BOOK
Essentials of Psychiatric Mental Health Nursing - Revised Reprint - E-Book
(2014)
Additional Information
Book Details
Abstract
The revised reprint includes all new DSM-5 updates, updated psychiatric nursing content, along with new opening unit pages with vignettes, Selected Concept boxes and a new chapter on stress and stress-related disorders. This updated version equips yourself for today's psychiatric nursing practice with all of the essential nursing interventions and clinical content combined with current research and evidence-based practice. From the author of the bestselling Foundations of Psychiatric Mental Health Nursing, this text was specifically developed to effectively prepare students in today's shorter courses.
- New DSM-5 criteria boxes in an appendix
- Updated Chapters include:
- Chapter 17: Schizophrenia Spectrum Disorder –new material on the Recovery Model adapted for schizophrenia, new Matrix 7 domains for Cognition affected by Schizophrenia, and an updated chapter drug table which now includes the latest drugs for schizophrenia
- Chapter 15: Mood Disorders: Depression – the chapter drug table has been updated with the latest drugs for depression
- Chapter 16: Bipolar Spectrum Disorders – the medication tables have been updated throughout
- Chapter 11: Anxiety, Anxiety Disorders, and Obsessive-Compulsive Disorders – this chapter has been updated with new content
- Chapter 12: Somatoform Disorders and Dissociative Disorders – the section on somatic symptom disorder has been thoroughly revised
- Chapter 19: Addiction and Compulsions – this chapter has been rewritten with additions of substances, medications and new tables
- UNIQUE! Examining the Evidence boxes explain the reasoning behind nursing interventions and how research affects everyday practice.
- UNIQUE! Applying the Art sections communication tables in the clinical chapters provide examples of therapeutic and nontherapeutic communication techniques as well as realistic nurse-patient interaction scenarios.
- Key concepts and terms clarify essential terminology.
- Potential Nursing Diagnosis tables give several possible nursing diagnoses for a particular disorder along with the associated signs and symptoms.
- Vignettes offer succinct, real-life glimpses into clinical practice by describing patients and their psychiatric disorders.
- Assessment Guidelines familiarize readers with methods of assessing patients.
- Critical thinking questions introduce clinical situations in psychiatric nursing.
- Key Points to Remember outline the main concepts of each chapter in an easy to comprehend and concise bulleted list.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care | iii | ||
| Copyright | iv | ||
| Dedication | v | ||
| Acknowledgments | vii | ||
| Contributors | ix | ||
| Reviewers | x | ||
| Preface | xi | ||
| The Science and Art of Psychiatric Mental Health Nursing | xi | ||
| Organization | xii | ||
| Features | xii | ||
| Learning and Teaching Aids | xii | ||
| CONTENTS | xv | ||
| UNIT 1 Essential Theoretical Concepts for Practice | 1 | ||
| Chapter 1 - Practicing the Science and the Art of Psychiatric Nursing | 2 | ||
| The Science of Nursing: Finding the Evidence for the Practice | 3 | ||
| The Art of Nursing: Developing the Skills for the Practice | 6 | ||
| References | 10 | ||
| Chapter 2 - Mental Health and Mental Illness: Stigma and Mental Health | 11 | ||
| The Diagnostic and Statistical Manual of Mental Disorders, DSM-5 | 13 | ||
| Concepts of Mental Health and Illness | 14 | ||
| Epidemiology and Prevalence of Mental Disorders | 15 | ||
