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Psychiatric Mental Health Nursing: Concepts Of Care in Evidence-Based Practice

by
ISBN13:

9780803614512

ISBN10:
0803614519
Format:
Hardcover
Pub. Date:
12/14/2005
Publisher(s):
F a Davis Co

Questions About This Book?

What version or edition is this?
This is the edition with a publication date of 12/14/2005.
What is included with this book?
  • The Used copy of this book is not guaranteed to include any supplemental materials. Typically, only the book itself is included.

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Summary

In its full-color, fifth edition, Mary Townsend's Psychiatric Mental Health Nursing: Concepts of Care in Evidence-Based Practice is still the most clearly written text on the subject. The stress/adaptation model remains the conceptual framework for the delivery of nursing care, providing a foundation of psychiatric mental health nursing knowledge to the student. New to this edition is an increased coverage of the biological causes of disease. Selected DSM-IV-TR disorders, such as schizophrenia, anxiety, and mood disorders, will include graphic brain illustrations and boxed information on psychobiological aspects of the disorder and its treatment, including the reasons specific medications can cause certain side effects.

Table of Contents

UNIT ONE Basic Concepts in Psychiatric / Mental Health Nursing
The Concept of Stress Adaptation
3(10)
Stress as a Biological Response
4(2)
Stress as an Environmental Event
6(1)
Stress as a Transaction Between the Individual and the Environment
6(2)
Precipitating Event
6(1)
Individual's Perception of the Event
6(1)
Predisposing Factors
7(1)
Stress Management
8(1)
Adaptive Coping Strategies
8(1)
Summary
9(2)
Review Questions
11(1)
References
12(1)
Classical References
12(1)
Mental Health/Mental Illness: Historical and Theoretical Concepts
13(20)
Historical Overview of Psychiatirc Care
14(1)
Mental Health
15(1)
Mental Illness
16(1)
Psychological Adaptation to Stress
17(7)
Anxiety
17(2)
Behavioral Adaptation Responses to Anxiety
19(4)
Grief
23(1)
Stages of Grief
23(1)
Anticipatory Grief
23(1)
Resolution
23(1)
Maladaptive Grief Responses
24(1)
Mental Health/Mental Illness Continuum
24(1)
The DSM-IV-TR Multiaxial Evaluation System
24(1)
Summary
25(2)
Review Questions
27(2)
References
29(1)
Classical References
29(4)
UNIT TWO Foundations for Psychiatric/Mental Health Nursing
Theoretical Models of Personality Development
33(17)
Psychoanalytic Theory
34(2)
Structure of the Personality
34(1)
Topography of the Mind
34(1)
Dynamics of the Personality
35(1)
Freud's Stages of Personality Development
35(1)
Relevance of Psychoanalytic Theory to Nursing Practice
36(1)
Interpersonal Theory
36(2)
Sullivan's Stages of Personality Development
37(1)
Relevance of Interpersonal Theory to Nursing Practice
37(1)
Theory of Psychosocial Development
38(2)
Erikson's Stages of Personality Development
38(2)
Relevance of Psychosocial Development Theory to Nursing Practice
40(1)
Theory of Object Relations
40(2)
Phase I: The Autistic Phase (Birth to 1 Month)
41(1)
Phase II: The Symbiotic Phase (1 to 5 Months)
41(1)
Phase III: Separation-Individuation (5 to 36 Months)
41(1)
Cognitive Development Theory
42(1)
Stage 1: Sensorimotor (Birth to 2 Years)
42(1)
Stage 2: Preoperational (2 to 6 Years)
42(1)
Stage 3: Concrete Operations (6 to 12 Years)
42(1)
Stage 4: Formal Operations (12 to 15+ Years)
43(1)
Relevance of Cognitive Development Theory to Nursing Practice
43(1)
Theory of Moral Development
43(1)
Level I: Preconventional Level (Prominent from Ages 4 to 10 Years)
43(1)
Level II: Conventional Level (Prominent from Ages 10 to 13 Years and into Adulthood)
44(1)
Level III: Postconventional Level (Can Occur from Adolescence Onward)
44(1)
Relevance of Moral Development Theory to Nursing Practice
44(1)
A Nursing Model---Hildegard E. Peplau
44(3)
Peplau's Stages of Personality Development
45(2)
Relevance of Peplau's Model to Nursing Practice
47(1)
Summary
47(1)
Review Questions
48(1)
References
49(1)
Classical References
49(1)
Concepts of Psychobiology
50(25)
The Nervous System: An Anatomical Review
51(11)
The Brain
51(4)
Nerve Tissue
55(3)
Autonomic Nervous System
58(1)
Neurotransmitters
58(4)
Neuroenocrinology
62(6)
Pituitary Gland
63(3)
Circadian Rhythms
66(1)
Sleep
67(1)
Genetics
68(3)
Psychoimmunology
71(1)
Normal Immune Response
71(1)
Implications for Nursing
71(1)
Summary
72(1)
Review Questions
73(1)
References
74(1)
Ethical and Legal Issues in Psychiatric/Mental Health Nursing
75(14)
Ethical Considerations
76(4)
Theoretical Perspectives
76(1)
Ethical Dilemmas
77(1)
Ethical Principles
77(1)
A Model for Making Ethical Decisions
78(1)
Ethical Issues in Psychiatric/Mental Health Nursing
79(1)
Legal Considerations
80(6)
Nurse Practice Acts
80(1)
Types of Law
81(1)
Classifications Within Statutory and Common Law
81(1)
Legal Issues in Psychiatric/Mental Health Nursing
82(1)
Commitment Issues
83(2)
Nursing Liability
85(1)
Summary
86(1)
Review Questions
87(1)
References
88(1)
Cultural Concepts Relevant to Psychiatric/Mental Health Nursing
89(18)
Introduction
89(1)
How do Cultures Differ?
