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Psychiatric Mental Health Nursing: Understanding the Client as Well as the Condition

ISBN: 9780766826892 | 0766826899
Edition: 2nd
Format: Paperback
Publisher: CENGAGE Delmar Learning
Pub. Date: 9/7/2001

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SummaryTable of Contents
This comprehensive text offers a unique perspective on the needs of clients with psychiatric disorders. Its fresh and innovative approach is designed to help practitioners understand their clients so they can provide humanistic health care and disease treatment. Current issues in psychiatric mental health nursing affect the care of clients: health care reform, shorter inpatient stays, psycho biology, community care, and technology. The text offers a framework for dealing with these issues while providing a high level of care. The real-life experiences of clients with psychiatric disorders are presented through excerpts from literature, movie clips, and classic art. Special client populations are addressed: the physically ill client; the homeless and incarcerated; the child; the adolescent; the elderly; and survivors of violence or abuse. Emphasis on the art and science of nursing; art through the use of humanities (literary excerpts, movie clips), and science through the theoretical and eepidemiological base underlying disorders. (key words: psychiatric nursing, mental health nursing, psychiatric diorders, epidemiology, cultural assessment, nursing)
List of Tables
xvii
Contributorsxviii
Reviewersxix
Prefacexxi
Acknowledgmentsxxv
... MORExxvi
How to Use this Textxxx
Unit 1: Foundations for Practice1(154)
Through the Door: Your First Day in Psychiatric Nursing
3(12)
Rites of Passage
5(1)
Mental Health and Mental Illness
6(2)
The Psychiatric Setting
8(1)
Questions Students Usually Ask
9(2)
Why and How Do Persons Seek Care?
9(1)
Will I Be Able to Know the Staff from the Clients?
9(1)
Will Clients' Behaviors Make Me Uncomfortable?
10(1)
Are Psychiatric Clients Violent?
10(1)
How Will I Feel Without My Regular Nursing Uniform?
10(1)
What Do Psychiatric Clients Think of Student Nurses?
10(1)
Advice from Prior Students
11(1)
Beginning a New Course
11(4)
Psychiatric Nursing: Evolution of a Specialty
15(12)
Care of the Mentally Ill
17(2)
Early Civilization
17(1)
Middle Ages and Renaissance
17(1)
Eighteenth and Early Nineteenth Centuries
17(1)
Nineteenth Century
18(1)
Nursing Education
19(2)
Eighteenth and Nineteenth Centuries
19(2)
Twentieth Century
21(1)
The Role of Nursing Theory and Scholarship
21(1)
Current Trends and Issues
21(1)
Future Directions
22(5)
Theory as Basis for Practice
27(34)
What Is Theory?
30(1)
Theory and Practice
31(1)
Nursing Theory
31(13)
Nursing Theories Based on Relationships
32(1)
Hildegard Peplau
32(1)
Helen Erickson, Evelyn Tomlin, and Mary Ann Swain
32(2)
Nursing Theories Based on Caring
34(1)
Jean Watson
34(1)
Madeleine Leininger
35(2)
Anne Boykin and Savina Schoenbofer
37(1)
Nursing Theories Based on Energy Fields
38(1)
Martha Rogers
38(1)
Rosemarie Rizzo Parse
39(1)
Margaret Newman
39(1)
Nursing Theories Based on the Concept of ``When Nursing Is Needed''
40(1)
Dorothea Orem
41(1)
Callista Roy
41(1)
Betty Neuman
42(2)
Psychiatric/Psychological Theory
44(17)
Psychoanalytic Theory
44(1)
Freud and Psychosexual Development
45(2)
Psychosocial Development
47(1)
Sullivan's Interpersonal Theory
48(1)
Cognitive Development Theory
49(1)
Jean Piaget
49(2)
Adult Cognition
51(2)
Humanistic Theory
53(1)
Basic Needs Theories
53(1)
Existential Philosophy
53(1)
Behavioral Psychology
54(1)
Sociocultural Theory
55(6)
Neuroscience as a Basis for Practice
61(18)
Biophysiological Theory
63(16)
