Essentials of Psychiatric Mental Health Nursing

by Townsend, Mary C.

• ISBN13: 9780803612679
• ISBN10: 0803612672
• Edition: 3rd
• Format: Paperback
• Copyright: 2004-10-30
• Publisher: F a Davis Co

Summary

Now in full color and with an all-new design, Essentials of Psychiatric/Mental Health Nursing, 3rd Edition, uses a concise format to provide a source of fundamental psychiatric/mental health nursing information for students working in psychiatric/mental health facilities. Nursing process is the framework within which delivery of nursing care is described for individuals diagnosed with disorders from the DSM-IV-TR 2000. A Student CD will include learning activities, case studies with critical thinking questions, assessment tools, nearly 60 psychotropic med drug monographs, chapter review questions, care plans and critical pathways, DSM-IV evaluation system, and client education teaching guides.

Table of Contents

Unit One Introduction to Psychiatric/Mental Health Concepts	1	(66)
Mental Health and Mental Illness	3	(12)
Introduction	3	(1)
Mental Health	4	(1)
Mental Illness	4	(1)
Physical and Psychological Responses to Stress	5	(6)
Psychological Responses	6	(5)
The DSM-IV-TR Multiaxial Evaluation System	11	(1)
Summary	12	(3)
Concepts of Personality Development	15	(16)
Introduction	16	(1)
Psychoanalytic Theory	16	(3)
Structure of the Personality	16	(1)
Topography of the Mind	17	(1)
Dynamics of the Personality	17	(1)
Freud's Stages of Personality Development	17	(2)
Relevance of Psychoanalytic Theory to Nursing Practice	19	(1)
Interpersonal Theory	19	(1)
Sullivan's Stages of Personality Development	19	(1)
Relevance of Interpersonal Theory to Nursing Practice	20	(1)
Theory of Psychosocial Development	20	(3)
Erikson's Stages of Personality Development	21	(2)
Relevance of Psychosocial Development Theory to Nursing Practice	23	(1)
Theory of Object Relations	23	(2)
Relevance of Object Relations Theory to Nursing Practice	25	(1)
A Nursing Model--Hildegard E. Peplau	25	(3)
Peplau's Stages of Personality Development	26	(1)
Learning to Count on Others	26	(1)
Learning to Delay Satisfaction	27	(1)
Identifying Oneself	27	(1)
Developing Skills in Participation	28	(1)
Relevance of Peplau's Model to Nursing Practice	28	(1)
Summary	28	(3)
Biological Implications	31	(19)
Introduction	31	(1)
Neurophysiological Influences	32	(11)
The Nervous System	32	(7)
The Neuroendocrine System	39	(4)
Implications for Psychiatric Illness	43	(2)
Schizophrenia	43	(1)
Mood Disorders	44	(1)
Anxiety Disorders	44	(1)
Anorexia Nervosa	45	(1)
Alzheimer's Disease	45	(1)
Diagnostic Procedures Used to Detect Altered Brain Function	45	(1)
Electroencephalography	45	(1)
Computerized EEG Mapping	46	(1)
Computed Tomographic Scan	46	(1)
Magnetic Resonance Imaging	46	(1)
Positron Emission Tomography	46	(1)
Single Photon Emission Computed Tomography	46	(1)
Implications for Nursing	46	(1)
Summary	47	(3)
Ethical and Legal Issues	50	(17)
Introduction	51	(1)
Definitions	51	(1)
Ethical Considerations	52	(4)
Theoretical Perspectives	52	(3)
Ethical Issues in Psychiatric/Mental Health Nursing	55	(1)
Legal Considerations	56	(6)
Nurse Practice Acts	56	(1)
Types of Law	57	(1)
Classifications Within Statutory and Common Law	57	(1)
Legal Issues in Psychiatric/Mental Health Nursing	57	(3)
Commitment Issues	60	(1)
Nursing Liability	61	(1)
Summary	62	(5)
Unit Two Psychiatric/Mental Health Nursing Interventions	67	(136)
