6TH EDITION PSYCHIATRIC MENTAL HEALTH NURSING - VIDEBECK

Unit 1 Current Theories and Practice 1 Foundations of PsychiatricMental Health Nursing 00 Mental Health and Mental Illness 00 Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) 00 Historical Perspectives of the Treatment of Mental Illness 00 Mental Illness in the 21st Century 00 Psychiatric Nursing Practice 00 Self-Awareness Issues 00 2 Neurobiologic Theories and Psychopharmacology 00 The Nervous System and How It Works 00 Brain Imaging Techniques 00 Neurobiologic Causes of Mental Illness 00 The Nurse’s Role in Research and Education 00 Psychopharmacology 00 Cultural Considerations 00 Self-Awareness Issues 00 3 Psychosocial Theories and Therapy 00 Psychosocial Theories 00 Cultural Considerations 00 Treatment Modalities 00 The Nurse and Psychosocial Interventions 00 Self-Awareness Issues 00 4 Treatment Settings and Therapeutic Programs 00 Treatment Settings 00 Psychiatric Rehabilitation Programs 00 Special Populations of Clients With Mental Illness 00 Interdisciplinary Team 00 Psychosocial Nursing in Public Health and Home Care 00 Self-Awareness Issues 00 Unit 2 Building the Nurse–Client Relationship 5 Therapeutic Relationships 00 Components of a Therapeutic Relationship 00 Types of Relationships 00 Establishing the Therapeutic Relationship 00 Avoiding Behaviors That Diminish the Therapeutic Relationship 00 Roles of the Nurse in a Therapeutic Relationship 00 Self-Awareness Issues 00 6 Therapeutic Communication 00 What Is Therapeutic Communication? 00 Verbal Communication Skills 00 Nonverbal Communication Skills 00 Understanding the Meaning of Communication 00 Understanding Context 00 Understanding Spirituality 00 Cultural Considerations 00 The Therapeutic Communication Session 00 Community-Based Care 00 Self-Awareness Issues 00 7 Client’s Response to Illness 00 Individual Factors 00 Interpersonal Factors 00 Cultural Factors 00 Self-Awareness Issues 00 8 Assessment 00 Factors Influencing Assessment 00 How to Conduct the Interview 00 Content of the Assessment 00 Data Analysis 00 Self-Awareness Issues 00 6TH EDITION PSYCHIATRIC MENTAL HEALTH NURSING - VIDEBECK Unit 3 Current Social and Emotional Concerns 9 Legal and Ethical Issues 00 Legal Considerations 00 Ethical Issues 00 Self-Awareness Issues 00 10 Anger, Hostility, and Aggression 00 Onset and Clinical Course 00 Related Disorders 00 Etiology 00 Cultural Considerations 00 Treatment 00 Application of the Nursing Process 00 Community-Based Care 00 Self-Awareness Issues 00 11 Abuse and Violence 00 Clinical Picture of Abuse and Violence 00 Characteristics of Violent Families 00 Cultural Considerations 00 Spouse or Partner Abuse 00 Child Abuse 00 Elder Abuse 00 Rape and Sexual Assault 00 Community Violence 00 Psychiatric Disorders Related to Abuse and Violence 00 Application of the Nursing Process 00 Self-Awareness Issues 00 12 Grief and Loss 00 Types of Losses 00 The Grieving Process 00 Dimensions of Grieving 00 Cultural Considerations 00 Disenfranchised Grief 00 Complicated Grieving 00 Application of the Nursing Process 00 Self-Awareness Issues 00 Unit 4 Nursing Practice for Psychiatric Disorders 13 Anxiety and Anxiety Disorders 00 Anxiety as a Response to Stress 00 Incidence 00 Onset and Clinical Course 00 Related Disorders 00 Etiology 00 Cultural Considerations 00 Treatment 00 Community-based Care 00 Mental Health Promotion 00 Panic Disorder 00 Application of the Nursing Process: Panic Disorder 00 Phobias 00 Obsessive-Compulsive Disorder 00 Application of the Nursing Process: Obsessive-Compulsive Disorder 00 Generalized Anxiety Disorder 00 Posttraumatic Stress Disorder 00 Acute Stress Disorder 00 Self-Awareness Issues 00 14 Schizophrenia 00 Clinical Course 00 Related Disorders 00 Etiology 00 Cultural Considerations 00 Treatment 00 Application of the Nursing Process 00 Community-Based Care 00 Mental Health Promotion 00 Self-Awareness Issues 00 15 Mood Disorders and Suicide 00 Categories of Mood Disorders 00 Related Disorders 00 Etiology 00 Cultural Considerations 00 Major Depressive Disorder 00 Application of the Nursing Process: Depression 00 Bipolar Disorder 00 Application of the Nursing Process: Bipolar Disorder 00 Suicide 00 Community-Based Care 00 Mental Health Promotion 00 Self-Awareness Issues 00 16 Personality Disorders 00 Categories of Personality Disorders 00 Onset and Clinical Course 00 Etiology 00 Cultural Considerations 00 Treatment 00 Paranoid Personality Disorder 00 Schizoid Personality Disorder 00 Schizotypal Personality Disorder 00 Antisocial Personality Disorder 00 Application of the Nursing Process: Antisocial Personality Disorder 00 Borderline Personality Disorder 00 Application of the Nursing Process: Borderline Personality Disorder 00 Histrionic Personality Disorder 00 Narcissistic Personality Disorder 00 Avoidant Personality Disorder 00 Dependent Personality Disorder 00 Obsessive-Compulsive Personality Disorder 00 Depressive Personality Disorder 00 Passive-Aggressive Personality Disorder 00 xiv Contents Community-Based Care 00 Mental Health Promotion 00 Self-Awareness Issues 00 17 Substance Abuse 00 Types of Substance Abuse 00 Onset and Clinical