What are the criteria for completing the demographics and brief history section of a mental health care plan?

  

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[removed] 2/9/23, 2:46PM Week 6: MH Care Plan – NUR4020-01:Nursing Care of Mental Health Patients (2023 Spring Term 1)-15902 – Resurrection University

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Mental Health Care Plan (Updated)
Course: NUR4020-01:Nursing Care of Mental Health Patients (2023 Spring Term 1)-15902

Part I Criteria
Level 4
6 points

Level 3
4 points

Level 2
2 points

Level 1
0 points

Criterion Score

Demographics

and Brief

History

/ 6Demonstrates a

mastery level of

understanding in

completion of

section & all of the

following areas:

– Diagnosis

extracted from

DSM-V manual.

– Provides relevant

data regarding past

medical history

(pertinent & how

managed).

– Significant events

during current

hospitalization with

times & dates.

– All sections

completed.

Demonstrates a

satisfactory level of

understanding in

completion of

section &/or is

deficient in 1 of the

following areas:

– Diagnosis

extracted from

DSM-V manual.

– Provides relevant

data regarding past

medical history

(pertinent & how

managed).

– Significant events

during current

hospitalization with

times & dates.

– All sections

completed.

Demonstrates a

basic level of

understanding in

completion of

section &/or is

deficient in 2 of the

following areas:

– Diagnosis

extracted from

DSM-V manual.

– Provides relevant

data regarding past

medical history

(pertinent & how

managed).

– Significant events

during current

hospitalization with

times & dates.

– All sections

completed.

Does not

demonstrate

understanding in

completion of

section &/or is

deficient in 3 or

more of the

following areas:

– Diagnosis

extracted from

DSM-V manual.

– Provides relevant

data regarding past

medical history

(pertinent & how

managed).

– Significant events

during current

hospitalization with

times & dates.

– All sections

completed.

2/9/23, 2:46PM Week 6: MH Care Plan – NUR4020-01:Nursing Care of Mental Health Patients (2023 Spring Term 1)-15902 – Resurrection University

https://oakpoint.brightspace.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=44247&grpid=0&isprv=0&bp=0&ou=19761 2/9

Part I Criteria
Level 4
6 points

Level 3
4 points

Level 2
2 points

Level 1
0 points

Criterion Score

Physical

Assessments

and

Interventions

/ 6

Psychosocial

Assessment

/ 6

Demonstrates a

mastery level of

understanding in

completion of

section & all of the

following areas:

– Vital Signs, 2 sets.

– General

appearance & ADLs.

– Review of systems,

each area

documented fully.

– Lab values.

Demonstrates a

satisfactory level of

understanding in

completion of

section &/or is

deficient in 1 of the

following areas:

– Vital Signs, 2 sets.

– General

appearance & ADLs.

– Review of systems,

each area

documented fully.

– Lab values.

Demonstrates a

basic level of

understanding in

completion of

section &/or is

deficient in 2 of the

following areas:

– Vital Signs, 2 sets.

– General

appearance & ADLs.

– Review of systems,

each area

documented fully.

– Lab values.

Does not

demonstrate

understanding in

completion of

section &/or is

deficient in 3 or

more of the

following areas:

– Vital Signs, 2 sets.

– General

appearance & ADLs.

– Review of systems,

each area

documented fully.

– Lab values.

Demonstrates a

mastery level of

understanding in

completion of

section & all of the

following areas:

– General

information

(1st section).

– Stages of

development.

– Support system.

– Stressors/stress

management

practices.

Demonstrates a

satisfactory level of

understanding in

completion of

section &/or is

deficient in 1 of the

following areas:

– General

information

(1st section).

– Stages of

development.

– Support system.

– Stressors/stress

management

practices.

Demonstrates a

basic level of

understanding in

completion of

section &/or is

deficient in 2 of the

following areas:

– General

information

(1st section).

– Stages of

development.

– Support system.

– Stressors/stress

management

practices.

Does not

demonstrate

understanding in

completion of

section &/or is

deficient in 3 or

more of the

following areas:

– General

information

(1st section).

– Stages of

development.

– Support system.

– Stressors/stress

management

practices.

2/9/23, 2:46PM Week 6: MH Care Plan – NUR4020-01:Nursing Care of Mental Health Patients (2023 Spring Term 1)-15902 – Resurrection University

https://oakpoint.brightspace.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=44247&grpid=0&isprv=0&bp=0&ou=19761 3/9

Part I Criteria
Level 4
6 points

Level 3
4 points

Level 2
2 points

Level 1
0 points

Criterion Score

Pathophysical

Discussion

/ 6Demonstrates a

mastery level of

understanding in

completion of

section & all of the

following areas:

– Discussion of the

current disease

process.

