9780815126034

UNIT 1 Principles of Psychiatric Nursing Care

Roles and Functions of Psychiatric Nurses: Competent Caring

(14)

Gail W. Stuart

Historical Perspectives

(4)

Role Emergence

(2)

Evolving Functions

(2)

Contemporary Practice

(3)

Levels of Prevention

(1)

Continuum of Care

(1)

Competent Caring

(1)

Level of Performance

(3)

Laws

(1)

Qualifications

(2)

Practice Setting

(1)

Personal Initiative

(1)

Psychiatric Nursing Agenda

(3)

Outcome Evaluation

(1)

Leadership Skills

(1)

Political Action

(3)

Therapeutic Nurse-Patient Relationship

(37)

Gail W. Stuart

Characteristics of the Relationship

(1)

Personal Qualities of the Nurse

(4)

Awareness of Self

(3)

Clarification of Values

(1)

Exploration of Feelings

(1)

Serving as Role Model

(1)

Altruism

(1)

Ethics and Responsibility

(1)

Phases of the Relationship

(5)

Preinteraction Phase

(1)

Introductory, or Orientation, Phase

(2)

Working Phase

(1)

Termination Phase

(1)

Facilitative Communication

(10)

Verbal Communication

(1)

Nonverbal Communication

(2)

The Communication Process

(3)

Therapeutic Communication Techniques

(4)

Responsive Dimensions

(4)

Genuineness

(1)

Respect

(2)

Empathic Understanding

(1)

Development of Empathy

(2)

Concreteness

(1)

Action Dimensions

(4)

Confrontation

(2)

Immediacy

(1)

Nurse Self-Disclosure

(1)

Emotional Catharsis

(1)

Role Playing

(1)

Therapeutic Impasses

(4)

Resistance

(1)

Transference

(1)

Overcoming Resistance and Transference

(1)

Countertransference

(1)

Boundary Violations

(1)

Therapeutic Outcome

(5)

Conceptual Models of Psychiatric Treatment

(12)

Gail W. Stuart

Psychoanalytical Model

(1)

View of Behavioral Deviations

(1)

Psychoanalytical Therapeutic Process

(1)

Roles of Patient and Psychoanalyst

(1)

Other Psychoanalytical Theorists

(1)

Interpersonal Model

(2)

View of Behavioral Deviations

(1)

Interpersonal Therapeutic Process

(1)

Roles of Patient and Interpersonal Therapist

(1)

Social Model

(1)

View of Behavioral Deviations

(1)

Social Therapeutic Process

(1)

Roles of Patient and Social Therapist

(1)

Existential Model

(2)

View of Behavioral Deviations

(1)

Existential Therapeutic Process

(1)

Roles of Patient and Existential Therapist

(1)

Supportive Therapy Model

(1)

View of Behavioral Deviations

(1)

Supportive Therapeutic Process

(1)

Roles of Patient and Supportive Therapist

(1)

Medical Model

(5)

View of Behavioral Deviations

(1)

Medical Therapeutic Process

(1)

Roles of Patient and Medical Therapist

(4)

The Stuart Stress Adaptation Model of Psychiatric Nursing Care

(16)

Gail W. Stuart

Theoretical Assumptions

(1)

Describing Mental Health and Illness

(2)

Defining Mental Health

(1)

Dimensions of Mental Illness

(1)

Biopsychosocial Components

(5)

Predisposing Factors

(1)

Precipitating Stressors

(3)

Appraisal of Stressor

(1)

Coping Resources

(1)

Coping Mechanisms

(1)

Patterns of Response

(3)

Nursing Diagnoses

(1)

Relationship to Medical Diagnoses

(2)

Classifying Mental Disorders

(1)

Treatment Stages and Activities

(4)

Biological Context of Psychiatric Nursing Care

(31)

Michele T. Laraia

Structure and Function of the Brain

(3)

Neuroimaging Techniques

(2)

Genetics of Mental Illness

(1)

Circadian Rhythms

(1)

Sleep

(1)

Psychoimmunology

(1)

Biological Assessment of the Patient

(1)

Biological Components of Mental Illness

(19)

Schizophrenia

101

(1)

Mood Disorders

102

(3)

Panic Disorders

105

(2)

Alzheimer's Disease

107

(3)

Decade of the Brain

110

(3)

Psychological Context of Psychiatric Nursing Care

113

(14)

Gail W. Stuart

Mental Status Examination

114

(1)

