Bryant & Stratton College

Course Syllabus
Nursing 222 Geriatrics and Mental Health
2019

Bryant & Stratton College Nursing Clinical Evaluation Tool

Student: _Vanessa Benning__________ NURS 222: Geriatrics/Mental Health

Instructor: _D. Pichler_______________ SEMESTER: 2019

The student must receive a minimum of a 3.0 average for an overall evaluation of Satisfactory in the clinical
rotation. This means out of the 7 objectives with 43 items, the student must earn 129 points out of a possible
172 points.

Starred items “*” indicate that the student must receive at least a minimum of Satisfactory 3.0 by final faculty
evaluation in order to pass clinical and progress to the next course.

Any item receiving a 1 in the faculty final evaluation is an automatic clinical failure.
Any item that is Not Applicable will be scored as “n/a”

CLINICAL OBJECTIVES (Course Outcomes):

1. Examine a teaching and learning plan for a geriatric or mental health client utilizing the nursing
process.
2. Select and utilize appropriate nursing interventions in providing care to the geriatric and mental
health client.
3. Differentiate modifications and application of QSEN competencies in the delivery of nursing
care for geriatric and mental health clients using best current evidence.
4. Establish and maintain a therapeutic nurse-client relationship utilizing effective communication
techniques.
5. Appraise the importance of the role of the professional nurse as an advocate for geriatric and
mental health.
6. Examine how stereotyping may affect personal bias and professional development.
7. Select and utilize appropriate information sources to inform ethical decision-making and
improve patient outcomes for geriatric and mental health clients.

The six roles of the Associate Degree nurse (Advocate, Member of Discipline, Provider of Care,
Researcher, Manager of Care, and Teacher)

Nursing Program Student Learning Outcomes:

1. Employ critical thinking and reasoning to utilize the nursing process as a framework to deliver
comprehensive, safe, and culturally sensitive care across the lifespan.
2. Demonstrate clinical competence in the performance of nursing skills utilizing quality measures to
provide safe effective nursing care.
3. Apply best current evidence and appropriate nursing judgment in collaboration with the patient
to guide clinical decision making in the delivery of nursing care.
4. Collaborate and communicate effectively with patients, families and their social support system,
and the members of the health care team to achieve mutually agreed upon patient outcomes.
5. Practice within the ethical, legal and regulatory frameworks of professional standards for nursing,
including employing agencies’ standards of care, assuming students had no past conduct or
convictions, which prevent such practice.

1
Bryant & Stratton College
Course Syllabus
Nursing 222 Geriatrics and Mental Health
2019

6. Construct a framework of personal accountability for lifelong learning with an entry-level set of
knowledge, skills, and behaviors to provide safe, effective nursing care.
7. Employ information literacy skills through the effective use of informatics to communicate,
manage knowledge, mitigate errors, and support decision-making.

Guide for Interpretation of Evaluation Scale

4 = Student consistently functions at expected level independent

Proficient, coordinated, confident, without direction
3 = Student consistently functions at expected level with minimal guidance.
Safe, accurate, efficient, coordinated, confident, with occasional direction
2 = Student requires reminders and guidance to function at adequate level.
Safe and accurate, inefficient or inconsistently efficient
1 = Student performs unsatisfactorily, is unable to meet clinical objectives without needing constant
guidance, or the student is unsafe in the clinical setting. Unable to demonstrate procedures. Needs
continuous verbal and/or physical direction.

Mid-Term Eval Student and Faculty Final Eval. Student and Faculty

1 2 3 4 1. Examine a teaching and learning plan for a geriatric or mental 1 2 3 4

health client utilizing the nursing process.
(teacher, researcher, manager of care; SLO 1, 2, 3, 4, 7)
1. Assesses pertinent data (physical, developmental, psychosocial, 4
environmental) and impact on teaching/learning*
2. Assesses anxiety level of client * 4
3. Identifies nursing diagnosis of actual and potential problems related to 4
learning needs and teaching *
4. Establishes priorities of client problems * 4
5. Uses available opportunities for client teaching.* 4
6. Incorporates rehab and discharge planning into nursing care .* 4

Mid-Term Eval Student and Faculty Final Eval. Student & Facul

1 2 3 4 2. Select and utilize appropriate nursing interventions in 1 2 3 4

providing care to the geriatric and mental health client.
(provider of care, manager of care; SLO 1, 2, 3, 4, 7)
7. Recognizes changes in client’s physical or emotional condition * 4
8. Correlates theory with clinical * 3
9. Organizes time and work * 4
10. Adapts to new and stressful situations * 4
11. Applies skills using good judgment * 4
12. Meets client’s obvious physical needs* 4
13. Meets client’s obvious psycho-social needs * 4
14. Maintains a safe client environment * 4

2
Bryant & Stratton College
Course Syllabus
Nursing 222 Geriatrics and Mental Health
2019

15. Evaluates nursing care based on client goals * 4

16. Records pertinent data using correct English and medical 4
terminology *
17. Reports off unit to team leader or representative.* 4
Mid-Term Eval Student and Faculty Final Eval. Student & Faculty
1 2 3 4 3. Differentiate modifications and application of QSEN 1 2 3 4
competencies in the delivery of nursing care for geriatric and
mental health clients using best current evidence.(member of
discipline, provider of care, advocate; SLO1, 2, 3, 4, 5, 6)
18. Explains scientific rationale for care, medication and treatments * 3
19. Approaches client, health team and work in a positive manner * 4
20. Encourages client self-disclosure and expression of feelings * 4
21. Uses problem solving skills to address changes in client condition 4
22. Creates a plan of care for the geriatric client based upon thorough 4
assessment data collection
23. Creates plan of care to meet unique needs of mental health client 4
24. Responds effectively and appropriately to changes in client’s physical 4
or emotional condition *
25. Revises nursing care based on client responses 4
26. Assesses developmental level of client and explains impact on 4
nursing care *
27. Communicates effectively with the RN and other health care team 4
members
28. Recognizes resources to assist the mental health client 4

