Additional Information
Book Details
Abstract
A pocket-sized clinical companion, Manual of Psychiatric Nursing Care Planning, 4th Edition helps you assess psychiatric nursing clients, formulate nursing diagnoses, and design psychiatric nursing care plans. It offers quick and easy access to information on care in a range of settings including the inpatient unit, home care, or community mental health setting. Expert author Elizabeth M. Varcarolis, RN, MA, provides a clinically based focus with the latest guidelines to psychiatric nursing care. Designed to accompany Foundations of Mental Health Nursing, this book is a perfect reference for creating care plans and for clinical use.
- Current coverage includes the latest diagnoses, assessment and treatment strategies, and psychotropic drug information relevant to nursing care of patients with psychiatric disorders.
- Clinically based information helps you provide patient care in a range of environments including the inpatient unit, community mental health setting, or home care setting.
- Coverage of all major disorders includes those commonly encountered in a clinical setting.
- A consistent format for each care plan includes a nursing diagnosis, etiology, assessment findings/diagnostic cues, outcome criteria, long-term goals, short-term goals, and interventions and rationales.
- Assessment tools such as tables, charts, and questionnaires are provided in an appendix for quick reference.
- A Major Psychotropic Interventions and Client and Family Teaching chapter describes the uses and workings of psychotropic agents.
- The latest diagnostic information includes the DSM-IV-TR taxonomy with diagnostic criteria for mental disorders, to enable accurate assessment and diagnosis of patients.
- Current psychiatric nursing guidelines are based on ANA's 2007 Psychiatric Mental-Health Nursing: Scope and Standards of Practice.
- Updated 2009-2011 NANDA-I nursing diagnoses assist with accurate diagnoses by including the latest nursing diagnoses related to psychiatric nursing.
- Updated drug information includes the latest on medications used with psychiatric patients, for optimal drug therapy.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Manual of Psychiatric Nursing Care Planning | iii | ||
| Copyright Page | iv | ||
| Dedication | v | ||
| Preface | vii | ||
| Acknowledgments | ix | ||
| Part 1: Guidelines for Planning Psychiatric Nursing Care | 1 | ||
| Chapter 1: The Nursing Process and Assessment Tools for Psychiatric Nursing | 3 | ||
| Assessment | 5 | ||
| Nursing Diagnosis | 13 | ||
| Risk For Injury | 15 | ||
| Summary | 16 | ||
| Outcomes Identification | 16 | ||
| Planning | 18 | ||
| Implementation | 19 | ||
| Evaluation | 19 | ||
| Internet Sites | 21 | ||
| Chapter 2: Maximizing Communication Skills | 22 | ||
| Verbal Communication | 23 | ||
| Nonverbal Communication | 24 | ||
| Effective Communication Techniques | 26 | ||
| Techniques To Monitor And Avoid | 35 | ||
| Assessing Your Communications Skills | 39 | ||
| Internet Sites | 40 | ||
| Chapter 3: Guidelines for the Nurse Conducting a Clinical Interview | 41 | ||
| Responsibilities Of The Nurse During The Phases Of A Therapeutic Relationship | 42 | ||
| The Clinical Interview | 52 | ||
| Part 2: Diagnosis and Care Planning | 61 | ||
| Chapter 4: Selected Disorders of Childhood and Adolescence | 63 | ||
| Overview | 63 | ||
| Attention Deficit and Disruptive Behavior Disorders | 65 | ||
| Assessment | 65 | ||
| Risk For Violence: Self-Directed Or Other-Directed | 72 | ||
| Defensive Coping | 76 | ||
| Impaired Social Interaction | 79 | ||
| Chronic Low Self-Esteem | 81 | ||
