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Psychiatric & Mental Health Nursing

Psychiatric & Mental Health Nursing

Katie Evans | Debra Nizette | Anthony O'Brien

(2016)

Additional Information

Book Details

Abstract

Psychiatric and Mental Health Nursing has established itself as Australia and New Zealand's foremost mental health nursing text and is an essential resource for all undergraduate nursing students.

This new edition has been thoroughly revised and updated to reflect current research and changing attitudes about mental health, mental health services and mental health nursing in Australia and New Zealand. 

Set within a recovery and consumer-focused framework, this text provides vital information for approaching the most familiar disorders mental health nurses and students will see in clinical practice, along with helpful suggestions about what the mental health nurse can say and do to interact effectively with consumers and their families.

Visit evolve.elsevier.com for your additional resources: eBook on Vital Source

Resources for Students and Instructors:

  • Student practice questions
  • Test bank
  • Case studies
  • Powerful consumer story videos
  • 3 new chapters:     - Physical health care: addresses the physical health of people with mental health problems and the conditions that have an association with increased risk of mental health problems     - Mental health promotion: engages with the ways in which early intervention can either prevent or alleviate the effects of mental health problems     - Challenging behaviours: presents a range of risk assessments specifically focused upon challenging behaviours
  • Now addresses emerging issues, such as:     - The transitioning of mental health care to primary care     - The development of peer and service user led services, accreditation and credentialing     - Mental Health Nurse Incentive Program

