CEBU TECHNOLOGICAL UNIVERSITY

In consortium with
CEBU CITY MEDICAL CENTER – COLLEGE OF NURSING

OUTCOMES BASED COURSE SYLLABUS

LEVEL III
FIRST SEMESTER, ACADEMIC YEAR 2020 – 2021
 CEBU TECHNOLOGICAL UNIVERSITY
In consortium with
CEBU CITY MEDICAL CENTER – COLLEGE OF NURSING

OUTCOMES BASED COURSE SYLLABUS

LEVEL III
SECOND SEMESTER, ACADEMIC YEAR 2020 – 2021
 OUTCOMES BASED COURSE SYLLABUS IN
NURSING CARE MANAGEMENT
Care of Client with Maladaptive Patterns of Behavior
Second Semester, Academic Year 2020 – 2021

COURSE NAME: Care of Client with Maladaptive Patterns of Behavior

COURSE CODE:
COURSE DESCRIPTION: The course is designed to focus on health and illness across the lifespan of clients, population groups with acute and chronic psychosocial
difficulties and psychiatric illness.
COURSE CREDIT: 4 Units Lecture; 2 Units RLE (2 Units Clinical)
CONTACT HOURS/SEM: 72 Lecture hours; 102 RLE hours
PRE-REQUISITE: General Psychology; NCM 103
CO-REQUISITE: NCM 104
PLACEMENT: 3RD Year, 2nd Semester
VISION OF CTU
A premier, multi-disciplinary technological university.
VISION OF CCMC COLLEGE OF NURSING
To prepare nursing students to become globally competitive nurses.
MISSION OF CTU
Provide advanced professional and technical instruction for special purposes, industrial trade, teacher education, agriculture, fishery, forestry, engineering,
maritime, aeronautics and land-based programs, arts and sciences, health sciences, information technology and other relevant fields of study. It shall
undertake research, production and extension services, and provide progressive leadership across the areas of specialization for global empowerment.
MISSION OF CCMC COLLEGE OF NURSING
To provide world class nursing education to students who are residents of Cebu City.
GOAL OF THE COLLEGE
To establish and maintain acceptable standards of nursing education through updated nursing curriculum and facilities, conduct and participate in
researches related to nursing and to strengthen linkages with other agencies.
OBJECTIVES OF THE PROGRAM/PROGRAM OUTCOMES:
1. Apply knowledge of physical, social, natural and health sciences and humanities in the practice of nursing.
2. Perform safe, appropriate and holistic care to individuals and families, population groups and community utilizing the nursing process
3. Apply guidelines and principles of evidence – based practice in the delivery of care.
4. Practice nursing in accordance with existing laws, legal, ethical and moral principles.
5. Communicate effectively in speaking, writing and presenting using culturally – appropriate language.
6. Report/document client care accurately and comprehensively.
7. Collaborate effectively with inter-, intra-, and multidisciplinary and multicultural teams.
8. Practice beginning management and leadership skills using systems approach in the delivering client care.
9. Engage in a lifelong learning with a passion to keep current with national and global developments in general, and nursing and health developments in particular.
10. Demonstrate responsible citizenship and pride in being a Filipino.
11. Apply techno-intelligent care systems and processes in health care deliver.
12. Uphold the nursing core values in the practice of the profession.

COURSE DESCRIPTION: The course is designed to focus on health and illness across the lifespan of clients, population groups with acute and chronic psychosocial
difficulties and psychiatric illness.