– Discussion of the

etiology of the

patients illness.

– Complications that

may occur with

treatment & the

patients overall

prognosis.

– Summary of article

written using APA

format.

Demonstrates a

satisfactory level of

understanding in

completion of

section &/or is

deficient in 1 of the

following areas:

– Discussion of the

current disease

process.

– Discussion of the

etiology of the

patients illness.

– Complications that

may occur with

treatment & the

patients overall

prognosis.

– Summary of article

written using APA

format.

Demonstrates a

basic level of

understanding in

completion of

section &/or is

deficient in 2 of the

following areas:

– Discussion of the

current disease

process.

– Discussion of the

etiology of the

patients illness.

– Complications that

may occur with

treatment & the

patients overall

prognosis.

– Summary of article

written using APA

format.

Does not

demonstrate

understanding in

completion of

section &/or is

deficient in 3 or

more of the

following areas:

– Discussion of the

current disease

process.

– Discussion of the

etiology of the

patients illness.

– Complications that

may occur with

treatment & the

patients overall

prognosis.

– Summary of article

written using APA

format.

2/9/23, 2:46PM Week 6: MH Care Plan – NUR4020-01:Nursing Care of Mental Health Patients (2023 Spring Term 1)-15902 – Resurrection University

https://oakpoint.brightspace.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=44247&grpid=0&isprv=0&bp=0&ou=19761 4/9

Part I Criteria
Level 4
6 points

Level 3
4 points

Level 2
2 points

Level 1
0 points

Criterion Score

Medications / 6Demonstrates a

mastery level of

understanding in

completion of

section & all of the

following areas:

– Medications

– Classification

– Dose

– Route

– Frequency

Purpose/Mechanis

m of Action

– Side Effects

– Nursing

Implications

Demonstrates a

satisfactory level of

understanding in

completion of

section &/or is

deficient in 1 of the

following areas:

– Medications

– Classification

– Dose

– Route

– Frequency

Purpose/Mechanis

m of Action

– Side Effects

– Nursing

Implications

Demonstrates a

basic level of

understanding in

completion of

section &/or is

deficient in 2 of the

following areas:

– Medications

– Classification

– Dose

– Route

– Frequency

Purpose/Mechanis

m of Action

– Side Effects

– Nursing

Implications

Does not

demonstrate

understanding in

completion of

section &/or is

deficient in 3 or

more of the

following areas:

– Medications

– Classification

– Dose

– Route

– Frequency

Purpose/Mechanis

m of Action

– Side Effects

– Nursing

Implications

Part II Criteria
Level 3
3 points

Level 2
2 points

Level 1
1 point

Level 0
0 points

Criterion Score

2/9/23, 2:46PM Week 6: MH Care Plan – NUR4020-01:Nursing Care of Mental Health Patients (2023 Spring Term 1)-15902 – Resurrection University

https://oakpoint.brightspace.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=44247&grpid=0&isprv=0&bp=0&ou=19761 5/9

Part II Criteria
Level 3
3 points

Level 2
2 points

Level 1
1 point

Level 0
0 points

Criterion Score

Nursing

Diagnosis

/ 3

Table 1

Assessment

/ 3

Demonstrates a

mastery level of

understanding in

completion of

section & all of the

following areas:

– List of nursing

diagnoses.

– Related to . . .

– As Evidenced by . .

.

– Rationale (reason

for priority).

Demonstrates a

satisfactory level of

understanding in

completion of

section &/or is

deficient in 1 of the

following areas:

– List of nursing

diagnoses.

– Related to . . .

– As Evidenced by . .

.

– Rationale (reason

for priority).

Demonstrates a

basic level of

understanding in

completion of

section &/or is

deficient in 2 of the

following areas:

– List of nursing

diagnoses.

– Related to . . .

– As Evidenced by . .

.

– Rationale (reason

for priority).

Does not

demonstrate

understanding in

completion of

section &/or is

deficient in 3 or

more of the

following areas:

– List of nursing

diagnoses.

– Related to . . .

– As Evidenced by . .

.

– Rationale (reason

for priority).

Demonstrates a

mastery level of

understanding in

completion of

section & all of the

following areas:

– Signs &

Symptoms:

a. 2 objective.

b. 2 subjective.

