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Neebs Mental Health Nursing 5th Edition.c2.pdf

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The Fifth Edition of Neeb’s Mental Health Nursing is a psychiatric nursing text tailored specifically to the needs of the LPN/LVN student. We understand that many students at this level of preparation do not have the opportunity for clinical experience in a psychiatric setting, but they will encounter patients with mental health issues in their rotations and throughout their careers. Students will encounter patients and their families with psychiatric diagnoses as well as a variety of psychosocial issues and behavior that challenge them. This text provides the basic knowledge and skills to address many of these challenges, with an emphasis on communication. This new edition also brings enhancements via the Internet through DavisPlus including updated Interactive Clinical Scenarios addressing a variety of mental health disorders. The book incorporates “LPN/LVN Connections” as part of F.A. Davis’s commitment to enhancing education for these students. The impact of psychiatric disorders continues to be a concern in the United States. Depression, anxiety, eating disorders, and substance abuse continue to be major health problems. The care of those with serious mental illnesses presents many challenges for the courts, law enforcement, and throughout health care especially around the growing homeless populations. How society responds to debilitating mental illness has been the subject of much debate. Clearly the need for nurses to have education in caring for people with mental health issues is essential. Our goal with this text is to provide basic information about mental health theories, personality development, coping and communication styles, psychiatric diagnoses, psychosocial reactions, and nursing actions, all as they pertain to the practice of the LPN/LVN. The emphasis throughout is on enhancing skills that students can utilize in any setting to recognize and assist those with psychosocial and psychiatric issues. Communication approaches are emphasized. The Fifth Edition of Neeb’s Mental Health Nursing brings updated information from the last edition which expanded on the foundations that Kathy Neeb created so successfully in the first three editions. New pharmacologic therapies, expanded information on common mental health disorders, and emphasis on safety issues are some of the areas emphasized. Chapters 1 to 9 provide the basics of mental health nursing concepts, with an emphasis on communication. Chapters 10 to 22 are “clinical” chapters in that they cover specific diagnoses and/or populations. Many of the chapters include the following new or enhanced key features which make the book easy to use to gain important knowledge: • Neeb’s Tip gives a “clinical pearl” that succinctly describes a key take-away from the chapter. • Critical Thinking Questions are expanded and interspersed in the chapters to emphasize a concept and challenge the student to apply the concept just covered. Many of these include case-based scenarios. • Toolbox provides additional resources for students who want more information. • Pharmacology Corner in Chapters 10 to 20 and 22 covers important current information about medications used for the specific population that will pertain to the LPN/LVN scope of practice. • Clinical Activities are suggestions for the student to utilize when caring for patients with a particular disorder. • Classroom Activities include suggestions for projects or actions that students and faculty can use in the classroom to enhance learning. • Case Studies are in-depth, with questions to help the student apply knowledge learned in the chapter. • Safe, Effective Nursing Care (SENC) highlight key activities for the student to focus on ways to promote safety and improved patient outcomes. • Multiple Choice Questions—At least 10 questions are provided at the end of each chapter, with the answers on the page for easy reference, and the answers and rationales in Appendix A. • Sample Care Plans are provided in the clinical chapters. • Appendix E matches common behaviors with nursing diagnoses. v 6913_FM_i-xiv 06/08/18 5:44 PM Page v For the instructor, this Fifth Edition provides access to revised and updated PowerPoint presentations, test bank questions, and other expanded features. As with the Fourth Edition, this new edition utilizes the terminology from the Fifth Edition of the Diagnostic and Statistical Manual for Mental Disorders by the American Psychiatric Association that was published in 2013 which reflects the most current thinking in psychiatry. Use of current terminology for diagnoses is used throughout the book. It is essential for the LPN/LVN student to be exposed to the most current information as they interface with other health-care professionals in the course of student rotations. As authors of the Fourth Edition of this text, we sought to promote ways to impart more knowledge to the LPN/LVN student. Now with this Fifth Edition, we are continuing our focus on providing the students with concise yet comprehensive information that will meet the needs of students who are facing an ever more complex health-care system. We, as practitioners and educators in the field of mental health, have seen the impact of mental health issues on our patients and society. We hope that the students who utilize this book will gain a new perspective that includes up-to-date knowledge as well as empathy for the suffering these disorders can cause. We hope this book will contribute to knowledgeable and compassionate LPNs/LVNs. Linda Gorman Robynn Anwar LPN/LVN CONNECTIONS F.A. Davis is pleased to introduce LPN/LVN Connections, a consistent and recognizable approach to design and content that will make it easier for students and instructors to use multiple F.A. Davis textbooks throughout the LPN/LVN curriculum. We have increased continuity whenever possible, without erasing the authors’ autonomy or changing legacy content that has been popular in past editions. This makes it easier for instructors and students to move through the textbooks and ancillary products while recognizing shared themes and featured content. Textbook Design, Style & Pedagogy • All textbook chapters include: • Numbered Learning Outcomes • Key Terms listed on the chapter opener, boldfaced where first defined in the chapter • Concepts • Bulleted Key Points • NCLEX-style Review Questions, with answers right on the page for ease of reference • Chapter references, located online • A Reading Level Evaluation is performed during the manuscript development, to ensure readability • A uniform, space-saving internal design features special heads and colors that are shared across titles for features with similar content, to increase recognition Standardized Faculty Resources • Active Classroom Instructor’s Guide (ACIG) provides pre-, during, and post-class suggestions for activities and assignments • eBook • NCLEX-style test bank • PowerPoint presentations