| Impaired Parenting | 84 | ||
| Pervasive Developmental Disorders | 86 | ||
| Assessment | 87 | ||
| Nursing Diagnoses With Interventions | 91 | ||
| Impaired Social Interaction | 92 | ||
| Impaired Verbal Communication | 94 | ||
| Risk For Self-Mutilation | 97 | ||
| Disturbed Personal Identity | 99 | ||
| Medical Treatments | 102 | ||
| Nurse, Client, and Family Resources | 107 | ||
| Internet Sites | 107 | ||
| Chapter 5: Anxiety and Anxiety Disorders | 108 | ||
| Overview | 108 | ||
| Assessment | 114 | ||
| Nursing Diagnoses With Interventions | 117 | ||
| Anxiety | 119 | ||
| Ineffective Coping | 122 | ||
| Disturbed Thought Processes | 127 | ||
| Posttrauma Syndrome | 133 | ||
| Disturbed Sleep Pattern | 138 | ||
| Medical Treatments | 142 | ||
| Complementary Approaches | 149 | ||
| Nurse, Patient, and Family Resources | 149 | ||
| Associations | 149 | ||
| Internet Sites | 150 | ||
| Chapter 6: Depressive Disorders | 151 | ||
| Overview | 151 | ||
| Assessment | 152 | ||
| Nursing Diagnoses With Interventions | 155 | ||
| Risk For Self-Directed Violenceast | 158 | ||
| Disturbed Thought Processes | 160 | ||
| Chronic Low Self-Esteem | 163 | ||
| Spiritual Distress | 166 | ||
| Impaired Social Interaction | 168 | ||
| Self-Care Deficit (Specify Level) | 170 | ||
| Medical Treatments | 173 | ||
| Integrated Approaches And Over-The-Counter Products | 179 | ||
| Nurse, Patient, and Family Resources | 180 | ||
| Associations | 180 | ||
| Internet Sites | 181 | ||
| Chapter 7: Bipolar Disorders | 182 | ||
| Overview | 182 | ||
| Assessment | 185 | ||
| Nursing Diagnoses With Interventions | 186 | ||
| Risk For Injury | 190 | ||
| Risk For Violence: Self-Directed Or Other-Directed | 192 | ||
| Ineffective Coping | 195 | ||
| Impaired Social Interaction | 198 | ||
| Total Self-Care Deficit | 200 | ||
| Interrupted Family Processes | 203 | ||
| Medical Treatments | 205 | ||
| Nurse, Patient, and Family Resources | 211 | ||
| Associations | 211 | ||
| Internet Sites | 212 | ||
| Chapter 8: Schizophrenia and Other Psychotic Disorders | 213 | ||
| Overview | 213 | ||
| Assessment | 219 | ||
| Nursing Diagnoses with Interventions | 220 | ||
| Impaired Verbal Communication | 223 | ||
| Impaired Social Interaction | 227 | ||
| Hallucinations | 232 | ||
| Disturbed sensory perception: specify type (e.g., auditory/visual) | 232 | ||
| Delusions | 236 | ||
| Disturbed Thought Processes | 237 | ||
| Paranoia | 240 | ||
| Defensive Coping | 241 | ||
| Interrupted Family Processes | 244 | ||
| Medical Treatment | 248 | ||
| Psychosocial Approaches | 256 | ||
| Nurse, Patient, and Family Resources | 257 | ||
| Associations | 257 | ||
| Internet Sites | 258 | ||
| Chapter 9: Personality Disorders | 259 | ||
| Overview | 259 | ||
| Assessment | 274 | ||
| Nursing Diagnoses With Interventions | 276 | ||
| Risk For Self-Mutilation | 280 | ||
| Chronic Low Self-Esteem | 283 | ||
| Impaired Social Interaction | 287 | ||
| Ineffective Coping | 292 | ||
| Medical Treatments | 300 | ||
| Nurse, Patient, and Family Resources | 301 | ||
| Associations | 301 | ||
| Internet Sites | 301 | ||
| Chapter 10: Addictions | 302 | ||
| Overview | 302 | ||
| Assessment | 321 | ||
| Nursing Diagnoses With Interventions | 322 | ||
| Risk For Injury | 327 | ||
| Ineffective Health Maintenance | 331 | ||
| Ineffective Denial | 334 | ||
| Ineffective Coping | 341 | ||
| Medical Treatments | 345 | ||
| Patient And Family Teaching | 347 | ||
| Nurse, Patient, and Family Resources | 348 | ||
| Associations | 348 | ||
| Internet Sites | 349 | ||
| Chapter 11: Eating Disorders | 350 | ||
| Overview | 350 | ||
| Anorexia Nervosa | 352 | ||