Table of Contents

Section Title Page Action Price
Front Cover Cover
Psychiatric and Mental Health Nursing iii
Copyright Page iv
Table of Contents v
Foreword vi
Introduction vii
About the authors ix
Contributors x
Reviewers xii
Part 1:\rPREPARING FOR PSYCHIATRIC AND MENTAL HEALTH NURSING 1
Chapter 1.\rTHE EFFECTIVE NURSE 3
INTRODUCTION 4
COMPASSION AND CARING 5
HOPE AND SPIRITUALITY 5
THERAPEUTIC USE OF SELF 7
SELF-AWARENESS 8
REFLECTION 8
PROFESSIONAL BOUNDARIES 9
STRESS AND BURNOUT 10
PROFESSIONAL SUPPORTIVE\rRELATIONSHIPS 12
CONCLUSION 13
Acknowledgement 13
References 13
Useful websites 16
Chapter 2.\rRECOVERY AS THE CONTEXT FOR PRACTICE 17
INTRODUCTION 18
RECOVERY AS THE CONTEXT\rOF PRACTICE 19
BRIEF HISTORY OF\rRECOVERY MOVEMENT\rAND RESEARCH 24
RECOVERY-INFORMED\rPRACTICE 25
TRAUMA-INFORMED CARE 30
EXTERNAL ENVIRONMENTS\rTHAT FACILITATE\rRECOVERY 33
RECOVERY-INFORMED\rSERVICE PROVISION 35
CONCLUSION 38
References 39
Useful websites 41
Chapter 3.\rHISTORICAL FOUNDATIONS 43
INTRODUCTION 44
THE VALUE OF HISTORICAL\rANTECEDENTS 45
PAST IDEAS ABOUT MENTAL\rDISORDER 46
MENTAL DISORDERS DESCRIBED IN GRAECO-ROMAN SOURCES 49
MENTAL DISORDERS NOT\rFOUND IN THE ANCIENT\rLITERATURE 51
ANCIENT MENTAL\rHEALTHCARE 52
ANCIENT DOCTORS AND\rNURSES 54
RESURGENCE OF MEDICAL\rKNOWLEDGE 57
PIONEERS AND\rPROFESSIONALISATION 58
DEINSTITUTIONALISATION 60
CONCLUSION 62
References 62
Useful websites 65
Chapter 4. PROFESSIONAL, LEGAL AND ETHICAL ISSUES 66
INTRODUCTION 67
REGULATION OF\rPROFESSIONAL PRACTICE 67
PROFESSIONAL AND\rINDUSTRIAL NURSING BODIES 68
STANDARDS OF PRACTICE 70
COMPETENCIES 71
CAREER PATHWAYS 71
ADVANCED PRACTICE 71
NURSE PRACTITIONERS 71
NURSE PRESCRIBERS 72
ETHICS AND PROFESSIONAL\rPRACTICE 72
ETHICAL FRAMEWORKS 72
LAW AND MENTAL HEALTH 79
CONCLUSION 87
References 88
Further reading 90
Useful websites 90
Chapter 5.\rSETTINGS FOR MENTAL HEALTH 91
INTRODUCTION 92
THE IMPORTANCE OF THE\rSETTING IN WHICH MENTAL\rHEALTHCARE IS DELIVERED 92
A CONTINUUM OF MENTAL\rHEALTH SERVICES ACROSS\rTHE LIFESPAN 97
CONCLUSION 114
References 114
Useful websites 118
Part 2:\rINFLUENCES ON\rMENTAL HEALTH 119
Chapter 6.\rMENTAL HEALTH THEORY AND\rINFLUENCE ACROSS THE LIFESPAN 121
INTRODUCTION 122
WHAT IS MENTAL HEALTH? 122
THEORIES OF PERSONALITY 124
A LIFESPAN APPROACH 130
MENTAL HEALTH ACROSS\rTHE LIFESPAN 132
CHILDHOOD 136
ADOLESCENCE 137
EARLY AND MIDDLE\rADULTHOOD 139
OLDER ADULTHOOD 140
CONCLUSION 142
References 143
Useful websites 147
Chapter 7.\rTRAUMA, CRISIS, LOSS AND GRIEF 148
INTRODUCTION 149
DEFINING AND EXPLAINING\rCRISIS, TRAUMA, LOSS\rAND GRIEF 149
EFFECTS OF TRAUMA,\rLOSS AND BEREAVEMENT\rON THE INDIVIDUAL 151
OTHER FACTORS THAT\rINFLUENCE AN INDIVIDUAL’S\rRESPONSE IN TIMES OF\rDIFFICULTY 157
WHAT CAN YOU DO TO HELP? 159
RESPONDING AFTER\rDISASTERS AND\rTRAUMATIC EVENTS 161
