PSYCHIATRIC MENTAL HEALTH NURSING 6TH EDITION BY
➤
VIDEBECK ➤ ➤ ➤ ➤
Contents
➤ Unit 1 ➤ Unit 2
Current Theories and Practice Building the Nurse–Client Relationship
1 5
Foundations of Psychiatric- Therapeutic Relationships 00
Mental Health Nursing 00
Components of a Therapeutic Relationship 00
Mental Health and Mental Illness 00 Types of Relationships 00
Diagnostic and Statistical Manual of Establishing the Therapeutic Relationship 00
Mental Disorders (DSM-IV-TR) 00 Avoiding Behaviors That Diminish the
Historical Perspectives of the Treatment of Mental Illness 00 Therapeutic Relationship 00
Mental Illness in the 21st Century 00 Roles of the Nurse in a Therapeutic Relationship 00
Psychiatric Nursing Practice 00 Self-Awareness Issues 00
Self-Awareness Issues 00
2 6
Therapeutic Communication 00
Neurobiologic Theories
and Psychopharmacology 00 What Is Therapeutic Communication? 00
Verbal Communication Skills 00
The Nervous System and How It Works 00 Nonverbal Communication Skills 00
Brain Imaging Techniques 00 Understanding the Meaning of Communication 00
Neurobiologic Causes of Mental Illness 00 Understanding Context 00
The Nurse’s Role in Research and Education 00 Understanding Spirituality 00
Psychopharmacology 00
Cultural Considerations 00
Cultural Considerations 00
The Therapeutic Communication Session 00
Self-Awareness Issues 00
Community-Based Care 00
Self-Awareness Issues 00
3
Psychosocial Theories and Therapy 00 7
Psychosocial Theories 00 Client’s Response to Illness 00
Cultural Considerations 00
Treatment Modalities 00 Individual Factors 00
The Nurse and Psychosocial Interventions 00 Interpersonal Factors 00
Self-Awareness Issues 00 Cultural Factors 00
Self-Awareness Issues 00
4
Treatment Settings and Therapeutic Programs 00
8
Assessment 00
Treatment Settings 00
Psychiatric Rehabilitation Programs 00 Factors Influencing Assessment 00
Special Populations of Clients With Mental Illness 00 How to Conduct the Interview 00
Interdisciplinary Team 00 Content of the Assessment 00
Psychosocial Nursing in Public Health and Home Care 00 Data Analysis 00
Self-Awareness Issues 00 Self-Awareness Issues 00
xiii
,xiv Contents
➤ Unit 3 Community-based Care 00
Mental Health Promotion 00
Current Social and Emotional Concerns Panic Disorder 00
Application of the Nursing Process: Panic Disorder 00
9 Phobias 00
Obsessive-Compulsive Disorder 00
Legal and Ethical Issues 00 Application of the Nursing Process:
Obsessive-Compulsive Disorder 00
Legal Considerations 00
Generalized Anxiety Disorder 00
Ethical Issues 00
Posttraumatic Stress Disorder 00
Self-Awareness Issues 00
Acute Stress Disorder 00
Self-Awareness Issues 00
10
Anger, Hostility, and Aggression 00 14
Onset and Clinical Course 00 Schizophrenia 00
Related Disorders 00
Clinical Course 00
Etiology 00
Related Disorders 00
Cultural Considerations 00
Etiology 00
Treatment 00
Cultural Considerations 00
Application of the Nursing Process 00
Treatment 00
Community-Based Care 00
Application of the Nursing Process 00
Self-Awareness Issues 00
Community-Based Care 00
Mental Health Promotion 00
11 Self-Awareness Issues 00
Abuse and Violence 00
Clinical Picture of Abuse and Violence 00
15
Characteristics of Violent Families 00 Mood Disorders and Suicide 00
Cultural Considerations 00
Categories of Mood Disorders 00
Spouse or Partner Abuse 00
Related Disorders 00
Child Abuse 00
Etiology 00
Elder Abuse 00
Cultural Considerations 00
Rape and Sexual Assault 00 Major Depressive Disorder 00
Community Violence 00 Application of the Nursing Process: Depression 00
Psychiatric Disorders Related to Abuse and Violence 00 Bipolar Disorder 00
Application of the Nursing Process 00 Application of the Nursing Process: Bipolar Disorder 00
Self-Awareness Issues 00 Suicide 00
Community-Based Care 00
12 Mental Health Promotion 00
Grief and Loss 00 Self-Awareness Issues 00
Types of Losses 00
The Grieving Process 00
16