Relationship Development and Therapeutic Communication	69	(19)
Introduction	70	(1)
The Therapeutic Nurse-Client Relationship	70	(1)
Therapeutic Use of Self	70	(1)
Conditions Essential to Development of a Therapeutic Relationship	71	(2)
Rapport	71	(1)
Trust	71	(1)
Respect	71	(1)
Genuineness	72	(1)
Empathy	72	(1)
Phases of a Therapeutic Nurse-Client Relationship	73	(2)
The Preinteraction Phase	73	(1)
The Orientation (Introductory) Phase	73	(1)
The Working Phase	74	(1)
The Termination Phase	75	(1)
Interpersonal Communication	75	(9)
The Impact of Preexisting Conditions	75	(3)
Therapeutic Communication Techniques	78	(1)
Nontherapeutic Communication Techniques	78	(1)
Process Recordings	78	(1)
Active Listening	78	(4)
Feedback	82	(2)
Summary	84	(4)
The Nursing Process in Psychiatric/Mental Health Nursing	88	(25)
Introduction	89	(1)
The Nursing Process	89	(1)
Standards of Care	89	(16)
Standard I. Assessment	89	(13)
Standard II. Diagnosis	102	(2)
Standard III. Outcome Identification	104	(1)
Standard IV. Planning	104	(1)
Standard V. Implementation	104	(1)
Standard VI. Evaluation	105	(1)
Applying the Nursing Process in the Psychiatric Setting	105	(2)
Documentation to the Nursing Process	107	(3)
Problem-Oriented Recording (POR)	107	(1)
Focus Charting®	108	(1)
The PIE Method	109	(1)
Summary	110	(3)
Milieu---The Therapeutic Environment	113	(10)
Introduction	113	(1)
Milieu Defined	114	(1)
Current Status of the Therapeutic Community	114	(1)
Basic Assumptions	114	(1)
Conditions that Promote a Therapeutic Community	115	(1)
The Program of Therapeutic Community	116	(1)
The Role of the Nurse	116	(3)
Summary	119	(4)
Intervention in Groups	123	(13)
Introduction	123	(1)
Group Defined	124	(1)
Functions of a Group	124	(1)
Types of Groups	124	(1)
Task Groups	124	(1)
Teaching Groups	124	(1)
Supportive/Therapeutic Groups	125	(1)
Self-Help Groups	125	(1)
Physical Conditions that Influence Group Dynamics	125	(1)
Seating	125	(1)
Size	125	(1)
Membership	126	(1)
Curative Factors	126	(1)
Phases of Group Development	126	(2)
Phase I. Initial or Orientation Phase	127	(1)
Phase II. Middle or Working Phase	127	(1)
Phase III. Final or Termination Phase	127	(1)
Leadership Styles	128	(1)
Autocratic	128	(1)
Democratic	128	(1)
Laissez-Faire	128	(1)
Member Roles	128	(1)
Psychodrama	129	(1)
The Family as a Group	130	(1)
The Role of the Nurse in Group Interventions	131	(1)
Summary	131	(5)
Intervening in Crises	136	(19)
Introduction	136	(1)
Crisis Defined	137	(1)
Phases in the Development of a Crisis	137	(1)
Types of Crises	138	(2)
Class 1: Dispositional Crises	138	(1)
Class 2: Crises of Anticipated Life Transitions	139	(1)
Class 3: Crises Resulting from Traumatic Stress	139	(1)
Class 4: Maturational/Developmental Crises	139	(1)
Class 5: Crises Reflecting Psychopathology	140	(1)
Class 6: Psychiatric Emergencies	140	(1)
Crisis Intervention	140	(1)
Phases of Crisis Intervention: The Role of the Nurse	141	(1)
Phase 1. Assessment	141	(1)
Phase 2. Planning of Therapeutic Intervention	141	(1)
Phase 3. Intervention	141	(1)
Phase 4. Evaluation of Crisis Resolution and Anticipatory Planning	142	(1)
Crisis on the Inpatient Unit: Anger/Aggression Management	142	(2)
Assessment	142	(1)
Anger	142	(1)
Aggression	142	(1)
Assessing Risk Factors	143	(1)
Diagnosis/Outcome Identification	143	(1)
Outcome Criteria	143	(1)
Planning/Implementation	144	(1)
Evaluation	144	(1)