Eliciting Clinical Information

114

(1)

Content of the Examination

115

(7)

Appearance

115

(1)

Speech

115

(1)

Motor Activity

116

(1)

Interaction during the Interview

116

(1)

Mood

116

(1)

Affect

116

(1)

Perceptions

117

(1)

Thought Content

117

(1)

Thought Process

118

(1)

Level of Consciousness

118

(1)

Memory

118

(1)

Level of Concentration and Calculation

119

(1)

Information and Intelligence

119

(2)

Judgment

121

(1)

Insight

121

(1)

Documenting Clinical Information

121

(1)

Mini-Mental State

122

(1)

Psychological Tests

122

(1)

Behavioral Rating Scales

122

(5)

Sociocultural Context of Psychiatric Nursing Care

127

(12)

Linda D. Oakley

Cultural Sensitivity

128

(1)

Sociocultural Risk Factors

128

(4)

Age

129

(1)

Ethnicity

130

(1)

Gender

130

(1)

Education

131

(1)

Income

131

(1)

Belief System

132

(1)

Sociocultural Stressors

132

(1)

Impact on Coping Responses

133

(1)

Nursing Assessment and Diagnosis

134

(1)

Treatment Implications

135

(4)

Service Delivery Systems

135

(1)

Counseling

135

(1)

Psychobiology

136

(3)

Environmental Context of Psychiatric Nursing Care

139

(16)

Gail W. Stuart

Managed Care

140

(3)

Defining Characteristics

141

(1)

Financial Aspects

142

(1)

Federal and State Initiatives

142

(1)

Access to Services

143

(1)

Employee Assistance Programs

143

(1)

Treatment Parity

143

(1)

Clinical Appropriateness

144

(2)

Medical Necessity

144

(1)

Carve-Ins and Carve-Outs

144

(2)

Practice Guidelines

146

(2)

Clinical Pathways

147

(1)

Outcome Measurement

148

(1)

Quality Report Cards

149

(1)

Accountability Issues

149

(2)

Patients' Rights

149

(1)

Provider Concerns

150

(1)

Service Settings

150

(1)

Impact on Psychiatric Nursing

151

(4)

Roles in Managed Care

151

(1)

Evidence-Based Practice

151

(1)

Threats and Opportunities

152

(3)

Legal-Ethical Context of Psychiatric Nursing Care

155

(22)

Gail W. Stuart

Hospitalizing the Patient

156

(4)

Voluntary Admission

156

(1)

Involuntary Admission (Commitment)

156

(2)

Commitment Dilemma

158

(1)

Discharge

159

(1)

Ethical Considerations

159

(1)

Involuntary Community Treatment

160

(1)

Patients' Rights

161

(8)

Role of Nursing

168

(1)

Ethical Considerations

168

(1)

Ethical Dilemmas

169

(1)

Legislative Initiatives

169

(2)

Omnibus Budget Reconciliation Act

169

(1)

Protection and Advocacy Act

170

(1)

Americans with Disabilities Act

170

(1)

Advanced Directives

170

(1)

Psychiatry and Criminal Responsibility

171

(1)

Disposition of Mentally III Offenders

171

(1)

Legal Role of the Nurse

171

(6)

Nurse as Provider

172

(1)

Nurse as Employee

173

(1)

Nurse as Citizen

173

(4)

Implementing the Nursing Process: Standards of Care

177

(16)

Gail W. Stuart

The Nursing Process

178

(1)

Assessment

178

(2)

Diagnosis

180

(2)

Relationship to Medical Diagnosis

182

(1)

Outcome Identification

182

(2)

Specifying Goals

183

(1)

Planning

184

(1)

Documentation

184

(1)

Implementation

185

(2)

Treatment Stages

186

(1)

Evaluation

187

(6)

Actualizing the Psychiatric Nursing Role: Professional Performance Standards

193

(18)

Gail W. Stuart

Accountability and Autonomy

194

(1)

Quality of Care

194

(3)

Performance Appraisal

197

(2)

Clinical Supervision

198

(1)

Education

199

(1)

The Internet

199

(1)

Certification

200

(1)

Collegiality

200

(1)

Ethics

201

(2)

Ethical Standards

201

(1)

Ethical Decision Making

202

(1)

Collaboration

203

(2)

Interdisciplinary Mental Health Teams

203

(2)

Research

205

(1)

Resource Use

206

(5)