CRISIS INTERVENTION\rMODELS 161
THE COST OF CARING 170
CONCLUSION 171
References 173
Useful websites 176
Chapter 8.\rPHYSICAL HEALTH 178
INTRODUCTION 179
METABOLIC SYNDROME 180
DIABETES 181
CARDIOVASCULAR DISEASE 183
MANAGEMENT OF\rCARDIOMETABOLIC HEALTH 183
TOBACCO-RELATED ILLNESS\rAND SMOKING CESSATION 184
RESPIRATORY DISEASES 186
NUTRITION 187
PHYSICAL ACTIVITY 187
ORAL HEALTH 189
SLEEP 190
SEXUAL HEALTH 190
WHEN PSYCHIATRIC\rSYMPTOMS ARE NOT\rA MENTAL ILLNESS 191
CONCLUSION 191
References 192
Useful websites 195
Part 3:\rTHE PEOPLE WITH\rWHOM MENTAL HEALTH NURSES WORK 197
Chapter 9.\rMENTAL HEALTH AND WELLNESS IN AUSTRALIA AND NEW ZEALAND 199
INTRODUCTION 200
MENTAL HEALTH\rAND WELLNESS 200
SOCIAL DETERMINANTS OF\rMENTAL HEALTH IN AUSTRALIA\rAND NEW ZEALAND 201
THE INCIDENCE AND\rPREVALENCE OF MENTAL\rHEALTH PROBLEMS 205
THE COST OF MENTAL\rHEALTH PROBLEMS 208
DISABILITY AND\rMENTAL HEALTH 208
MISCONCEPTIONS ABOUT\rMENTAL HEALTH PROBLEMS 209
CULTURAL DIVERSITY IN\rAUSTRALIA AND NEW ZEALAND 211
CULTURAL DIVERSITY AND\rMENTAL HEALTH NURSING 213
CONCLUSION 217
Acknowledgement 217
References 218
Further reading 221
Useful websites 221
Chapter 10.\rWORKING WITH FAMILIES\rIN MENTAL HEALTH 222
INTRODUCTION 223
DEFINING ‘FAMILY’ 223
WHY WORK WITH\rFAMILIES AND CARERS?\rINTRODUCING A STRENGTHS-BASED\rAPPROACH 223
CHALLENGES FOR FAMILIES\rWHEN A PERSON HAS\rMENTAL ILLNESS 224
ADDRESSING CHALLENGES\rAND BUILDING STRENGTHS—\rFAMILY RESILIENCE 227
FAMILY RECOVERY 228
WORKING WITH FAMILIES:\rFAMILY-FOCUSED PRACTICE 230
CONCLUSION 235
References 235
Useful websites 236
Chapter 11.\rINDIGENOUS MENTAL HEALTH IN AUSTRALIA AND NEW ZEALAND 237
INTRODUCTION 238
ABORIGINAL AND\rTORRES STRAIT ISLANDER\rMENTAL HEALTH 238
MĀORI MENTAL HEALTH 242
CONCLUSION 247
Acknowledgement 247
References 248
Further reading 249
Useful websites 249
Glossary 249
Chapter 12.\rDISORDERS OF CHILDHOOD AND ADOLESCENCE 251
INTRODUCTION 252
DIAGNOSIS IN CHILD AND\rADOLESCENT MENTAL\rHEALTHCARE 252
INCIDENCE 252
MENTAL ILLNESS IN\rCONTEXT 254
ASSESSMENT 254
SERVICES AVAILABLE\rTO CHILDREN AND\rYOUNG PEOPLE 255
THE NURSING ROLE 256
ENGAGING WITH CHILDREN\rAND ADOLESCENTS 257
FAMILY WORK 265
CONFIDENTIALITY 266
PSYCHOEDUCATION 266
LEGAL ISSUES 266
CONCLUSION 266
References 267
Useful websites 268
Chapter 13. MENTAL DISORDERS OF OLDER AGE 269
INTRODUCTION 270
DEMOGRAPHY OF\rAGEING IN AUSTRALIA\rAND NEW ZEALAND 270
ASSESSMENT OF\rOLDER PEOPLE 272
MENTAL HEALTH DISORDERS\rIN THE OLDER POPULATION 272
NURSING MANAGEMENT OF\rOLDER PEOPLE 284
CONCLUSION 286
References 286
Useful websites 289
Chapter 14.\rINTELLECTUAL DISABILITIES 291
INTRODUCTION 292
THE LANGUAGE OF\rDISABILITY 292
CAUSES OF INTELLECTUAL\rDISABILITY AND ASSOCIATED\rDISORDERS 294
SERVICE PHILOSOPHY IN\rDISABILITY SERVICES 294