Brain Anatomy and Function
64(1)
The Diencephalon
65(1)
The Cortex
65(1)
Brain Imaging
66(1)
Computerized Tomography
66(1)
Magnetic Resonance Imaging
67(1)
Positron Emission Tomography
67(1)
Electrophysiology and Neurochemistry
68(2)
Neurotransmitters
70(1)
Membrane Receptors
70(1)
Neuropeptides and Intracellular Modification of Synaptic Signals
71(1)
Genetics
72(1)
DNA
72(1)
Chromosomes and Genes
72(1)
Genetic Linkage
72(1)
Chromosome Mapping
73(1)
DNA Sequencing
74(1)
Summary
75(4)
Diagnostic Systems for Psychiatric Nursing
79(18)
ICD-9
81(1)
DSM-IV-TR
82(4)
NANDA Taxonomy of Nursing Diagnoses
86(4)
Collaborative Problems
88(1)
Development of Psychiatric Nursing Diagnoses
89(1)
Choosing a Diagnostic System
90(1)
Nursing Interventions Nursing Outcomes Classifications
91(1)
Diagnostic Systems and Computerized Health Records
92(1)
Issues of Privacy and Confidentiality
93(1)
Diagnostic Coding
93(1)
Advances in Diagnostic Nomenclature
93(4)
Tools of Psychiatric Mental Health Nursing: Communication, Nursing Process, and the Nurse-Client Relationship
97(17)
Communication
99(4)
Communication Theory
99(1)
Nonverbal Communication
99(1)
Physical Space
100(1)
Actions or Kinetics
101(1)
Paralinguistic Cues
101(1)
Touch
101(1)
Verbal Communication
102(1)
Listening
102(1)
Silence
102(1)
Broad Openings
102(1)
Restating
102(1)
Clarification
102(1)
Reflection
103(1)
Focusing
103(1)
Informing
103(1)
Suggesting
103(1)
Confronting
103(1)
Defense Mechanisms
103(1)
Evaluating Communication
103(2)
Nursing Process
105(4)
The Nurse-Client Relationship
109(5)
Cultural and Ethnic Considerations
114(13)
Culture Defined
115(1)
Cultural Sensitivity
116(8)
Beliefs about Mental Illness and Care
117(1)
Normal Versus Abnormal Behavior
118(1)
Care Seeking and Acceptable Care
118(1)
Interpersonal Interaction
119(1)
Verbal and Nonverbal Communication
120(1)
Eye Contact
120(1)
Proxemics
121(1)
Touch
121(1)
Silence
121(1)
Social Behavior
122(1)
Time Orientation
122(1)
Diet and Food Habits
122(1)
Biological Variation
122(2)
The Culturally Competent Mental Health Nurse
124(3)
Epidemiology of Mental Health and Illness
127(12)
Why Study Epidemiology?
129(1)
How Is Epidemiology Done?
130(1)
Epidemiology and Mental Disorders: Defining Disease
130(2)
The Diagnostic and Statistical Manual of Mental Disorders
131(1)
Assessing the Epidemiology of Mental Disorders
131(1)
Disorders in DSM-IV-TR
131(1)
Epidemiological Studies of Mental Disorders
132(7)
Early Studies
132(1)
The Carter Commission and the Epidemiologic Catchment Area Study
133(1)
Planning and Execution
133(1)
General Results
134(1)
The Tip-of-the-Iceberg Phenomenon
134(1)
Importance of the ECA and Other Related Studies
135(4)
Ethical and Legal Bases for Care
139(16)
Ethical Issues in Psychiatric Mental Health Nursing
141(4)
Normative Ethics
141(1)
Ethical Theories
142(1)
Ethics and the Law
143(1)
Making Ethical Decisions
144(1)
Ethical Actions for the Social Good
144(1)
Legal Issues in Psychiatric Mental Health Nursing
145(10)
Clients' Rights
145(1)
Right to Privacy
145(1)
Right to Keep Personal Items
146(1)
Right to Enter into Legal Contracts
146(1)
Right of Habeas Corpus
147(1)
Right to Informed Consent
147(1)
Right to Refuse Treatment
148(1)
Legal Issues in Hospitalization and Inpatient Treatment
149(1)
Legal Issues Related to Care in the Community
150(1)
Professional Negligence
151(1)
Failure to Prevent Dangerous Client Behavior
151(1)
Sexual Involvement with Clients
152(1)
Breaching Confidentiality
152(1)
Failure to Honor Individual Rights
152(1)
Control of Violent or Self-Destructive Behaviors
152(3)
Unit 2: Clients with Psychiatric Disorders155(296)
The Client Undergoing Crisis
157(24)
What Is Crisis?
159(7)
Kinds of Crisis?
