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Mental Health Nursing Care,9780130487513

Mental Health Nursing Care

by ;
ISBN13:

9780130487513

ISBN10:
0130487511
Format:
Paperback
Pub. Date:
1/1/2005
Publisher(s):
Prentice Hall
List Price: $38.95
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Summary

For Fundamentals of Nursing, Psychiatric-Mental Health Nursing, Psychosocial Nursing and Nursing Specialty courses. This practical guide to applying the nursing process to the care of clients with psychiatric disorders and general clients with psychosocial issues teaches psychiatric-mental health nursing as it is really practiced. Students are encouraged to develop empathy for clients and critical thinking skills to meet the challenges of client care. Case studies, client examples and statements from clients in their own words help students understand psychiatric and psychosocial nursing practice.

Table of Contents

Unit I Foundations of Psychiatric Mental Health Nursing
1(47)
Personality Theory for Nurses
2(21)
Development of Personality
3(1)
Psychoanalytic Theory
3(3)
Psychotherapy by the Psychoanalysts
6(1)
Nursing Implications
6(1)
Ego Theories
6(5)
Psychotherapy by the Ego Theorists
9(2)
Nursing Implications
11(1)
Biological Theories
11(1)
Therapeutic Perspective
12(1)
Nursing Implications
12(1)
Trait Theories
12(1)
Psychotherapy by Trait Theorists
13(1)
Nursing Implications
13(1)
Behaviorist and Learning Theories
13(1)
Behavioral Therapy
13(1)
Nursing Implications
14(1)
Cognitive Theories of Personality
14(2)
Gestalt Theory
14(2)
Cognitive Psychotherapy
16(1)
Nursing Implications
16(1)
Existential and Humanistic Theories
17(1)
Humanistic Psychotherapy
17(1)
Nursing Implications
18(1)
Interpersonal Theories
18(5)
Interpersonal Psychotherapy
19(1)
Nursing Implications
20(3)
Mental Health and Mental Illness
23(11)
Mental Health
24(2)
Mental Disorders
26(1)
Stigma of Mental Illness
27(1)
Historical Perspectives
28(1)
Nurses' Role in Mental Health Promotion
29(1)
Vulnerability of the Mentally Ill
30(4)
Stress and Coping
34(13)
Stress Theories
35(3)
Effect of Culture on Stress Response
37(1)
Coping with Stress
38(2)
Positive (Adaptive) Stress Responses
38(1)
Negative (Maladaptive) Stress Responses
38(1)
Practicing Critical Thinking
38(2)
Nursing Care
40(7)
Assessing
40(1)
Diagnosing, Planning and Implementing
40(2)
Evaluating
42(2)
Critical Thinking Care Map: Caring for a Client with Difficulty Coping
44(3)
Unit II Psychiatric--Mental Health Nursing
47(70)
Mentally Healthy Nursing
48(13)
Attributes of Caring
49(1)
Nurses Under Stress
49(4)
Codependency
50(2)
Sick Organizations
52(1)
Burnout
53
Nursing Care
52(7)
Assessing
52(1)
Diagnosing, Planning, and Implementing
53(4)
Evaluating
57(2)
Critical Thinking Care Map: Caring for a Client with Ineffective Coping
59(2)
Nurse--Client Relationship and Communication
61(20)
Therapeutic Use of Self
62(1)
Nurse--Client Relationship
62(1)
Communication Process
63(3)
Types of Communication
64(2)
Effective Communication Strategies
66(1)
Active Listening
66(1)
Congruence
66(1)
Concrete Messages
67(1)
Barriers to Communication
67(3)
Nursing Care
70(6)
Assessing
70(1)
Diagnosing, Planning, and Implementing
70(6)
Evaluating
76(1)
Nursing Process Care Plan: Communicating Effectively with a Client
76(3)
Critical Thinking Care Map Caring for a Client with Chronic Low Self Esteem
79(2)
Ethical and Legal Issues in Psychiatric Nursing
81(16)
Ethics in Nursing
82(1)
Personal Values
82(1)
Codes of Ethics for Nurses
83(1)
Standards of Care
83(2)
Ethical Principles
85(1)
Ethical Dilemmas
85(1)
Nursing Care
85(1)
Assessing
85(1)
Diagnosing, Planning, and Implementing
86(1)
Evaluating
86(1)
Nursing Process Care Plan: Assisting with Ethical Decision-Making
86(1)
Legal Aspects of Psychiatric Nursing
87(1)
Types of Law
87(1)
Nurse Practice Acts
87(1)
Psychiatric Hospitalization
87(1)
Legal Rights for Psychiatric Clients
88(1)
Competency
89(2)
Right to Informed Consent
89(1)
Right to Refuse Treatment
90(1)
Right to Confidentiality
90(1)
Right to Keep Personal Items
90(1)
Americans with Disabilities Act
91(1)
Advance Care Directives
91(1)
Nurse's Responsibility in Documentation
91(1)
Malpractice
91(1)
Standards of Culturally Appropriate Care
92(3)
Critical Thinking Care Map: Caring for a Client Who Refuses Medication