UNIT 2 Continuum of Care

Mental Health Promotion

211

(14)

Gail W. Stuart

Conceptualizing Primary Prevention

212

(1)

Medical Prevention Model

212

(1)

Nursing Prevention Model

213

(1)

Assessment

213

(1)

Planning and Implementation

214

(6)

Health Education

214

(3)

Environmental Change

217

(1)

Social Support

218

(2)

Evaluation

220

(5)

Crisis Intervention

225

(18)

Sandra E. Benter

Continuum of Crisis Responses

225

(3)

Adaptive and Maladaptive Crisis Responses

225

(1)

Types of Crises

225

(3)

Crisis Intervention

228

(1)

Assessment

228

(2)

Behaviors

228

(1)

Precipitating Event

229

(1)

Perception of the Event

230

(1)

Support Systems and Coping Resources

230

(1)

Coping Mechanisms

230

(1)

Planning and Implementation

230

(3)

Environmental Manipulation

231

(1)

General Support

231

(1)

Generic Approach

231

(1)

Individual Approach

231

(1)

Techniques

232

(1)

Evaluation

233

(1)

Settings for Crisis Intervention

234

(2)

Modalities of Crisis Intervention

236

(7)

Mobile Crisis Programs

236

(1)

Group Work

237

(1)

Telephone Contacts

237

(1)

Disaster Response

237

(1)

Victim Outreach Programs

238

(1)

Health Education

238

(5)

Psychiatric Rehabilitation

243

(21)

Sandra J. Sundeen

Rehabilitation

244

(1)

Assessment

245

(8)

The Individual

245

(4)

Specific Populations

249

(1)

The Family

250

(3)

The Community

253

(1)

Planning and Implementation

253

(7)

The Individual

253

(5)

The Family

258

(1)

The Community

259

(1)

Evaluation

260

(4)

Patient Evaluation

260

(1)

Program Evaluation

261

(3)

The Family's View of the Continuum of Care

264

(9)

Victoria Conn

Barriers to Care

264

(1)

Building Bridges

265

(1)

Anticipating Needs

266

(7)

UNIT 3 Applying Principles in Nursing Practice

Anxiety Responses and Anxiety Disorders

273

(26)

Gail W. Stuart

Continuum of Anxiety Responses

274

(1)

Defining Characteristics

274

(1)

Levels of Anxiety

274

(1)

Assessment

275

(9)

Behaviors

275

(2)

Predisposing Factors

277

(3)

Precipitating Stressors

280

(1)

Appraisal of Stressors

281

(1)

Coping Resources

281

(1)

Coping Mechanisms

281

(3)

Nursing Diagnosis

284

(3)

Related Medical Diagnoses

285

(2)

Outcome Identification

287

(1)

Planning

288

(1)

Implementation

288

(5)

Severe and Panic Levels of Anxiety

288

(3)

Moderate Level of Anxiety

291

(2)

Evaluation

293

(6)

Psychophysiological Responses and Somatoform and Sleep Disorders

299

(19)

Gail W. Stuart

Continuum of Psychophysiological Responses

300

(1)

Assessment

300

(7)

Behaviors

300

(3)

Predisposing Factors

303

(2)

Precipitating Stressors

305

(1)

Appraisal of Stressors

306

(1)

Coping Resources

306

(1)

Coping Mechanisms

307

(1)

Nursing Diagnosis

307

(1)

Related Medical Diagnoses

307

(1)

Outcome Identification

307

(1)

Planning

308

(1)

Implementation

309

(4)

Psychological Approaches

309

(3)

Patient Education

312

(1)

Physiological Support

312

(1)

Holistic Interventions

312

(1)

Evaluation

313

(5)

Self concept Responses and Dissociative Disorders

318

(30)

Gail W. Stuart

Continuum of Self-concept Responses

319

(3)

Self-concept

319

(1)

Body Image

320

(1)

Self-ideal

320

(1)

Self-esteem

321

(1)

Role Performance

321

(1)

Personal Identity

322

(1)

Healthy Personality

322

(1)

Assessment

322

(10)

Behaviors

322

(6)

Predisposing Factors

328

(2)

Precipitating Stressors

330

(1)

Appraisal of Stressors

330

(1)

Coping Resources

331

(1)

Coping Mechanisms

331

(1)

Nursing Diagnosis

332

(1)

Related Medical Diagnoses

332

(1)

Outcome Identification

333

(1)

Planning

333

(1)

Implementation

334

(10)