Dimensions of Grieving 00 Personality Disorders 00
Cultural Considerations 00 Categories of Personality Disorders 00
Disenfranchised Grief 00 Onset and Clinical Course 00
Complicated Grieving 00 Etiology 00
Application of the Nursing Process 00 Cultural Considerations 00
Self-Awareness Issues 00 Treatment 00
Paranoid Personality Disorder 00
Schizoid Personality Disorder 00
➤ Unit 4 Schizotypal Personality Disorder 00
Nursing Practice for Psychiatric Disorders Antisocial Personality Disorder 00
Application of the Nursing Process:
Antisocial Personality Disorder 00
13 Borderline Personality Disorder 00
Anxiety and Anxiety Disorders 00 Application of the Nursing Process:
Borderline Personality Disorder 00
Anxiety as a Response to Stress 00 Histrionic Personality Disorder 00
Incidence 00 Narcissistic Personality Disorder 00
Onset and Clinical Course 00 Avoidant Personality Disorder 00
Related Disorders 00 Dependent Personality Disorder 00
Etiology 00 Obsessive-Compulsive Personality Disorder 00
Cultural Considerations 00 Depressive Personality Disorder 00
Treatment 00 Passive-Aggressive Personality Disorder 00
, Contents xv
Community-Based Care 00 Community-Based Care 00
Mental Health Promotion 00 Mental Health Promotion 00
Self-Awareness Issues 00 Self-Awareness Issues 00
17 20
Substance Abuse 00 Child and Adolescent Disorders 00
Types of Substance Abuse 00 Autistic Disorder 00
Onset and Clinical Course 00 Rett’s Disorder 00
Related Disorders 00 Childhood Disintegrative Disorder 00
Etiology 00 Asperger’s Disorder 00
Cultural Considerations 00 Attention Deficit Hyperactivity Disorder 00
Types of Substances and Treatment 00 Application of the Nursing Process: ADHD 00
Treatment and Prognosis 00 Conduct Disorder 00
Application of the Nursing Process 00 Application of the Nursing Process: Conduct Disorder 00
Community-Based Care 00 Community-Based Care 00
Mental Health Promotion 00 mental health promotion 00
Substance Abuse in Health Professionals 00 Oppositional Defiant Disorder 00
Self-Awareness Issues 00 Pica 00
Rumination Disorder 00
18 Feeding Disorder 00
Tourette’s Disorder 00
Eating Disorders 00 Chronic Motor or Tic Disorder 00
Overview of Eating Disorders 00 Separation Anxiety Disorder 00
Etiology 00 Selective Mutism 00
Cultural Considerations 00 Reactive Attachment Disorder 00
Treatment 00 Stereotypic Movement Disorder 00
Application of the Nursing Process 00 Self-Awareness Issues 00
Community-Based Care 00
Mental Health Promotion 00 21
Self-Awareness Issues 00
Cognitive Disorders 00
19 Delirium 00
Application of the Nursing Process: Delirium 00
Somatoform Disorders 00
Community-Based Care 00
Overview of Somatoform Disorders 00 Dementia 00
Onset and Clinical Course 00 Application of the Nursing Process: Dementia 00
Related Disorders 00 Community-Based Care 00
Etiology 00 mental health promotion 00
Cultural Considerations 00 Role of the Caregiver 00
Treatment 00 Related Disorders 00
Application of the Nursing Process 00 Self-Awareness Issues 00
, ➤ ➤ ➤ ➤ ➤
Preface
The second edition of Psychiatric Mental Health Nurs- Unit 4: Nursing Practice for Psychiatric Dis-
ing continues to have students as the primary focus. orders covers all the major categories identified in the
It presents sound nursing theory, therapeutic modal- DSM-IV-TR. Each chapter provides current informa-
ities, and clinical applications across the treatment tion on etiology, onset and clinical course, treatment,
continuum. Chapters are short, to the point, and easy and nursing care.
to read and understand. They highlight and empha-
size important material to facilitate student learning. New Features in the Second Edition
This text uses the nursing process framework and
• A new chapter on Legal and Ethical Issues ad-
emphasizes assessment, therapeutic communication,
dresses some current dilemmas in psychiatric
neurobiologic theory, and pharmacology throughout.
nursing today.
