaureate Program
Spring 2018 – First Half
Wk/Date Topic
To be Preparation for Clinical
completed
before you
start ***************************
Clinical or Preparation for Simulation
simulation
WK #1 Introduction/Overview of
Thursday Course
1/25/18 Evolution of Psychiatric-Mental
Health Care
History of Psychiatric Nursing
and Psychiatric Nursing
Education:
Peplau’s Interpersonal Theory
Therapeutic Relationships
Foundations of PMH Nursing:
Mental Health Promotion and
Illness Prevention
Essential Qualities of the PMH
Nurse:
Therapeutic Use of Self Forming
Therapeutic alliance
Neurobiological Implications in
Treatment: Neurotransmitters
and neuroanatomy
Theoretical Basis for
Psychiatric-Mental Health
Nursing Care:
Sigmund Freud: Ego function and
Defense mechanisms
Erik Erikson
Abraham Maslow
Harry Stack Sullivan
WK #2 Mental Status Exam (MSE)
Thursday Psychosocial Assessment Tool
2/1/18 Diagnostic Criteria for Mental
Disorders:
DSM 5
Related Reading /Assignments
due/Exams dates
Townsend: Chapter 5, 6, 7, 8 & 9
Review the power point on Psych
Nursing Process under resources
*******************************
Review the power point on Psych
Nursing Process under resources
Pre-Simulation Assignments
Townsend Chapter 1: Mental Health
and Mental Illness
https://www.cdc.gov/violencepreventi
on/acestudy/about.html
DISCUSSION OF AA REACTION
PAPER
Website – OPEN MEETINGS
www.nyintergroup.org
Townsend Chapter 4: Concepts of
Psychobiology
Townsend Chapter 5: Ethical and
Legal Issues
Townsend Chapter 7&8: Relationship
Development and Therapeutic
Communication
Link for film
http://aitlvideo.uc.edu/aitl/MSE/MSEk
m.swf
(If link does not launch from here, cut
and paste in your web browser)
Townsend: App. C pp. 871 (MSE)
 New York University
College of Nursing
Baccalaureate Program
Spring 2018 – First Half
Schizophrenia and Other
Psychotic Disorders
Differential diagnosis,
psychopharmacology, treatment
approaches
Bipolar Disorder
Differential diagnosis,
psychopharmacology, treatment
approaches
Townsend: App. D pp. 875 (DSM)
Townsend Chapter 24: Schizophrenia
Spectrum and Other Psychotic
Disorders
https://www.khanacademy.org/test-
prep/nclex-rn/rn-mental-
health/psychotic-disorders-
rn/v/psychosis
Psychosis
https://www.youtube.com/watch?v=C
aNprMoafdw
Schizophrenia and other psychotic
disorders
https://www.youtube.com/watch?v=tO
8B2M_LBeg
medications and side effects videos
antipsychotics, TD, NMS, etc.
https://www.youtube.com/watch?v=3J
1swiS7uJo
Townsend Chapter 26: Bipolar and
Related Disorders
Bipolar Disorder-Ted TX
https://www.youtube.com/watch?v=8
Ki9dgG3P5M
Silver Linings movie
https://www.youtube.com/watch?v=Jr
sjI7DrOuQ
Neurobiology of Bipolar Disorder
https://www.youtube.com/watch?v=H
WB0wQWJTew
Bipolar Disorder Symptomology
https://www.youtube.com/watch?v=w
Wem_VOIoRw
V-Simulation:
David Carter Parts I and II
 New York University
College of Nursing
Baccalaureate Program
Spring 2018 – First Half