90(1)
Communication
90(1)
Space
90(1)
Social Organization
90(1)
Time
90(1)
Environmental Control
91(1)
Biological Variations
91(1)
Application of the Nursing Process
91(8)
Background Assessment Data
91(5)
Culture-Bound Syndromes
96(1)
Diagnosis/Outcome Identification
96(1)
Planning/Implementation
96(3)
Evaluation
99(1)
Summary
99(2)
Review Questions
101(1)
References
102(1)
Classical Reference
103(4)
UNIT THREE Therapeutic Approaches in Psychiatric Nursing Care
Relationship Development
107(11)
Role of the Psychiatric Nurse
108(1)
Dynamics of a Therapeutic Nurse-Client Relationship
108(3)
Therapeutic Use of Self
109(1)
Gaining Self-Awareness
109(1)
The Johari Window
110(1)
Conditions Essential to Development of a Therapeutic Relationship
111(2)
Rapport
111(1)
Trust
111(1)
Respect
112(1)
Genuineness
112(1)
Empathy
113(1)
Phases of a Therapeutic Nurse-Client Relationship
113(2)
The Preinteraction Phase
114(1)
The Orientation (Introductory) Phase
114(1)
The Working Phase
114(1)
The Termination Phase
115(1)
Summary
115(1)
Review Questions
116(1)
References
116(1)
Classical References
117(1)
Therapeutic Communication
118(13)
What Is Communication?
119(1)
The Impact of Preexisting Conditions
119(2)
Values, Attitudes, and Beliefs
119(1)
Culture or Religion
120(1)
Social Status
120(1)
Gender
120(1)
Age or Developmental Level
120(1)
Environment in Which the Transaction Takes Place
120(1)
Nonverbal Communication
121(2)
Physical Appearance and Dress
121(1)
Body Movement and Posture
121(1)
Touch
121(1)
Facial Expressions
122(1)
Eye Behavior
122(1)
Vocal Cues, or Paralanguage
122(1)
Therapeutic Communication Techniques
123(1)
Nontherapeutic Communication Techniques
124(1)
Active Listening
124(2)
Process Recordings
126(1)
Feedback
126(2)
Summary
128(1)
Review Questions
129(1)
References
130(1)
Classical References
130(1)
The Nursing Process in Psychiatric/Mental Health Nursing
131(20)
The Nursing Process
132(8)
Definition
132(1)
Standards of Care
132(8)
Why Nursing Diagnosis?
140(2)
Nursing Case Management
142(2)
Critical Pathways of Care
143(1)
Applying the Nursing Process in the Psychiatric Setting
144(1)
Concept Mapping
145(1)
Documentation of the Nursing Process
145(4)
Problem-Oriented Recording
147(1)
Focus Charting
147(1)
The PIE Method
148(1)
Summary
149(1)
Review Questions
150(1)
References
150(1)
Therapeutic Groups
151(11)
Functions of a Group
152(1)
Types of Groups
152(1)
Task Groups
152(1)
Teaching Groups
152(1)
Supportive/Therapeutic Groups
152(1)
Self-Help Groups
153(1)
Physical Conditions That Influence Group Dynamics
153(1)
Seating
153(1)
Size
153(1)
Membership
153(1)
Curative Factors
153(1)
Phases of Group Development
154(1)
Phase I. Initial or Orientation Phase
154(1)
Phase II. Middle or Working Phase
154(1)
Phase III. Final or Termination Phase
155(1)
Leadership Styles
155(1)
Autocratic
155(1)
Democratic
155(1)
Laissez-Faire
155(1)
Member Roles
156(1)
Psychodrama
156(1)
The Role of the Nurse in Group Therapy
156(1)
Summary
157(2)
Review Questions
159(2)
References
161(1)
Classical References
161(1)
Intervention with Families
162(22)
Stages of Family Development
163(2)
Stage I. The Single Young Adult
164(1)
Stage II. The Newly Married Couple
164(1)
Stage III. The Family with Young Children
164(1)
Stage IV. The Family with Adolescents
164(1)
Stage V. The Family Launching Grown Children
164(1)
Stage VI. The Family in Later Life
165(1)
Major Variations
165(1)
Divorce
165(1)
Remarriage
165(1)
Cultural Variations
165(1)
Family Functioning
166(5)
Communication
167(1)
Self-Concept Reinforcement
168(1)
Family Members' Expectations
168(1)
Handling Differences
169(1)
Family Interactional Patterns
170(1)
Family Climate
170(1)
Therapeutic Modalities with Families
171(6)
The Family as a System
171(2)
The Structural Model
173(1)
The Strategic Model
174(2)
The Evolution of Family Therapy
176(1)
The Nursing Process
177(4)
Assessment
177(3)
Diagnosis
180(1)
Outcome Identification