Expanded Self-awareness

336

(3)

Self-exploration

339

(1)

Self-evaluation

339

(2)

Realistic Planning

341

(1)

Commitment to Action

342

(2)

Evaluation

344

(4)

Emotional Responses and Mood Disorders

348

(37)

Gail W. Stuart

Continuum of Emotional Responses

349

(2)

Grief Reactions

349

(1)

Depression

350

(1)

Mania

351

(1)

Assessment

351

(14)

Behaviors

351

(4)

Predisposing Factors

355

(6)

Precipitating Stressors

361

(2)

Appraisal of Stressors

363

(1)

Coping Resources

363

(1)

Coping Mechanisms

364

(1)

Nursing Diagnosis

365

(1)

Related Medical Diagnoses

366

(1)

Outcome Identification

366

(2)

Planning

368

(1)

Acute Treatment Phase

368

(1)

Continuation Treatment Phase

368

(1)

Maintenance Treatment Phase

368

(1)

Implementation

369

(9)

Environmental Interventions

369

(1)

Nurse-Patient Relationship

369

(3)

Physiological Treatments

372

(2)

Expressing Feelings

374

(1)

Cognitive Strategies

375

(1)

Behavioral Change

376

(1)

Social Skills

377

(1)

Mental Health Education

378

(1)

Evaluation

378

(7)

Self protective Responses and Suicidal Behavior

385

(20)

Gail W. Stuart

Continuum of Self-protective Responses

386

(1)

Epidemiology of Suicide

386

(1)

Assessment

387

(8)

Behaviors

387

(5)

Predisposing Factors

392

(2)

Precipitating Stressors

394

(1)

Appraisal of Stressors

394

(1)

Coping Resources

394

(1)

Coping Mechanisms

395

(1)

Nursing Diagnosis

395

(1)

Related Medical Diagnosis

395

(1)

Outcome Identification

395

(1)

Planning

396

(1)

Implementation

397

(3)

Protection

398

(1)

Contracting for Safety

398

(1)

Increasing Self-esteem

399

(1)

Regulating Emotions and Behaviors

399

(1)

Mobilizing Social Support

399

(1)

Patient Education

399

(1)

Suicide Prevention

399

(1)

Evaluation

400

(5)

Neurobiological Responses and Schizophrenia and Psychotic Disorders

405

(34)

Mary D. Moller

Millene F. Murphy

Continuum of Neurobiological Responses

406

(1)

Assessment

406

(13)

Behaviors

406

(9)

Predisposing Factors

415

(3)

Precipitating Stressors

418

(1)

Appraisal of Stressors

419

(1)

Coping Resources

419

(1)

Coping Mechanisms

419

(1)

Nursing Diagnosis

419

(1)

Related Medical Diagnoses

419

(1)

Outcome Identification

420

(1)

Planning

421

(1)

Implementation

421

(12)

Interventions in the Crisis and Acute Phases

424

(3)

Interventions in the Maintenance Phase

427

(5)

Interventions in the Health Promotion Phase

432

(1)

Evaluation

433

(6)

Social Responses and Personality Disorders

439

(22)

Carol K. Perlin

Continuum of Social Responses

440

(2)

Adaptive and Maladaptive Responses

440

(1)

Development Through the Life Cycle

440

(2)

Assessment

442

(7)

Behaviors

442

(4)

Predisposing Factors

446

(1)

Precipitating Stressors

447

(1)

Appraisal of Stressors

448

(50)

Coping Resources

498

Coping Mechanisms

448

(1)

Nursing Diagnosis

449

(1)

Related Medical Diagnoses

449

(1)

Outcome Identification

450

(1)

Planning

451

(1)

Implementation

451

(5)

Establishing a Therapeutic Relationship

451

(1)

Family Involvement

451

(1)

Milieu Therapy

452

(2)

Limit Setting and Structure

454

(1)

Protection from Self-Harm

455

(1)

Focusing on Strengths

455

(1)

Behavioral Strategies

455

(1)

Evaluation

456

(5)

Cognitive Responses and Organic Mental Disorders

461

(24)

Sandra J. Sundeen

Continuum of Cognitive Responses

462

(2)

Learning Model of Cognition

462

(1)

Social-Cognitive Model

462

(1)

Piaget's Developmental Model of Cognition

463

(1)

Assessment

464

(8)

Behaviors

464

(4)

Predisposing Factors

468

(2)

