1125 Unit 6 Topical Outline

Unit 6 Client Needs Related to Selected Mood Alterations

Course Objectives

  • Upon completion of this unit, students will be able to:

    1. Promote a safe and effective healthcare environment by:

      • Identifying evidence-based standards of practice in relation to legal, ethical, and regulatory guidelines to advocate for clients with mood disorders.

        • Standards of Care

        • Competency

        • Duty to Warn

    2. Identify members of the healthcare team involved in care for clients with mood disorders:

      • Registered Nurse (RN)

      • Psychiatrist

      • Psychologist

      • Behavior Therapist

    3. Recognize collaborative healthcare resources utilized to provide care for clients with mood disorders:

      • Community Resources

        • Outpatient Services

        • Day Programs

    4. Distinguish the therapeutic communication techniques essential for clients with mood disorders:

      • Flight of Ideas

      • Clang Associations

      • Grandiosity

      • Aggression

      • De-escalation Techniques

    5. Identify appropriate data for documentation related to clients with mood disorders:

      • Inpatient Care

      • Outpatient Care

Health Promotion and Maintenance

  1. Identify culturally diverse teaching and learning activities included in nursing care to promote, restore, and maintain health for clients with mood disorders:

    • Medication Management

    • Follow-up Care

    • Symptom Management

    • Family Education

Psychological Integrity

  1. Identify culturally diverse nursing interventions that promote emotional, mental, spiritual, and social health during stressful events for clients with mood disorders:

    • Group Therapy

    • Milieu Management

    • Creating a Consistent Environment

Physiological Integrity

  1. Identify assessment findings, nursing diagnoses, planning, interventions, and evaluations for various mood disorders:

    • Depression

      • Major Depression

      • Dysthymic Disorder

      • Cyclothymia

      • Seasonal Affective Disorder

      • Postpartum Depression

      • Child and Adolescent Depression

      • Older Adult Depression

      • Depression Due to Medical Condition

      • Suicidal Behaviors

    • Bipolar Disorders

      • Bipolar I

      • Bipolar II

  2. Identify laboratory, diagnostic, and assessment procedures, along with safe nursing interventions expected for clients with mood disorders:

    • Beck Depression Inventory

    • Geriatric Depression Scale

    • Zung Depression Scale

    • Mood Disorder Questionnaire

    • Blood Chemistry Tests

    • Drug Levels

    • Electrocardiogram (EKG)

  3. Identify possible complications and health risks associated with mood disorders and nursing interventions to prevent them:

  • Serotonin Syndrome

  • Hypertensive Crisis (Tyramine Reaction)

  • Electroconvulsive Therapy

  • Hyperactivity

  • Lithium Toxicity

  • Transcranial Magnetic Stimulation

Treatment Modalities

  1. Identify scientific treatment modalities and safe, accurate, therapeutic nursing interventions expected for clients with mood disorders:

  • Safe Environment

  • Suicide Precautions

  • Self-Harm Prevention

  • Addressing Physiological Needs

  • Milieu Therapy

  1. Identify pharmaceutical modalities and safe, accurate, therapeutic nursing interventions for clients with mood disorders:

  • For Depression:

    • Selective Serotonin Reuptake Inhibitors (SSRIs)

    • Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)

    • Serotonin Receptor Agonists

    • Norepinephrine-Dopamine Reuptake Inhibitor (NDRI)

    • Tricyclic Antidepressants

    • Monoamine Oxidase Inhibitors (MAOIs)

  • For Bipolar Disorder:

    • Lithium

    • Anticonvulsants

    • Antipsychotics

    • Atypical Antipsychotics

    • Antianxiety Medications

Classroom References

  • Holman, H. C., Williams, D., Johnson, J., Sommer, S., Ball, B. S., McMichael, M., (2023). Content Mastery Series Review Module. (12th ed.). Assessment Technologies Institute.

Clinical Expectations

  • Upon completion of this unit, students will be able to provide nursing care to psychiatric clients that promotes:

    • A safe and effective environment

    • Health promotion and maintenance

    • Psychological integrity

    • Physiological integrity