180(1)
Planning/Implementation
180(1)
Evaluation
181(1)
Summary
181(1)
Review Questions
182(1)
References
183(1)
Classical References
183(1)
Milieu Therapy---The Therapeutic Community
184(9)
Milieu, Defined
184(1)
Current Status of the Therapeutic Community
185(1)
Basic Assumptions
185(1)
Conditions That Promote a Therapeutic Community
185(2)
The Program of Therapeutic Community
187(1)
The Role of the Nurse
188(1)
Summary
189(2)
Review Questions
191(1)
References
192(1)
Classical References
192(1)
Crisis Intervention
193(14)
Characteristics of a Crisis
193(1)
Phases in the Development of a Crisis
194(1)
Types of Crises
195(2)
Class 1: Dispositional Crises
195(1)
Class 2: Crises of Anticipated Life Transitions
196(1)
Class 3: Crises Resulting from Traumatic Stress
196(1)
Class 4: Maturational/Developmental Crises
196(1)
Class 5: Crises Reflecting Psychopathology
196(1)
Class 6: Psychiatric Emergencies
197(1)
Crisis Intervention
197(1)
Phases of Crisis Intervention: The Role of the Nurse
197(2)
Phase 1. Assessment
198(1)
Phase 2. Planning of Therapeutic Intervention
198(1)
Phase 3. Intervention
198(1)
Phase 4. Evaluation of Crisis Resolution and Anticipatory Planning
198(1)
Disaster Nursing
199(1)
Application of the Nursing Process
199(5)
Background Assessment Data
199(1)
Nursing Diagnoses/Outcome Identification
199(1)
Planning/Implementation
199(1)
Evaluation
199(5)
Summary
204(1)
Review Questions
205(1)
References
206(1)
Classical References
206(1)
Relaxation Therapy
207(10)
The Stress Epidemic
207(1)
Physiological, Cognitive, and Behavioral Manifestations of Relaxation
208(2)
Methods of Achieving Relaxation
210(3)
Deep Breathing Exercises
210(1)
Progressive Relaxation
210(1)
Modified (or Passive) Progressive Relaxation
211(1)
Meditation
212(1)
Mental Imagery
212(1)
Biofeedback
212(1)
Physical Exercise
213(1)
The Role of the Nurse in Relaxation Therapy
213(1)
Assessment
213(1)
Diagnosis
214(1)
Outcome Identification/Implementation
214(1)
Evaluation
214(1)
Summary
214(2)
Review Questions
216(1)
References
216(1)
Assertiveness Training
217(11)
Assertive Communication
218(1)
Basic Human Rights
218(1)
Response Patterns
218(2)
Nonassertive Behavior
218(1)
Assertive Behavior
219(1)
Aggressive Behavior
219(1)
Passive-Aggressive Behavior
219(1)
Behavioral Components of Assertive Behavior
220(1)
Techniques that Promote Assertive Behavior
221(1)
Thought-Stopping Techniques Method
222(1)
Role of the Nurse
222(3)
Assessment
222(1)
Diagnosis
223(1)
Outcome Identification/Implementation
223(2)
Evaluation
225(1)
Summary
225(1)
Review Questions
226(1)
References
227(1)
Promoting Self-Esteem
228(12)
Components of Self-Concept
229(1)
Physical Self or Body Image
229(1)
Personal Identity
229(1)
Self-Esteem
229(1)
The Development of Self-Esteem
229(2)
Developmental Progression of the Self-Esteem Through the Life Span
230(1)
The Manifestations of Low Self-Esteem
231(2)
Focal Stimuli
231(1)
Contextual Stimuli
231(1)
Residual Stimuli
232(1)
Symptoms of Low Self-Esteem
232(1)
Boundaries
233(1)
Boundary Pliancy
233(1)
Establishing Boundaries
234(1)
The Nursing Process
234(3)
Assessment
234(1)
Diagnosis/Outcome Identification
234(1)
Outcome Criteria
235(1)
Planning/Implementation
235(1)
Evaluation
235(2)
Summary
237(1)
Review Questions
238(1)
References
239(1)
Classical References
239(1)
Anger/Aggression Management
240(10)
Anger and Aggression, Defined
241(1)
Predisposing Factors to Anger and Aggression
242(1)
Modeling
242(1)
Operant Conditioning
242(1)
Neurophysiological Disorders
242(1)
Biochemical Factors
242(1)
Socioeconomic Factors
242(1)
Environmental Factors
242(1)
The Nursing Process
243(3)
Assessment
243(1)
Diagnosis/Outcome Identification
244(1)
Planning/Implementation
244(2)
Evaluation
246(1)
Summary
246(2)
Review Questions
248(1)
References
249(1)
The Suicidal Client
250(15)
Historical Perspectives
250(1)
Epidemiological Factors
251(1)
Risk Factors
251(2)
Marital Status