LEGISLATION AND CHANGES\rTO SERVICES FOR PEOPLE\rWITH AN INTELLECTUAL\rDISABILITY 294
PREVALENCE OF DUAL\rDISABILITY 296
FALLING THROUGH\rTHE CRACKS 296
ACUTE ASSESSMENT OF\rPEOPLE WITH A DUAL\rDIAGNOSIS 299
ACUTE NURSING MANAGEMENT 303
FACILITATING CONTINUOUS\rCARE 304
UNDERSTANDING DISABILITY\rSUPPORT SERVICES 305
CONCLUSION 310
References 311
Useful websites 313
Chapter 15.\rFORENSIC MENTAL HEALTH NURSING 315
INTRODUCTION 316
THE DEVELOPMENT OF\rFORENSIC MENTAL HEALTH\rSERVICES 316
IDENTIFYING FORENSIC\rCONSUMERS 317
FORENSIC MENTAL\rHEALTH SERVICES 319
THE KNOWLEDGE, SKILLS\rAND ATTITUDES REQUIRED\rOF THE FORENSIC MENTAL\rHEALTH NURSE 327
THE ETHICAL DIMENSION\rIN FORENSIC MENTAL\rHEALTHCARE 331
MULTIDISCIPLINARY TEAM\rINVOLVEMENT 331
CULTURE AND FAMILY 333
MINIMISING STIGMA AND\rDISCRIMINATION FOR\rFORENSIC CONSUMERS 333
CONCLUSION 333
References 334
Useful websites 337
Part 4:\rMENTAL DISORDERS THAT PEOPLE EXPERIENCE 339
Chapter 16.\rSCHIZOPHRENIA AND\rPSYCHOTIC DISORDERS 341
INTRODUCTION 342
HISTORICAL UNDERSTANDING 342
ASSESSMENT AND DIAGNOSIS 343
BRIEF PSYCHOTIC DISORDER 346
DELUSIONAL DISORDER 347
SCHIZOPHRENIA 347
AETIOLOGICAL THEORIES 350
COMORBIDITY 352
INTERVENTIONS/TREATMENTS 353
LIVING WITH SCHIZOPHRENIA 360
THE RECOVERY APPROACH 364
CONCLUSION 365
Acknowledgement 366
References 366
Useful websites 369
Chapter 17.\rMOOD DISORDERS 370
INTRODUCTION 371
EPIDEMIOLOGY 371
DEPRESSION 371
BIPOLAR DISORDER 375
OVERVIEW OF CAUSATION 378
PERSISTENT DEPRESSIVE\rDISORDER AND CYCLOTHYMIA 378
CHILDBIRTH AND\rMOOD DISORDERS 379
GRIEF AND MOOD DISORDERS 380
OLD AGE AND MOOD\rDISORDERS 380
MEDICAL CONDITIONS AND\rDRUG REACTIONS 381
SUICIDE 381
THE ART AND SCIENCE OF\rMENTAL HEALTH NURSING 382
PHARMACOLOGY 383
HOSPITALISATION 386
ELECTROCONVULSIVE\rTHERAPY 386
CONCLUSION 387
References 387
Useful websites 390
Chapter 18.\rPERSONALITY DISORDERS 391
INTRODUCTION 392
THE PERSONALITY–\rDISORDER CONTINUUM 392
CLASSIFICATION OF\rPERSONALITY DISORDERS 393
PROBLEMS OF DIAGNOSIS 393
EPIDEMIOLOGY 396
AETIOLOGY 397
ASSESSMENT 397
INTERVENTIONS: WORKING\rWITH PEOPLE WITH A\rPERSONALITY DISORDER 399
EDUCATION OF HEALTH\rPROFESSIONALS FOR\rATTITUDINAL CHANGE 403
CONCLUSION 403
References 404
Useful websites 407
Chapter 19.\rANXIETY, TRAUMA AND\rSTRESS-RELATED DISORDERS 408
INTRODUCTION 409
AETIOLOGY OF STRESS, FEAR\rAND ANXIETY 409
ANXIETY DISORDERS 411
EPIDEMIOLOGY OF\rANXIETY DISORDERS 412
COMORBIDITY 412
ASSESSMENT AND DIAGNOSIS 413
ANXIETY DISORDERS 416
TRAUMA- AND STRESSOR-RELATED\rDISORDERS 420
TREATMENT AND NURSING\rINTERVENTIONS 423
PSYCHOPHARMACOLOGY 428
CONCLUSION 429
Acknowledgement 429
References 429
Useful websites 432
Chapter 20.\rEATING DISORDERS 433
INTRODUCTION 434
CHARACTERISTICS OF\rEATING DISORDERS 435
INCIDENCE AND PREVALENCE 438
RISK AND PROTECTIVE\rFACTORS 441
PHYSICAL HEALTH 443