Disaster Nursing	144	(1)
Application of the Nursing Process	144	(3)
Background Assessment Data	144	(1)
Nursing Diagnoses/Outcome Identification	144	(3)
Planning/Implementation	147	(1)
Evaluation	147	(1)
Summary	147	(8)
Psychopharmacology	155	(27)
Introduction	155	(1)
Historical Perspectives	156	(1)
Applying the Nursing Process in Psychopharmacological Therapy	156	(22)
Antianxiety Agents	156	(2)
Antidepressants	158	(5)
Mood Stabilizing Agents	163	(5)
Antipsychotic Agents	168	(5)
Antiparkinsonian Agents	173	(2)
Sedative-Hypnotics	175	(1)
Agents for Attention-Deficit/Hyperactivity Disorder (ADHD)	176	(2)
Summary	178	(4)
Complementary and Psychosocial Therapies	182	(21)
Complementary Therapies	183	(1)
Introduction	183	(1)
Commonalities and Contrast	184	(1)
Types of Complementary Therapies	184	(11)
Herbal Medicine	184	(1)
Acupressure and Acupuncture	185	(2)
Diet and Nutrition	187	(5)
Chiropractic Medicine	192	(1)
Therapeutic Touch and Massage	193	(1)
Yoga	193	(1)
Pet Therapy	194	(1)
Psychosocial Therapies	195	(4)
Individual Psychotherapy	195	(2)
Relaxation Therapy	197	(1)
Assertiveness Training	197	(1)
Cognitive Therapy	198	(1)
Summary	199	(4)
Unit Three Care of Clients with Psychiatric Disorders	203	(268)
Delirium, Dementia, and Amnestic Disorders	205	(23)
Introduction	205	(1)
Delirium	206	(1)
Etiological Implications	206	(1)
Dementia	207	(5)
Dementia of the Alzheimer's Type	209	(1)
Vascular Dementia	209	(1)
Dementia Due to HIV	210	(1)
Dementia Due to Head Trauma	210	(1)
Dementia Due to Parkinson's Disease	210	(1)
Dementia Due to Huntington's Disease	211	(1)
Dementia Due to Pick's Disease	211	(1)
Dementia Due to Creutzfeldt-Jakob Disease	211	(1)
Dementia Due to Other General Medical Conditions	211	(1)
Substance-Induced Persisting Dementia	211	(1)
Dementia Due to Multiple Etiologies	211	(1)
Amnestic Disorders	212	(1)
Etiological Implications	212	(1)
Application of the Nursing Process	213	(7)
Assessment	213	(4)
Diagnosis/Outcome Identification	217	(1)
Planning/Implementation	218	(1)
Client/Family Education	219	(1)
Evaluation	219	(1)
Medical Treatment Modalities	220	(2)
Delirium	220	(1)
Dementia	220	(2)
Summary	222	(6)
Substance-Related Disorders	228	(43)
Introduction	229	(1)
Substance-Use Disorders	229	(1)
Substance Abuse	229	(1)
DSM-IV-TR Criteria for Substance Abuse	229	(1)
Substance Dependence	229	(1)
DSM-IV-TR Criteria for Substance Dependence	230	(1)
Substance-Induced Disorders	230	(1)
Substance Intoxication	230	(1)
DSM-IV-TR Criteria for Substance Intoxication	230	(1)
Substance Withdrawal	230	(1)
Classes of Psychoactive Substances	231	(1)
Etiological Implications	231	(1)
Biological Factors	231	(1)
Psychological Factors	231	(1)
Sociocultural Factors	232	(1)
Cultural and Ethnic Influences	232	(1)
The Dynamics of Substance-Related Disorders	232	(19)
Alcohol Abuse and Dependence	232	(4)
Sedative, Hypnotic, or Anxiolytic Abuse and Dependence	236	(3)
CNS Stimulant Abuse and Dependence	239	(4)
Inhalant Abuse and Dependence	243	(1)
Opioid Abuse and Dependence	244	(2)
Hallucinogen Abuse and Dependence	246	(3)
Cannabis Abuse and Dependence	249	(2)
Application of the Nursing Process	251	(9)
Assessment	251	(9)
Treatment Modalities for Substance-Related Disorders	260	(4)
Alcoholics Anonymous	260	(1)
Pharmacotherapy	261	(3)
Summary	264	(7)
Schizophrenia and Other Psychotic Disorders	271	(25)
Introduction	272	(1)
Nature of the Disorder	272	(1)