Interventions focus on all aspects of client care, in-
• Sections on Mental Health Promotion in
cluding communication, client and family teaching,
Units 3 & 4 include the latest research.
and community resources, and their practical appli-
• Additional NCLEX-style multiple-choice ques-
cation in various clinical settings.
tions are found in the Chapter Study Guide
sections.
Organization of the Text • Updates in pharmacology include new drugs
Unit 1: Current Theories and Practice provides a currently being tested and FDA Black Box
Warnings for psychotropic medications.
strong foundation for students. It addresses current
• Additional artwork illustrates key terms and
issues in psychiatric nursing, as well as the many
concepts.
treatment settings in which nurses encounter clients.
It discusses neurobiologic theories and psychophar-
macology and psychosocial theories and therapy Pedagogical Features
thoroughly as a basis for understanding mental illness Psychiatric Mental Health Nursing incorporates
and its treatment. several pedagogical features designed to facilitate
Unit 2: Building the Nurse–Client Relationship student learning:
presents the basic elements essential to the practice • Learning Objectives to focus the student’s read-
of mental health nursing. Chapters on therapeutic ing and study
relationships and therapeutic communication pre- • Key Terms that identify new terms used in
pare students to begin working with clients both in the chapter. Each term is identified in bold
mental health settings and in all other areas of nurs- and defined in the text.
ing practice. The chapter on the client’s response to • Application of the nursing process using the as-
illness provides a framework for understanding the sessment framework presented in Chapter 8,
individual client. An entire chapter is devoted to as- so students can compare and contrast the var-
sessment, emphasizing its importance in nursing. ious disorders more easily
Unit 3: Current Social and Emotional Concerns • Critical thinking questions to stimulate stu-
covers topics that are not exclusive to mental health dents’ thinking about current dilemmas and
settings, including legal and ethical issues; anger, issues in mental health
aggression, and hostility; abuse and violence; and • Key points that summarize chapter content to
grief and loss. Nurses in all practice settings find reinforce important concepts
themselves confronted with issues related to these • Chapter Study Guides that provide workbook-
topics. Additionally, many legal and ethical concerns style questions for students to test their knowl-
are interwoven with issues of violence and loss. edge and understanding of each chapter
ix
➤
VIDEBECK ➤ ➤ ➤ ➤
Contents
➤ Unit 1 ➤ Unit 2
Current Theories and Practice Building the Nurse–Client Relationship
1 5
Foundations of Psychiatric- Therapeutic Relationships 00
Mental Health Nursing 00
Components of a Therapeutic Relationship 00
Mental Health and Mental Illness 00 Types of Relationships 00
Diagnostic and Statistical Manual of Establishing the Therapeutic Relationship 00
Mental Disorders (DSM-IV-TR) 00 Avoiding Behaviors That Diminish the
Historical Perspectives of the Treatment of Mental Illness 00 Therapeutic Relationship 00
Mental Illness in the 21st Century 00 Roles of the Nurse in a Therapeutic Relationship 00
Psychiatric Nursing Practice 00 Self-Awareness Issues 00
Self-Awareness Issues 00
2 6
Therapeutic Communication 00
Neurobiologic Theories
and Psychopharmacology 00 What Is Therapeutic Communication? 00
Verbal Communication Skills 00
The Nervous System and How It Works 00 Nonverbal Communication Skills 00
Brain Imaging Techniques 00 Understanding the Meaning of Communication 00
Neurobiologic Causes of Mental Illness 00 Understanding Context 00
The Nurse’s Role in Research and Education 00 Understanding Spirituality 00
Psychopharmacology 00
Cultural Considerations 00
Cultural Considerations 00
The Therapeutic Communication Session 00
Self-Awareness Issues 00
Community-Based Care 00
Self-Awareness Issues 00
3
Psychosocial Theories and Therapy 00 7
Psychosocial Theories 00 Client’s Response to Illness 00
Cultural Considerations 00
Treatment Modalities 00 Individual Factors 00
The Nurse and Psychosocial Interventions 00 Interpersonal Factors 00
Self-Awareness Issues 00 Cultural Factors 00
Self-Awareness Issues 00
4