Course 00 Related Disorders 00 Etiology 00 Cultural Considerations 00 Types of Substances and Treatment 00 Treatment and Prognosis 00 Application of the Nursing Process 00 Community-Based Care 00 Mental Health Promotion 00 Substance Abuse in Health Professionals 00 Self-Awareness Issues 00 18 Eating Disorders 00 Overview of Eating Disorders 00 Etiology 00 Cultural Considerations 00 Treatment 00 Application of the Nursing Process 00 Community-Based Care 00 Mental Health Promotion 00 Self-Awareness Issues 00 19 Somatoform Disorders 00 Overview of Somatoform Disorders 00 Onset and Clinical Course 00 Related Disorders 00 Etiology 00 Cultural Considerations 00 Treatment 00 Application of the Nursing Process 00 Community-Based Care 00 Mental Health Promotion 00 Self-Awareness Issues 00 20 Child and Adolescent Disorders 00 Autistic Disorder 00 Rett’s Disorder 00 Childhood Disintegrative Disorder 00 Asperger’s Disorder 00 Attention Deficit Hyperactivity Disorder 00 Application of the Nursing Process: ADHD 00 Conduct Disorder 00 Application of the Nursing Process: Conduct Disorder 00 Community-Based Care 00 mental health promotion 00 Oppositional Defiant Disorder 00 Pica 00 Rumination Disorder 00 Feeding Disorder 00 Tourette’s Disorder 00 Chronic Motor or Tic Disorder 00 Separation Anxiety Disorder 00 Selective Mutism 00 Reactive Attachment Disorder 00 Stereotypic Movement Disorder 00 Self-Awareness Issues 00 21 Cognitive Disorders 00 Delirium 00 Application of the Nursing Process: Delirium 00 Community-Based Care 00 Dementia 00 Application of the Nursing Process: Dementia 00 Community-Based Care 00 mental health promotion 00 Role of the Caregiver 00 Related Disorders 00 Self-Awareness Issues 00 Contents xv ix The second edition of Psychiatric Mental Health Nursing continues to have students as the primary focus. It presents sound nursing theory, therapeutic modalities, and clinical applications across the treatment continuum. Chapters are short, to the point, and easy to read and understand. They highlight and emphasize important material to facilitate student learning. This text uses the nursing process framework and emphasizes assessment, therapeutic communication, neurobiologic theory, and pharmacology throughout. Interventions focus on all aspects of client care, including communication, client and family teaching, and community resources, and their practical application in various clinical settings. Organization of the Text Unit 1: Current Theories and Practice provides a strong foundation for students. It addresses current issues in psychiatric nursing, as well as the many treatment settings in which nurses encounter clients. It discusses neurobiologic theories and psychopharmacology and psychosocial theories and therapy thoroughly as a basis for understanding mental illness and its treatment. Unit 2: Building the Nurse–Client Relationship presents the basic elements essential to the practice of mental health nursing. Chapters on therapeutic relationships and therapeutic communication prepare students to begin working with clients both in mental health settings and in all other areas of nursing practice. The chapter on the client’s response to illness provides a framework for understanding the individual client. An entire chapter is devoted to assessment, emphasizing its importance in nursing. Unit 3: Current Social and Emotional Concerns covers topics that are not exclusive to mental health settings, including legal and ethical issues; anger, aggression, and hostility; abuse and violence; and grief and loss. Nurses in all practice settings find themselves confronted with issues related to these topics. Additionally, many legal and ethical concerns are interwoven with issues of violence and loss. Unit 4: Nursing Practice for Psychiatric Disorders covers all the major categories identified in the DSM-IV-TR. Each chapter provides current information on etiology, onset and clinical course, treatment, and nursing care. New Features in the Second Edition • A new chapter on Legal and Ethical Issues addresses some current dilemmas in psychiatric nursing today. • Sections on Mental Health Promotion in Units 3 & 4 include the latest research. • Additional NCLEX-style multiple-choice questions are found in the Chapter Study Guide sections. • Updates in pharmacology include new drugs currently being tested and FDA Black Box Warnings for psychotropic medications. • Additional artwork illustrates key terms and concepts. Pedagogical Features Psychiatric Mental Health Nursing incorporates several pedagogical features designed to facilitate student learning: • Learning Objectives to focus the student’s reading and study • Key Terms that identify new terms used in the chapter. Each term is identified in bold and defined in the text. • Application of the nursing process using the assessment framework presented in Chapter 8, so students can compare and contrast the various disorders more easily • Critical thinking questions to stimulate students’ thinking about current dilemmas and issues in mental health • Key points that summarize chapter content to reinforce important concepts • Chapter Study