Mid-Term Eval Student and Faculty Final Eval. Student & Faculty
1 2 3 4 4. Establish and maintain a therapeutic nurse-client relationship 1 2 3 4
utilizing effective communication techniques.
(member of discipline, advocate, manager of care; SLO 1, 2, 4)
29. Maintains confidentiality of relationship and client information. * 4
30. Responds appropriately and therapeutically to client self-disclosure 4
and expression of feelings.
31. Uses problem solving skills to help client find alternatives * 4
32. Communicates client needs to health care team * 4

Mid-Term Eval Student and Faculty Final Eval. Student & Faculty

1 2 3 4 5. Appraise the importance of the role of the professional nurse as 1 2 3 4

an advocate for geriatric and mental health.
(advocate, researcher, member of discipline; SLO 4, 5, 6, 7)
33. Respond to the client need for autonomy in making decisions 4
regarding treatment
34. Seeks resources for continuing care and patient assistance 4
35. Educates clients on rights, provides information for informed consent, 4
educates patients for prevention of violence
36. Protects confidential affairs of facility and client. * 4

3
Bryant & Stratton College
Course Syllabus
Nursing 222 Geriatrics and Mental Health
2019

37. Practices professional standards of attendance and punctuality; arrives 4

on time and stays for full duration of clinical. *
38. Demonstrates accountability for care given by self and/or delegated to 4
others.*

Mid-Term Eval Student and Faculty Final Eval. Student & Faculty
1 2 3 4 6. Examine how stereotyping may affect personal bias and 1 2 3 4
professional development.
(member of discipline, advocate; SLO 4, 5, 6, 7)
39. Provides culturally relevant care in psychiatric mental health settings 4
40. Explains how stigma and stereotyping affect decision making within 4
the nursing process (patient presentation, patient behaviors, patient
ability to participate in care)

Mid-Term Eval Student and Faculty Final Eval. Student & Faculty
1 2 3 4 7. Select and utilize appropriate information sources to inform 1 2 3 4
ethical decision-making and improve patient outcomes for
geriatric and mental health clients.
(advocate, member of discipline, manager of care, researcher,
provider of care; SLO 5)
41. Creates a nursing plan of care utilizing evidence-based resources 4
42. Applies ethical principles to provide safe and effective care 4
43. Anticipates adverse events and suggests nursing care to optimize 4
client outcomes

ADDITIONAL REQUIREMENTS TO EARN A SATISFACTORY GRADE IN THIS COURSE:

LAB & SKILLS: Passed Medication Dosage Calculation Exam ________ (yes)

Mental Status Lab- Date: ________ Substance Abuse Lab- Date:____

Medication Administration Lab - Date: ______ Simulation Date: _______

Conflilct Resolution/Crises Prevention Lab- Date: ________

Geriatric delirium-dementia) -Lab Date: _______Geri Physical Care Lab Date:____

Research Project Grade _________

Teaching Project Grade ________

4
Bryant & Stratton College
Course Syllabus
Nursing 222 Geriatrics and Mental Health
2019

Overall Mid-Term Evaluation (number score) _____________ AVERAGE ________

See comments (attached).

Overall Final Evaluation (number score) _170______________ AVERAGE________

See comments (attached).
Bryant & Stratton College

Final Student Self-Evaluation Summary

Name: ___________________________________ Semester: _____________________________________

Course: _________________________________ Clinical Site: ___________________________________

Identification of Strengths
My greatest strength in this clinical experience was my extensive inpatient/outpatient mental health background. Although the
hospital and environment was a little different, there were many similarities in practice. I was easily able to navigate the new system,
routine, and provided care. This left me more time to be able to concentrate on my patient, their issues, and working with the nursing
team. Another one of my strengths is my client interaction. I am able to have appropriate boundaries, keep professional space, and
offer self to the clients when needed. I am also good at recognizing signals that the patients give off through their body language,
mannerisms, and tone of voice. This greatly helped me through the semester at knowing when to talk, and when to observe. My other
greatest strength is my ability to research evidence based practices. Doing both of my presentations were directly in my skill
wheelhouse, and was able to execute them. I was also able to provide detailed information for my weekly clinical sheets, and the
assignments. This also played up to my ability to think critically, and navigate through the diagnosis.

Areas for Development

The areas where I could really use more development are just putting my knowledge into place on the units. To be able to do things
fluidly without having to look information up. This comes with repetition of skills in the workplace, more knowledge of the meds,
and more hands on learning. This is where I really retain information when practiced in the care setting. I also could use some
development on scheduling my schoolwork at home. Having to balance the multiple assignments from clinical, and
testing/assignments from the lecture classes is quite hard. This is an area where I could develop, and possibly get a schedule going to
aid me.

Plan for Improvement

My plan for improvement is first to get a study schedule going. Certain amount of hours each week dedicated to certain class tasks I
can be expecting through the next semester. Also making sure to take more time and do practice questions to prepare for graduation.
This is where Im lacking, is the time constraint. There are only so many hours in the day, and I feel I could do more research on how
to properly manage my studying. I am also going to spend more hours in the lab making sure my skills are perfected before
graduation.

Faculty Comments at Final :

5
Bryant & Stratton College
Course Syllabus
Nursing 222 Geriatrics and Mental Health
2019

Student Signature_____________________________________

Faculty Signature_____________________________________ Date_____________________