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HLTH6144 Behaviour that Challenges

Module Overview

Aims and Objectives

Module Aims

Nurses working in the field of mental health commonly encounter behaviour that can challenge commonly held boundaries and that can also put self or others at risk. The aim of this module is to deepen your knowledge, understanding and preparation for working empathically with people who exhibit behaviour that falls into this category.

Learning Outcomes

Learning Outcomes

Having successfully completed this module you will be able to:

  • Utilise an in depth knowledge of theories of normal and abnormal personality development.
  • Critically analyse the significance of the nurse-service user therapeutic relationship and psychological interventions to improve the wellbeing of a person who portrays behaviour that challenges.
  • Critically discuss the role of reflection and supervision in providing effective care.
  • Debate and critically appraise the contribution of law, policy and ethics to providing person-centred values based practice.


• Theories of normal and abnormal personality development • Behaviour and psychological symptoms in dementia • Therapeutic use of self in constructing enabling relationships that promote self-management and recovery • Ethical Issues of Restraint and Rapid Tranquilisation • Risk assessment and positive risk management • Managing challenging behaviour, e.g. verbal and physical • Environmental management and safety • Attempted suicide and suicide prevention and management • Self-harm • Substance misuse and Motivational Enhancement Therapy • Effects of abuse and managing those who abuse • Legal and ethical aspects of care in psychiatry • Group work • Reflection and supervision • Behaviour as a result of abuse or trauma • Communication in Acute Psychosis

Special Features

Assessment is a professional conversation with an annotated bibliography as a supporting document; TLAs are varied in style to accommodate to individual differences in learning styles and learning difficulties. Additional time is allocated in the professional conversation when learning difficulties have been previously identified by the student and the University.

Learning and Teaching

Teaching and learning methods

Key note lectures Practical skills teaching for prevention and management of aggression and violence Student presentations and case discussions Directed study Self-directed study Action Learning Groups

Project supervision4
Wider reading or practice10
Completion of assessment task45
Preparation for scheduled sessions10
Practical classes and workshops3
Total study time125

Resources & Reading list

Murphy R and Wales P (2013). Mental Health Law in Nursing.. 

Stickley T and Wright N (2014). Theories for Mental Health Nursing: A guide for practice.. 

Beer M, Pereira S and Paton C (2008). Psychiatric intensive care.. 

Grant A, Townend M, Mulhern R, and Short N (2010). Cognitive Behavioural Therapy in Mental Health Care. 

National Forensic Nurses’ Research and Development Group (2011). Forensic Mental Health Nursing: Ethical and Legal Issues (Eds) Bryt R and Coffey M. 

Walker S (Ed) (2014). Engagement and Therapeutic Communication in Mental Health Nursing.. 

Woods P and Kettles A (2009). Risk assessment and management in Mental Health Nursing.. 

Murphy N and McVey D (2010). Treating Personality Disorder. 

Lillyman S and Ghaye T (2007). Effective Clinical Supervision: the Role of Reflection. 

Walker S (Ed) (2014). Psychosocial Interventions in Mental Health Nursing. 

Tee S, Brown J and Carpenter D (2012). Handbook of Mental Health Nursing. 


Assessment Strategy

Professional conversation and supporting annotated bibliography. Learning will be demonstrated in a 15 minute conversation with an academic, clinical or research member of staff with expertise in the area. It is a requirement of the module that an annotated bibliography is submitted prior to your conversation, although this element does not contribute to the final mark awarded. The conversation will contribute to 100% of the marks awarded for this module. Pass mark is 50%. This assessment will be marked by academic staff based upon marking criteria which will be made available to you.


MethodPercentage contribution
Annotated bibliography %
Professional conversation  (15 minutes) 100%


MethodPercentage contribution
Annotated bibliography %
Professional conversation  (15 minutes) 100%

Repeat Information

Repeat type: External

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