The University of Southampton

NPMH3003 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:

  • Outline theories of normal and abnormal personality development.
  • Analyse the significance of the therapeutic relationship in improving the wellbeing of a person who portrays behaviour that challenges.
  • Articulate the role of the nurse in providing care for a person who portrays behaviour that challenges.
  • Discuss the role of reflection and supervision in providing effective care.
  • Debate the contribution of policy and ethics to providing person-centred values based practice.
  • Critically discuss contemporary ethical, legal, professional and philosophical influences on the nature of person-centred values based practice care


• Theories of normal and abnormal personality development • Personality disorders, e.g. borderline personality disorder • Attachment in children and young people • Learning disabilities and forensic mental health • Therapeutic use of self within clear boundaries to establish an effective working relationship • Risk assessment and positive risk management • Managing challenging behaviour, e.g. verbal and physical • Self-harm • Substance misuse • Effects of abuse and managing those who abuse • Dialectical Behaviour Therapy, Mindfulness and Chain Analysis • Legal and ethical aspects of care in forensic psychiatry • Group work • Reflection and supervision

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

Completion of assessment task37.5
Preparation for scheduled sessions50
Wider reading or practice54.5
Follow-up work7.5
Practical classes and workshops12
Total study time187.5

Resources & Reading list

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

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

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

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

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



MethodPercentage contribution
Professional conversation  (15 minutes) 100%


MethodPercentage contribution
Professional conversation  (15 minutes) 100%

Repeat Information

Repeat type: Internal & External

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