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,NEEB’S

Mental Health
Nursing
FIFTH EDITION



Linda M. Gorman, RN, MN, PMHCNS-BC, FPCN
Clinical Nurse Specialist/Nursing Consultant
Private Practice
Studio City, California

Robynn F. Anwar, MSN.Ed
Nursing Faculty/CNA/MST and Simulation Lab Coordinator
Camden County College
Blackwood, New Jersey

,F.A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com



Copyright © 2019 by F.A. Davis Company

Copyright © 1997, 2001, 2006, by F.A. Davis Company. All rights reserved. This book is protected by
copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by
any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission
from the publisher.

Printed in the United States of America

Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1



Publisher, Nursing: Terri Wood Allen
Editor-in-Chief: Jean Rodenberger
Manager of Project and eProject Management: Catherine H. Carroll
Senior Content Project Manager: Shana Murph
Illustration and Design Manager: Carolyn O’Brien

As new scientific information becomes available through basic and clinical research, recommended treatments
and drug therapies undergo changes. The author(s) and publisher have done everything possible to make this
book accurate, up to date, and in accord with accepted standards at the time of publication. The author(s),
editors, and publisher are not responsible for errors or omissions or for consequences from application of the
book, and make no warranty, expressed or implied, in regard to the contents of the book. Any practice
described in this book should be applied by the reader in accordance with professional standards of care used
in regard to the unique circumstances that may apply in each situation. The reader is advised always to check
product information (package inserts) for changes and new information regarding dose and contraindications
before administering any drug. Caution is especially urged when using new or infrequently ordered drugs.

Library of Congress Cataloging-in-Publication Data

Names: Gorman, Linda M., author. | Anwar, Robynn F., author | Preceded by (work): Gorman, Linda M.
Neeb’s fundamentals of mental health nursing.
Title: Neeb’s mental health nursing / Linda M. Gorman, Robynn F. Anwar.
Other titles: Mental health nursing
Description: 5th edition. | Philadelphia, PA : F.A. Davis Company, [2019] | Preceded by Neeb’s fundamentals
of mental health nursing / Linda M. Gorman, Robynn F. Anwar. Fourth edition. 2014. | Includes bibliographical
references and index.
Identifiers: LCCN 2018034469 (print) | LCCN 2018035960 (ebook) | ISBN 9780803690134 (paperback) |
ISBN 9780803669130 (alk. paper)
Subjects: | MESH: Mental Disorders—nursing | Psychiatric Nursing—methods | Nursing, Practical
Classification: LCC RC440 (ebook) | LCC RC440 (print) | NLM WY 160 | DDC 616.89/0231—dc23
LC record available at https://lccn.loc.gov/2018034469

Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients,
is granted by F.A. Davis Company for users registered with the Copyright Clearance Center (CCC) Transac-
tional Reporting Service, provided that the fee of $.25 per copy is paid directly to CCC, 222 Rosewood Drive,
Danvers, MA 01923. For those organizations that have been granted a photocopy license by CCC, a separate
system of payment has been arranged. The fee code for users of the Transactional Reporting Service is:
978-0-8036-6913-0/18 + $.25.

, To Corie, who saw me as an author many years ago.
~ (LG)
To my mother Mayme, I realize how much easier this
journey would have been if you were here. Wasim my
husband and daughter Andrea, I appreciate your belief
in my abilities. Bessie Blount “Mom Bessie,” who
invented the emesis basin and at the age 94, renewed
her practical nurse license. To Aunt Shirley, Toni
(sister), and Ted (brother), my family. Linda, thank
you for being my mentor and friend. —Thank you.
~ (RA)

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