| Mental Illness and Policy Issues | 15 | ||
| Medical Diagnosis and Nursing Diagnosis of Mental Illness | 17 | ||
| Psychiatry and Spirituality | 18 | ||
| Introduction to Culture and Mental Illness | 19 | ||
| References | 23 | ||
| Chapter 3 - Theories and Therapies | 24 | ||
| Prominent Theories and Therapeutic Models | 25 | ||
| Other Major Theories | 33 | ||
| Models, Theories, and Therapies in Current Practice | 35 | ||
| References | 43 | ||
| Chapter 4 - Biological Basis for Understanding Psychopharmacology | 45 | ||
| Brain Structures and Functions | 46 | ||
| Cellular Composition of The Brain | 49 | ||
| Psychotropic Drugs and Interactions | 56 | ||
| Antidepressant Drugs | 57 | ||
| Other Antidepressants | 59 | ||
| Treating Anxiety Disorders With Antidepressants | 59 | ||
| Antianxiety or Anxiolytic Drugs | 59 | ||
| Mood Stabilizers | 60 | ||
| Antipsychotic Drugs | 61 | ||
| Considering Culture | 64 | ||
| References | 65 | ||
| Chapter 5 - Settings for Psychiatric Care | 67 | ||
| Background | 68 | ||
| Outpatient Care Settings | 69 | ||
| Inpatient Care Settings | 71 | ||
| Specialty Treatment Settings | 74 | ||
| Paying for Mental Health Care | 75 | ||
| A Vision for Mental Health Care in America | 76 | ||
| References | 78 | ||
| Chapter 6 - Legal and Ethical Basis for Practice | 79 | ||
| Legal and Ethical Concepts | 80 | ||
| Mental Health Laws | 80 | ||
| Admission and Discharge Procedures | 81 | ||
| Patients’ Rights Under the Law | 82 | ||
| Maintenance of Patient Confidentiality | 85 | ||
| Tort Law Applied to Psychiatric Settings | 87 | ||
| Determination of a Standard of Care | 89 | ||
| Documentation of Care | 91 | ||
| Forensic Nursing | 92 | ||
| References | 93 | ||
| UNIT 2 Tools for Practice of the Art | 95 | ||
| Chapter 7 - Nursing Process and QSEN: The Foundation for Safe and Effective Care: Quality and Safety Education for Nurses (QSEN) Pre-Licensure Competencies | 96 | ||
| Standard 1: Assessment | 97 | ||
| Standard 2: Diagnosis | 104 | ||
| Standard 3: Outcomes Identification | 106 | ||
| Standard 4: Planning | 106 | ||
| Standard 5: Implementation | 109 | ||
| Standard 6: Evaluation | 110 | ||
| Documentation | 110 | ||
| References | 114 | ||
| Chapter 8 - Communication Skills: Medium for All Nursing Practice | 116 | ||
| Communication | 117 | ||
| Effective Communication Skills for Nurses | 121 | ||
| Nontherapeutic Techniques | 123 | ||
| Cultural Considerations: Negotiating Barriers | 127 | ||
| Telehealth Through Information Communication Technologies (ICTs) | 129 | ||
| Evaluation of Clinical Skills | 131 | ||
| References | 133 | ||
| Chapter 9 - Therapeutic Relationships and the Clinical Interview: Cultural Self-awareness | 135 | ||
| Nurse-Patient Relationships | 136 | ||
| UNIT 3 Caring for Patients With Psychobiological Disorders | 153 | ||
| Chapter 10 - Stress and Stress-Related Disorders | 155 | ||
| Physiological and Psychological Responses to Stress | 156 | ||
| Stress Reduction Techniques | 157 | ||
| Stress-Related Disorders | 157 | ||
| Goals of Treatment | 160 | ||
| Psychotherapeutic Treatment Strategies | 160 | ||
| Psychopharmacology | 160 | ||
| Critical Incident Debriefing | 162 | ||
| Self-Care for Nurses | 162 | ||
| References | 164 | ||
| Chapter 11 - Anxiety, Anxiety Disorders, and Obsessive-Compulsive Disorders | 165 | ||
| Anxiety | 166 | ||
| Levels of Anxiety | 166 | ||
| Interventions | 168 | ||
| Defense Mechanisms | 168 | ||
| Anxiety Disorders | 172 | ||
| Prevalence and Comorbidity | 174 | ||
| Theory | 174 | ||
| Cultural Considerations | 175 | ||
| Clinical Picture | 175 | ||