95(2)
Psychobiology and Psychopharmacology
97(20)
Psychobiology
98(1)
Mental Disorders
98(1)
Brain Anatomy and Function
98(5)
Genetics of Mental Illness
103(1)
Neuroendocrine System
104(1)
Psychopharmacology
104(2)
Pharmacokinetics
106(1)
Pharmacodynamics
106(1)
Phases of Medication Treatment
106(1)
Target Symptoms
107(1)
Action on Neurotransmitters
107(1)
Nursing Care
107(4)
Assessing
107(1)
Diagnosing, Planning, and Implementing
108(2)
Evaluating
110(1)
Discharge Considerations
110(1)
Nursing Process Care Plan: Client with Readiness for Enhanced Knowledge
111(2)
Critical Thinking Care Map: Caring for a Client Taking Psychotropic Drugs
113(4)
Unit III Nursing Care of Clients with Mental Disorders
117(128)
Schizophrenia
188
Causes of Schizophrenia
119(1)
Diagnosis and Clinical Features
120(3)
Course of the Disease
123(1)
Collaborative Care
124(8)
Continuum of Care
124(1)
Milieu Therapy
124(1)
Psychosocial Rehabilitation
125(1)
Psychopharmacology
125(7)
Nursing Care
132(7)
Assessing
132(2)
Diagnosing, Planning, and Implementing
134(3)
Evaluating
137(1)
Discharge Considerations
137(2)
Nursing Process Care Plan: Client with Neuroleptic Malignant Syndrome
139(1)
Advocating for Clients
140(2)
Critical Thinking Care Map: Caring for a Client Who Is Experiencing Psychosis
142(2)
Mood Disorders
144(29)
Major Depressive Disorder
146(1)
Depression
146(4)
Causes
146(2)
Clinical Features
148(1)
Stigma
149(1)
Suicide
150(8)
Collaborative Care
152(6)
Bipolar Disorder
158(1)
Definition of Bipolar Disorder
158(6)
Clinical Features
158(3)
Concurrent Disorders
161(1)
Collaborative Care
161(3)
Nursing Care
164(4)
Assessing
164(2)
Diagnosing, Planning, and Implementing
166(2)
Evaluating
168(1)
Discharge Considerations
168(1)
Nursing Process Care Plan: Client with Depression
168(3)
Critical Thinking Care Map: Caring for a Client Who Has Bipolar Disorder
171(2)
Personality Disorders
173(24)
Personality Disorders
174(2)
Common Clinical Features
175(1)
Challenges for Nurses
176(1)
Cluster A Personality Disorders: Odd--Eccentric
176(2)
Paranoid Personality Disorder
176(1)
Schizoid Personality Disorder
177(1)
Schizotypal Personality Disorder
178(1)
Cluster B Personality Disorders: Dramatic--Emotional
178(5)
Antisocial Personality Disorder
178(1)
Borderline Personality Disorder
179(3)
Histrionic Personality Disorder
182(1)
Narcissistic Personality Disorder
183(1)
Cluster C Personality Disorders: Anxious--Fearful
183(3)
Avoidant Personality Disorder
183(1)
Dependent Personality Disorder
184(1)
Obsessive--Compulsive Personality Disorder
185(1)
Nursing Care
186(6)
Assessing
186(1)
Diagnosing, Planning, and Implementing
186(6)
Evaluating
192(1)
Nursing Process Care Plan: Client with Borderline Personality Disorder
192(3)
Critical Thinking Care Map: Caring for a Client with Impaired Communication
195(2)
Anxiety Disorders
197(23)
Biological Basis of Anxiety
198(2)
Coping with Anxiety
200(1)
Task-Oriented Reactions
200(1)
Unconscious Defense Mechanisms
200(1)
Anxiety Disorders
200(7)
Generalized Anxiety Disorder
201(1)
Panic Disorder
202(1)
Agoraphobia
203(1)
Obsessive-Compulsive Disorder
203(1)
Post-traumatic Stress Disorders
204(1)
Social Phobia
205(1)
Specific Phobias
206(1)
Collaborative Care
207(5)
Cognitive-Behavioral Therapy
208(1)
Psychotropic Agents
209(3)
Nursing Care
212(3)
Assessing
212(1)
Diagnosing, Planning, and Implementing
213(2)
Evaluating
215(1)
Nursing Process Care Plan: Client with Generalized Anxiety Disorder
215(3)
Critical Thinking Care Map: Caring for a Client with Anxiety
218(2)
Substance Abuse
220(25)
Delayed Diagnosis
221(1)
Substance Abuse and Dependency
222(10)
Alcohol
222(5)
Other CNS Depressants
227(1)
Sedative, Hypnotic, or Anxiolytic-Related Drugs
228(1)
CNS Stimulants: Amphetamines and Cocaine
229(1)
Hallucinogens
229(2)
Inhalants
231(1)
Cannabis
231(1)
Caffeine and Nicotine
231(1)
Collaborative Care
232(2)
Dual Diagnosis
234(1)
Substance Dependency Among Nurses
235(1)
Nursing Care
236(3)
Assessing
236(1)
Diagnosing, Planning, and Implementing
237(1)
Evaluating
238(1)
Discharge Considerations
238(1)
Nursing Process Care Plan: Client with Ineffective Individual Coping
239(3)
Critical Thinking Care Map: Caring for a Client with Substance Dependency
242(3)