Precipitating Stressors

470

(1)

Appraisal of Stressors

470

(1)

Coping Resources

471

(1)

Coping Mechanisms

471

(1)

Nursing Diagnosis

472

(1)

Outcome Identification

473

(2)

Planning

475

(1)

Implementation

475

(5)

Intervening in Delirium

475

(1)

Intervening in Dementia

476

(4)

Evaluation

480

(5)

Chemically Mediated Responses and Substance-Related Disorders

485

(38)

Linda V. Jefferson

Continuum of Chemically Mediated Responses

486

(2)

Definition of Terms

486

(1)

Attitudes Toward Substance Abuse

487

(1)

Prevalence

487

(1)

Assessment

488

(14)

Screening for Substance Abuse

489

(1)

Behaviors of Abuse and Dependence

490

(8)

Dual Diagnosis

498

(1)

Predisposing Factors

499

(2)

Precipitating Stressors

501

(1)

Appraisal of Stressors

502

(1)

Coping Resources

502

(1)

Coping Mechanisms

502

(1)

Nursing Diagnosis

502

(1)

Related Medical Diagnoses

502

(1)

Outcome Identification

503

(2)

Planning

505

(1)

Implementation

506

(13)

Biological Interventions

506

(3)

Intervening to Maintain Abstinence

509

(1)

Psychological Interventions

510

(2)

Social Interventions

512

(3)

Working with Dually Diagnosed Patients

515

(3)

Intervening with Impaired Colleagues

518

(1)

Preventive Interventions

519

(1)

Evaluation

519

(4)

Eating Regulation Responses and Eating Disorders

523

(21)

Carolyn E. Cochrane

Continuum of Eating Regulation Responses

524

(1)

Prevalence of Eating Disorders

524

(1)

Assessment

525

(7)

Behaviors

526

(2)

Predisposing Factors

528

(2)

Precipitating Stressors

530

(1)

Appraisal of Stressors

531

(1)

Coping Resources

531

(1)

Coping Mechanisms

531

(1)

Nursing Diagnosis

532

(1)

Related Medical Diagnoses

533

(1)

Outcome Identification

533

(1)

Planning

533

(2)

Choice of Treatment Setting

533

(2)

Nurse-patient Contract

535

(1)

Implementation

535

(6)

Nutritional Stabilization

535

(1)

Exercise

536

(1)

Cognitive Behavioral Interventions

536

(2)

Body Image Interventions

538

(1)

Family Involvement

539

(1)

Group Therapies

539

(1)

Medications

539

(2)

Evaluation

541

(3)

Sexual Responses and Sexual Disorders

544

(27)

Susan G. Poorman

Continuum of Sexual Responses

545

(3)

Adaptive and Maladaptive Sexual Responses

545

(1)

Self-awareness of the Nurse

546

(2)

Assessment

548

(6)

Behaviors

548

(2)

Predisposing Factors

550

(1)

Precipitating Stressors

551

(3)

Appraisal of Stressors

554

(1)

Coping Resources

554

(1)

Coping Mechanisms

554

(1)

Nursing Diagnosis

554

(1)

Related Medical Diagnosis

554

(1)

Outcome Identification

554

(1)

Planning

555

(1)

Implementation

555

(9)

Health Education

555

(1)

Sexual Responses within the Nurse-Patient Relationship

556

(3)

Maladaptive Sexual Responses

559

(3)

Dysfunctions of the Sexual Response Cycle

562

(2)

Evaluation

564

(7)

UNIT 4 Treatment Modalities

Psychopharmacology

571

(33)

Michele T. Laraia

Role of the Nurse

572

(1)

Patient Assessment

572

(1)

Coordination of Treatment Modalities

573

(1)

Psychopharmacological Drug Administration

573

(1)

Monitoring Drug Effects

573

(1)

Medication Education

573

(1)

Drug Maintenance Programs

573

(1)

Clinical Research Drug Trials

573

(1)

Prescriptive Authority

573

(1)

Pharmacokinetics

573

(3)

Drug Interactions

574

(1)

Biological Basis for Psychopharmacology

574

(2)

Antianxiety and Sedative-Hypnotic Drugs

576

(4)

Benzodiazepines

577

(2)

Nonbenzodiazepines

579

(1)

Antidepressant Drugs

580

(6)

Tricyclic Antidepressants

582

(3)

Selective Serotonin Reuptake Inhibitors

585

(1)

Monoamine Oxidase Inhibitors

585

(1)