LEVEL OUTCOME/GENERAL OBJECTIVE: At the end of the course, and given actual clients with maladaptive patterns of behaviour, the Level III shall be able to:
1. Utilize the nursing process in the care of the individual, families in community and hospital settings.
- Assess client/s with his/her/their condition through mental status examination, physical examination, and interpretation of diagnostic
procedures.
- Identify actual and potential nursing diagnosis.
- Plan appropriate nursing interventions with client’s and family for identified nursing diagnosis.
- Implement plan of care with client/s and family.
- Evaluate the progress his/her/their client’s condition and outcome of care.
2. Apply knowledge and understanding of maladaptive patterns of behaviour in providing safe and quality care to clients.
3. Increase self-awareness and therapeutic use of self in the care of clients.
4. Ensure a well-organized and accurate documentation system.
5. Relate with client/s and their family and the health team appropriately.
6. Observe bioethical concepts/principles, core values and nursing standards in the care of clients.
7. Promote personal and professional growth of self and others
. COURSE REQUIIREMENTS
Projects
Independent Learning Outputs

EVALUATION PROCEDURES
Lecture:
Midterm Grade 1/3 Major Exam + 2/3 Class Standing (Mastery Exam 45%; Quizzes 30%; Projects 15%; Independent Learning 10%)
Final Grade 1/3 Major Exam + 2/3 Class Standing (Mastery Exam 45%; Quizzes 30%; Projects 15%; Independent Learning 10%)
Semestral Grade 1/3 Midterm Grade + 2/3 Final Grade
 ALIGNMENT MATRIX

PROGRAM OUTCOME COURSE OUTCOME LEARNING OUTCOME

1. Apply knowledge of physical, social, natural and Apply knowledge of physical, social, natural and health a. Integrate relevant principle of social, physical,
health sciences and humanities in the practice of sciences and humanities in the practice of nursing. natural & health sciences and humanities in the
nursing. care of client with maladaptive behaviour.

2. Perform safe, appropriate and holistic care to Perform safe, appropriate and holistic care to individuals a. Assess client with maladaptive behaviour.
individuals and families, population groups and and families, population groups and community utilizing b. Implement safe and quality interventions to
community utilizing the nursing process the nursing process address maladaptive behaviour patterns.
c. Provide health education to properly assess the
client with maladaptive behaviour.

3. Apply guidelines and principles of evidence – Apply guidelines and principles of evidence – based a. Provide appropriate evidence – based nursing
based practice in the delivery of care. practice in the delivery of care. care.
- Research
- Clinical Practice
- Client & Staff Safety

4. Practice nursing in accordance with existing laws, Practice nursing in accordance with existing laws, legal, a. Adhere to ethicolegal considerations to provide
legal, ethical and moral principles. ethical and moral principles. safe, quality and professional nursing care.
b. Apply ethical reasoning and decision making
process to provide safe, quality, and professional
nursing care.

5. Communicate effectively in speaking, writing and Communicate effectively in speaking, writing and a. Communicate effectively orally and in writing both
presenting using culturally – appropriate presenting using culturally – appropriate language. effectively in English and Filipino.
language.
 ALIGNMENT MATRIX

PROGRAM OUTCOME COURSE OUTCOME LEARNING OUTCOME

6. Report/document client care accurately and Report/document client care accurately and a. Document client’s responses to nursing care
comprehensively. comprehensively. services rendered.
b. Ensure completeness, integrity, safety,
accessibility and security of nurse’s
documentation.
c. Adhere to protocol and principles of confidentiality
in safekeeping of client’s records.

7. Collaborate effectively with inter-, intra-, and Collaborate effectively with inter-, intra-, and a. Maintain a harmonious and collegial relationship
multidisciplinary and multicultural teams. multidisciplinary and multicultural teams. among members of the health team.
b. Collaborate with other members of the health
team in the implementation of services.
c. Ensure intra-agency, inter-agency,
multidisciplinary and sectoral collaboration in the
delivery of healthcare.