251(1)
Gender
251(1)
Age
252(1)
Religion
252(1)
Socioeconomic Status
252(1)
Ethnicity
253(1)
Other Risk Factors
253(1)
Predisposing Factors: Theories of Suicide
253(1)
Psychological Theories
253(1)
Sociological Theory
254(1)
Biological Theories
254(1)
Application of the Nursing Process with the Suicidal Client
254(7)
Assessment
254(2)
Diagnosis/Outcome Identification
256(1)
Planning/Implementation
256(4)
Evaluation
260(1)
Summary
261(1)
Review Questions
262(1)
References
263(1)
Classical References
264(1)
Behavior Therapy
265(9)
Classical Conditioning
266(1)
Operant Conditioning
266(1)
Techniques for Modifying Client Behavior
267(2)
Shaping
267(1)
Modeling
267(1)
Premack Principle
268(1)
Extinction
268(1)
Contingency Contracting
268(1)
Token Economy
268(1)
Time Out
268(1)
Reciprocal Inhibition
268(1)
Overt Sensitization
268(1)
Covert Sensitization
269(1)
Systematic Desensitization
269(1)
Flooding
269(1)
Role of the Nurse in Behavior Therapy
269(2)
Summary
271(1)
Review Questions
272(1)
References
273(1)
Classical References
273(1)
Cognitive Therapy
274(11)
Historical Background
275(1)
Indications for Cognitive Therapy
275(1)
Goals and Principles of Cognitive Therapy
275(1)
Basic Concepts
276(2)
Automatic Thoughts
276(1)
Schemas (Core Beliefs)
277(1)
Techniques of Cognitive Therapy
278(1)
Didactic (Educational) Aspects
278(1)
Cognitive Techniques
278(1)
Behavioral Interventions
279(1)
Role of the Nurse in Cognitive Therapy
279(3)
Summary
282(1)
Review Questions
283(1)
References
284(1)
Classical References
284(1)
Psychopharmacology
285(29)
Historical Perspectives
286(1)
How Do Psychotropics Work?
286(1)
Applying the Nursing Process in Psychopharmacological Therapy
287(23)
Antianxiety Agents
287(4)
Antidepressants
291(5)
Mood-stabilizing Agents
296(5)
Antipsychotic Agents
301(5)
Sedative-Hypnotics
306(2)
Agents for Attention-Deficit/Hyperactivity Disorder (ADHD)
308(2)
Summary
310(2)
Review Questions
312(1)
References
313(1)
Electroconvulsive Therapy
314(8)
Electroconvulsive Therapy, Defined
315(1)
Historical Perspectives
315(1)
Indications
316(1)
Major Depression
316(1)
Mania
316(1)
Schizophrenia
316(1)
Other Conditions
316(1)
Contraindications
316(1)
Mechanism of Action
316(1)
Side Effects
316(1)
Risks Associated with Electroconvulsive Therapy
317(1)
Mortality
317(1)
Permanent Memory Loss
317(1)
Brain Damage
317(1)
The Role of the Nurse in Electroconvulsive Therapy
317(2)
Assessment
317(1)
Diagnosis/Outcome Identification
317(1)
Planning/Implementation
317(2)
Evaluation
319(1)
Summary
319(1)
Review Questions
320(1)
References
321(1)
Complementary Therapies
322(15)
Commonalities and Contrasts
324(1)
Types of Complementary Therapies
324(10)
Herbal Medicine
324(1)
Acupressure and Acupuncture
325(2)
Diet and Nutrition
327(4)
Chiropractic Medicine
331(1)
Therapeutic Touch and Massage
332(1)
Yoga
333(1)
Pet Therapy
333(1)
Summary
334(1)
Review Questions
335(1)
References
335(2)
Client Education
337(18)
Historical Perspectives
338(1)
Theories of Teaching and Learning
339(1)
Behaviorist Theory
339(1)
Cognitive Theory
339(1)
Humanistic Theory
339(1)
Domains of Learning
340(1)
Affective Domain
340(1)
Cognitive Domain
340(1)
Psychomotor Domain
340(1)
Age and Developmental Considerations
340(2)
The Adult Learner
340(1)
Teaching Children and Adolescents
341(1)
Teaching the Elderly
341(1)
The Nursing Process in Client Education
342(5)
Assessment
342(2)
Nursing Diagnosis
344(1)
Outcome Identification
344(1)
Planning/Implementation
344(2)
Evaluation
346(1)
Documentation of Client Education
347(1)
Summary
348(1)
Review Questions
349(1)
References
350(1)
Classical References
351(4)
UNIT FOUR NURSING CARE OF CLIENTS WITH ALTERATIONS IN PSYCHOSOCIAL ADAPTATION
Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence
355(32)
Mental Retardation
356(3)
Predisposing Factors
356(1)
Application of the Nursing Process
357(2)
Autistic Disorder
359(4)
Predisposing Factors
359(1)