Other Antidepressant Drugs

586

(1)

Mood-Stabilizing Drugs

586

(2)

Lithium

586

(1)

Anticonvulsants

587

(1)

Antipsychotic Drugs

588

(7)

Mechanism of Action

589

(1)

Clinical Use

589

(3)

Adverse Reactions

592

(3)

Future Psychopharmacological Agents

595

(2)

Psychiatric Nursing Practice

597

(7)

Psychopharmacology Guidelines

597

(1)

Documentation

598

(1)

Patient Education

598

(1)

Promoting Patient Adherence

599

(5)

Somatic Therapies

604

(14)

Gail W. Stuart

Electroconvulsive Therapy

605

(1)

Indications

605

(1)

Mechanism of Action

606

(1)

Adverse Effects

606

(1)

Nursing Care in Electroconvulsive Therapy

606

(6)

Education and Emotional Support

607

(1)

Informed Consent for Electroconvulsive Therapy

607

(1)

Pretreatment Nursing Care

608

(1)

Nursing Care during the Procedure

609

(1)

Posttreatment Nursing Care

610

(1)

Interdisciplinary Collaboration

611

(1)

Nursing Staff Education

611

(1)

Phototherapy

612

(2)

Indications

613

(1)

Mechanism of Action

614

(1)

Adverse Effects

614

(1)

Sleep Deprivation Therapy

614

(4)

Indications

614

(1)

Mechanism of Action

614

(1)

Adverse Effects

614

(4)

Preventing and Managing Aggressive Behavior

618

(23)

Christine Cahill Hamolia

Dimensions of the Problem

619

(1)

Behavioral Responses

619

(2)

Passive Behavior

619

(1)

Assertive Behavior

620

(1)

Aggressive Behavior

620

(1)

Theories on Aggression

621

(3)

Psychoanalytical

622

(1)

Psychological

622

(1)

Behavioral

622

(1)

Sociocultural

623

(1)

Biological

624

(1)

Predicting Aggressive Behavior

624

(2)

Issues of Provocation

625

(1)

Nursing Assessment

626

(2)

Nursing Interventions

628

(4)

Self-Awareness

628

(1)

Patient Education

628

(1)

Assertiveness Training

628

(1)

Communication Strategies

629

(1)

Environmental Strategies

630

(1)

Behavioral Strategies

631

(1)

Psychopharmacology

632

(1)

Crisis Management Techniques

632

(5)

Team Response

633

(1)

Seclusion

634

(1)

Restraints

635

(1)

Terminating the Intervention

636

(1)

Staff Development

637

(4)

Education

637

(1)

Staff Assault

637

(4)

Cognitive Behavioral Therapy

641

(16)

Gail W. Stuart

Definition of Behavior

642

(1)

Classical Conditioning

642

(1)

Operant Conditioning

642

(1)

Increasing Behavior

643

(1)

Decreasing Behavior

643

(1)

Role of Cognition

643

(2)

Cognitive Behavioral Therapy and the Nursing Process

645

(1)

Cognitive Behavioral Assessment

645

(1)

Treatment Strategies

646

(6)

Anxiety Reduction

647

(3)

Cognitive Restructuring

650

(1)

Learning New Behavior

651

(1)

Role of the Nurse

652

(5)

Therapeutic Groups

657

(16)

Paula C. LaSalle

Arthur J. LaSalle

Definition

658

(1)

Components of Small Groups

658

(2)

Group Structure

658

(1)

Group Size

658

(1)

Length of Sessions

658

(1)

Communication

659

(1)

Group Roles

659

(1)

Power

659

(1)

Norms

660

(1)

Cohesion

660

(1)

Group Development

660

(5)

Pregroup Phase

660

(2)

Initial Phase

662

(1)

Working Phase

663

(2)

Termination Phase

665

(1)

Evaluation of the Group

665

(1)

Nurses as Group Leaders

666

(7)

Groups with Co-Leaders

667

(1)

Nurse-Led Groups

667

(6)

Family Interventions

673

(26)

Patricia E. Helm

Family Functioning

674

(1)

Competence Paradigm

675

(1)

Nonclinical Interventions

675

(1)

Psychoeducational Programs for Families

676

(1)

Clinical Interventions

676

(1)

Family Systems Therapy

677

(8)

Differentiation of Self

678

(1)

Triangles

679

(2)

Nuclear Family Emotional System

681

(2)