Etiological Implications	273	(3)
Biological Influences	273	(1)
Genetics	273	(1)
Biochemical Influences	274	(1)
Physiological Influences	274	(1)
Psychological Influences	275	(1)
Environmental Influences	275	(1)
Types of Schizophrenia and Other Psychotic Disorders	276	(3)
Disorganized Schizophrenia	276	(1)
Catatonic Schizophrenia	276	(1)
Paranoid Schizophrenia	276	(1)
Undifferentiated Schizophrenia	277	(1)
Residual Schizophrenia	277	(1)
Schizoaffective Disorder	277	(1)
Brief Psychotic Disorder	277	(1)
Schizophreniform Disorder	277	(1)
Delusional Disorder	277	(1)
Erotomanic Type	278	(1)
Grandiose Type	278	(1)
Jealous Type	278	(1)
Persecutory Type	278	(1)
Somatic Type	278	(1)
Shared Psychotic Disorder	278	(1)
Psychotic Disorder Due to a General Medical Condition	278	(1)
Substance-Induced Psychotic Disorder	278	(1)
Application of the Nursing Process	279	(8)
Background Assessment Data	279	(1)
Content of Thought	280	(1)
Form of Thought	280	(1)
Perception	281	(1)
Affect	281	(1)
Sense of Self	281	(1)
Volition	281	(1)
Psychomotor Behavior	282	(1)
Associated Features	282	(1)
Positive and Negative Symptoms	282	(1)
Diagnosis/Outcome Identification	282	(1)
Planning/Implementation	283	(4)
Client/Family Education	287	(1)
Evaluation	287	(1)
Treatment Modalities for Schizophrenia and Other Psychotic Disorders	287	(4)
Social Treatment	289	(1)
Organic Treatment	290	(1)
Summary	291	(5)
Mood Disorders	296	(41)
Introduction	297	(1)
Historical Perspective	297	(1)
Epidemiology	297	(1)
Gender	297	(1)
Age	298	(1)
Social Class	298	(1)
Race	298	(1)
Marital Status	298	(1)
Seasonality	298	(1)
Types of Mood Disorders	298	(4)
Depressive Disorders	298	(3)
Bipolar Disorders	301	(1)
Other Mood Disorders	302	(1)
Depressive Disorders	302	(6)
Etiological Implications	302	(3)
Developmental Implications	305	(3)
Application of the Nursing Process to Depressive Disorders	308	(6)
Background Assessment Data	308	(2)
Diagnosis/Outcome Identification	310	(1)
Planning/Implementation	310	(1)
Client/Family Education	310	(3)
Evaluation of Care for the Depressed Client	313	(1)
Bipolar Disorder (Mania)	314	(1)
Predisposing Factors	314	(1)
Application of the Nursing Process to Bipolar Disorder (Mania)	315	(3)
Diagnosis/Outcome Identification	316	(1)
Planning/Implementation	316	(1)
Client/Family Education	316	(1)
Evaluation of Care for the Manic Client	316	(2)
Treatment Modalities for Mood Disorders	318	(5)
Psychological Treatments	318	(3)
Organic Treatments	321	(2)
Suicide	323	(1)
Epidemiological Factors	323	(1)
Application of the Nursing Process with the Suicidal Client	324	(6)
Assessment	324	(6)
Summary	330	(7)
Anxiety Disorders	337	(30)
Introduction	338	(1)
Historical Aspects	338	(1)
Epidemiological Statistics	338	(1)
How Much is Too Much?	339	(1)
Application of the Nursing Process	339	(18)
Panic Disorder	339	(1)
Generalized Anxiety Disorder	340	(1)
Phobias	341	(7)
Obsessive-Compulsive Disorder	348	(2)
Post-Traumatic Stress Disorder	350	(7)
Anxiety Disorder Due to a General Medical Condition	357	(1)
Substance-Induced Anxiety Disorder	357	(1)
Treatment Modalities	357	(4)
Individual Psychotherapy	357	(1)
Cognitive Therapy	358	(1)
Behavior Therapy	359	(1)
Group/Family Therapy	360	(1)
Psychopharmacology	360	(1)
Summary	361	(6)
Anxiety-Related Disorders	367	(33)
Introduction	368	(1)
Historical Aspects	368	(1)
Epidemiological Statistics	369	(1)
Application of the Nursing Process	369	(17)