161(1)
Stages of Crisis
161(1)
Personal Development and Crisis
161(1)
Stress Theory
162(4)
Nursing Theory and Crisis
166(4)
Adaptation Theories
166(1)
Caring Theories
167(2)
Cultural Care Theory
169(1)
Nursing Process
170(5)
Case Study/Care Plan
175(6)
The Client Experiencing Anxiety
181(36)
The Experience of Fear and Anxiety
184(3)
Autonomic Nervous System
185(1)
Neurobiology of Anxiety
185(2)
Stages of Anxiety
187(1)
Anxiety Disorders
187(12)
Generalized Anxiety Disorder
187(1)
Epidemiology
188(1)
Panic Disorder
189(1)
Epidemiology
190(1)
Agoraphobia
190(2)
Epidemiology
192(1)
Phobias
192(1)
Epidemiology
193(1)
Obsessive-Compulsive Disorder
194(2)
Epidemiology
196(1)
Post-Traumatic Stress Disorder
197(1)
Epidemiology
198(1)
Causes of Anxiety Disorders
199(1)
Treatment of Anxiety Disorders
200(2)
Psychotherapy
200(1)
Insight-Based Treatments
200(1)
Behaviorally Based Treatments
200(1)
Emergency Treatments for Acute Stress
201(1)
Pharmacotherapy
201(1)
Combination Therapy
201(1)
Anxiety and Spiritual Well-Being
202(1)
Nursing Theory and Clients Experiencing Anxiety
203(1)
Nursing Process
204(2)
Case Studies/Care Plans
206(11)
The Client Experiencing Schizophrenia
217(28)
The Experience of Schizophrenia
220(3)
Disordered Thoughts
220(1)
Incomprehensible Language
221(1)
Loss of Function
221(1)
Delusions
222(1)
Hallucinations
223(1)
Symptoms
223(3)
Clinical Course
226(1)
Epidemiology
227(1)
Social Costs
227(1)
Etiology
228(2)
Psychoanalytic Theory
228(1)
Genetics
228(1)
Current Views
229(1)
Dopamine Hypothesis
230(1)
Etiology Unknown
230(1)
Treatment
230(5)
Psychosocial Treatment
230(1)
Clinical and Family Support Services
231(1)
Rehabilitation
231(1)
Humanitarian Aid/Public Safety
232(1)
Pharmacological and Physical Treatments
233(1)
Neuroleptic Medications
233(2)
Other Physical Treatments
235(1)
Nursing Perspectives
235(1)
Nursing Theory
236(1)
Nursing Process
236(3)
Case Study/Care Plan
239(6)
The Client Experiencing Depression
245(32)
What Is Depression?
249(8)
Major Depressive Disorder
250(1)
Minor Depressive Disorder
251(2)
Dysthymic Disorder
253(1)
Bereavement Versus Depressive Disease
254(1)
The Period of Shock
254(1)
The Reality Stage
255(1)
The Recovery Stage
256(1)
Theories of Depression
257(1)
Psychoanalysis
257(1)
Object Loss Theory
257(1)
Learned Helplessness Theory
257(1)
Cognitive Theory
257(1)
Physical/Biological Models
258(1)
Treatment
258(1)
Psychotherapy
259(4)
Effect of Psychotherapy
259(1)
Physical Therapies
259(1)
Electroconvulsive Therapy
259(1)
Light Therapy
260(1)
Medications
260(1)
Tricyclic and Related Antidepressants
260(2)
Selective Serotonin Reuptake Inhibitors
262(1)
Monoamine Oxidase Inhibitors
262(1)
Effect of Medications
263(1)
Nursing Perspectives
263(1)
Caring Theories
263(1)
Self-Care Deficit Theory
264(1)
Nursing Process
264(5)
Case Studies/Care Plans
269(4)
Future Directions
273(4)
The Client Experiencing Mania
277(26)
Mania
281(2)
Manic Episode
281(1)
Hypomania
282(1)
Bipolar Disorders
282(1)
Epidemiology
283(1)
Etiology
284(2)
Molecular Basis
286(1)
Other Causes
286(1)
Drugs
286(1)
Physical Disease
286(1)
Clinical Course
286(1)
Social Prognosis
287(1)
Life Stress
287(1)
Associated Disorders/Dual Diagnoses
287(1)
Substance Abuse
287(1)
Schizoaffective Disorder
288(1)
Borderline Personality
288(1)
Bipolar Disorder and Creativity
288(1)
Treatment and Clinical Management
289(4)
Pharmacological Treatment
289(1)
Acute Mania
289(1)
Maintenance Treatment
289(1)
Lithium
289(3)
Anticonvulsants
292(1)
Psychotherapy
292(1)
Other Treatments
293(1)
Nursing Perspectives
293(1)
Nursing Theory
293(1)
Theory of Human Becoming
293(1)
Self-Care Deficit Theory
294(1)
Support for the Client's Family
294(1)
The Ward Milieu and the Manic Client
294(1)
Nursing Process
295(1)
Case Study/Care Plan
296(7)
The Client Who Is Suicidal
303(26)
Prevalence of Suicide and Related Statistics
306(5)
Suicide Potential
307(1)
Suicide or Accident
307(1)
Suicide Attempts
307(1)
Suicidal Ideation
307(1)