Multigenerational Transmission Process

683

(1)

Family Projection Process

684

(1)

Sibling Position

685

(1)

Emotional Cutoff

685

(1)

Modes of Therapy

685

(1)

Structural Family Therapy

685

(5)

Components

686

(2)

Interventions

688

(2)

Strategic Family Therapy

690

(9)

Components

690

(1)

Interventions

691

(8)

UNIT 5 Treatment Settings

Hospital-Based Psychiatric Nursing Care

699

(17)

Joan M. Herbert

Victoria A. Queen

The Psychiatric Hospital in Transition

700

(2)

Inpatient Programs

700

(1)

Partial Hospital Programs

701

(1)

Managing the Therapeutic Milieu

702

(4)

The Therapeutic Community

702

(1)

The Therapeutic Milieu

703

(2)

Nursing Implications

705

(1)

Implementing Caregiving Activities

706

(2)

Assessing and Intervening in Potential Risks

706

(1)

Patient and Family Education

706

(1)

Activities, Groups, and Programs

706

(1)

Meeting Physical Needs

707

(1)

Discharge Planning

707

(1)

Integrating Care Delivery

708

(3)

Teamwork and Coordinated Care

708

(1)

Resource Allocation

709

(1)

Nursing Care Delivery Modalities

709

(1)

Professional, Regulatory, and Accreditation Standards

709

(2)

Evaluating Outcomes

711

(5)

Quality Improvement Programs

711

(1)

Risk Management

711

(1)

Utilization Review

712

(4)

Community Psychiatric Nursing Care

716

(18)

Nancy K. Worley

Goals of Community Mental Health

716

(1)

Public Health Model

717

(1)

Community Needs Assessment

717

(1)

Identifying and Prioritizing High-Risk Groups

718

(1)

Intervention Strategies

718

(1)

Role of Nurses

718

(1)

Biological-Medical Model

718

(2)

Deinstitutionalization

719

(1)

Role of Nurses

719

(1)

Systems Model

720

(4)

Community Support Systems

720

(1)

Case Management

720

(3)

Role of Nurses

723

(1)

Patient-Centered Model

724

(4)

Homeless People with Mental Illness

724

(1)

Mentally III People in Jail

725

(1)

Outreach Clinical Services

725

(2)

Role of Nurses

727

(1)

New Psychiatric Nursing Roles

728

(6)

Primary Mental Health Care

728

(1)

Collaborative Practice Models

728

(1)

Psychosocial Rehabilitation Programs

729

(1)

Prevention and Wellness Programs

729

(5)

Home Psychiatric Nursing Care

734

(13)

Beth Gage Greco

Joan Kenerson King

Growth of Psychiatric Home Care

735

(1)

Reimbursement Issues

735

(1)

Psychiatric Home Health Nursing

736

(1)

Role Definition

736

(1)

Qualifications of the Psychiatric Home Care Nurse

736

(1)

Context of Psychiatric Home Care

737

(1)

Cultural Sensitivity

738

(1)

Boundary Issues

738

(1)

Trust

738

(1)

Safety

738

(1)

Nursing Process in the Home Setting

738

(2)

Special Populations

740

(7)

Children and Adolescents

740

(1)

Older Adults

740

(1)

Patients with Serious and Persistent Mental Illness

741

(1)

Patients with HIV/AIDS

741

(6)

UNIT 6 Special Populations in Psychiatry

Child Psychiatric Nursing

747

(25)

Carole F. Bennett

Psychiatric Illness in Children

748

(2)

A Framework for Nursing Practice

749

(1)

Assessing Ego Competency Skills

750

(1)

Establishing Closeness and Trusting Realtionships

750

(1)

Handling Separation and Independent Decision Making

750

(1)

Handling Joint Decision Making and Interpersonal Conflict

751

(1)

Dealing with Frustration and Unfavorable Events

751

(1)

Celebrating Good Feelings and Feeling Pleasure

751

(1)

Working for Delayed Gratification

751

(2)

Relaxing and Playing

753

(1)

Cognitive Processing through Words, Symbols, and Images

753

(1)

Adaptive Sense of Direction and Purpose

754

(1)

Nursing Diagnoses and Related Interventions

754

(8)

Therapeutic Treatment Modalities

762

(10)

Therapeutic Play

762

(1)

Art Therapy

763

(1)

Children's Games

763

(1)

Bibliotherapy

764

(1)

Storytelling

765

(1)