Unit IV Nursing Care of Clients with Disorders Related to Development
245(70)
Disorders in Childhood and Adolescence
246(24)
Effect of Mental Disorders on Development
247(1)
Mental Disorders in Children and Adolescents
248(3)
Mental Retardation
248(1)
Learning Disorders
248(2)
Communication Disorders
250(1)
Pervasive Developmental Disorders
251(2)
Autistic Disorder
251(1)
Asperger's Disorder
252(1)
Rett's Disorder
253(1)
Childhood Disintegrative Disorder
253(1)
Attention Deficit and Disruptive Behavior Disorders
253(6)
Anxiety Disorders
259(1)
Separation Anxiety Disorder
259(1)
Post-traumatic Stress Disorder
259(1)
Elimination Disorders
260(1)
Depression, Psychosis, and Suicide
261(1)
Childhood Depression
261(1)
Psychotic Disorders
261(1)
Suicide
261(1)
Self-Concept
262(1)
Nursing Care
263(2)
Assessing
263(1)
Diagnosing, Planning, and Implementing
263(2)
Evaluating
265(1)
Nursing Process Care Plan: Client with ADHD
265(3)
Critical Thinking Care Map: Caring for a Client with Noncompliance
268(2)
Eating Disorders
270(16)
Anorexia Nervosa
271(2)
Bulimia Nervosa
273(1)
Binge Eating Disorder
274(1)
Males with Eating Disorders
275(1)
Cause of Eating Disorders
275(1)
Collaborative Care
276(1)
Obesity
277(1)
Causes
277(1)
Collaborative Care
278(1)
Nursing Care
278(2)
Assessing
278(1)
Diagnosing, Planning, and Implementing
278(2)
Evaluating
280(1)
Discharge Considerations
280(1)
Nursing Process Care Plan: Client with Bulimia Nervosa
280(4)
Critical Thinking Care Map: Caring for a Client with Obesity
284(2)
Dementia and Cognitive Disorders
286(29)
Delirium
287(4)
Conditions That Cause Delirium
287(2)
Manifestations of Delirium
289(1)
Collaborative Care
289(2)
Nursing Care
291(1)
Assessing
291(1)
Diagnosing, Planning, and Implementing
291(1)
Evaluating
292(1)
Dementia
292(11)
Types and Causes of Dementia
293(2)
Symptoms and Stages
295(2)
Altered Behaviors Associated with AD
297(2)
Collaborative Care
299(4)
Nursing Care
303(6)
Assessing
303(1)
Diagnosing, Planning, and Implementing
303(3)
Evaluating
306(1)
Discharge Considerations
306(3)
Nursing Process Care Plan: Client with Middle-Stage AD
309(3)
Critical Thinking Care Map: Caring for a Client with Delirium
312(3)
Unit V Special Topics in Psychiatric Mental Health Nursing
315(71)
Violence and Abuse
316(22)
Violent Families
318(4)
Characteristics of Violent Families
318(4)
Child Abuse
322(1)
Elder Abuse
323(1)
Legal Issues in Family Violence
324(1)
Sexual Assault and Rape
325(1)
Rape Trauma Syndrome
325(1)
Language Matters
325(1)
Nursing Care
326(1)
Assessing
326(1)
Diagnosing, Planning, and Implementing
326(1)
Evaluating
327(1)
Violence in the Health-Care Workplace
327(4)
Causes of Violent Behavior
328(1)
Collaborative Care
329(2)
Nursing Care
331(2)
Assessing
331(1)
Diagnosing, Planning, and Implementing
332(1)
Evaluating
332(1)
Nursing Process Care Plan: Client in an Abusive Relationship
333(3)
Critical Thinking Care Map: Caring for a Client Who Is Agitated
336(2)
Psychosocial Issues in General Client Care
338(48)
Anxiety
339(1)
Nursing Care
340(1)
Assessing
340(1)
Diagnosis, Planning, and Implementing
340(1)
Evaluating
341(1)
Client in Crisis
341(2)
Nursing Care
343(1)
Assessing
343(1)
Diagnosing, Planning, and Implementing
343(1)
Evaluating
344(1)
Angry Clients
344(2)
Nursing Care
346(1)
Assessing
346(1)
Diagnosing, Planning, and Implementing
346(1)
Evaluating
347(1)
Unhealthy Coping and Communication Skills
347(1)
Passive--Aggressive Behavior
347(1)
Nursing Care
348(1)
Assessing
348(1)
Diagnosing, Planning, and Implementing
348(1)
Evaluating
348(1)
Manipulation
348(1)
When Nurses Encourage Client Pathology
349(1)
Nursing Care
350(1)
Assessing
350(1)
Diagnosing, Planning, and Implementing
350(1)
Evaluating
350(1)
Chronic Illness
350(1)
Psychosocial Needs of Special Populations
351(1)
People with AIDS
351(1)
Spiritual Needs
352(1)
Nursing Care
353(1)
Assessing
353(1)
Diagnosing, Planning, and Implementing
353(1)
Evaluating
354(1)
Nursing Process Care Plan: Client in Spiritual Distress
354(2)
Critical Thinking Care Map: Caring for a Client Who Uses Manipulative Behavior
356(3)
Appendices
I. Mental Health Assessment Forms
359(4)
II. 2003--2004 NANDA-Approved Nursing Diagnoses
363(3)
III. Glossary
366(5)
IV. NCLEX-PN Answers and Critical Thinking Discussion
371(15)
Bibliography 386(9)
Index 395