Treatment Settings and Therapeutic Programs 00
8
Assessment 00
Treatment Settings 00
Psychiatric Rehabilitation Programs 00 Factors Influencing Assessment 00
Special Populations of Clients With Mental Illness 00 How to Conduct the Interview 00
Interdisciplinary Team 00 Content of the Assessment 00
Psychosocial Nursing in Public Health and Home Care 00 Data Analysis 00
Self-Awareness Issues 00 Self-Awareness Issues 00
xiii
,xiv Contents
➤ Unit 3 Community-based Care 00
Mental Health Promotion 00
Current Social and Emotional Concerns Panic Disorder 00
Application of the Nursing Process: Panic Disorder 00
9 Phobias 00
Obsessive-Compulsive Disorder 00
Legal and Ethical Issues 00 Application of the Nursing Process:
Obsessive-Compulsive Disorder 00
Legal Considerations 00
Generalized Anxiety Disorder 00
Ethical Issues 00
Posttraumatic Stress Disorder 00
Self-Awareness Issues 00
Acute Stress Disorder 00
Self-Awareness Issues 00
10
Anger, Hostility, and Aggression 00 14
Onset and Clinical Course 00 Schizophrenia 00
Related Disorders 00
Clinical Course 00
Etiology 00
Related Disorders 00
Cultural Considerations 00
Etiology 00
Treatment 00
Cultural Considerations 00
Application of the Nursing Process 00
Treatment 00
Community-Based Care 00
Application of the Nursing Process 00
Self-Awareness Issues 00
Community-Based Care 00
Mental Health Promotion 00
11 Self-Awareness Issues 00
Abuse and Violence 00
Clinical Picture of Abuse and Violence 00
15
Characteristics of Violent Families 00 Mood Disorders and Suicide 00
Cultural Considerations 00
Categories of Mood Disorders 00
Spouse or Partner Abuse 00
Related Disorders 00
Child Abuse 00
Etiology 00
Elder Abuse 00
Cultural Considerations 00
Rape and Sexual Assault 00 Major Depressive Disorder 00
Community Violence 00 Application of the Nursing Process: Depression 00
Psychiatric Disorders Related to Abuse and Violence 00 Bipolar Disorder 00
Application of the Nursing Process 00 Application of the Nursing Process: Bipolar Disorder 00
Self-Awareness Issues 00 Suicide 00
Community-Based Care 00
12 Mental Health Promotion 00
Grief and Loss 00 Self-Awareness Issues 00
Types of Losses 00
The Grieving Process 00
16
Dimensions of Grieving 00 Personality Disorders 00
Cultural Considerations 00 Categories of Personality Disorders 00
Disenfranchised Grief 00 Onset and Clinical Course 00
Complicated Grieving 00 Etiology 00
Application of the Nursing Process 00 Cultural Considerations 00
Self-Awareness Issues 00 Treatment 00
Paranoid Personality Disorder 00
Schizoid Personality Disorder 00
➤ Unit 4 Schizotypal Personality Disorder 00
Nursing Practice for Psychiatric Disorders Antisocial Personality Disorder 00
Application of the Nursing Process:
Antisocial Personality Disorder 00
13 Borderline Personality Disorder 00
Anxiety and Anxiety Disorders 00 Application of the Nursing Process:
Borderline Personality Disorder 00
Anxiety as a Response to Stress 00 Histrionic Personality Disorder 00
Incidence 00 Narcissistic Personality Disorder 00
Onset and Clinical Course 00 Avoidant Personality Disorder 00
Related Disorders 00 Dependent Personality Disorder 00
Etiology 00 Obsessive-Compulsive Personality Disorder 00
Cultural Considerations 00 Depressive Personality Disorder 00
Treatment 00 Passive-Aggressive Personality Disorder 00
, Contents xv
Community-Based Care 00 Community-Based Care 00
Mental Health Promotion 00 Mental Health Promotion 00
Self-Awareness Issues 00 Self-Awareness Issues 00
17 20
Substance Abuse 00 Child and Adolescent Disorders 00
Types of Substance Abuse 00 Autistic Disorder 00
Onset and Clinical Course 00 Rett’s Disorder 00
Related Disorders 00 Childhood Disintegrative Disorder 00
Etiology 00 Asperger’s Disorder 00
Cultural Considerations 00 Attention Deficit Hyperactivity Disorder 00
Types of Substances and Treatment 00 Application of the Nursing Process: ADHD 00
Treatment and Prognosis 00 Conduct Disorder 00
Application of the Nursing Process 00 Application of the Nursing Process: Conduct Disorder 00
Community-Based Care 00 Community-Based Care 00
Mental Health Promotion 00 mental health promotion 00
Substance Abuse in Health Professionals 00 Oppositional Defiant Disorder 00
Self-Awareness Issues 00 Pica 00
Rumination Disorder 00
18 Feeding Disorder 00
Tourette’s Disorder 00
Eating Disorders 00 Chronic Motor or Tic Disorder 00
Overview of Eating Disorders 00 Separation Anxiety Disorder 00
