Mental Health Nursing

by Fontaine, Karen Lee

• ISBN13: 9780130979926
• ISBN10: 0130979929
• Edition: 6th
• Format: Paperback w/CD
• Copyright: 2009-01-01
• Publisher: Prentice Hall

Summary

Today, mental health nursing skills are essential throughout all nursing settings and areas of clinical practice. The new Fifth Edition of Mental Health Nursing retains the strengths that have made it a leading book and resource. It emphasizes effective communication skills, cultural and age-specific considerations, and presents mental health care in the consistent framework of the nursing process. Completely revised and updated, the new edition features a comprehensive supplemental technology package, a vibrant and colorful new design, and the latest information on crisis intervention, community violence, spectrum disorders, neuropsychiatric problems, community and family health care, and more. bull;Features: New Complementary and Alternative Therapies Focused Nursing Assessments that guide readers through specific interviewing questions for all disorders Clinical Interactions with sample nurse-client dialogues Free Student CD-ROM and Companion Website featuring audio glossary, NCLEX reviews, animations, case studies, care map activities, links, and more.

Table of Contents

I. FOUNDATIONS OF HEALTH NURSING.

1. Introduction to Mental Health Nursing.
2. Relating, Communicating, and Teaching.
3. The Family in Mental Health Nursing.
4. The Community in Mental Health Nursing.
5. The Role of Cultural Diversity in Mental Health.
6. Legal and Ethical Issues.

II. FOUNDATIONS OF NEUROLOGY.

7. Neurobiology and Behavior.
8. Psychopharmacology.

III. THERAPEUTIC APPROACHES.

9. Cross Diagnoses Behavior.
10. Treatment Modalities.

IV. MENTAL DISORDERS.

11. Anxiety Disorders.
12. Eating Disorders.
13. Mood Disorders.
14. Schizophrenic Disorders.
15. Substance-Related Disorders.
16. Personality Disorders.
17. Spectrum Disorders.

V. NEUROBEHAVIORAL BRAIN DISORDERS.

18. Cognitive Impairment Disorders.
19. Neuropsychiatric Problems.

VI. DISINHIBITION SYNDROMES.

20. Suicide.
21. Domestic Violence.
22. Sexual Violence.
23. Community Violence.
Appendix A: DSM-IV-TR Classifications.
Index.

Excerpts

Goals ofMental Health Nursing Mental, behavioral, and social health problems are increasing throughout the world. According to recent world studies, four of the ten leading causes of disability worldwide are mental illnesses. In the United States, mental illnesses are the nation's second leading cause of disability, and mental illness has been classified as a public health crisis. My goal is that nursing students and nurses in all professional practice specialties incorporate psychiatric nursing skills as they work with a variety of clients to improve the quality of life and achieve the highest possible level of functioning. Strong interpersonal and communication skills are critical to every area of practice. In addition, nurses encounter people with mental illnesses in inpatient, outpatient, and community sites including medical-surgical settings, intensive care units, emergency departments, obstetrics, and pediatrics. Thus, wherever you practice nursing, your mental health nursing skills will help you think critically and creatively. The fifth edition ofMental Health Nursingis designed to appeal to both traditional and nontraditional nursing students. The text is written in a user-friendly style for undergraduate students with the understanding that students and clients encompass a wide range of ages and ethnic groups, both genders, and a variety of sexual identities. This diversity is reflected throughout the text. This text is based on the belief that the practice of mental health nursing means taking time to be with clients and their families in deeply caring ways. To that end, nursing students are encouraged to engage in self-analysis in order to increase their self-understanding and self-acceptance. This is important because nurses who are able to clarify their own beliefs and values are less likely to be judgmental or to impose their own values and beliefs on clients. Language is a powerful tool that reflects our beliefs and values. When we refer to someone with a disability by a label, we profess a belief that the disability is the most important feature about that person. This attitude is reflected when we label people as alcoholics, schizophrenics, or quadriplegics. In contrast, I use "people-first" language. I acknowledge the person first by saying, "a person with schizophrenia" or "a person who has a substance abuse problem." In the same spirit, I use the words "client" and "consumer" interchangeably. I believe these terms reflect people with options and choices who have the right to determine their own direction in life. Philosophical and Theoretical Frameworks Many theories and models are relevant to the practice of mental health nursing. It is the integration of these theories that creates the unique domain of mental health nursing as we respond to the social, cultural, environmental, and biological components of mental illness. It is important that we maintain the art of nursing, which is being there, with another person or persons, in a context of caring. It involves compassion and sensitivity to each person within the context of her or his entire life. The model basic to this text is one of competency. This is based on the belief that individuals and families are resourceful and have the capacity to grow and change. The competency model does not ignore pathology and dysfunction but emphasizes strengths and adaptation. The role of nursing is to empower people to respond and adapt to life circumstances. In this spirit, nurses develop collaborative partnerships with clients and families. The overall goal is to provide the support, education, coping skills training, and advocacy necessary for successful living, learning, and working in the community. Consumer-sensitive nursing care helps people assume personal responsibility for where they are in their lives and for where they are going. Traditional Strengths ofMental Health Nursing

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