Methods
307(2)
Suicide and Psychiatric Illness
309(1)
Bipolar Disorder
309(1)
Schizophrenia
309(1)
Alcohol and Substance Abuse
309(1)
Conduct Disorder
310(1)
Mixed Diagnoses
310(1)
Medical Conditions and Suicide
310(1)
Theories of Suicide
311(2)
Sociological Theory
311(1)
Psychological Theory
311(1)
Biological Explanations
311(1)
Nursing Theory
312(1)
Special Populations
313(3)
Adolescents and Young Adults
313(1)
The Elderly
314(2)
The Incarcerated
316(1)
Suicide Survivors
316(2)
Nurisng Process
318(5)
Case Study/Care Plan
323(6)
The Client Who Abuses Chemical Substances
329(34)
Definitions Related to Substance Abuse
331(1)
Substance Use and Abuse in Society
332(1)
Abused Substances
333(1)
Efforts to Control Substance Abuse
334(1)
Control of Tobacco Use
334(1)
Control of Alcohol Use
334(1)
Control of Cocaine and Opiate Use
334(1)
Specific Abused Substances
335(15)
Nicotine
335(1)
Effects
335(1)
Dependence and Withdrawal
335(1)
Treatment of Dependence
336(1)
Nurse's Role in Nicotine Abuse
336(1)
Alcohol
336(1)
Effects
337(1)
Dependence and Withdrawal
338(2)
Treatment of Dependence
340(3)
Nurse's Role in Alcohol Abuse
343(1)
Nursing and ``Brief Intervention''
343(1)
Cocaine
344(1)
Effects
345(1)
Dependence and Withdrawal
346(1)
Treatment of Dependence
346(1)
Nurse's Role in Cocaine Abuse
346(1)
Opiates
347(1)
Effects
347(1)
Dependence and Withdrawal
348(1)
Treatment of Dependence
348(1)
Nurse's Role in Opiate Abuse
349(1)
Other Commonly Abused Substances
349(1)
Hallucinogens
349(1)
Inhalants
349(1)
Cannabis (Marijuana)
350(1)
Multiple Drugs, Multiple Diagnoses
350(1)
Substance Abuse as a Social Problems
350(1)
Impact of Drug Use/Abuse on Families
351(2)
Family Dysfunction
351(1)
Codependence
352(1)
Nursing Theory and Psychological Theory
353(1)
Nursing Process
353(2)
Case Study/Care Plan
355(8)
The Client with a Personality Disorder
363(36)
Dramatic and Emotional Personality Cluster
366(10)
Borderline Personality Disorder
366(2)
Etiology
368(1)
Narcissistic Personality Disorder
369(2)
Etiology
371(1)
Histrionic Personality Disorder
372(1)
Etiology
373(1)
Antisocial Personality Disorder
374(1)
Etiology
375(1)
Odd and Eccentric Personality Cluster
376(7)
Schizoid Personality Disorder
376(2)
Etiology
378(1)
Schizotypal Personality Disorder
378(1)
Etiology
379(1)
Paranoid Personality Disorder
380(2)
Etiology
382(1)
Anxiety- and Fear-Based Personality Cluster
383(7)
Obsessive-Compulsive Personality Disorder
383(1)
Etiology
384(1)
Avoidant Personality Disorder
385(2)
Etiology
387(1)
Dependent Personality Disorder
387(1)
Etiology
388(1)
Passive-Aggressive or Negativistic Personality Disorder
388(1)
Etiology
389(1)
Nursing Perspectives
390(1)
Nursing Theory
390(1)
Nursing Process
391(2)
Case Study/Care Plan
393(6)
The Client Experiencing a Somatoform or Factitious Disorder
399(22)
History of Somatoform Disorders
402(1)
Somatization Disorder
403(4)
Epidemiology and Cause
405(1)
Treatment
406(1)
Psychotherapy
406(1)
Hypochondriasis
407(2)
Epidemiology and Cause
408(1)
Treatment
408(1)
Conversion Disorder
409(2)
Epidemiology and Cause
411(1)
Treatment
411(1)
Factitious Disorder
411(2)
Epidemiology and Cause
412(1)
Treatment
412(1)
Nursing Care and Somatoform Disorders
413(1)
Nursing Theory
413(2)
The Special Case of Factitious Disorder
415(1)
Nursing Process
415(1)
Case Study/Care Plan
416(5)
The Client with Disorders of Self-Regulation: Sleep Disorders, Eating Disorders, Sexual Disorders
421(30)
Sleep Disorders
423(7)
Normal Sleep Cycles
424(1)
Dyssomnias
424(2)
Primary Insomnia in the Elderly: Special Considerations
426(1)
Daytime Sleepiness
427(1)
Parasomnias
428(2)
Nursing Process
430(1)
Case Study/Care Plan
431(1)
Eating Disorders
432(5)
Bulimia Nervosa
432(2)
Treatment
434(1)
Anorexia Nervosa
434(1)
Differential Diagnosis
435(1)
The Perceived Need for Weight Control
435(1)
History of Anorexia as a Disorder
436(1)
Treatment
436(1)
Nursing Process
437(1)
Case Study/Care Plan
438(1)
Sexual Disorders
439(6)
