Specific Core Nursing Content # 2: Neurological Basis of Psychiatric Mental Health Practice


Clinical Learning Outcomes

  • Apply knowledge about the structure and function of the brain in PMH practice.
  • Describe neuroimaging techniques use in PMH.
  • Identify the neurotransmitters, their location and function in the brain.
  • Recognize the genetic component of each mental illness.
  • Incorporate knowledge of circadian rhythms and sleep when conducting a psychosocial assessment.
  • Demonstrate competent generalist assessment skills with emphasis on mental status and neurological functioning.
  • Apply neurobiological knowledge to care practices and patient teaching.
  • Identify the purpose of genetic testing for psychiatric disorders.

 

Teaching Strategies


Classroom Teaching Strategies

  • Journal articles to supplement text:
    • Davies, S., Esler, M., & Nutt, D. (2010). Anxiety-Bridging the heart mind divide. Journal of Psychopharmacology, 24(5), 33-638.
    • Blair, J. R. (2003).The neurobiology of psychopathology. The British Journal of Psychiatry, 203, 5-7.
    • Phelps, J. (2015). The Neural basis of bipolar illness. Psychiatric Times. Retrieved from http://www.psychiatrictimes.com/special-reports/neural-basis-bipolar-disorder
    • Siever, L.J. (2008). Neurobiology of aggression and violence. The American Journal of Psychiatry, 165(4), 429-442.

Clinical Teaching Strategies

  • Discuss the origin of the patients’ symptoms in terms of brain structure and function. While administering psychotropics, discuss the effects of the medication on areas of the brain.
  • Post conference discussion: “If a patient asked you whether they should have genetic testing done or not, what information would you give them to help them decide?”

Case Study:

  • Discuss a patient who is being treated on a psychiatric unit who was stabilized on a medical unit after a gunshot wound to the head including the Broca’s area and the amygdala. Discuss what possible symptoms would be associated with these affected areas of the brain

Boyd, M. A. (2012). Psychiatric Nursing: Contemporary practice (5th ed.), pp. 80-104. Philadelphia, PA: Lippincott Williams &Wilkins.

 

Assessment Strategies


Test Bank

Which of the following areas of the brain are associated with emotion and addiction?
A) limbic system, B) cerebellum, C) brain stem, D) dopamine        
Answer: A

Assignments with Rubrics

  • Compare/contrast medication, neurotransmitter effects, adverse reactions, side effects and their neurobiological origin.

Clinical Skills Checklist

  • As the student is administering meds, given a diagram of the brain, identify the area the medication is affecting/targeting (Standard 5. Implementation)
  • Apply neurobiological knowledge to care practices and patient teaching. Student will teach the patient about the anatomy of the brain and the area of the brain that the medication is affecting (Standard 3. Outcomes Identification, Standard 5B. Health Teaching)
  • Demonstrate competent generalist assessment skills with emphasis on mental status and neurological functioning (Standard 1. Assessment, Standard 2. Diagnosis)
  • Apply neurobiological knowledge to care practices and patient teaching (Standard 4. Planning)
The American Psychiatric Nurses Association is accredited with distinction as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.