| Assessment | 354 | ||
| Assessment Tools | 355 | ||
| Nursing Diagnoses With Interventions | 356 | ||
| Imbalanced Nutrition: Less Than Body Requirements | 359 | ||
| Disturbed Body Image | 366 | ||
| Medical Treatments | 369 | ||
| Bulimia Nervosa | 369 | ||
| Assessment | 373 | ||
| Nursing Diagnoses With Interventions | 375 | ||
| Risk For Injury | 376 | ||
| Powerlessness | 379 | ||
| Medical Treatments | 382 | ||
| Patient And Family Teaching | 383 | ||
| Nurse, Patient, and Family Resources | 384 | ||
| Associations | 384 | ||
| Internet Sites | 385 | ||
| Chapter 12: Cognitive Disorders | 386 | ||
| Overview | 386 | ||
| Delirium | 386 | ||
| Assessment | 387 | ||
| Nursing Diagnoses With Interventions | 389 | ||
| Acute Confusion | 391 | ||
| Dementia | 395 | ||
| Assessment | 396 | ||
| Nursing Diagnoses With Interventions | 400 | ||
| Risk For Injury | 402 | ||
| Self-Care Deficit | 404 | ||
| Impaired Verbal Communication | 407 | ||
| Caregiver Role Strain | 411 | ||
| Medical Treatments | 415 | ||
| Nurse, Patient, and Family Resources | 417 | ||
| Associations | 417 | ||
| Internet Sites | 417 | ||
| Part 3: Psychiatric Emergencies and Forensic Issues | 419 | ||
| Chapter 13: Crisis Intervention and Rehabilitation | 421 | ||
| Overview | 421 | ||
| Assessment | 424 | ||
| Nursing Diagnoses With Interventions | 427 | ||
| Ineffective Coping | 429 | ||
| Ineffective Coping | 433 | ||
| Nurse, Patient, and Family Resources | 439 | ||
| Associations | 439 | ||
| Internet Sites | 440 | ||
| Chapter 14: Family Violence | 441 | ||
| Overview | 441 | ||
| Assessment | 442 | ||
| Nursing Diagnoses With Interventions | 445 | ||
| Risk For Injury | 447 | ||
| Ineffective Role Performance | 458 | ||
| Nurse, Patient, and Family Resources | 465 | ||
| Associations | 465 | ||
| Internet Sites | 466 | ||
| Chapter 15: Sexual Assault | 467 | ||
| Overview | 467 | ||
| Assessment | 468 | ||
| Nursing Diagnoses With Interventions | 469 | ||
| Rape-Trauma Syndrome | 470 | ||
| Nurse, Patient, and Family Resources | 475 | ||
| Associations | 475 | ||
| Internet Sites | 475 | ||
| Chapter 16: Suicide Behaviors | 477 | ||
| Overview | 477 | ||
| Assessment | 478 | ||
| Nursing Diagnoses With Interventions | 480 | ||
| Risk For Suicide | 482 | ||
| Hopelessness | 487 | ||
| Ineffective Coping | 489 | ||
| Nurse, Patient, and Family Resources | 492 | ||
| Associations | 492 | ||
| Internet Sites | 493 | ||
| Chapter 17: Anger and Aggression | 494 | ||
| Overview | 494 | ||
| Assessment | 495 | ||
| Nursing Diagnoses With Interventions | 497 | ||
| Ineffective Coping | 500 | ||
| Risk For Other-Directed Violence | 505 | ||
| Medical Treatments | 510 | ||
| Nurse, Patient, and Family Resources | 512 | ||
| Journal Articles | 512 | ||
| Internet Sites | 512 | ||
| Chapter 18: Grieving and Complicated Grieving | 513 | ||
| Overview | 513 | ||
| Assessment | 515 | ||
| Nursing Diagnoses With Interventions | 519 | ||
| Acute Grief Reaction | 522 | ||
| Complicated Grieving | 525 | ||
| Guidelines For Coping With Grief | 529 | ||
| Nurse, Patient, and Family Resources | 531 | ||
| Educational Resources | 532 | ||
| Internet Sites | 532 | ||
| Part 4: Challenging Behaviors | 533 | ||
| Chapter 19: Manipulative Behaviors | 535 | ||
| Overview | 535 | ||
| Assessment | 537 | ||
| Nursing Diagnoses with Interventions | 538 | ||
| Impaired Social Interaction | 541 | ||
| Nurse, Patient, and Family Resources | 547 | ||
| Journal Articles | 547 | ||
| Internet Articles | 547 | ||
| Chapter 20: Nonadherence (Noncompliance) to Medication or Treatment | 548 | ||
| Overview | 548 | ||
| Assessment | 551 | ||