Background Assessment Data--Types of Psychophysiological Disorders	369	(7)
Diagnosis/Outcome Identification	376	(1)
Planning/Implementation	377	(2)
Client/Family Education	379	(1)
Evaluation	379	(1)
Background Assessment Data--Types of Somatoform Disorders	379	(3)
Diagnosis/Outcome Identification	382	(1)
Planning/Implementation	382	(1)
Evaluation	382	(4)
Medical Treatment Modalities for Somatoform Disorders	386	(6)
Individual Psychotherapy	386	(1)
Group Psychotherapy	386	(1)
Behavior Therapy	386	(1)
Psychopharmacology	386	(1)
Background Assessment Data - Types of Dissociative Disorders	386	(3)
Diagnosis/Outcome Identification	389	(1)
Planning/Implementation	389	(1)
Evaluation	389	(3)
Medical Treatment Modalities	392	(1)
Dissociative Amnesia	392	(1)
Dissociative Fugue	392	(1)
Dissociative Identity Disorder	392	(1)
Depersonalization Disorder	393	(1)
Summary	393	(7)
Disorders of Human Sexuality	400	(27)
Introduction	401	(1)
Development of Human Sexuality	401	(2)
Birth Through Age 12	40	(361)
Adolescence	401	(1)
Adulthood	402	(1)
Sexual Disorders	403	(14)
Paraphilias	403	(3)
Sexual Dysfunctions	406	(5)
Application of the Nursing Process to Sexual Disorders	411	(6)
Variations in Sexual Orientation	417	(3)
Homosexuality	417	(3)
Bisexuality	420	(1)
Sexually Transmitted Diseases	420	(2)
Summary	422	(5)
Eating Disorders	427	(17)
Introduction	427	(1)
Epidemiological Factors	428	(1)
Application of the Nursing Process	428	(9)
Background Assessment Data (Symptomatology)	428	(1)
Etiological Implications for Anorexia Nervosa and Bulimia Nervosa	429	(3)
Etiological Implications for Obesity	432	(5)
Treatment Modalities	437	(2)
Behavior Modification	437	(1)
Individual Therapy	437	(1)
Family Therapy	438	(1)
Psychopharmacology	438	(1)
Summary	439	(5)
Personality Disorders	444	(27)
Introduction	445	(1)
Historical Aspects	446	(1)
Types of Personality Disorders	447	(7)
Paranoid Personality Disorder	447	(1)
Schizoid Personality Disorder	448	(1)
Schizotypal Personality Disorder	448	(1)
Antisocial Personality Disorder	449	(1)
Borderline Personality Disorder	449	(1)
Histrionic Personality Disorder	449	(1)
Narcissistic Personality Disorder	450	(1)
Avoidant Personality Disorder	451	(1)
Dependent Personality Disorder	451	(1)
Obsessive-Compulsive Personality Disorder	452	(1)
Passive-Aggressive Personality Disorder	453	(1)
Application of the Nursing Process	454	(9)
Borderline Personality Disorder	454	(4)
Antisocial Personality Disorder	458	(5)
Treatment Modalities	463	(2)
Interpersonal Psychotherapy	464	(1)
Psychoanalytical Psychotherapy	464	(1)
Milieu or Group Therapy	464	(1)
Cognitive/Behavioral Therapy	464	(1)
Psychopharmacology	464	(1)
Summary	465	(6)
Unit Four Psychiatric/Mental Health Nursing of Special Populations	471	(136)
Children and Adolescents	473	(32)
Introduction	474	(1)
Mental Retardation	474	(3)
Etiological Implications	474	(1)
Hereditary Factors	474	(1)
Early Alterations in Embryonic Development	474	(1)
Pregnancy and Perinatal Factors	474	(1)
General Medical Conditions Acquired in Infancy or Childhood	474	(1)
Environmental Influences and Other Mental Disorders	475	(1)
Application of the Nursing Process to Mental Retardation	475	(2)
Autistic Disorder	477	(3)
Etiological Implications	478	(1)
Application of the Nursing Process to Autistic Disorder	478	(2)
Attention-Deficit/Hyperactivity Disorder	480	(5)
Etiological Implications	480	(1)