Excerpts

Mental Health Nursing Carewas written to provide a broad fundamental knowledge base for LPN/LVN students that is interesting and engaging to read, and readily applicable to nursing practice. Our teaching philosophy is that learning is maximized when the teacher is enthusiastic about the subject; the material is presented in a clear and appealing style; and the concepts are relevant to real application. The learner must be willing to participate in the learning process. Learning is participative. This book is written as psychosocial nursing is really practiced: with intelligence, empathy, caring, and based on evidence. It is above all practical, with strategies that students can actually use to promote the health, well-being, and empowerment of their clients. The major curriculum concepts are: Mental health The biopsychosocial nature of mental disorders Insight development and mental health promotion for nursing students The nursing process (a part of which is critical thinking) Care of diverse clients (across ages, genders, and cultures) Client and nurse empowerment Collaborative care with other members of the health-care team Psychosocial nursing as a component of general nursing practice, as well as in the psychiatric setting The writing style is deliberately personal for the purpose of making this complicated and fascinating subject engaging and easy to understand. It is clear without oversimplification or disrespect to the subject or the student. The style, organization, and pedagogy are chosen with adult learning principles in mind. We wrote this book with the knowledge that the majority of nurses do not practice in the psychiatric nursing specialty. Promoting mental health and working with clients with mental disorders and psychosocial issues are part of the nursing role in every practice setting. We teach students to practice psychosocial nursing with diverse clients in a variety of settings. We bring in case studies and quotes from clients in their own words to help students who do not have psychiatric nursing clinical opportunities to develop empathy for our clients. The authors bring their enthusiasm and experience in teaching psychiatric mental health nursing to this book. We teach the theory and practice of psychiatric nursing to diverse nursing students. The needs of students who speak English as a nonnative language, immigrant students, and other nontraditional students were considered in the writing of this book. Advocacy for people who have mental disorders and their families is an important aspect of the book as well. We are committed to psychiatric nursing education, and to helping you teach your students. Organization UNIT 1:Foundations of Psychiatric Mental Health Nursingprovides a basis for understanding the fundamentals on which psychiatric nursing is built. Personality development is discussed as a psychosocial basis for mental disorders. Various personality theories are presented as the basis for the various therapeutic approaches to disorders of thinking, feeling, and behavior. Mental health and mental illness are covered, as well as the stigma of mental illness in our culture. Practical strategies for mental-health promotion are included. Stress management is presented as it relates to clients and nurses. UNIT 2:Psychiatric Mental Health Nursingencourages the mentally healthy practice of nursing. The nurse-client relationship is presented as the foundation of nursing practice. Ethical and legal aspects of psychiatric nursing are covered in this unit. The importance of client advocacy is emphasized. The biological basis for mental disorders is discussed. Psychopharmacology is given its rightful place as a major cornerstone of psychiatric nursing, but not the only cornerstone. UNIT 3:Nursing Care of Clients with Ment


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