| Nursing Diagnoses With Interventions | 552 | ||
| Nonadherence (Noncompliance)ast | 553 | ||
| Ineffective Family Therapeutic Regimen Management | 559 | ||
| Nurse, Patient, and Family Resources | 562 | ||
| Journal Articles | 562 | ||
| Part 5: Psychopharmacology | 563 | ||
| Chapter 21: Major Psychotropic Interventions and Patient and Family Teaching | 565 | ||
| Overview | 565 | ||
| Antianxiety/Anxiolytic Medications | 567 | ||
| Antidepressant Medications | 575 | ||
| First-Line Agents | 576 | ||
| Antipsychotic Medications | 591 | ||
| Antimanic And Mood-Stabilizing Medications | 617 | ||
| Nurse, Patient, and Family Resources | 627 | ||
| Journal Articles | 627 | ||
| Appendix A: References | 629 | ||
| Appendix B: Classification and FullAssessment | 636 | ||
| Appendix B-1. Overall assessment tool | 636 | ||
| 1. Client History | 636 | ||
| 2. Mental And Emotional Status | 639 | ||
| Appendix B-2. Nanda 2009-2011 nursing diagnosis | 641 | ||
| Nanda International-Approved Nursing Diagnoses | 641 | ||
| Appendix B-3. Dsm-iv-tr classification | 647 | ||
| Disorders Usually First Diagnosed In Infancy, Childhood, Or Adolescence | 647 | ||
| Delirium, Dementia, And Amnestic And Other Cognitive Disorders | 649 | ||
| Mental Disorders Due To A General Medical Condition Not Elsewhere Classified | 651 | ||
| Substance-Related Disorders | 651 | ||
| Schizophrenia And Other Psychotic Disorders | 658 | ||
| Mood Disorders | 659 | ||
| Anxiety Disorders | 660 | ||
| Somatoform Disorders | 661 | ||
| Factitious Disorders | 661 | ||
| Dissociative Disorders | 661 | ||
| Sexual And Gender Identity Disorders | 662 | ||
| Eating Disorders | 664 | ||
| Sleep Disorders | 664 | ||
| Impulse-Control Disorders Not Elsewhere Classified | 665 | ||
| Adjustment Disorders | 665 | ||
| Personality Disorders | 665 | ||
| Other Conditions That May Be A Focus Of Clinical Attention | 666 | ||
| Additional Codes | 668 | ||
| Appendix C: Assessment Tools forChildren andAdolescents | 669 | ||
| Appendix C-1. Stages of development (according to freud, sullivan, and erikson) | 669 | ||
| Appendix D: Assessment Guides | 681 | ||
| Appendix D-1. Defense mechanisms | 681 | ||
| Appendix D-2. Hamilton rating scale for anxiety | 683 | ||
| Appendix D-3. Hamilton Depression Rating scale (HDRS) | 685 | ||
| Appendix D-4. Mania questionnaire | 689 | ||
| Appendix D-5. Brief psychiatric rating scale | 690 | ||
| Appendix D-6. Sample questions to identify personality disorders | 692 | ||
| Appendix D-7. Assessments for substance abuse | 695 | ||
| Appendix D-7A. Emergency department brief assessment for substance abuse | 695 | ||
| Appendix D-7B. Brief michigan alcohol screening test (mast) | 696 | ||
| Appendix D-7C. Drug abuse screen test (dast) | 697 | ||
| Appendix D-8. Criteria for hospitalization for eating disorders | 698 | ||
| Physical Criteria | 698 | ||
| Psychiatric Criteria | 698 | ||
| Appendix D-9. Functional dementia scale | 698 | ||
| Appendix D-10. Life change events | 700 | ||
| Appendix D-11. Abuse assessment screen | 702 | ||
| Appendix D-12. Sad person's scale | 703 | ||
| Appendix D-13. Overt aggression scale | 704 | ||
| Verbal Aggression | 704 | ||
| Physical Aggression Against Objects | 705 | ||
| Physical Aggression Against Self | 705 | ||
| Physical Aggression Against Other People | 705 | ||
| Appendix E: Abnormal InvoluntaryMovement Scale (AIMS) | 706 | ||
| Appendix F: Nursing Care inElectroconvulsiveTherapy | 711 | ||
| Index | 715 | ||
| Inside Front Cover\r | 757 | ||
| Nursing Care Plans | 758 | ||
| Assessment Guidelines\r | 759 | ||
| Patient and Family Teaching Boxes\r | 759 |