Application of the Nursing Process
360(3)
Attention-Deficit/Hyperactivity Disorder
363(5)
Predisposing Factors
363(1)
Application of the Nursing Process
364(3)
Psychopharmacological Intervention
367(1)
Conduct Disorder
368(4)
Predisposing Factors
368(1)
Application of the Nursing Process
369(3)
Oppositional Defiant Disorder
372(3)
Predisposing Factors
372(1)
Application of the Nursing Process
372(3)
Tourette's Disorder
375(3)
Predisposing Factors
375(1)
Application of the Nursing Process
375(3)
Separation Anxiety Disorder
378(3)
Predisposing Factors
378(1)
Application of the Nursing Process
378(3)
General Therapeutic Approaches
381(1)
Behavior Therapy
381(1)
Family Therapy
381(1)
Group Therapy
381(1)
Psychopharmacology
382(1)
Summary
382(2)
Review Questions
384(1)
References
385(2)
Delirium, Dementia, and Amnestic Disorders
387(23)
Delirium
388(1)
Predisposing Factors
388(1)
Dementia
389(6)
Predisposing Factors
390(5)
Amnestic Disorders
395(1)
Predisposing Factors
395(1)
Application of the Nursing Process
396(6)
Assessment
396(4)
Diagnosis/Outcome Identification
400(1)
Planning/Implementation
400(2)
Evaluation
402(1)
Medical Treatment Modalities
402(3)
Delirium
402(1)
Dementia
402(3)
Summary
405(1)
Review Questions
406(2)
References
408(2)
Substance-related Disorders
410(43)
Substance-Use Disorders
411(1)
Substance Abuse
411(1)
DSM-IV-TR Criteria for Substance Abuse
411(1)
Substance Dependence
411(1)
DSM-IV-TR Criteria for Substance Dependence
412(1)
Substance-Induced Disorders
412(1)
Substance Intoxication
412(1)
DSM-IV-TR Criteria for Substance Intoxication
412(1)
Substance Withdrawal
412(1)
DSM-IV-TR Criteria for Substance Withdrawal
413(1)
Classes of Psychoactive Substances
413(1)
Predisposing Factors
413(1)
Biological Factors
413(1)
Psychological Factors
413(1)
Sociocultural Factors
414(1)
The Dynamics of Substance-Related Disorders
414(20)
Alcohol Abuse and Dependence
414(3)
Alcohol Intoxication
417(1)
Alcohol Withdrawal
417(1)
Sedative, Hypnotic, or Anxiolytic Abuse and Dependence
418(2)
Sedative, Hypnotic, or Anxiolytic Intoxication
420(1)
Sedative, Hypnotic, or Anxiolytic Withdrawal
420(1)
CNS Stimulant Abuse and Dependence
420(3)
CNS Stimulant Intoxication
423(1)
CNS Stimulant Withdrawal
423(1)
Inhalant Abuse and Dependence
423(1)
Opioid Abuse and Dependence
424(2)
Hallucinogen Abuse and Dependence
426(2)
Cannabis Abuse and Dependence
428(6)
Application of the Nursing Process
434(7)
Assessment
434(2)
Diagnosis/Outcome Identification
436(1)
Planning/Implementation
436(3)
Evaluation
439(2)
The Impaired Nurse
441(1)
Codependency
442(2)
The Codependent Nurse
443(1)
Treating Codependence
443(1)
Treatment Modalities for Substance-Related Disorders
444(4)
Alcoholics Anonymous
444(1)
Pharmacotherapy
445(1)
Counseling
446(1)
Group Therapy
446(1)
Psychopharmacology for Substance Intoxication and Substance Withdrawal
447(1)
Summary
448(1)
Review Questions
449(2)
References
451(1)
Classical References
452(1)
Schizophrenia and Other Psychotic Disorders
453(30)
Nature of the Disorder
454(1)
Phase I: The Schizoid Personality
454(1)
Phase II: The Prodromal Phase
454(1)
Phase III: Schizophrenia
455(1)
Phase IV: Residual Phase
455(1)
Prognosis
455(1)
Predisposing Factors
455(5)
Biological Influences
455(3)
Psychological Influences
458(1)
Environmental Influences
458(1)
The Transactional Model
458(2)
Types of Schizophrenia and Other Psychotic Disorders
460(2)
Disorganized Schizophrenia
460(1)
Catatonic Schizophrenia
460(1)
Paranoid Schizophrenia
460(1)
Undifferentiated Schizophrenia
460(1)
Residual Schizophrenia
460(1)
Schizoaffective Disorder
460(1)
Brief Psychotic Disorder
461(1)
Schizophreniform Disorder
461(1)
Delusional Disorder
461(1)
Shared Psychotic Disorder
461(1)
Psychotic Disorder Due to a General Medical Condition
462(1)
Substance-Induced Psychotic Disorder
462(1)
Application of the Nursing Process
462(11)
Background Assessment Data
462(3)
Diagnosis/Outcome Identification