8. Practice beginning management and leadership Practice beginning management and leadership skills a. Participate in the development and improvement
skills using systems approach in the delivering using systems approach in the delivering client care. of policies and standards regarding safe nursing
client care. practice and relevant to human resource
management.
b. Manage human, physical, financial, time
resources efficiently and effectively.
c. Apply management and leadership principles in
providing direction to manage a client with
maladaptive behaviour.
 ALIGNMENT MATRIX

PROGRAM OUTCOME COURSE OUTCOME LEARNING OUTCOME

9. Engage in a lifelong learning with a passion to Engage in a lifelong learning with a passion to keep a. Assume responsibility for lifelong learning, own
keep current with national and global current with national and global developments in general, personal development and maintenance of
developments in general, and nursing and health and nursing and health developments in particular. competence.
developments in particular. b. Demonstrate continued competence and
professional growth.
.
c. Engage in advocacy activities to influence to
health and social care service, policies and
access to services.

10. Demonstrate responsible citizenship and pride in Demonstrate responsible citizenship and pride in being a a. Customize nursing interventions based on
being a Filipino. Filipino. Philippine culture and values

11. Apply techno-intelligent care systems and Apply techno-intelligent care systems and processes in a. Use appropriate technology to perform safe and
processes in health care deliver. health care deliver. efficient nursing activities.
b. Implement system of informatics to support the
delivery of healthcare.

12. Uphold the nursing core values in the practice of Uphold the nursing core values in the practice of the a. Manifest professionalism, integrity, and
the profession. profession. excellence.
b. Project the positive professional image of a
Filipino nurse.
 SCHEDULE LEARNING CONTENT/TOPIC TEACHING – LEARNING ACTIVITY LEARNING ASSESSME REMARKS
OUTCOMES RESOURCES NT/TASK
Classroom TA Related Learning TA Independent TA
Experience Learning
Week I At the end of the I. Overview of Psychiatric Nursing Participative 4 Case study 8 Laptop Rubric on
course, and given A. Evolution of Mental Health -
Jan 20 & 22 Lecture hrs Analysis Hrs Art materials role play
actual clients with Psychiatric Nursing Practice
2021 maladaptive patterns B. The mental health nurse Role play LCD Projector
of behaviour, the 1. Role
Level 2 B
Level III shall be able 2. Essential qualities
10 am – 12 pm to: C. Interdisciplinary Team
D. The Mental Health Illness
Continuum
a. Integrate
Level 2 A
relevant
II. Mental Health - Psychiatric Nursing
Jan 21 & 22, principle of
Practice
social,
2021 A. Personality Theories and Participative 4 Case study 8 Laptop
physical,
Determinants of Psychopathology:
10 am – 12 pm natural & Lecture Hrs analysis hrs LCD Projector
Implications for Mental Health -
health
1pm – 3pm Psychiatric Nursing practice
sciences and
1. Psychoanalytic
Mr. Piansay humanities in
2. Behavioral
the care of
3. Interpersonal
client with
4. Cognitive
Level 2B maladaptive
5. Humanistic
Jan 25 & 26, behavior 6. Psychobiologic
b. Assess the 7. Cognitive
2021
client with 8. Psychosocial
10 am – 12 pm 9. Psychospiritual
Maladaptiv 10. Eclectic
Level 2A Participative 6
e behavior B. General Assessment
Jan 28 & 29, Considerations Lecture Hrs
1. Principles and Techniques of
10 am – 12 pm
h-Psychiatric nursing interview
Ms. Villarin 2. Mental status examination
3. Diagnostics examination
specific to psychiatric patients
Level 2 B C. Building Nurse-Client Relationship Participative 6
1. Nurse-client interaction vs.
Feb 1,2, & 8 lecture hrs
nurse-client relationship
Level 2 A 2. Therapeutic use of self
3. Therapeutic communication
Feb 4,5, & 11
a. Characteristics
Mr. Lam b. Techniques
4. Goals in the one-to-one
relationship
5. Phases in the development of
nurse-client relationship
 SCHEDULE LEARNING CONTENT/TOPIC TEACHING – LEARNING ACTIVITY LEARNING ASSESSME REMARKS
OUTCOMES RESOURCES NT/TASK
Classroom TA Related Learning TA Independent TA
Experience Learning