Demonstrates a

satisfactory level of

understanding in

completion of

section &/or is

deficient in 1 of the

following areas:

– Signs &

Symptoms:

a. 2 objective.

b. 2 subjective.

Demonstrates a

basic level of

understanding in

completion of

section &/or is

deficient in 2 of the

following areas:

– Signs &

Symptoms:

a. 2 objective.

b. 2 subjective.

Does not

demonstrate

understanding in

completion of

section &/or is

deficient in 3 or

more of the

following areas:

– Signs &

Symptoms:

a. 2 objective.

b. 2 subjective.

2/9/23, 2:46PM Week 6: MH Care Plan – NUR4020-01:Nursing Care of Mental Health Patients (2023 Spring Term 1)-15902 – Resurrection University

https://oakpoint.brightspace.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=44247&grpid=0&isprv=0&bp=0&ou=19761 6/9

Part II Criteria
Level 3
3 points

Level 2
2 points

Level 1
1 point

Level 0
0 points

Criterion Score

Table 1 Patient

Outcome

/ 3

Table 1

Intervention

/ 3

Demonstrates a

mastery level of

understanding in

completion of

section & all of the

following areas:

– SMART:

a. Specific

b. Measurable

c. Attainable

d. Realistic

e. Timely

Demonstrates a

satisfactory level of

understanding in

completion of

section &/or is

deficient in 1 of the

following areas:

– SMART:

a. Specific

b. Measurable

c. Attainable

d. Realistic

e. Timely

Demonstrates a

basic level of

understanding in

completion of

section &/or is

deficient in 2 of the

following areas:

– SMART:

a. Specific

b. Measurable

c. Attainable

d. Realistic

e. Timely

Does not

demonstrate

understanding in

completion of

section &/or is

deficient in 3 or

more of the

following areas:

– SMART:

a. Specific

b. Measurable

c. Attainable

d. Realistic

e. Timely

Demonstrates a

mastery level of

understanding in

completion of

section & all of the

following areas:

– Includes

interventions/nursin

g actions directly

relating to pt.

outcomes.

– Specific in action,

frequency, &

contain rationale.

– Minimum of 3

interventions

appropriate to help

pt./family meet

their outcomes.

Demonstrates a

satisfactory level of

understanding in

completion of

section &/or is

deficient in 1 of the

following areas:

– Includes

interventions/nursin

g actions directly

relating to pt.

outcomes.

– Specific in action,

frequency, &

contain rationale.

– Minimum of 3

interventions

appropriate to help

pt./family meet

their outcomes.

Demonstrates a

basic level of

understanding in

completion of

section &/or is

deficient in 2 of the

following areas:

– Includes

interventions/nursin

g actions directly

relating to pt.

outcomes.

– Specific in action,

frequency, &

contain rationale.

– Minimum of 3

interventions

appropriate to help

pt./family meet

their outcomes.

Does not

demonstrate

understanding in

completion of

section &/or is

deficient in 3 or

more of the

following areas:

– Includes

interventions/nursin

g actions directly

relating to pt.

outcomes.

– Specific in action,

frequency, &

contain rationale.

– Minimum of 3

interventions

appropriate to help

pt./family meet

their outcomes.

2/9/23, 2:46PM Week 6: MH Care Plan – NUR4020-01:Nursing Care of Mental Health Patients (2023 Spring Term 1)-15902 – Resurrection University

https://oakpoint.brightspace.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=44247&grpid=0&isprv=0&bp=0&ou=19761 7/9

Part II Criteria
Level 3
3 points

Level 2
2 points

Level 1
1 point

Level 0
0 points

Criterion Score

Table 1

Evaluation

/ 3

Table 2

Assessment

/ 3

Table 2 Patient

Outcome

/ 3

Demonstrates a

mastery level of

understanding in

completion of

section & all of the

following areas:

– Effectiveness/

Successful How.

– Not Effective

Why.

Demonstrates a

satisfactory level of

understanding in

completion of

section &/or is

deficient in 1 of the

following areas:

– Effectiveness/

Successful How.

– Not Effective

Why.

Demonstrates a

basic level of

understanding in

completion of

section &/or is

deficient in 2 of the

following areas:

– Effectiveness/

Successful How.

– Not Effective

Why.

Does not

demonstrate

understanding in

completion of

section &/or is

deficient in 3 or

more of the

following areas:

– Effectiveness/

Successful How.

– Not Effective

Why.