Etiology 00 Selective Mutism 00
Cultural Considerations 00 Reactive Attachment Disorder 00
Treatment 00 Stereotypic Movement Disorder 00
Application of the Nursing Process 00 Self-Awareness Issues 00
Community-Based Care 00
Mental Health Promotion 00 21
Self-Awareness Issues 00
Cognitive Disorders 00
19 Delirium 00
Application of the Nursing Process: Delirium 00
Somatoform Disorders 00
Community-Based Care 00
Overview of Somatoform Disorders 00 Dementia 00
Onset and Clinical Course 00 Application of the Nursing Process: Dementia 00
Related Disorders 00 Community-Based Care 00
Etiology 00 mental health promotion 00
Cultural Considerations 00 Role of the Caregiver 00
Treatment 00 Related Disorders 00
Application of the Nursing Process 00 Self-Awareness Issues 00
, ➤ ➤ ➤ ➤ ➤
Preface
The second edition of Psychiatric Mental Health Nurs- Unit 4: Nursing Practice for Psychiatric Dis-
ing continues to have students as the primary focus. orders covers all the major categories identified in the
It presents sound nursing theory, therapeutic modal- DSM-IV-TR. Each chapter provides current informa-
ities, and clinical applications across the treatment tion on etiology, onset and clinical course, treatment,
continuum. Chapters are short, to the point, and easy and nursing care.
to read and understand. They highlight and empha-
size important material to facilitate student learning. New Features in the Second Edition
This text uses the nursing process framework and
• A new chapter on Legal and Ethical Issues ad-
emphasizes assessment, therapeutic communication,
dresses some current dilemmas in psychiatric
neurobiologic theory, and pharmacology throughout.
nursing today.
Interventions focus on all aspects of client care, in-
• Sections on Mental Health Promotion in
cluding communication, client and family teaching,
Units 3 & 4 include the latest research.
and community resources, and their practical appli-
• Additional NCLEX-style multiple-choice ques-
cation in various clinical settings.
tions are found in the Chapter Study Guide
sections.
Organization of the Text • Updates in pharmacology include new drugs
Unit 1: Current Theories and Practice provides a currently being tested and FDA Black Box
Warnings for psychotropic medications.
strong foundation for students. It addresses current
• Additional artwork illustrates key terms and
issues in psychiatric nursing, as well as the many
concepts.
treatment settings in which nurses encounter clients.
It discusses neurobiologic theories and psychophar-
macology and psychosocial theories and therapy Pedagogical Features
thoroughly as a basis for understanding mental illness Psychiatric Mental Health Nursing incorporates
and its treatment. several pedagogical features designed to facilitate
Unit 2: Building the Nurse–Client Relationship student learning:
presents the basic elements essential to the practice • Learning Objectives to focus the student’s read-
of mental health nursing. Chapters on therapeutic ing and study
relationships and therapeutic communication pre- • Key Terms that identify new terms used in
pare students to begin working with clients both in the chapter. Each term is identified in bold
mental health settings and in all other areas of nurs- and defined in the text.
ing practice. The chapter on the client’s response to • Application of the nursing process using the as-
illness provides a framework for understanding the sessment framework presented in Chapter 8,
individual client. An entire chapter is devoted to as- so students can compare and contrast the var-
sessment, emphasizing its importance in nursing. ious disorders more easily
Unit 3: Current Social and Emotional Concerns • Critical thinking questions to stimulate stu-
covers topics that are not exclusive to mental health dents’ thinking about current dilemmas and
settings, including legal and ethical issues; anger, issues in mental health
aggression, and hostility; abuse and violence; and • Key points that summarize chapter content to
grief and loss. Nurses in all practice settings find reinforce important concepts
themselves confronted with issues related to these • Chapter Study Guides that provide workbook-
topics. Additionally, many legal and ethical concerns style questions for students to test their knowl-
are interwoven with issues of violence and loss. edge and understanding of each chapter
ix