Application of the Nursing Process to ADHD	481	(4)
Conduct Disorder	485	(4)
Etiological Implications	485	(1)
Application of the Nursing Process to Conduct Disorder	486	(3)
Oppositional Defiant Disorder	489	(3)
Etiological Implications	489	(1)
Application of the Nursing Process to Oppositional Defiant Disorder	490	(2)
Tourette's Disorder	492	(3)
Etiological Implications	492	(1)
Application of the Nursing Process to Tourette's Disorder	493	(2)
Separation Anxiety Disorder	495	(2)
Etiological Implications	495	(1)
Application of the Nursing Process to Separation Anxiety Disorder	496	(1)
General Therapeutic Approaches	497	(3)
Behavior Therapy	497	(2)
Family Therapy	499	(1)
Group Therapy	499	(1)
Psychopharmacology	499	(1)
Summary	500	(5)
Victims of Abuse or Neglect	505	(20)
Introduction	506	(1)
Historical Perspectives	506	(1)
Etiological Implications	507	(1)
Biological Theories	507	(1)
Psychological Theories	507	(1)
Sociocultural Theories	507	(1)
Application of the Nursing Process	508	(10)
Background Assessment Data	508	(10)
Treatment Modalities	518	(1)
Crisis Intervention	518	(1)
Summary	519	(6)
The Aging Individual	525	(29)
Introduction	525	(1)
How Old is Old?	526	(1)
Epidemiological Statistics	527	(1)
The Population	527	(1)
Marital Status	527	(1)
Living Arrangements	527	(1)
Economic Status	527	(1)
Employment	528	(1)
Health Status	528	(1)
Theories of Aging	528	(2)
Biological Theories	528	(1)
Genetic Theory	528	(1)
Wear-and-Tear Theory	528	(1)
Environmental Theory	528	(1)
Immunity Theory	528	(1)
Neuroendocrine Theory	529	(1)
Psychosocial Theories	529	(1)
Personality Theory	529	(1)
Developmental Task Theory	529	(1)
Disengagement Theory	529	(1)
Activity Theory	530	(1)
Continuity Theory	530	(1)
The Normal Aging Process	530	(6)
Biological Aspects of Aging	530	(2)
Psychological Aspects of Aging	532	(2)
Sociocultural Aspects of Aging	534	(1)
Sexual Aspects of Aging	535	(1)
Special Concerns of the Elderly	536	(6)
Retirement	536	(2)
Long-Term Care	538	(2)
Elder Abuse	540	(1)
Suicide	541	(1)
Application of the Nursing Process	542	(6)
Assessment	542	(1)
Diagnosis/Outcome Identification	543	(1)
Planning/Implementation	544	(1)
Evaluation	544	(4)
Summary	548	(6)
Community Mental Health Nursing	554	(31)
Introduction	555	(1)
The Changing Focus of Care	555	(1)
The Public Health Model	556	(1)
The Community as Client	557	(17)
Primary Prevention	557	(7)
Secondary Prevention	564	(2)
Tertiary Prevention	566	(8)
The Homeless Population	574	(6)
Historical and Epidemiological Aspects	574	(6)
Summary	580	(5)
The Bereaved Individual	585	(22)
Introduction	586	(1)
Theoretical Perspectives on Loss and Bereavement	586	(3)
Stages of Grief	586	(3)
Length of the Grief Process	589	(1)
Anticipatory Grief	590	(1)
Maladaptive Responses to Loss	590	(1)
Delayed or Inhibited Grief	590	(1)
Distorted (Exaggerated) Grief Response	591	(1)
Chronic or Prolonged Grieving	591	(1)
Normal versus Maladaptive Grieving	591	(1)
Application of the Nursing Process	591	(6)
Background Assessment Data: Concepts of Death--Developmental Issues	591	(2)
Background Assessment Data: Concepts of Death--Cultural Issues	593	(2)
Nursing Diagnosis/Outcome Identification	595	(1)
Planning/Implementation	595	(1)
Evaluation	595	(2)
Additional Assistance	597	(3)
Hospice	597	(3)
Advance Directives	600	(1)
Summary	600	(7)
Appendices DSM-IV-TR Classification: Axes I and II	607	(73)
Categories and Codes	609	(9)
Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence	609	(1)
Delirium, Dementia, and Amnestic and Other Cognitive Disorders	610	(1)
Mental Disorders Due to a General Medical Condition Not Elsewhere Classified	610	(1)
Substance-Related Disorders	611	(2)
Schizophrenia and Other Psychotic Disorders	613	(1)
Mood Disorders	614	(1)
Anxiety Disorders	614	(1)
Somatoform Disorders	614	(1)
Factitious Disorders	614	(1)
Dissociative Disorders	614	(1)
Sexual and Gender Identity Disorders	614	(1)
Eating Disorders	615	(1)
Sleep Disorders	615	(1)
Impulse Control Disorders Not Elsewhere Classified	616	(1)
Adjustment Disorders	616	(1)
Personality Disorders	616	(1)
Other Conditions That May Be a Focus of Clinical Attention	616	(1)
Additional Codes	617	(1)
NANDA Nursing Diagnoses: Taxonomy II
Exchanging	618	(1)
Communicating	618	(1)
Relating	618	(1)
Valuing	619	(1)
Moving	619	(1)
Perceiving	619	(1)
Knowing	619	(1)
Feeling	619	(2)
Assigning Nursing Diagnoses to Client Behavior	621	(2)
Mental Status Assessment	623	(2)
Identifying Data	623	(1)
General Description	623	(1)
Emotions	623	(1)
Thought Processes	624	(1)
Perceptual Disturbances	624	(1)
Sensorium and Cognitive Ability	624	(1)
Impulse Control	624	(1)
Judgment and Insight	624	(1)
Critical Pathways of Care	625	(12)
Critical Pathway of Care for Client in Alcohol Withdrawal	625	(2)
Critical Pathway of Care for Client with Schizophrenic Psychosis	627	(2)
Critical Pathway of Care for the Depressed Client	629	(2)
Critical Pathway of Care for the Client Experiencing a Manic Episode	631	(2)
Critical Pathway of Care for the Posttrauma Client	633	(2)
Critical Pathway of Care for Client with Anorexia Nervosa	635	(2)
Glossary	637	(19)
Answers to Review Questions
Mental Health and Mental Illness	656	(1)
Concepts of Personality Development	656	(1)
Biological Implications	656	(1)
Ethical and Legal Issues	656	(1)
Relationship Development and Therapeutic Communication	656	(1)
The Nursing Process in Psychiatric/Mental Health Nursing	656	(1)
Milieu--The Therapeutic Environment	657	(1)
Intervention in Groups	657	(1)
Intervening in Crises	657	(1)
Psychopharmacology	657	(1)
Complementary and Psychosocial Therapies	657	(1)
Delirium, Dementia, and Amnestic Disorders	657	(1)
Substance-Related Disorders	657	(1)
Schizophrenia and Other Psychotic Disorders	657	(1)
Mood Disorders	657	(1)
Anxiety Disorders	657	(1)
Anxiety-Related Disorders	657	(1)
Disorders of Human Sexuality	657	(1)
Eating Disorders	657	(1)
Personality Disorders	658	(1)
Children and Adolescents	658	(1)
Victims of Abuse or Neglect	658	(1)
The Aging Individual	658	(1)
Community Mental Health Nursing	658	(1)
The Bereaved Individual	658	(2)
Sample Client Teaching Guides
Benzodiazepines	660	(1)
Buspirone (BuSpar)	661	(1)
Tricyclic Antidepressants	662	(1)
Selective Serotonin Reuptake Inhibitors (SSRIs)	663	(1)
Monoamine Oxidase Inhibitors (MAOIs)	664	(1)
Lithium	665	(1)
Antipsychotics (Conventional)	666	(1)
Antipsychotics (Atypical)	667	(1)
CNS Stimulants (Amphetamines, Methylphenidate, & Pemoline)	668	(1)
CNS Stimulants (Anorexigenics)	669	(1)
Depression	670	(1)
Bipolar Disorder	671	(1)
Post-Traumatic Stress Disorder (PTSD)	672	(1)
Obsessive-Compulsive Disorder (OCD)	673	(1)
Panic Disorder	674	(1)
Eating Disorders	675	(1)
Schizophrenia	676	(1)
Alzheimer's Disease	677	(1)
Alcoholism	678	(1)
HIV Disease	679	(1)
Attention-Deficit/Hyperactivity Disorder (ADHD)	680