Demonstrates a

mastery level of

understanding in

completion of

section & all of the

following areas:

– Signs &

Symptoms:

a. 2 objective.

b. 2 subjective.

Demonstrates a

satisfactory level of

understanding in

completion of

section &/or is

deficient in 1 of the

following areas:

– Signs &

Symptoms:

a. 2 objective.

b. 2 subjective.

Demonstrates a

basic level of

understanding in

completion of

section &/or is

deficient in 2 of the

following areas:

– Signs &

Symptoms:

a. 2 objective.

b. 2 subjective.

Does not

demonstrate

understanding in

completion of

section &/or is

deficient in 3 or

more of the

following areas:

– Signs &

Symptoms:

a. 2 objective.

b. 2 subjective.

Demonstrates a

mastery level of

understanding in

completion of

section & all of the

following areas:

– SMART:

a. Specific

b. Measurable

c. Attainable

d. Realistic

e. Timely

Demonstrates a

satisfactory level of

understanding in

completion of

section &/or is

deficient in 1 of the

following areas:

– SMART:

a. Specific

b. Measurable

c. Attainable

d. Realistic

e. Timely

Demonstrates a

basic level of

understanding in

completion of

section &/or is

deficient in 2 of the

following areas:

– SMART:

a. Specific

b. Measurable

c. Attainable

d. Realistic

e. Timely

Does not

demonstrate

understanding in

completion of

section &/or is

deficient in 3 or

more of the

following areas:

– SMART:

a. Specific

b. Measurable

c. Attainable

d. Realistic

e. Timely

2/9/23, 2:46PM Week 6: MH Care Plan – NUR4020-01:Nursing Care of Mental Health Patients (2023 Spring Term 1)-15902 – Resurrection University

https://oakpoint.brightspace.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=44247&grpid=0&isprv=0&bp=0&ou=19761 8/9

Part II Criteria
Level 3
3 points

Level 2
2 points

Level 1
1 point

Level 0
0 points

Criterion Score

Table 2

Intervention

/ 3Demonstrates a

mastery level of

understanding in

completion of

section & all of the

following areas:

– Includes

interventions/nursin

g actions directly

relating to pt.

outcomes.

– Specific in action,

frequency, &

contain rationale.

– Minimum of 3

interventions

appropriate to help

pt./family meet

their outcomes.

Demonstrates a

satisfactory level of

understanding in

completion of

section &/or is

deficient in 1 of the

following areas:

– Includes

interventions/nursin

g actions directly

relating to pt.

outcomes.

– Specific in action,

frequency, &

contain rationale.

– Minimum of 3

interventions

appropriate to help

pt./family meet

their outcomes.

Demonstrates a

basic level of

understanding in

completion of

section &/or is

deficient in 2 of the

following areas:

– Includes

interventions/nursin

g actions directly

relating to pt.

outcomes.

– Specific in action,

frequency, &

contain rationale.

– Minimum of 3

interventions

appropriate to help

pt./family meet

their outcomes.

Does not

demonstrate

understanding in

completion of

section &/or is

deficient in 3 or

more of the

following areas:

– Includes

interventions/nursin

g actions directly

relating to pt.

outcomes.

– Specific in action,

frequency, &

contain rationale.

– Minimum of 3

interventions

appropriate to help

pt./family meet

their outcomes.

2/9/23, 2:46PM Week 6: MH Care Plan – NUR4020-01:Nursing Care of Mental Health Patients (2023 Spring Term 1)-15902 – Resurrection University

https://oakpoint.brightspace.com/d2l/lms/dropbox/user/folder_submit_files.d2l?db=44247&grpid=0&isprv=0&bp=0&ou=19761 9/9

Total / 57

Overall Score

Part II Criteria
Level 3
3 points

Level 2
2 points

Level 1
1 point

Level 0
0 points

Criterion Score

Table 2

Evaluation

/ 3Demonstrates a

mastery level of

understanding in

completion of

section & all of the

following areas:

– Includes all data

that is listed as

criteria in

outcomes.

– Outcomes are

determined to be

met, partially met,

or not met.

– If outcome was

not met/partially

met, plan of care is

revised/continued &

new evaluation date

& time is set.

Demonstrates a

satisfactory level of

understanding in

completion of

section &/or is

deficient in 1 of the

following areas:

– Includes all data

that is listed as

criteria in

outcomes.

– Outcomes are

determined to be

met, partially met,

or not met.

– If outcome was

not met/partially

met, plan of care is

revised/continued &

new evaluation date

& time is set.