WK #3 Depression Townsend Chapter 25: Depressive

Thursday Suicide Prevention Disorders
2/8/18 Loss/Grieving Townsend Chapter 37: The Bereaved
Treatments and Pharmacology Individual
Articles on Suicide: Part I and II
http://onlinelibrary.wiley.com/doi/10.
1111/sltb.12065/full
http://onlinelibrary.wiley.com/doi/10.
1111/sltb.12067/full

https://www.khanacademy.org/test-
prep/nclex-rn/rn-mental-
health/depression-and-related-
disorders-rn/v/introduction-to-
psychology-depression-and-major-
depressive-disorder

https://www.youtube.com/watch?v=Z
23GBR3Zxjg

depression in men
https://www.youtube.com/watch?v=f
Uv772Hq7GA

depression in women
https://www.youtube.com/watch?v=A
bCULoSZnAg

CBT Explained
https://www.youtube.com/watch?v=W
hMmZJ3H1E8

Neurodevelopmental Disorders Townsend Chapter 33: Children and

Adolescents
https://www.khanacademy.org/test-
prep/nclex-rn/rn-mental-
health/neurodevelopmental-disorders-
rn/v/intro-to-neurodevelopment-
milestones

Smart Recovery Reaction paper due

2/10/18 by 11:59 PM
 New York University
College of Nursing
Baccalaureate Program
Spring 2018 – First Half

V-Simulations:
Linda Chen, Parts I and II

WK #4 MIDTERM EXAM: in class,

Thursday multiple choice Townsend Chapter 31: Eating
2/15/18 Nursing Care of individuals with: Disorders
Eating Disorders Townsend Chapter 13: Crisis
Crisis Management Intervention

Wk #5 Nursing Care of Patients with: Townsend Chapter 27: Anxiety,

Thursday Anxiety Disorders Obsessive-Compulsive, and Related
2/22/18 Generalized Anxiety Disorder Disorders
Panic Disorder https://www.khanacademy.org/test-
Agoraphobia prep/nclex-rn/rn-mental-
Phobic Disorders health/anxiety-rn/v/generalized-
Obsessive Compulsive Disorder anxiety-disorder
Psychotherapy/Pharmacological
Treatment anxiety
https://www.youtube.com/watch?v=F
EdMloDieB4

neurobiology of anxiety
https://www.youtube.com/watch?v=g
mwiJ6ghLIM

Nursing Care of Patients with: Townsend Chapter 28: Trauma and

Trauma and Stressor-related Stressor-Related Disorders
disorders
V-Simulation:
Linda Waterfall

WK #6 Nursing Care of Patients with Townsend Chapter 23: Substance-

Thursday Substance Related Disorders: Related and Addictive Disorders
3/1/18 Therapy/Treatment for Substance Substance Abuse and Mental Health
Related Disorders Services Administration (SAMHSA)
American Nurses Association and
International Nurses Society on
Addictions (2004)
National Alcohol and Alcohol Abuse
Association (NIAAA)
 New York University
College of Nursing
Baccalaureate Program
Spring 2018 – First Half

https://www.youtube.com/watch?v=R
7XPTtFY7C8
https://www.youtube.com/watch?v=orC
hO5Pbuoc
https://www.khanacademy.org/test-
prep/nclex-rn/rn-mental-health/rn-drug-
abuse-and-drug-addictions/v/overview-of-
psychoactive-drugs

Reward Pathway
https://www.youtube.com/watch?v=7
VUlKP4LDyQ

Suboxone
https://www.youtube.com/watch?v=iy
wOjsNG09E

Narcan
https://www.youtube.com/watch?v=h
GVSaO1oxpg
https://www.youtube.com/watch?v=oy
VuVnc0us0&spfreload=5

COWS and CIWA scales

https://www.youtube.com/watch?v=di
UQrO6_-dw

Different types of street drugs and

side effects
https://www.youtube.com/watch?v=1I
s6CAvnqwg

Nursing Care of Patients with Townsend Chapter 32: Personality

Personality Disorders Disorders
Therapy/Treatment for
Personality Disorders Personality disorders
https://www.youtube.com/watch?v=Q
ncRZkrNnzg

Borderline Personality Disorder

https://www.youtube.com/watch?v=rZ
djbLFPr5k

V-Simulation:
Andrew Davis
 New York University
College of Nursing
Baccalaureate Program
Spring 2018 – First Half

********* *************************** *******************************

FINAL EXAM – *******************************
Multiple choice format *******************************
3/8/18 TIME: 11:30AM *******************************
LOCATION: LL-1-10