Taking a Sexual History
440(1)
Specific Sexual Disorders
440(1)
Disorders of Sexual Functioning
440(1)
Paraphilias
441(4)
Other Disorders
445(1)
Nursing Process
445(1)
Case Study/Care Plan
446(5)
Unit 3: Special Populations451(180)
The Physically Ill Client Experiencing Emotional Distress
453(24)
Impact of Emotions on Health
455(1)
DSM-IV-TR and Physical Illness
456(1)
Psychological Responses to Physical Illness
456(14)
Cancer
456(5)
Cardiovascular Disease
461(4)
Chronic Pain
465(2)
Movement and Neurological Disorders
467(3)
Family Responses to Significant Illness
470(1)
Nursing Roles
471(1)
Liaison Psychiatric Nursing
471(1)
Psychiatric Home Care
472(1)
Nursing Theory
472(1)
Psychiatric Nursing and Mind-Body Medicine
473(1)
Psychoneuroimmunology
473(1)
Future Directions
474(3)
Forgotten Populations: The Homeless and the Incarcerated
477(18)
The Homeless and the Incarcerated
477(2)
The Homeless
479(5)
Mental Illness
481(1)
Physical Illness
482(1)
Health Care Needs
482(2)
Nursing Process
484(2)
The Incarcerated
486(2)
The Prison Population
487(1)
Mental Health Needs
487(1)
Mental Health Services
487(1)
Risk of Suicide
487(1)
Substance Abuse/Addiction
488(1)
Nursing Process
488(1)
Advocacy for Forgotten Populations
489(6)
Prevention
489(6)
The Child
495(26)
Attention-Deficit/Hyperactivity Disorder (ADHD)
496(3)
Etiology of ADHD
497(1)
Pharmacological Treatment of ADHD
498(1)
Psychosocial Treatment of ADHD
498(1)
ADHD and Schools
498(1)
Safety of Long-Term Stimulant Use
499(1)
Prognosis of ADHD
499(1)
Depression and Suicide in Children
499(3)
Reactive Depression
499(1)
Major Depressive Disorder
500(1)
Dysthymia in Children
501(1)
Bipolar Disorder
501(1)
Depression
501(1)
Causes and Prevention of Depression
502(1)
Psychological Treatment of Depression
502(1)
Pharmacological Treatment of Depression
502(1)
Anxiety Disorders
502(2)
Separation Anxiety Disorders
502(1)
Generalized Anxiety Disorder
503(1)
Social Phobia
503(1)
Obsessive-Compulsive Disorder
503(1)
Psychotherapy Treatment of Anxiety
504(1)
Pharmacotherapy Treatment of Anxiety
504(1)
Other Mental Disorders in Children and Adolescents
504(4)
Developmental Disorders
504(1)
Autism
504(1)
Asperger's Syndrome
505(2)
Disruptive Disorders
507(1)
Oppositional Defiant Disorder
507(1)
Conduct Disorder
507(1)
Nursing Process
508(5)
Case Study/Care Plan
513(2)
Schools and Special-Needs Children
515(6)
The Adolescent
521(28)
Adolescence Defined
523(3)
Physical Transitions
524(1)
Cognitive Transitions
524(1)
Emotional Transitions
524(1)
Social Transitions
525(1)
Theories of Adolescent Development
526(2)
Identity Formation
526(2)
Social Competence
528(1)
Mental Health in Adolescence
528(8)
Mental Health Care Needs
530(2)
Needs Related to Physical Transitions
532(1)
Needs Related to Cognitive Transitions
532(1)
Needs Related to Emotional Transitions
533(1)
Needs Related to Social Transitions
534(2)
Nursing Theories
536(3)
Humanistic Nursing
536(2)
Health as Expanding Consciousness
538(1)
Nursing Process
539(2)
Case Study/Care Plan
541(8)
The Elderly
549(38)
Mental Health in the Aged
552(1)
Cognition in the Elderly
553(1)
Delirium
554(1)
Characteristics
554(1)
Diagnosis and Pathophysiology
554(1)
Nursing Process
555(3)
Depression
558(3)
Theories of Depression
558(1)
Characteristics and Diagnoses
559(1)
Subtypes of Depression
559(1)
Major Clinical Depression
559(1)
Dysthymic Disorder
559(1)
Adjustment Disorder with a Depressed Mood
560(1)
Grief and Depression
560(1)
Nursing Process
561(3)
Case Study/Care Plan
564(2)
Dementia
566(8)
Alzheimer's Disease
566(1)
Characteristics and Prevalence
566(1)
Diagnosis and Pathophysiology
567(1)
Genetic Link to Late-Onset AD
567(1)
Vascular Dementias
568(1)
Characteristics and Prevalence
568(1)
Diagnosis and Pathophysiology
569(1)
Relationship between Alzheimer's and Vascular Dementia
569(1)
Other Dementias
569(1)
Symptoms and Sequelae
570(4)
Nursing Process
574(5)
Caring for the Caregivers
579(1)
Honesty with the Diagnosis
579(1)