MENTAL HEALTH 446
ASSESSMENT 447
TREATMENT AND RECOVERY 450
OUTCOME 461
THE IMPORTANCE\rOF A STRONG NURSING\rPRESENCE 462
CONCLUSION 462
References 463
Useful websites 468
Other resources 468
Chapter 21\rSUBSTANCE USE AND COMORBID MENTAL HEALTH DISORDERS 469
INTRODUCTION 470
EPIDEMIOLOGY 470
SUBSTANCE USE AND\rGAMBLING 471
SUBSTANCE USE AND\rMISUSE AMONG SPECIFIC\rPOPULATIONS 472
PHARMACOLOGY OF\rPSYCHOACTIVE DRUGS 473
DIAGNOSIS FOR\rSUBSTANCE USE 474
ASSESSMENT AND DIAGNOSIS 477
INTERVENTIONS 482
RELAPSE PREVENTION 485
OTHER HEALING APPROACHES 485
COMORBID DISORDERS 487
CONCLUSION 491
References 492
Useful websites 496
Part 5:\rWHAT MENTAL HEALTH NURSES CAN DO TO HELP 497
Chapter 22.\rMENTAL HEALTH PROMOTION, PREVENTION AND PRIMARY HEALTHCARE 499
INTRODUCTION 500
MENTAL ILLNESS, MENTAL\rDISORDER OR MENTAL\rHEALTH PROBLEM? 500
MENTAL ILLNESS AND\rITS IMPACT 500
MENTAL HEALTH\rPROMOTION 501
MENTAL ILLNESS PREVENTION 504
RECOVERY 506
PRIMARY MENTAL\rHEALTHCARE 507
TREATMENT OPTIONS IN\rPRIMARY CARE 510
THE FUTURE OF\rMENTAL HEALTH SERVICE\rPROVISION 513
CONCLUSION 514
References 515
Useful websites 517
Chapter 23.\rASSESSMENT IN MENTAL HEALTH NURSING 518
INTRODUCTION 519
ASSESSMENT 519
METHODS OF MENTAL HEALTH\rNURSING ASSESSMENT 521
COMPREHENSIVE\rASSESSMENT PROCESS 527
CLINICAL FORMULATION 542
DIAGNOSIS 543
TRIAGE 543
RISK ASSESSMENT 544
ASSESSMENT OF STRENGTHS 546
CLASSIFICATION IN\rPSYCHIATRY 546
MEASURING MENTAL\rHEALTH OUTCOMES 547
CONCLUSION 548
References 549
Useful websites 551
Chapter 24. CHALLENGING BEHAVIOUR, RISK AND RESPONSES 552
INTRODUCTION 553
CHALLENGING BEHAVIOUR 553
PREPAREDNESS FOR\rENGAGING CHALLENGING\rBEHAVIOUR 556
PRINCIPLES FOR\rENGAGING A PERSON WITH\rCHALLENGING BEHAVIOUR 559
NURSING THE\rFRUSTRATED OR\rAGITATED CONSUMER 560
CLINICAL PRESENTATIONS\rAND CHALLENGING\rBEHAVIOUR 564
RISK IN MENTAL\rHEALTH SETTINGS 568
THE LEGAL CONTEXT\rRELATING TO CHALLENGING\rBEHAVIOUR 571
CONCLUSION 572
References 574
Chapter 25. THERAPEUTIC INTERVENTIONS 577
INTRODUCTION 578
BASIC COUNSELLING SKILLS 578
CRISIS INTERVENTION 579
STRESS MANAGEMENT 581
PSYCHOTHERAPY 584
BEHAVIOUR THERAPY 591
GROUP THERAPY 593
FAMILY THERAPY 595
PSYCHOSOCIAL\rREHABILITATION 596
INTERVIEWING 600
CASE MANAGEMENT 600
ELECTROCONVULSIVE\rTHERAPY 601
REPETITIVE TRANSCRANIAL\rMAGNETIC STIMULATION 603
CONCLUSION 603
References 604
Useful websites 609
Chapter 26.\rPSYCHOPHARMACOLOGY 611
INTRODUCTION 612
IMPORTANT\rPHARMACOLOGICAL\rPRINCIPLES 613
IMPORTANT PSYCHOTROPIC\rMEDICATIONS 614
PRO RE NATA (PRN OR\rAS-NEEDED) ANTIPSYCHOTIC\rMEDICATION ADMINISTRATION 624
ADHERENCE TO MEDICATIONS 625
DEPOT OR LONG-ACTING\rINTRAMUSCULAR INJECTABLE\rANTIPSYCHOTICS 627
DEPOT OR LONG-ACTING\rINTRAMUSCULAR INJECTABLE\rANTIPSYCHOTICS 628
CONCLUSION 629
References 630
Useful websites 631
Glossary 632
Index 642