465(1)
Planning/Implementation
466(5)
Evaluation
471(2)
Treatment Modalities for Schizophrenia and Other Psychotic Disorders
473(4)
Psychological Treatments
473(1)
Social Treatment
474(1)
Organic Treatment
475(2)
Summary
477(2)
Review Questions
479(2)
References
481(2)
Mood Disorders
483(40)
Historical Perspective
484(1)
Epidemiology
484(1)
Gender
484(1)
Age
485(1)
Social Class
485(1)
Race and Culture
485(1)
Marital Status
485(1)
Seasonality
485(1)
Types of Mood Disorders
485(3)
Depressive Disorders
485(1)
Bipolar Disorders
486(2)
Other Mood Disorders
488(1)
Depressive Disorders
488(8)
Predisposing Factors
488(4)
Developmental Implications
492(4)
Application of the Nursing Process to Depressive Disorders
496(6)
Background Assessment Data
496(1)
Diagnosis/Outcome Identification
497(1)
Planning/Implementation
498(2)
Client/Family Education
500(1)
Evaluation of Care for the Depressed Client
500(2)
Bipolar Disorder (Mania)
502(5)
Predisposing Factors
502(2)
Developmental Implications
504(3)
Application of the Nursing Process to Bipolar Disorder (Mania)
507(5)
Background Assessment Data
507(1)
Stage I: Hypomania
507(1)
Stage II: Acute Mania
507(1)
Stage III: Delirious Mania
508(1)
Diagnosis/Outcome Identification
508(1)
Planning/Implementation
508(1)
Client/Family Education
508(2)
Evaluation of Care for the Manic Client
510(2)
Treatment Modalities for Mood Disorders
512(6)
Psychological Treatments
512(3)
Organic Treatments
515(3)
Summary
518(1)
Review Questions
519(2)
References
521(1)
Classical References
522(1)
Anxiety Disorders
523(37)
Historical Aspects
524(1)
Epidemiological Statistics
524(1)
How Much Is Too Much?
524(2)
Application of the Nursing Process
526(18)
Panic Disorder
526(1)
Generalized Anxiety Disorder
526(4)
Phobias
530(9)
Obsessive-Compulsive Disorder
539(5)
Posttraumatic Stress Disorder
544(8)
Background Assessment Data
544(6)
Anxiety Disorder Due to a General Medical Condition
550(1)
Substance-Induced Anxiety Disorder
550(2)
Treatment Modalities
552(4)
Individual Psychotherapy
552(1)
Cognitive Therapy
552(1)
Behavior Therapy
553(1)
Psychopharmacology
554(2)
Summary
556(1)
Review Questions
557(2)
References
559(1)
Classical References
559(1)
Somatoform and Sleep Disorders
560(36)
Somatoform Disorders
561(1)
Historical Aspects
561(1)
Epidemiological Statistics
561(1)
Application of the Nursing Process to Somatoform Disorders
562(21)
Somatization Disorder
562(2)
Pain Disorder
564(8)
Hypochondriasis
572(5)
Conversion Disorder
577(3)
Body Dysmorphic Disorder
580(3)
Sleep Disorders
583(1)
Application of the Nursing Process to Sleep Disorders
584(5)
Treatment Modalities
589(2)
Somatoform Disorders
589(1)
Sleep Disorders
590(1)
Summary
591(3)
Review Questions
594(1)
References
595(1)
Dissociative Disorders
596(27)
Historical Aspects
597(1)
Epidemiological Statistics
597(1)
Application of the Nursing Process
597(19)
Dissociative Amnesia
597(4)
Dissociative Fugue
601(5)
Dissociative Identity Disorder
606(7)
Depersonalization Disorder
613(3)
Treatment Modalities
616(2)
Dissociative Amnesia
616(2)
Dissociative Fugue
618(1)
Dissociative Identity Disorder
618(1)
Depersonalization Disorder
618(1)
Summary
618(2)
Review Questions
620(2)
References
622(1)
Classical References
622(1)
Sexual and Gender Identity Disorders
623(30)
Development of Human Sexuality
624(2)
Birth Through Age 12
624(1)
Adolescence
624(1)
Adulthood
625(1)
Sexual Disorders
626(16)
Paraphilias
626(4)
Sexual Dysfunctions
630(4)
Application of the Nursing Process to Sexual Disorders
634(8)
Gender Identity Disorder
642(3)
Application of the Nursing Process to Gender Identity Disorders
642(3)
Variations in Sexual Orientation
645(3)
Homosexuality
645(1)
Transsexualism
646(1)
Bisexuality
647(1)
Sexually Transmitted Diseases
648(1)
Summary
648(2)
Review Questions
650(2)
References
652(1)
Classical References
652(1)
Eating Disorders
653(20)
Epidemiological Factors
654(1)
Application of the Nursing Process
