, ix
Contents
SECTION I— Aspects of Psychosocial
Nursing
1 Introduction to Psychosocial Nursing for
General Patient Care ...................................................................1
2 Psychosocial Response to Illness............................................7
3 Psychosocial Skills .....................................................................15
4 Nurses’ Responses to Difficult Patient Behaviors............33
5 Crisis Intervention......................................................................43
6 Cultural Considerations: Implications for
Psychosocial Nursing Care......................................................49
SECTION II— Commonly Encountered
Problems
7 Problems with Anxiety .............................................................57
The Anxious Patient ............................................................................57
8 Problems with Anger ................................................................73
The Angry Patient.................................................................................73
The Aggressive and Potentially Violent Patient.........................83
9 Problems with Affect and Mood...........................................99
The Depressed Patient ......................................................................99
The Suicidal Patient ..........................................................................113
The Grieving Patient .........................................................................129
The Hyperactive or Manic Patient...............................................142
10 Problems with Confusion.......................................................157
The Confused Patient ......................................................................157
,x Contents
11 Problems with Psychotic Thought Processes...................177
The Psychotic Patient.......................................................................177
12 Problems Relating to Others .................................................191
The Manipulative Patient ................................................................191
The Noncompliant Patient.............................................................204
The Demanding, Dependent Patient.........................................219
13 Problems with Substance Abuse .........................................231
The Patient Abusing Alcohol .........................................................231
The Patient Abusing Other Substances ....................................250
14 Problems with Sexual Dysfunction .....................................273
The Patient with Sexual Dysfunction .........................................273
15 Problems with Pain ..................................................................291
The Patient in Pain............................................................................291
16 Problems with Nutrition .........................................................315
The Patient with Anorexia Nervosa or Bulimia.......................315
The Morbidly Obese Patient .........................................................330
17 Problems Within the Family...................................................341
Family Dysfunction............................................................................341
Family Violence ..................................................................................351
18 Problems with Spiritual Distress..........................................369
The Patient with Spiritual Distress ..............................................369
Margaret L. Mitchell, RN, MN, MDIV, MA, CNS
SECTION III— Special Topics
19 Nursing Management of Special Populations ................387
The Patient with Sleep Disturbances.........................................387
The Chronically Ill Patient...............................................................400
The Homeless Patient with Chronic Illness.............................410
William R. Whetstone, RN, CNS, PhD
The Dying Patient..............................................................................421
, Contents xi
20 Disaster Planning and Response–Psychosocial
Impact .........................................................................................435
The Disaster Victim/Patient
The Disaster Responder/Nurse ...................................................435
Carl Magnum, RN, MSN, PhD(c), CHS, FF
21 Psychopharmacology: Database for Patient
and Family Education on Psychiatric Medications........451
Yoshinao Arai, RN, MN, CNS
References.........................................................................................487
Index....................................................................................................513
Contents
SECTION I— Aspects of Psychosocial
Nursing
1 Introduction to Psychosocial Nursing for
General Patient Care ...................................................................1
2 Psychosocial Response to Illness............................................7
3 Psychosocial Skills .....................................................................15
4 Nurses’ Responses to Difficult Patient Behaviors............33
5 Crisis Intervention......................................................................43
6 Cultural Considerations: Implications for
Psychosocial Nursing Care......................................................49
SECTION II— Commonly Encountered
Problems
7 Problems with Anxiety .............................................................57
The Anxious Patient ............................................................................57
8 Problems with Anger ................................................................73
The Angry Patient.................................................................................73
The Aggressive and Potentially Violent Patient.........................83
9 Problems with Affect and Mood...........................................99
The Depressed Patient ......................................................................99
The Suicidal Patient ..........................................................................113
The Grieving Patient .........................................................................129
The Hyperactive or Manic Patient...............................................142
10 Problems with Confusion.......................................................157
The Confused Patient ......................................................................157
,x Contents
11 Problems with Psychotic Thought Processes...................177
The Psychotic Patient.......................................................................177
12 Problems Relating to Others .................................................191
The Manipulative Patient ................................................................191
The Noncompliant Patient.............................................................204
The Demanding, Dependent Patient.........................................219
13 Problems with Substance Abuse .........................................231
The Patient Abusing Alcohol .........................................................231
The Patient Abusing Other Substances ....................................250
14 Problems with Sexual Dysfunction .....................................273
The Patient with Sexual Dysfunction .........................................273
15 Problems with Pain ..................................................................291
The Patient in Pain............................................................................291
16 Problems with Nutrition .........................................................315
The Patient with Anorexia Nervosa or Bulimia.......................315
The Morbidly Obese Patient .........................................................330
17 Problems Within the Family...................................................341
Family Dysfunction............................................................................341
Family Violence ..................................................................................351
18 Problems with Spiritual Distress..........................................369
The Patient with Spiritual Distress ..............................................369
Margaret L. Mitchell, RN, MN, MDIV, MA, CNS
SECTION III— Special Topics
19 Nursing Management of Special Populations ................387
The Patient with Sleep Disturbances.........................................387
The Chronically Ill Patient...............................................................400
The Homeless Patient with Chronic Illness.............................410
William R. Whetstone, RN, CNS, PhD
The Dying Patient..............................................................................421
, Contents xi
20 Disaster Planning and Response–Psychosocial
Impact .........................................................................................435
The Disaster Victim/Patient
The Disaster Responder/Nurse ...................................................435
Carl Magnum, RN, MSN, PhD(c), CHS, FF
21 Psychopharmacology: Database for Patient
and Family Education on Psychiatric Medications........451
Yoshinao Arai, RN, MN, CNS
References.........................................................................................487
Index....................................................................................................513