6
Hrs
 SCHEDULE LEARNING CONTENT/TOPIC TEACHING – LEARNING ACTIVITY LEARNING ASSESSME REMARKS
OUTCOMES RESOURCES NT/TASK
Classroom TA Related Learning TA Independent TA
Experience Learning
Level 2A D. Crisis
1. Types of crisis
Mar 12,18, & 19
2. Phases of Crisis Development
2021 3. Characteristics of Crisis
4. Crisis Intervention
Mrs. Rama
III. Care of clients with maladaptive patterns
Apply the nursing of behaviour across the lifespan (childhood,
Level 2 B
process in the care adolescent, adulthood)
Mar 15,16,22 of clients with A. The Nursing Process applied to
maladaptive Psychiatric Nursing Practice:
2021
behaviour. 1. Assessing human response to
Level 2A Assess a client with the different maladaptive
maladaptive patterns of behaviour.
Mar 25,26
behaviour. a. Self-awareness and use
Apr 1, 2021 Formulate plan of care of self
to address health b. Bio-Psycho-Social and
Ms. Villarin
conditions, needs, Behavioral data
problems and issues 2. Nursing Diagnosis and
based on priorities. Outcome Identification
Implement safe and 3. Planning and implementing
quality interventions to nursing intervention
the client a. Biological
Evaluate nursing care b. Psychosocial
given to a client. 4. Evaluation and treatment
outcomes
Level 2 B
Apply safe nursing B. Maladaptive Patterns of Behavior
Mar 23,29,30 practice in accordance 1. Age-Related Maladaptive
to the policies and Patterns: Disorders Across the
Apr 5, 2021
standards Lifespan
Level 2 A of nursing practice. 2. Anxiety-Related Disorders
a. Anxiety disorders across
Apr 2,8,9,15
Manage human, the life span
2021 physical, and time - Panic Disorder
resources efficiently - Phobias
Mr. Lam
and effectively. - Post Traumatic Stress
Disorder
- Acute Stress Disorder
- Obsessive-Compulsive
Disorder
- Generalized Anxiety
 Disorder