654(12)
Background Assessment Data (Symptomatology)
654(4)
Diagnosis/Outcome Identification
658(1)
Planning/Implementation
659(7)
Evaluation
666(1)
Treatment Modalities
666(2)
Behavior Modification
666(1)
Individual Therapy
667(1)
Family Therapy
667(1)
Psychopharmacology
667(1)
Summary
668(1)
Review Questions
669(2)
References
671(2)
Adjustment and Impulse Control Disorders
673(20)
Historical and Epidemiological Factors
674(1)
Application of the Nursing Process
674(11)
Adjustment Disorders
674(6)
Impulse Control Disorders
680(1)
Intermittent Explosive Disorder
680(1)
Kleptomania
681(1)
Pathological Gambling
682(1)
Pyromania
683(1)
Trichotillomania
683(2)
Treatment Modalities
685(4)
Adjustment Disorders
685(2)
Family Therapy
687(1)
Behavioral Therapy
687(1)
Self-Help Groups
688(1)
Crisis Intervention
688(1)
Psychopharmacology
688(1)
Impulse Control Disorders
688(1)
Kleptomania
688(1)
Pathological Gambling
688(1)
Pyromania
689(1)
Trichotillomania
689(1)
Summary
689(2)
Review Questions
691(1)
References
692(1)
Classical Reference
692(1)
Psychological Factors Affecting Medical Conditions
693(22)
Historical Aspects
694(1)
Application of the Nursing Process
695(11)
Background Assessment Data: Types of Psychophysiological Disorders
695(11)
Treatment Modalities
706(4)
Asthma
706(1)
Cancer
707(1)
Coronary Heart Disease
707(1)
Peptic Ulcer
707(1)
Essential Hypertension
708(1)
Rheumatoid Arthritis
709(1)
Ulcerative Colitis
710(1)
Summary
710(2)
Review Questions
712(2)
References
714(1)
Classical References
714(1)
Personality Disorders
715(32)
Historical Aspects
717(1)
Types of Personality Disorders
717(8)
Paranoid Personality Disorder
717(1)
Schizoid Personality Disorder
718(1)
Schizotypal Personality Disorder
719(1)
Antisocial Personality Disorder
720(1)
Borderline Personality Disorder
720(1)
Histrionic Personality Disorder
720(1)
Narcissistic Personality Disorder
721(1)
Avoidant Personality Disorder
722(1)
Dependent Personality Disorder
723(1)
Obsessive-Compulsive Personality Disorder
724(1)
Passive-Aggressive Personality Disorder
724(1)
Application of the Nursing Process
725(11)
Borderline Personality Disorder
725(3)
Antisocial Personality Disorder
728(8)
Treatment Modalities
736(2)
Summary
738(2)
Review Questions
740(3)
References
743(1)
Classical References
743(4)
UNIT FIVE PSYCHIATRIC/MENTAL HEALTH NURSING OF SPECIAL POPULATIONS
The Aging Individual
747(27)
How Old Is Old?
748(1)
Epidemiological Statistics
748(1)
The Population
748(1)
Marital Status
748(1)
Living Arrangements
749(1)
Economic Status
749(1)
Employment
749(1)
Health Status
749(1)
Theories of Aging
749(3)
Biological Theories
749(1)
Psychosocial Theories
750(2)
The Normal Aging Process
752(6)
Biological Aspects of Aging
752(2)
Psychological Aspects of Aging
754(1)
Sociocultural Aspects of Aging
755(1)
Sexual Aspects of Aging
756(2)
Special Concerns of the Elderly
758(4)
Retirement
758(1)
Long-Term Care
759(1)
Elder Abuse
760(1)
Suicide
761(1)
Application of the Nursing Process
762(6)
Assessment
762(1)
Diagnosis/Outcome Identification
763(1)
Planning/Implementation
764(4)
Summary
768(2)
Review Questions
770(2)
References
772(1)
Classical References
773(1)
The Individual with HIV Disease
774(24)
Pathophysiology Incurred by Infection with the HIV
775(1)
The Normal Immune Response
775(1)
The Immune Response to HIV
775(1)
Historical Aspects
776(1)
Epidemiological Statistics
776(1)
Predisposing Factors
777(1)
Sexual Transmission
777(1)
Bloodborne Transmission
778(1)
Perinatal Transmission
778(1)
Other Possible Modes of Transmission
778(1)
Application of the Nursing Process
778(11)
Background Assessment Data
778(5)
Diagnosis/Outcome Identification
783(1)
Planning/Implementation
784(4)
Client/Family Education
788(1)
Evaluation
788(1)
Treatment Modalities
789(4)
Pharmacology
789(1)
Universal Isolation Precautions
790(2)
Hospice Care
792(1)
Incorporating HIV Prevention in the Medical Care of Persons Living with HIV