Guides that provide workbookstyle questions for students to test their knowledge and understanding of each chapter Preface Special Features • Clinical vignettes are provided for each major disorder discussed in the text to “paint a picture” for better understanding. • Drug alerts highlight essential points about psychotropic drugs. • Cultural considerations are emphasized in a separate section of each chapter in response to increasing diversity. • Therapeutic dialogues give specific examples of nurse–client interaction to promote therapeutic communication skills. • Internet resources with URLs are located at the end of each chapter to further enhance study. • Client and family education checklists are highlighted to strengthen students’ roles as educators. • Symptoms and interventions are highlighted for all chapters in Units 3 and 4. • Sample nursing care plans are provided for all chapters in Units 3 and 4. • Self-awareness feature at the end of each chapter encourages students to reflect upon themselves, their emotions, and their attitudes as a way to foster both personal and professional development. To the Faculty The following ancillary materials have been prepared to help you plan class and clinical learning activities, and evaluate students’ learning: • Instructor’s Resource Manual will include a variety of instructional support features for each chapter, including chapter summaries, lecture outlines, and teaching–learning strategies that involve classroom, clinical, and self-awareness activities. In addition, guidelines are provided for leading class discussion relating to Critical Thinking Questions included in the textbook. Transparency masters provide summary lists of symptoms, interventions, and Client and Patient Teaching checklists for each of the 12 disorder chapters. • CD-ROM, included in the Instructor’s Resource Manual, contains: • Testbank containing 350 NCLEX-style testing items • Lecture outlines for each chapter • Powerpoint slide presentation To the Student This textbook has been written for you. Above all, it is designed to be “student-friendly.” Chapters are easy to read and understand, and pertinent information about caring for clients is presented in a practical, hands-on approach. Mental health nursing is an exciting and challenging field, and hopefully that attitude comes through in this text. The knowledge and skills you develop while studying mental health nursing will promote your growth as a nurse and improve the care you provide to clients in all settings. In addition to the text itself, we are including a free CD-ROM in the back of the book. This CD contains an interactive Case Study on Anxiety, helpful additional NCLEX review questions, view guides to accompany films depicting common psychiatric disorders, and printable psychotropic drug monographs. Also, for more psychiatric-related materials to enhance your learning, be sure to visit Sheila L. Videbeck, PhD, RN x PREFACE vii Chapter 12 Charlotte M. Spade, MS, RN, CS Associate Professor of Nursing Community College of Denver Denver, Colorado Contributor v Reviewers Linda Barratt, RN, BA, MA Instructor British Columbia Institute of Technology Burnaby, British Columbia, Canada Carolyn R. Pierce Buckelew, BSN, MA, APN, RNCS, NCC, ChP Nursing Instructor CE Gregory School of Nursing Raritan Bay Medical Center Perth Amboy, New Jersey Lucindra Campbell, MSN, APNP Assistant Professor of Nursing Houston Baptist University Houston, Texas Pattie Garrett Clark, RN, MSN Associate Professor and Nursing Outreach Coordinator Abraham Baldwin College Tifton, Georgia Carol Cornwell, PhD, MS, RN, CS Assistant Professor of Nursing and Director, Center for Nursing Scholarship Georgia Southern University School of Nursing Statesboro, Georgia Lesly Curtis, RN, BS, MS, MA Assistant Professor of Clinical Nursing Director, Entry to Practice Program Columbia University school of Nursing New York, New York Pamela Farley, RN, PhD Professor and Chairperson Berea College Berea, Kentucky Suzette Farmer, RN, MS Assistant Professor, Assistant Program Director Utah Valley State College Orem, Utah Cynthia Foust, PhD, RN Associate Professor Division of Nursing Southwestern Oklahoma State University Weatherford, Oklahoma Judith A. Gardner, MSN, RN, CNS Full-Time Nursing Faculty and Consultant Stark State College Canton, Ohio Alice Grady, MSN, RN, FNP Assistant Professor Nursing Department Tennessee Wesleyan College, Fort Sanders Knoxville, Tennessee Mary Ann Helms, MSN, MRE, RN Assistant Professor Tennessee State University School of Nursing Nashville, Tennessee Barbara A. Jones, DNSc, RN Associate Professor School of Nursing Gwynedd-Mercy College Gwynedd Valley, Pennsylvania Nancy G. McAfee, MSN, RN Program Director, Upward Mobility Program Lamar State College—Orange Orange, Texas Elaine Mordoch, RN, BN, MN Lecturer, Faculty of Nursing University of Manitoba Winnipeg, Manitoba, Canada Susan R. Seager, RN, MSN, EdD Associate Professor, Nursing Tennessee State University School of Nursing Nashville, Tennessee Margaret R. Swisher, RN, MSN Assistant Professor of Nursing Montgomery County Community College Blue Bell, Pennsylvania