Nursing Care Concepts in Care of the Psycho-Social Maladaptive Client

I.     Course Prefix/Number: NUR 105

       Course Name: Nursing Care Concepts in Care of the Psycho-Social Maladaptive Client

       Credits: 3 (1.5 lec: 5 lab)

II.    Prerequisite

Completion of NUR 108 and all courses in the first semester, with minimum grade of C in all courses.

III.   Course (Catalog) Description

Course concentrates on the client with mental disorders. Content includes adapting skills, concepts of caring, and knowledge of the role of the nurse to meet basic needs related to maintaining mental health. Taught and implemented in clinical practicum.

IV.   Learning Objectives

Upon completion of NUR 105 the student is prepared to
  1. Practice client advocacy in caring for the client and family with psychosocial maladaptations.
  2. Utilize the nursing process to provide care for clients experiencing difficulty with psychosocial adaptation.
  3. Practice therapeutic communication skills in interpreting the communication and behavior of an assigned client and family with problems in psychosocial adaptation.
  4. Demonstrate accountability in nursing practice.
  5. Identify ethical principles in clinical situations and case studies related to mental health nursing.
  6. Respond with a caring and empathetic attitude to clients with psychosocial maladaptations taking into account the needs of the culturally diverse client and family.
  7. Apply appropriate communication skills with peers, instructor, and health team members recognizing variances in language and culture.
  8. Relate specific technology and critical thinking skills needed in caring for clients experiencing difficulty with psychosocial adaptation.
  9. Practice the role of the nurse by designing a nursing case study and teaching plan for the client to meet basic learning needs and psychosocial interventions.
  10. Relate community mental health resources available to the client and family with psychosocial maladaptations.
  11. Recognize how the achievement of developmental tasks relates to psychosocial adaptation or maladaptation.
  12. Participate in service learning experiences.

V.    Academic Integrity and Student Conduct

Students and employees at Oakton Community College are required to demonstrate academic integrity and follow Oakton's Code of Academic Conduct. This code prohibits:

• cheating,
• plagiarism (turning in work not written by you, or lacking proper citation),
• falsification and fabrication (lying or distorting the truth),
• helping others to cheat,
• unauthorized changes on official documents,
• pretending to be someone else or having someone else pretend to be you,
• making or accepting bribes, special favors, or threats, and
• any other behavior that violates academic integrity.

There are serious consequences to violations of the academic integrity policy. Oakton's policies and procedures provide students a fair hearing if a complaint is made against you. If you are found to have violated the policy, the minimum penalty is failure on the assignment and, a disciplinary record will be established and kept on file in the office of the Vice President for Student Affairs for a period of 3 years.

Please review the Code of Academic Conduct and the Code of Student Conduct, both located online at

VI.   Sequence of Topics

  1. Introduction to Concepts of Mental Health Nursing and Social Adaptation
  2. Communication and Interaction: Psychosocial Maladaptive Clients
  3. The Client with Altered Patterns of Social Relatedness
  4. The Client with Altered Patterns of Thought and Perception, and Mood and Affect
  5. The Client and Substance Abuse

VII.  Methods of Instruction

Lectures, Discussion, Audiovisuals, Computer-Assisted Instruction. Demonstration, Guidance of Skill Practice. Supervision of Client Care. Web-enhanced curriculum.

Course may be taught as face-to-face, hybrid or online course.

VIII. Course Practices Required

  1. Readings: As assigned by faculty.
  2. Writing: Process Recordings
    Case Study
    Workbook assignments
  3. Clinical: Supervised Client Care
  4. Computer-Assisted Instruction
  5. Oral Presentations (clinical)
  6. Fieldwork (support groups)
  7. Course may be taught as face-to-face, hybrid or online course.

IX.   Instructional Materials

Note: Current textbook information for each course and section is available on Oakton's Schedule of Classes.

Selected by course faculty.

X.    Methods of Evaluating Student Progress

Examinations (2) 35% each
Comprehensive Exam 30%
Standardized Achievement Test (NLN)

Clinical: To earn a satisfactory grade the student must complete:

  1. Daily process recordings (2 per week due each week).
    Failure to hand in = U for that clinical day.
  2. One case study that utilizes the nursing process and includes a psychiatric nursing assessment, laboratory studies and information about specific drug therapy.
  3. Written report on selected observational experience (DUE ONE WEEK BEFORE COMPLETION OF THE CLINICAL EXPERIENCE).
  4. Drug assignments as listed in Client Care outline.

XI.   Other Course Information

  1. Students are expected to attend all scheduled campus nursing classes, on-campus college laboratory sessions and clinical practicums. Client Care requirements demand that all students must be on time for clinical experience. Absence from clinical experience will affect a student’s ability to meet course objectives and can result in failure in the course.
  2. Class Policy on:
    Make-Up Exams:

    Periodic pre-scheduled examinations shall be given throughout the semester. Anyone who misses an exam may be allowed, at the discretion of the instructor, to take the test at a later date.

    Incomplete Grades:  See College Catalog.

    Written work is a requirement of the course. Failure to submit completed written assignments constitutes an unsatisfactory grade in the course unless arrangements have been made with the instructor.       


If you have a documented learning, psychological, or physical disability you may be entitled to reasonable academic accommodations or services. To request accommodations or services, contact the Access and Disability Resource Center at the Des Plaines or Skokie campus. All students are expected to fulfill essential course requirements. The College will not waive any essential skill or requirement of a course or degree program.

Oakton Community College is committed to maintaining a campus environment emphasizing the dignity and worth of all members of the community, and complies with all federal and state Title IX requirements.

Resources and support for
  • pregnancy-related and parenting accommodations; and
  • victims of sexual misconduct
can be found at

Resources and support for LGBTQ+ students can be found at

Electronic video and/or audio recording is not permitted during class unless the student obtains written permission from the instructor. In cases where recordings are allowed, such content is restricted to personal use only. Any distribution of such recordings is strictly prohibited. Personal use is defined as use by an individual student for the purpose of studying or completing course assignments.

For students who have been approved for audio and/or video recording of lectures and other classroom activities as a reasonable accommodation by Oakton’s Access Disabilities Resource Center (ADRC), applicable federal law requires instructors to permit those recordings. Such recordings are also limited to personal use. Any distribution of such recordings is strictly prohibited.

Violation of this policy will result in disciplinary action through the Code of Student Conduct.