792(1)
Summary
793(1)
Review Questions
794(2)
References
796(2)
Problems Related to Abuse or Neglect
798(19)
Historical Perspectives
799(1)
Predisposing Factors
799(2)
Biological Theories
799(2)
Psychological Theories
801(1)
Sociocultural Theories
801(1)
Application of the Nursing Process
801(7)
Background Assessment Data
801(7)
Diagnosis/Outcome Identification
808(1)
Planning/Implementation
808(1)
Evaluation
808(1)
Treatment Modalities
808(4)
Crisis Intervention
808(3)
The Safe House or Shelter
811(1)
Family Therapy
811(1)
Summary
812(1)
Review Questions
813(2)
References
815(1)
Classical References
816(1)
Men's and Women's Health Issues
817(18)
Men's Health Issues
818(4)
Physiological Problems
818(2)
Psychosocial Problems
820(2)
Women's Health Issues
822(7)
Physiological Problems
822(4)
Psychosocial Problems
826(3)
Summary
829(2)
Review Questions
831(2)
References
833(2)
Community Mental Health Nursing
835(27)
The Changing Focus of Care
836(1)
The Public Health Model
837(1)
The Role of the Nurse
838(1)
The Psychiatric/Mental Health Registered Nurse
838(1)
The Psychiatric/Mental Health Advanced Practice Registered Nurse
839(1)
Case Management
839(1)
The Community as Client
840(17)
Primary Prevention
840(5)
Secondary Prevention
845(2)
Tertiary Prevention
847(10)
Rural Mental Health Nursing
857(1)
Summary
857(2)
Review Questions
859(2)
References
861(1)
Classical References
861(1)
Psychiatric Home Nursing Care
862(14)
Historical Aspects
863(1)
General Information Related to Psychiatric Home Nursing Care
863(2)
Payment for Home Care
863(1)
Types of Diagnoses
864(1)
Advantages and Disadvantages of Home Care
864(1)
Cultural and Boundary Issues
865(1)
Role of the Nurse
865(1)
Application of the Nursing Process
865(2)
Legal and Ethical Issues
867(4)
Legal Issues
867(3)
Ethical Issues
870(1)
Summary
871(2)
Review Questions
873(2)
References
875(1)
Forensic Nursing
876(17)
What Is Forensic Nursing?
876(1)
Historical Perspectives
877(1)
The Context of Forensic Nursing Practice
877(1)
Forensic Nursing Specialties
877(2)
Clinical Forensic Nursing Specialty
877(1)
The Sexual Assault Nurse Examiner (SANE)
878(1)
Forensic Psychiatric Nursing Specialty
878(1)
Correctional/Institutional Nursing Specialty
878(1)
Nurses in General Practice
878(1)
Application of the Nursing Process in Clinical Forensic Nursing in Trauma Care
879(4)
Assessment
879(1)
Nursing Diagnosis
880(1)
Planning/Implementation
881(2)
Evaluation
883(1)
Application of the Nursing Process in Forensic Psychiatric Nursing in Correctional Facilities
883(5)
Assessment
883(2)
Nursing Diagnosis
885(1)
Planning/Implementation
885(3)
Evaluation
888(1)
Summary
888(2)
Review Questions
890(1)
References
891(1)
Classical Reference
892(1)
The Bereaved Individual
893(18)
Theoretical Perspectives on Loss and Bereavement
894(3)
Stages of Grief
894(3)
Length of the Grief Process
897(1)
Anticipatory Grief
897(1)
Maladaptive Responses to Loss
898(1)
Delayed or Inhibited Grief
898(1)
Distorted (Exaggerated) Grief Response
898(1)
Chronic or Prolonged Grieving
898(1)
Normal versus Maladaptive Grieving
898(1)
Application of the Nursing Process
899(5)
Background Assessment Data: Concepts of Death-Developmental Issues
899(1)
Background Assessment Data: Concepts of Death-Cultural Issues
900(2)
Nursing Diagnosis/Outcome Identification
902(1)
Planning/Implementation
902(2)
Evaluation
904(1)
Additional Assistance
904(3)
Hospice
904(2)
Advance Directives
906(1)
Summary
907(1)
Review Questions
908(2)
References
910(1)
Classical References
910(1)
Appendix A Answers to Chapter Review Questions 911(5)
Appendix B Mental Status Assessment 916(2)
Appendix C DSM-IV-TR Classification: Axes I and II Categories and Codes 918(8)
Appendix D Nanda Nursing Diagnosis: Taxonomy II 926(4)
Appendix E Assigning Nursing Diagnoses to Client Behaviors 930(2)
Appendix F Glossary 932(15)
Index 947


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