| Obsessive-Compulsive Disorder (OCD) | 178 | ||
| Assessment | 179 | ||
| Diagnosis | 180 | ||
| Outcomes Identification | 180 | ||
| Planning | 180 | ||
| Implementation | 181 | ||
| Evaluation | 189 | ||
| References | 190 | ||
| Chapter 12 - Somatic Symptom Disorder and Related Disorders | 192 | ||
| SOMATIC SYMPTOM DISORDER AND RELATED DISORDERS | 193 | ||
| Prevalence and Comorbidity | 193 | ||
| Theory | 194 | ||
| Cultural Considerations | 194 | ||
| Making a Diagnosis | 194 | ||
| Clinical picture | 195 | ||
| Nursing Process: SOMATIC SYMPTOMS AND RELATED DISORDERS | 197 | ||
| Application of the Nursing Process | 197 | ||
| Assessment | 197 | ||
| Diagnosis | 198 | ||
| Outcomes Identification | 199 | ||
| Planning | 199 | ||
| Implementation | 199 | ||
| Evaluation | 200 | ||
| Prevalence and Comorbidity | 201 | ||
| Theory | 202 | ||
| Cultural Considerations | 202 | ||
| Clinical Picture | 202 | ||
| Assessment | 204 | ||
| Diagnosis | 205 | ||
| Outcomes Identification | 206 | ||
| Planning | 206 | ||
| Implementation | 206 | ||
| Evaluation | 211 | ||
| References | 212 | ||
| Chapter 13 - Personality Disorders | 213 | ||
| Prevalence and Comorbidity | 214 | ||
| Theory | 215 | ||
| Clinical Picture | 215 | ||
| Cluster B Personality Disorders | 217 | ||
| Cluster C Personality Disorders | 220 | ||
| A potential future Personality Disorder | 221 | ||
| Assessment | 221 | ||
| Diagnosis | 223 | ||
| Outcomes Identification | 223 | ||
| Planning | 224 | ||
| Implementation | 224 | ||
| Evaluation | 228 | ||
| References | 230 | ||
| Chapter 14 - Eating Disorders | 231 | ||
| Prevalence and Comorbidity | 232 | ||
| Theory | 232 | ||
| Cultural Considerations | 233 | ||
| Self-Care for Nurses | 233 | ||
| Clinical Picture | 233 | ||
| Assessment | 235 | ||
| Diagnosis | 236 | ||
| Outcomes Identification | 236 | ||
| Planning | 236 | ||
| Implementation | 236 | ||
| Evaluation | 240 | ||
| Assessment | 240 | ||
| Diagnosis | 241 | ||
| Outcomes Identification | 241 | ||
| Planning | 241 | ||
| Implementation | 241 | ||
| Evaluation | 242 | ||
| References | 245 | ||
| Chapter 15 - Mood Disorders: Depression | 247 | ||
| Prevalence and Comorbidity | 248 | ||
| Theory | 249 | ||
| Psychosocial Theories | 252 | ||
| Cultural Considerations | 252 | ||
| Clinical Picture | 252 | ||
| Assessment | 255 | ||
| Diagnosis | 259 | ||
| Outcomes Identification | 260 | ||
| Planning | 260 | ||
| Implementation | 260 | ||
| Evaluation | 275 | ||
| References | 276 | ||
| Chapter 16 - Bipolar And Related Disorders | 279 | ||
| Prevalence and Comorbidity | 281 | ||
| Theory | 281 | ||
| Cultural Considerations | 282 | ||
| Clinical Picture | 282 | ||
| Assessment | 282 | ||
| Diagnosis | 288 | ||
| Outcomes Identification | 288 | ||
| Planning | 289 | ||
| Implementation | 289 | ||
| Evaluation | 299 | ||
| References | 301 | ||
| Chapter 17 - Schizophrenia Spectrum Disorders and Other Psychotic Disorders | 303 | ||
| Prevalence and Comorbidity | 304 | ||
| Theory | 306 | ||
| Cultural Considerations | 307 | ||
| Clinical Picture | 308 | ||
| Assessment | 308 | ||
| Diagnosis | 316 | ||
| Outcomes Identification | 316 | ||
| Planning | 316 | ||
| Implementation | 318 | ||
| Evaluation | 333 | ||
| References | 335 | ||
| Chapter 18 - Neurocognitive Disorders | 336 | ||
| Prevalence and Comorbidity | 337 | ||
| Assessment | 339 | ||
| Diagnosis | 342 | ||
| Outcomes Identification | 342 | ||
| Implementation | 342 | ||
| Evaluation | 342 | ||
| Theory | 345 | ||
| Assessment | 346 | ||
| Diagnosis | 349 | ||
| Outcomes Identification | 350 | ||
| Planning | 350 | ||