Relationship Tensions
579(1)
Financial and Legal Affairs
579(1)
Use of Community Resources
579(1)
Guilt Over Nursing Home Placement
579(1)
Humor
580(1)
The Positive Aspects
580(1)
Future Directions
580(7)
Survivors of Violence or Abuse
587(44)
Child Abuse
588(9)
Child Protective Legislation
589(2)
Realities of Child Abuse
591(1)
Sexual Abuse
592(2)
Shaken-Baby Syndrome
594(1)
Munchausen Syndrome by Proxy
595(1)
Adolescent Abuse
595(1)
Community Violence
596(1)
Rape
597(5)
Domestic Violence
602(7)
Elder Abuse
609(4)
Legislation
611(2)
Nursing Perspectives on Abuse and Neglect
613(2)
Self-Care Deficit Theory
613(1)
Crisis Intervention Theory
614(1)
Nursing Responsibilities
614(1)
Nursing Process
615(6)
Case Studies/Care Plans
621(4)
Future Directions
625(6)
Unit 4: Nursing Interventions and Treatment Modalities631(128)
Pharmacology in Psychiatric Care
633(36)
History of Psychiatric Medication
635(2)
How and Why Psychiatric Medications Work
637(1)
Antipsychotic Drugs
638(6)
Indications and Evidence for Effectiveness
638(1)
Pharmacology
639(1)
Grouping by Chemical Class
639(1)
Grouping by Potency Class
639(1)
Grouping by Length of Action
639(1)
Non-Antipsychotic Drugs Commonly Used in the Treatment of Psychosis
639(2)
Dose/Administration
641(1)
Drug Actions
642(1)
Drug Interactions
642(1)
Use During Pregnancy/Lactation
643(1)
Side Effects
643(1)
Adverse Effects
643(1)
Neuroleptic Malignant Syndrome
644(1)
Summary of Antipsychotics
644(1)
Drugs for Treating Mood Disorders
644(13)
Indications and Evidence for Effectiveness
644(2)
Tricyclic and Related Antidepressants
646(1)
Dose/Administration
646(1)
Drug Actions
646(1)
Drug Interactions
646(1)
Use During Pregnancy/Lactation
647(1)
Side Effects
647(1)
Adverse Effects
647(1)
Selective Serotonin Reuptake Inhibitors
648(1)
Dose/Administration
649(1)
Drug Actions
649(1)
Drug Interactions
649(1)
Use During Pregnancy/Lactation
649(1)
Side Effects
649(1)
Adverse Effects
650(1)
Monoamine Oxidase Inhibitors
650(1)
Indications and Evidence for Effectiveness
650(1)
Pharmacology
650(1)
Dose/Administration
650(1)
Drug Actions
651(1)
Drug Interactions
651(1)
Food and Alcohol Interactions
651(1)
Use During Pregnancy/Lactation
652(1)
Side Effects
652(1)
Adverse Effects
652(1)
Miscellaneous Antidepressant Drug Categories and Drug Combinations
652(2)
Mood Stabilizers
654(1)
Indications and Evidence for Effectiveness
654(1)
Pharmacology
654(1)
Dose/Administration
654(1)
Drug Actions
655(1)
Drug and Food Interactions
655(1)
Use During Pregnancy/Lactation
655(1)
Side Effects
655(1)
Adverse Effects
656(1)
Summary of Drugs for Treating Mood Disorders
656(1)
Drugs for Treating Anxiety and Sleep Disorders
657(4)
Indications and Evidence for Effectiveness
657(1)
Pharmacology
658(1)
Dose/Administration
658(1)
Drug Actions
658(1)
Drug and Food Interactions
659(1)
Use During Pregnancy/Lactation
659(1)
Side Effects
659(1)
Adverse Effects
659(1)
Nonbenzodiazepine Drugs for Anxiety and Sleep Disorders
659(1)
Buspirone
659(1)
Beta Blockers
660(1)
Zolpidem
660(1)
Antidepressants and Antipsychotics
660(1)
Antihistamines
660(1)
Summary of Antianxiety Drugs
660(1)
Drugs for Treating Substance Abuse and Dependency
661(1)
Substances with Little Role Outside Substance Abuse or Withdrawal
661(1)
Methadone
661(1)
Disulfiram
662(1)
Nicotine Replacement
662(1)
Opioid Receptor Antagonists
662(1)
Other Medications of Use in Managing Substance Dependence
662(1)
Stimulant Drugs
662(7)
Individual Psychotherapy
669(14)
Providers of Therapy
671(1)
Major Approaches to Psychotherapy
672(4)
Insight-Oriented Therapy
672(1)
Psychoanalysis
672(2)
Psychodynamic Therapy
674(1)
Interpersonal Therapy
674(1)
Task-Oriented Therapy
675(1)
Experience-Oriented Therapy
675(1)
Research Base for Psychotherapeutic Interventions
676(1)
Psychotherapy and Cultural Sensitivity
677(1)
Psychotherapy in Nursing Practice
677
Nursing Theory
678(1)
Collaborative Interventions
679
Nursing Process
674(9)
Family Therapy
683(28)
What Is a Family?