Autogenic Storytelling

765

(1)

Enacting Plays

765

(1)

Medication Management

765

(2)

Milieu Management

767

(5)

Adolescent Psychiatric Nursing

772

(25)

Audrey Redston-Iselin

Developmental Stage

773

(1)

Theoretical Views of Adolescence

773

(2)

Biological Theory

773

(1)

Psychoanalytical Theory

774

(1)

Psychosocial Theory

774

(1)

Attachment Theory

774

(1)

Cognitive Theory

774

Cultural Theory

771

(4)

Multidimensional Theory

775

(1)

Assessing the Adolescent

775

(3)

Body Image

775

(2)

Identity

777

(1)

Independence

777

(1)

Social Role

778

(1)

Sexual Behavior

778

(1)

Maladaptive Responses

778

(9)

Inappropriate Sexual Activity

779

(1)

Unwed Motherhood

779

(1)

Suicide

780

(1)

Runaways

781

(1)

Conduct Disorders

782

(1)

Violence

782

(1)

Drug Use

783

(3)

Hypochondriasis

786

(1)

Weight Problems

786

(1)

Occult Involvement

786

(1)

Parental Divorce

787

(1)

Working with Adolescents

787

(6)

Health Education

787

(2)

Family Therapy

789

(1)

Group Therapy

789

(1)

Individual Therapy

789

(2)

Medication Management

791

(1)

Talking with Adolescents

791

(2)

Parents of the Adolescent

793

(1)

Evaluating Nursing Care

793

(4)

Geriatric Psychiatric Nursing

797

(23)

Georgia L. Stevens

Suzanne D. Friedman

Beverly A. Baldewin

Role of the Geropsychiatric Nurse

798

(1)

Theories of Aging

799

(1)

Biological Theories

799

(1)

Psychological Theories

799

(1)

Sociocultural Theories

800

(1)

Assessing the Geriatric Patient

800

(6)

The Interview

801

(1)

Mental Status

802

(1)

Behavioral Responses

803

(1)

Functional Abilities

803

(1)

Physiological Functioning

804

(1)

Social Support

805

(1)

Diagnosis of the Geriatric Patient

806

(4)

Altered Thought Processes

806

(1)

Affective Responses

807

(1)

Somatic Responses

808

(1)

Stress Responses

809

(1)

Behavioral Responses

809

(1)

Planning and Intervention

810

(5)

Therapeutic Milieu

810

(1)

Somatic Therapies

811

(2)

Interpersonal Interventions

813

(2)

Evaluating the Care of the Geriatric Patient

815

(5)

Care of Survivors of Abuse and Violence

820

(21)

Barbara Parker

Jacqueline C. Campbell

Dimensions of Family Violence

821

(7)

Characteristics of Violent Families

822

(1)

Nursing Attitudes toward Survivors of Violence

823

(2)

Responses of Survivors

825

(2)

Preventive Nursing Interventions

827

(1)

Special Populations

828

(6)

Child Abuse

828

(3)

Wife Abuse

831

(2)

Elder Abuse

833

(1)

Rape and Sexual Assault

834

(7)

Definition of Sexual Assault

834

(1)

Marital Rape

834

(1)

Nursing Care of the Sexual Assault Survivor

835

(6)

Psychological Care of the Patient with HIV/AIDS

841

(14)

Paula C. LaSalle

Arthur J. LaSalle

Characteristics of HIV

842

(1)

Assessing the Patient with HIV Disease

842

(4)

Psychosocial Behaviors

843

(2)

Behaviors Related to Depression

845

(1)

Behaviors Related to Dementia

846

(1)

Planning and Implementing Care

846

(6)

Service Delivery

847

(1)

Medications and Treatment Issues

847

(1)

Interventions Related to Risk Reduction

848

(1)

Interventions Related to Changing Levels of Functioning

849

(1)

Interventions Related to Changes in Body Image

849

(1)

Interventions Related to AIDS Dementia Complex

850

(1)

Interventions Related to Preparation for Death

850

(1)

Interventions Related to Significant Others

850

(1)

Response of the Nurse to the Person with HIV Disease

851

(1)

Evaluating Care of the Patient with HIV Disease

852

(3)

Glossary

855

Appendixes

A: DSM-IV Classification

868

B: Your Internet Connection

878

C: Chapter Review Questions Answer Key

880

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Stuart & Sundeen's Principles and Practice of Psychiatric Nursing

0815126034

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