| Implementation | 351 | ||
| Evaluation | 359 | ||
| References | 361 | ||
| Chapter 19 - Substance–Related and Addictive Disorders | 362 | ||
| Prevalence and Comorbidity | 364 | ||
| Contributing Factors in the Development of Substance Use Disorder/Addictions and Dependencies | 368 | ||
| Effects of Substance Use in Pregnancy | 369 | ||
| Chemically Impaired Health Care Workers | 369 | ||
| Phenomena Observed in Substances Use Disorders | 370 | ||
| Clinical Picture Including Pharmacological Treatments | 371 | ||
| Central Nervous System Depressants | 371 | ||
| Opiates | 375 | ||
| Anabolic-Androgenic Steroids | 375 | ||
| Central Nervous System Stimulants | 376 | ||
| Nicotine | 377 | ||
| Substance Use in Early Adolescence and Young Adulthood | 378 | ||
| Marijuana | 378 | ||
| Rave/“Club Drugs” | 378 | ||
| Hallucinogens | 379 | ||
| Dissociative Drugs | 380 | ||
| Inhalants | 381 | ||
| Application of the Nursing Process | 381 | ||
| Diagnosis | 385 | ||
| Outcomes Identification | 385 | ||
| Planning | 385 | ||
| Implementation | 385 | ||
| Evaluation | 391 | ||
| References | 393 | ||
| UNIT 4 Caring for Patients Experiencing Psychiatric Emergencies | 395 | ||
| Chapter 20 - Crisis and Mass Disaster | 397 | ||
| Prevalence and Comorbidity | 398 | ||
| Theory | 398 | ||
| Clinical Picture | 399 | ||
| Assessment | 402 | ||
| Diagnosis | 403 | ||
| Outcomes Identification | 403 | ||
| Planning | 404 | ||
| Implementation | 404 | ||
| Evaluation | 406 | ||
| References | 411 | ||
| Chapter 21 - Child, Partner, and Elder Violence | 412 | ||
| Theory | 413 | ||
| Assessment | 416 | ||
| Diagnoses and Outcomes Identification | 417 | ||
| Implementation | 417 | ||
| Characteristics of Intimate Partner Violence | 419 | ||
| Assessment | 424 | ||
| Diagnosis and Outcomes Identification | 424 | ||
| Implementation | 424 | ||
| Characteristics of Elder Abuse | 427 | ||
| Assessment | 427 | ||
| DiagnosIs and Outcomes Identification | 427 | ||
| Implementation | 428 | ||
| Evaluation | 428 | ||
| References | 430 | ||
| Chapter 22 - Sexual Violence | 431 | ||
| Prevalence and Comorbidity | 433 | ||
| Theory | 436 | ||
| Assessment | 437 | ||
| Diagnosis | 438 | ||
| Outcomes Identification | 439 | ||
| Implementation | 439 | ||
| Evaluation | 442 | ||
| References | 444 | ||
| Chapter 23 - Suicidal Thoughts and Behaviors | 446 | ||
| Prevalence and Comorbidity | 447 | ||
| Theory | 448 | ||
| Cultural Considerations | 451 | ||
| Assessment | 451 | ||
| Diagnosis | 452 | ||
| Outcomes Identification and Planning | 452 | ||
| Implementation | 453 | ||
| References | 459 | ||
| Chapter 24 - Anger, Aggression, and Violence | 461 | ||
| Bullying in the Nursing Profession | 462 | ||
| Prevalence and Comorbidity | 463 | ||
| Theory | 463 | ||
| Cultural Considerations | 465 | ||
| Assessment | 465 | ||
| Diagnosis | 466 | ||
| Outcomes Identification | 466 | ||
| Planning | 466 | ||
| Implementation | 467 | ||
| Evaluation | 476 | ||
| References | 478 | ||
| Chapter 25 - Care for the Dying and Those Who Grieve | 479 | ||
| Nursing Goals in End-of-Life Care | 481 | ||
| Self-Care for Nurses | 484 | ||
| Grief and Loss | 485 | ||
| Disenfranchised Grief | 486 | ||
| Theory | 486 | ||
| Assessment | 488 | ||
| Diagnosis | 490 | ||
| Outcomes Identification | 491 | ||
| Planning | 491 | ||
| Implementation | 491 | ||
| Evaluation | 493 | ||
| References | 497 | ||
| UNIT 5 Age-Related Mental Health Disorders | 499 | ||
| Chapter 26 - Children and Adolescents | 500 | ||
| Prevalence and Comorbidity | 501 | ||
| Theory | 501 | ||
| Resiliency | 502 | ||