685(1)
Views of the Family
686(1)
Family as Context
686(1)
Family as Client
686(1)
Family as System
687(1)
Family as Component of Society
687(1)
Approaches to Family Nursing
687(1)
Family Theories
688(6)
Family Developmental Theory
688(1)
Nursing Interpretations Based on Family Development
688(1)
Bowen's Family Theory
688(2)
Low Level of Differentiation
690(1)
Moderate Level of Differentiation
690(1)
High Level of Differentiation
690(1)
Family Dynamics and Level of Differentiation
690(2)
Nursing Interpretations Based on Bowen's Theory
692(1)
Structural Family Theory
692(1)
Nursing Interpretations Based on Structural Family Theory
693(1)
Communication Theory
693(1)
Nursing Interpretations Based on Communication Theory
694(1)
Nursing Process
694(7)
Case Study/Care Plan
701(10)
Group Therapy
711(16)
Groups
713(1)
Phases of Group Work
713(2)
Orientation Phase
714(1)
Working Phase
714(1)
Termination Phase
714(1)
Group Dynamics, Group Content, and Group Process
715(2)
Preparation of Group Leaders/Facilitators
716(1)
Number of Group Leaders
716(1)
Approaches to Therapy Groups
717(3)
Psychoanalytic Approach
717(1)
Interpersonal Groups
717(1)
Existential Groups
717(1)
Cognitive-Behavioral Groups
718(1)
Psychodrama
719(1)
Approaches to Supportive Groups
720(1)
Socialization Groups
720(1)
Recreation Groups
720(1)
Educational Groups
720(1)
Reality Orientation Groups
720(1)
Reminiscence Groups
720(1)
Self-Help Groups
721(1)
Nursing Process
721(6)
Community Mental Health Nursing
727(16)
The Changing Focus of Care
729(1)
Federal Government in Mental Health Care
730(3)
Deinstitutionalization
730(1)
Case Management
731(2)
Consumer Involvement
733(2)
Models for Community Mental Health Nursing
735(3)
Client-Centered Model
735(1)
Case Management Model
735(1)
Capitation and Managed-Care Models
736(1)
Public Health Model
736(2)
Future Directions
738(5)
Complementary and Somatic Therapies
743(16)
Complementary Modalities
745(8)
Relaxation
745(2)
Guided Imagery
747(1)
Hypontherapy
748(1)
Massage and Touch
749(1)
Energy-Based Modalities
750(1)
Therapeutic Touch
750(1)
Healing Touch
751(1)
Energy-Based Modalities in Psychiatric Mental Health Care
751(1)
Music Therapy
751(1)
Pet-Assisted Therapy
752(1)
Nursing Role in Somatic Interventions
753(1)
Anger Control Assistance
753(1)
Physical Restraints
753(1)
Seclusion
754(1)
Reentry of the Client to the Unit
754(1)
Light Therapy
754(1)
Collaborative Interventions in Psychiatric Somatic Treatments
754(5)
Electroconvulsive Therapy
754(1)
Pharmacological Aspects of ECT
755(1)
Nursing Care
755(4)
Unit 5: Caring for the Nurse759(42)
Self-Care Modalities
761(18)
Self-Care: A New Modality for Psychiatric Nurses
763(3)
Attitudes
764(1)
Behaviors
764(1)
Practices
765(1)
Self-Care Modalities
766(8)
Imagery
766(2)
Relaxation through Meditation
768(1)
Self-Hypnosis
769(1)
Energy Balancing/Centering
770(2)
Humor
772(1)
Support Groups
773(1)
Nursing Self-Care Process
774(5)
Friday Night at the Movies
779(22)
Foundations for Practice
782(2)
Chapters 1, 2, and 7: Psychiatric Institutions, Psychiatric Care, Cultural Considerations
782(1)
Down to Earth
782(1)
Day at the Races
782(1)
Titticut Follies
782(1)
King of Hearts
782(1)
Marat Sade
783(1)
One Flow Over the Cuckoo's Nest
783(1)
Network
783(1)
The Ninth Configuration
783(1)
A Man Facing Southeast
783(1)
The Madness of King George
783(1)
Kids in the Hall: Brain Candy
783(1)
Twelve Monkeys
783(1)
Being John Malkovich
784(1)
Clients With Psychiatric Disorders
784(9)
The Client Undergoing Crisis
784(1)
Seventh Veil
784(1)
On the Beach
784(1)
Cleo from 5 to 7
784(1)
The Client Experiencing Anxiety
784(1)
Caine Mutiny
784(1)
The Burmese Harp
784(1)
High Anxiety
784(1)
The Onion Field
784(1)
Johnny Stecchino
785(1)
The Fear Inside
785(1)
Copycat
785(1)
Vertigo (1958/1997)
785(1)
The Client Experiencing Schizophrenia
785(1)
Mine Own Executioner
785(1)
Sorry, Wrong Number
785(1)
El: This Strange Passion
785(1)
Through a Glass Darkly
785(1)
David and Lisa
785(1)
The President's Analyst
785(1)
They Might be Giants
786(1)
The Story of Adele H
786(1)
The Tenant
786(1)
I Never Promised You a Rose Garden
786(1)
Clean, Shaven
786(1)
Don Juan de Marco
786(1)
Angel Baby
786(1)
The Client Experiencing Depression
787(1)
The Snake Pit
787(1)
Raintree County
787(1)
The Fire Within
787(1)
Face to Face
787(1)
Despair
787(1)
The Bell Jar
787(1)
Ordinary People
787(1)
Vincent and Theo
787(1)
The Client Experiencing Mania
787(1)
A Fine Madness
788(1)
Animal House
788(1)
Mosquito Coast
788(1)
How to Get Ahead in Advertising
788(1)
Mr. Jones
788(1)
The Client Who Is Suicidal
788(1)
It's a Wonderful Life
788(1)
The Slender Thread
788(1)
Harold and Maude
788(1)
Ordinary People
788(1)
Whose Life Is It Anyway?
