PNH401 - Healing Practices for the Practical Nurse IV

Outline information
Schools offering this subject
Last revision date 2017-11-20 15:47:09.661
Last review date 2017-11-20 15:47:21.487

Subject Title
Healing Practices for the Practical Nurse IV

Subject Description
This course continues from PNH301 and explores the nursing practices and interventions that support health and enhance healing for clients and families experiencing various health challenges. 

Credit Status
Successful completion of this required course provides one credit towards the Practical Nursing Diploma


Learning Outcomes
Upon successful completion of this subject the student will be able to:

Upon successful completion of this subject the student will be able to:

  1. Develop a therapeutic relationship with clients across the lifespan respecting individual rights, beliefs, and unique needs.
  2. Utilize a theory based approach to all aspects of nursing care.
  3. Collaborate with clients to perform a holistic assessment demonstrating nursing knowledge and understanding of client needs.
  4. Use evidence informed literature to develop and prioritize a plan of care with emphasis on specific health challenges.
  5. Use clinical knowledge and judgement to recognize and respond to changes in client status.
  6. Create teaching plans to enhance client health and wellness.
  7. Share relevant information to the inter professional team through written and verbal communication to enhance care and to support individual client needs.
  8. Utilize the nursing process with specific health challenges to develop and implement collaborative plans of care for clients and families.

CNO: ETP: 1, 2, 3, 4, 5, 6, 7, 10, 12, 14, 17, 18, 19, 23, 26, 27, 28, 29, 42, 49, 50, 52, 54, 72, 73

College of Nurses of Ontario (CNO):  Entry To Practice (ETP) Competencies
  1. Develops a therapeutic relationship with clients
  2. Identifies client’s health care needs in a caring environment that facilitates achieving mutually agreed health outcomes.
  3. Collaborates with clients across the lifespan to perform a holistic nursing assessment.
  4. Demonstrates knowledge in critical thinking and problem-solving skills
  5. Uses a theory-based approach.
  6. Demonstrates knowledge in nursing, health and social sciences.    
Promotes clients’ rights and responsibilities by: a) Obtaining client consent prior to initiating nursing care.
 Protecting clients’ rights by respecting confidentiality, privacy, dignity and self-determination as part of the plan of care.
  Reviews literature and collaborates with colleagues and other resources in selecting assessment tools or techniques.
 Demonstrates knowledge of therapeutic communication.
 In collaboration with the client, identifies appropriate health teaching strategies that will enhance the client’s learning.
 Encourages clients to draw upon their strengths and to identify appropriate resources within the community.
 Develops a plan to incorporate critical thinking and problem-solving skills into all aspects of care.
 Formulates clinical judgements that are consistent with clients’ needs and priorities by responding to changing situations that affect client’s health and safety.
 Selects communication techniques that are appropriate for the client’s circumstances needs.
 Identifies potential health problems or issues and their consequences for clients.
 In collaboration with the inter-professional health care team refines and expands client assessment information by: (a) Using initial assessment findings to focus on additional and more detailed assessments.
 Analyzing and interpreting data from client assessments.
Questioning and offering suggestions regarding approaches to care.
 Seeking information from relevant nursing research, expert and the literature.
 Developing a range of possible alternatives and approaches to care.
 Establishing priorities of nursing care.
 Identifying expected outcomes.
 Incorporating health teaching strategies into care.
Collaborates with the inter-professional health care team in developing a client’s plan of care.
 Maintains clear, concise, accurate and timely records of client’s care
 Implements identified health teaching strategies into client’s learning.
 Considers the determinants of health into all aspects of care. 
  Evaluates and refines critical thinking and problem-solving skills in all aspects of nursing care.
 Modifies plan of care according to one’s knowledge, skill and judgment.
  Establishes and maintains a caring environment that supports clients in achieving optimal health outcomes, goals to manage illness or a peaceful death.
 Demonstrates behaviours that contribute to an effective and therapeutic nurse-client relationship.

Cheating and Plagiarism
Each student should be aware of the College's policy regarding Cheating and Plagiarism. Seneca's Academic Policy will be strictly enforced.

To support academic honesty at Seneca College, all work submitted by students may be reviewed for authenticity and originality, utilizing software tools and third party services. Please visit the Academic Honesty site on for further information regarding cheating and plagiarism policies and procedures.

All students and employees have the right to study and work in an environment that is free from discrimination and/or harassment. Language or activities that defeat this objective violate the College Policy on Discrimination/Harassment and shall not be tolerated. Information and assistance are available from the Student Conduct Office at

Accommodation for Students with Disabilities
The College will provide reasonable accommodation to students with disabilities in order to promote academic success. If you require accommodation, contact the Counselling and Disabilities Services Office at ext. 22900 to initiate the process for documenting, assessing and implementing your individual accommodation needs.