| Mental Health Assessment | 502 | ||
| INTELLECTUAL DEVELOPMENTAL DISORDER (Intellectual Disability) | 503 | ||
| AUTISM SPECTRUM DISORDER | 504 | ||
| Attention Deficit/Hyperactivity Disorder | 506 | ||
| Tourette’s Disorder | 507 | ||
| Oppositional Defiant Disorder | 508 | ||
| Conduct Disorder | 508 | ||
| Separation Anxiety Disorder | 510 | ||
| References | 514 | ||
| Chapter 27 - Adults | 515 | ||
| Understanding Severe and Persistent Mental Illness | 516 | ||
| Assessment | 518 | ||
| Diagnosis | 519 | ||
| Outcomes Identification | 519 | ||
| Implementation | 519 | ||
| Theory | 522 | ||
| Clinical Picture | 522 | ||
| Assessment | 524 | ||
| DiagnosIs | 524 | ||
| Outcomes Identification | 524 | ||
| Implementation | 524 | ||
| Gender Dysphoria/Gender Identity Disorder | 525 | ||
| Paraphilias | 526 | ||
| Theory | 526 | ||
| Clinical Picture | 526 | ||
| Self-Care for nurses | 528 | ||
| Assessment | 528 | ||
| Diagnosis | 528 | ||
| Outcomes Identification | 528 | ||
| Implementation | 528 | ||
| Prevalence and Comorbidity | 530 | ||
| Theory | 531 | ||
| Clinical Picture | 531 | ||
| Assessment | 531 | ||
| Diagnosis | 532 | ||
| Outcomes Identification | 532 | ||
| Implementation | 532 | ||
| References | 534 | ||
| Chapter 28 - Older Adults | 537 | ||
| A Note on Pharmacology and the Aging Adult | 538 | ||
| Ageism | 539 | ||
| Assessment and Communication Strategies | 540 | ||
| Depression | 543 | ||
| Suicide | 545 | ||
| Alcoholism and Substance Abuse | 547 | ||
| Acquired Immunodeficiency Syndrome and Aids-Related Dementia | 550 | ||
| Use of Restraints | 550 | ||
| Control of the Decision-Making Process | 551 | ||
| References | 554 | ||
| Appendix A | 556 | ||
| DSM-5 CLASSIFICATION | 556 | ||
| Neurodevelopmental Disorders (31) | 556 | ||
| Schizophrenia Spectrum and Other Psychotic Disorders (87) | 557 | ||
| Bipolar and Related Disorders (123) | 558 | ||
| Depressive Disorders (155) | 559 | ||
| Anxiety Disorders (189) | 559 | ||
| Obsessive-Compulsive and Related Disorders (235) | 560 | ||
| Trauma- and Stressor-Related Disorders (265) | 560 | ||
| Dissociative Disorders (291) | 560 | ||
| Somatic Symptom and Related Disorders (309) | 560 | ||
| Feeding and Eating Disorders (329) | 561 | ||
| Elimination Disorders (355) | 561 | ||
| Sleep-Wake Disorders (361) | 561 | ||
| Sexual Dysfunctions (423) | 562 | ||
| Gender Dysphoria (451) | 563 | ||
| Disruptive, Impulse-Control, and Conduct Disorders (461) | 563 | ||
| Substance-Related and Addictive Disorders (481) | 563 | ||
| Neurocognitive Disorders (591) | 566 | ||
| Personality Disorders (645) | 567 | ||
| Paraphilic Disorders (685) | 568 | ||
| Other Mental Disorders (707) | 568 | ||
| Medication-Induced Movement Disorders and Other Adverse Effects of Medication (709) | 568 | ||
| Other Conditions that May be a Focus of Clinical Attention (715) | 568 | ||
| Appendix B - Nanda-I Nursing Diagnoses 2012-2014 | 572 | ||
| Domain 1: Health Promotion | 572 | ||
| Domain 2: Nutrition | 572 | ||
| Domain 3: Elimination and Exchange | 572 | ||
| Domain 4: Activity/Rest | 573 | ||
| Domain 5: Perception/Cognition | 573 | ||
| Domain 6: Self-Perception | 573 | ||
| Domain 7: Role Relationships | 573 | ||
| Domain 8: Sexuality | 573 | ||
| Domain 9: Coping/Stress Tolerance | 573 | ||
| Domain 10: Life Principles | 574 | ||
| Domain 11: Safety/Protection 415 | 574 | ||
| Domain 12: Comfort | 574 | ||
| Domain 13: Growth/Development | 575 | ||
| Appendix C - DSM-5 Criteria Boxes | 576 | ||
| Index | 585 | ||
| Saint Louis University: Mental Status (SLUMS) ExaminationNormalMNCD | IBC |