789(1)
The Big Chill
789(1)
Vincent and Theo
789(1)
The Client Who Abuses Chemical Substances
789(1)
The Lost Weekend
789(1)
I'll Cry Tomorrow
789(1)
The Man with the Golden Arm
789(1)
Days of Wine and Roses
789(1)
Long Day's Journey into Night
789(1)
Panic in Needle Park
789(1)
The Seven Percent Solution
789(1)
I'm Dancing as Fast as I Can
789(1)
The Verdict
789(1)
Educating Rita
790(1)
Clean and Sober
790(1)
Postcards from the Edge
790(1)
Trainspotting
790(1)
The Client with a Personality Disorder
790(1)
Gone with the Wind
790(1)
Rebecca
790(1)
A Canterbury Tale
790(1)
The Secret Life of Walter Mitty
790(1)
Gypsy
790(1)
Clockwork Orange
791(1)
Pee Wee's Big Adventure
791(1)
The House of Games
791(1)
Henry: Portrait of a Serial Killer
791(1)
Heavy
791(1)
Stuart Saves His Family
791(1)
Dissociative Disorders (Multiple Personalities)
791(1)
Dr. Jekyll and Mr. Hyde
791(1)
The Three Faces of Eve
791(1)
Sybil
791(1)
The Client with a Psychosomatic Illness
791(1)
The Barretts of Wimpole Street
791(1)
Send Me No Flowers
791(1)
Safe
792(1)
The Client with Disorders of Self-Regulation: Sleep Disorders, Eating Disorders, Sexual Disorders
792(1)
The Mark
792(1)
The Best Little Girl in the World
792(1)
Dreamchild
792(1)
Superstar: The Karen Carpenter Story
792(1)
The Offence
792(1)
Life is Sweet
792(1)
The Hairdresser's Husband
793(1)
Le Cri de la Soie
793(1)
Witman Fiuk
793(1)
Special Populations
793(4)
The Physically Ill Client Experiencing Emotional Distress
793(1)
The Pride of the Yankees
793(1)
The Elephant Man
793(1)
The Shadow Box
793(1)
Parting Glances
793(1)
Beaches
793(1)
Awakenings
793(1)
Passion Fish
794(1)
Forgotten Populations: The Homeless and the Incarcerated
794(1)
Short Eyes
794(1)
Dead Man Out
794(1)
The Fisher King
794(1)
The Saint of Fort Washington
794(1)
The Child
794(1)
The 400 Blows
794(1)
The Effect of Cosmic Rays on Man-in-the Moon Marigolds
794(1)
Small Change
795(1)
Rain Man
795(1)
Lorenzo's Oil
795(1)
The Adolescent
795(1)
Mouchette
795(1)
Gaby: A True Story
795(1)
My Left Foot
795(1)
Wildflower
795(1)
Good Will Hunting
795(1)
Virgin Suicides
795(1)
The Elderly
796(1)
The Last Laugh
796(1)
Kotch
796(1)
Harry and Tonto
796(1)
Gin Game
796(1)
Driving Miss Daisy
796(1)
Age Old Friends
796(1)
Children of Nature
796(1)
A Woman's Tale
796(1)
Survivors of Violence or Abuse
796(1)
Murmur of the Heart
796(1)
Judgment
797(1)
Sleeping with the Enemy
797(1)
Nursing Interventions and Treatment Modalities
797(4)
Secrets of the Soul
797(1)
Spellbound
797(1)
Freud
797(1)
Pressure Point
797(1)
Lilith
797(1)
Frances
797(1)
The Dream Team
797(1)
Prince of Tides
798(1)
Shall We Dance?
798(3)
Appendix A: Standards of Psychriatric-Mental Health Clinical Nursing Practice801(2)
Appendix B: Canadian Standards of Psychriatric and Mental Health Nursing Practice (2nd ed.)803(5)
Appendix C: DSM-IV-TR Classification808(9)
Appendix D: NANDA Approved Nursing Diagnoses817(2)
Appendix E: Critical Pathway for a Client Experiencing Depression819(10)
Appendix F: Psychological Tests in Common Use829(2)
Glossary831(10)
Index841

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