SCHEDULE LEARNING CONTENT/TOPIC TEACHING – LEARNING ACTIVITY LEARNING ASSESSME REMARKS

OUTCOMES RESOURCES NT/TASK
Classroom TA Related Learning TA Independent TA
Experience Learning
Apply management b. Somatoform Disorders
and leadership - Somatization Disorder
principles in providing - Conversion Disorder
direction direction to - Hypochondriasis
manage a client with - Pain Disorder
maladaptive - Body Dysmorphic
behaviour. Disorder
c. Dissociative Disorders
Assume responsibility - Depersonalization
For lifelong learning, - Psychogenic Amnesia
Own personal - Psychogenic Fugue
development and - Dissociative Identity
Maintenance of Disorder/Multiple
competence. Personality Disorder
3. Psychophysiologic Response
Demonstrate and Sleep
continued competence 4. Personality Disorders
and professional a. Childhood Personality
growth. Disorders
- Conduct Disorder
Engage in advocacy - Oppositional Defiant
activities to influence Disorder
health and social care b. Odd/Eccentric Behaviors
service policies and - Paranoid Personality
access to services. Disorder
- Schizoid Personality
Disorder
Customize nursing - Schizotypal Personality
interventions based on Disorder
Philippine culture and c. Dramatic, Emotional,
Values. Erratic Behaviors
- Antisocial Personality
Manifest Disorder
professionalism, - Borderline Personality
integrity and Disorder
excellence. - Narcissistic Personality
Disorder
- Histrionic Personality
Disorder
 SCHEDULE LEARNING CONTENT/TOPIC TEACHING – LEARNING ACTIVITY LEARNING ASSESSME REMARKS
OUTCOMES RESOURCES NT/TASK
Classroom TA Related Learning TA Independent TA
Experience Learning
d. Anxious, Fear Behaviors
- Obsessive-Compulsive
Personality Disorder
- Dependent Personality
Disorder
- Avoidant Personality
Disorder
e. Passive – Aggressive
5. Substance Related Disorders:
Level 2 B substance abuse,
dependence, intoxication,
Apr 6 & 12,2021
withdrawal and polysubstance
Level 2 A dependence
a. Central Nervous System
Apr 16 & 22
Depressants
Mr. Piansay Jr - Alcohol
- Sedatives, hypnotics and
anxiolytics
- Opioids
b. Central Nervous System
Stimulants
- Caffeine
- Nicotine
- Amphetamine and
Cocaine
c. Hallucinogens
d. Cannabis
e. Inhalants
f. Nursing Issues
Level 2 B
6. Mood Disorders
Apr 13,19 2021 a. Reactive Attachment
Disorder
Level 2 A
b. Bipolar I Disorder
Apr 23,29 2021 c. Bipolar II Disorder
d. Cyclothymic Disorder
Mrs. Rama
e. Dysthymic Disorder
f. Major Depressive
Disorder
g. Clients at risk for suicidal
and self-destructive
behaviour
 SCHEDULE LEARNING CONTENT/TOPIC TEACHING – LEARNING ACTIVITY LEARNING ASSESSME REMARKS
OUTCOMES RESOURCES NT/TASK
Classroom TA Related Learning TA Independent TA
Experience Learning
Level 2 B Adhere to ethico – 7. Schizophrenia and other
legal considerations Psychoses
Apr 20, 26 2021
when providing safe, a. Schizophrenia
Level 2 A - Catatonic Type
Apply principles of - Paranoid Type
Apr 30 2021
partnership and - Undifferentiated Type
May 6 2021 collaboration to - Disorganized Type
improve delivery of - Residual Type
Mrs. Gallendo
health services. b. Other Psychotic Disorders
- Schizophreniform
Collaborate with GOs, Disorder
NGOs and other socio - Schizoaffective Disorder
civic agencies to - Delusional Disorder
improve health care - Brief Psychotic Disorder
services, support - Shared Psychotic
environmental Disorder
protection policies and 8. Cognitive Disorders
Level 2 B
strategies, and safety a. Fetal Alcohol Syndrome
Apr 27 2021 and security b. Attention Deficit
mechanisms in the Hyperactive Disorder
May 3 2021
community. c. Autism
d. Delirium
e. Dementia
Level 2 A
f. Alzheimer’s Disease
May 7,13 2021 g. Diffuse Lewy Body
Disease
Mrs. Madrid
h. Korsakoff’s Disease
i. Huntington’s Disease
j. Pick’s Disease
k. Vascular and Multi-Infarct
Dementia
9. Eating Disorders
Level 2 B
a. Pica
May 4,10 2021 b. Rumination
c. Feeding Disorders
Level 2 A
d. Anorexia Nervosa
May 14,19 2021 e. Bulimia Nervosa
10. Psychosexual Disorders
Mrs. Rama
a. Gender Identity Disorder
b. Sexual Dysfunctions
c. Paraphilias
 SCHEDULE LEARNING CONTENT/TOPIC TEACHING – LEARNING ACTIVITY LEARNING ASSESSME REMARKS
OUTCOMES RESOURCES NT/TASK
Classroom TA Related Learning TA Independent TA
Experience Learning
Level 2 B 11. Abuse and Violence
a. Victims of violent
May 11, 2021
behaviour
Level 2 A - Child
- Spouse
May 20 , 2021
- Elderly
Mr. Piansay Jr. b. Torture and ritual abuse
c. Rape and sexual assault
C. Legal issues affecting mental
Level 2 B health nursing
D. Future trends and issues in mental
May 17, 2021
health nursing practice
Level 2 A E. Community-based mental health
programs
May 21, 2021
Ms. Villarin

Level 2 B
May 18, 2021
Level 2 A
May 21 ,2021
Mr. Lam