Demonstrates a

basic level of

understanding in

completion of

section &/or is

deficient in 2 of the

following areas:

– Includes all data

that is listed as

criteria in

outcomes.

– Outcomes are

determined to be

met, partially met,

or not met.

– If outcome was

not met/partially

met, plan of care is

revised/continued &

new evaluation date

& time is set.

Does not

demonstrate

understanding in

completion of

section &/or is

deficient in 3 or

more of the

following areas:

– Includes all data

that is listed as

criteria in

outcomes.

– Outcomes are

determined to be

met, partially met,

or not met.

– If outcome was

not met/partially

met, plan of care is

revised/continued &

new evaluation date

& time is set.

Level 4
52 points minimum

Level 3
47 points minimum

Level 2
42 points minimum

Level 1
37 points minimum

Introduction:

The Mental Health Care Plan is an essential document that outlines the treatment and care required for individuals with mental health issues. It plays a crucial role in ensuring appropriate medical attention is provided to patients. The Care Plan is a document designed to provide a framework for the management of patients with psychiatric issues.

Description:

The Mental Health Care Plan is a comprehensive document that is often utilized by nurses to ensure patients with mental health issues receive the best care possible. The plan includes critical information, such as the patient’s demographic, medical history, and current hospitalization details. It also covers key aspects such as physical assessments, psychosocial assessments, and interventions.

The plan is a vital component in the management of psychiatric patients, as it ensures that their treatment is documented, and appropriate medical attention is provided. The Care Plan is designed to be utilized by nurses to aid them in creating an effective framework for providing care to individuals with mental health conditions.

The plan involves assessing the patient’s physical health, mental status, and ensuring their social support is adequate. The document is periodically updated to reflect the patient’s progress, and any necessary changes to the care plan are made accordingly. The Mental Health Care Plan is an essential tool that facilitates effective communication between healthcare professionals and ensures that patients receive the best care possible.

Objectives:
1. To understand the importance of completing a mental health care plan in nursing practice.
2. To demonstrate mastery level understanding in completing the demographics and brief history section of the mental health care plan.
3. To demonstrate mastery level understanding in completing the physical assessments and interventions section of the mental health care plan.
4. To demonstrate mastery level understanding in completing the psychosocial assessment section of the mental health care plan.

Learning Outcomes:
1. Students will be able to explain the significance of completing a mental health care plan in nursing practice.
2. Students will be able to demonstrate mastery level understanding in completing the demographics and brief history section of the mental health care plan through accurately identifying patient diagnosis, relevant past medical history and significant events during the current hospitalization.
3. Students will be able to demonstrate mastery level understanding in completing the physical assessments and interventions section of the mental health care plan by documenting vital signs, general appearance, review of systems and lab values correctly.
4. Students will be able to demonstrate mastery level understanding in completing the psychosocial assessment section of the mental health care plan by accurately documenting patients’ psychosocial history, cultural background and support system.

Solution 1: Enhance understanding and completion of MH Care Plan

To enhance understanding and completion of the MH Care Plan, nursing students can be provided with additional resources and training. This can include workshops that focus on the specific skills needed to complete each section of the care plan, such as how to extract a diagnosis from DSM-V, how to review past medical history, and how to document significant events during hospitalization. In addition, students can be provided with access to online resources, such as video tutorials and written guides, to supplement their learning.

Solution 2: Provide feedback and evaluation on completed care plans

Another solution to improve completion of the MH Care Plan is to provide feedback and evaluation on completed care plans. This will allow nursing students to receive constructive criticism and identify areas for improvement. Professors can use rubrics, similar to the one provided in the data, to evaluate completed care plans and provide feedback on areas that need improvement. This will not only improve completion of the MH Care Plan but also foster a culture of continuous improvement and growth among nursing students.

Suggested Resources/Books:

1. “Varcarolis’ Foundations of Psychiatric Mental Health Nursing” by Margaret Jordan Halter
2. “Psychiatric Nursing: Assessment, Care Plans, and Medications” by Mary C. Townsend
3. “The DSM-5 in Action” by Sophia F. Dziegielewski

Similar Asked Questions:

1. What are the common criteria used to assess a patient’s mental health care plan?
2. What is the significance of documenting past medical history in a mental health care plan?
3. How can nursing interventions be tailored to meet the psychosocial needs of mental health patients?
4. How can the DSM-5 manual be used in the development of a mental health care plan?
5. What are the important components of a comprehensive mental health assessment for patients in a hospital setting?

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