Based on the biopsychosocial model of psychiatric nursing, this text provides thorough coverage of mental health promotion, assessment, and interventions in adults, families, children, adolescents, and older adults. On the forefront of the shift towards today's emphasis on evidence-based psychiatric nursing, this text continues to highlight current research evidence and describe evidence-based care. Included in the book's many useful and engaging features are psychoeducation checklists, therapeutic dialogues, NCLEX notes, vignettes of famous people with mental disorders, research for best practice boxes, and illustrations showing the interrelationship of the biologic, psychological, and social domains of mental health and illness. The Fifth Edition has been updated with an emphasis on recovery throughout the chapters, plus a new chapter on sexual disorders.
Key Concepts identified in chapter openers and in text highlight important concepts for the student to understand.
NCLEX Notes help the student to focus on important application areas to prepare for the NCLEX.
NEW! Emergency Care Alerts highlight important situations in psychiatric nursing care that the nurse should recognize as emergencies.
Fame and Fortune features highlight famous people who have made important contributions to society despite dealing with mental health problems. The feature emphasizes that mental disorders can happen to anyone and that people with mental health problems can be productive members of society.
Diagrams, illustrations, and photos colorfully illustrate the interrelationship of the biologic, psychological, and social domains of mental health and illness.
Nursing Management of Selected Disorders sections provide an in-depth study of the more commonly occurring major psychiatric disorders.
Nursing Care Plans, based on case scenarios, present clinical examples of patients with a particular diagnosis and demonstrate plans of care that follow patients through various diagnostic stages and care delivery settings.
Interdisciplinary Treatment/Recovery Plans (ITPs) are linked with their respective nursing care plans in several chapters. ITPs are used extensively in practice.
Research for Best Practice boxes highlight today’s focus on evidence-based practice for best practice, presenting findings and implications of studies that are applicable to psychiatric nursing practice.
Therapeutic Dialogue boxes compare and contrast therapeutic and nontherapeutic conversations to encourage students by example to develop effective communication skills.
Psychoeducation Checklists identify content areas for patient and family education related to specific disorders and their treatment. These checklists support critical thinking by encouraging students to develop patient-specific teaching plans based on chapter content.
Clinical Vignette boxes present reality-based clinical portraits of patients who exhibit the symptoms described in the text. Questions are posed to help the student express his or her thoughts and identify solutions to issues presented in the vignettes.
Using Reflection boxes provide examples of the use of reflection in the interpretation of a clinical situation in the nurse–patient relationship.
Drug Profileboxes present a thorough picture of commonly prescribed medications for patients with mental health problems.
Key Diagnostic Characteristics summaries, reformatted for the Fifth Edition, describe diagnostic criteria, target symptoms, and associated findings for select disorders, adapted from the DSM-IV-TR by the American Psychiatric Association.
Nursing Diagnosis Concept Maps help students learn to organize complex patient data into a meaningful nursing diagnosis and visually link key concepts of a disorder to in-practice examples.
Patient education, family, and emergency icons highlight content related to these topics to help link concepts to practice.
Summary of Key Points lists at the end of each chapter provide quick access to important chapter content to facilitate study and review.
Critical Thinking Challenges ask questions that require students to think critically about chapter content and apply psychiatric nursing concepts to practice.
Movies lists present examples of movies that depict various mental health disorders and that are widely available on DVD for rent or purchase. Viewing points are provided to serve as a basis for discussion in class and among students.
Table of Contents
Unit I Mental Health Care in Contemporary Society
1 Introduction to Psychiatric Mental Health Nursing and Evidence-Based Practice
2 Mental Health and Mental Disorders: Fighting Stigma and Promoting Recovery
3 Cultural and Spiritual Issues Related to Mental Health Care
4 Patient Rights and Legal Issues
5 Mental Health Care in the Community
Unit II Foundations of Psychiatric Nursing
6 Ethics, Standards, and Nursing Frameworks
7 Psychosocial Theoretic Basis of Psychiatric Nursing
8 Biologic Foundations of Psychiatric Nursing
Unit III Contemporary Psychiatric Nursing Practice
9 Communication and the Therapeutic Relationship
10 The Psychiatric Nursing Process
11 Psychopharmacology, Dietary Supplements, and Biologic Interventions
12 Cognitive Interventions
13 Group Interventions
14 Family Assessment and Interventions
Unit IV Mental Health Promotion Across the Life Span
15 Mental Health Promotion for Children and Adolescents
16 Mental Health Promotion for Young and Middle-Aged Adults
17 Mental Health Promotion for Older Adults
Unit V Prevention of Mental Disorders
18 Stress and Mental Health
19 Management of Anger, Aggression, and Violence
20 Crisis, Grief, and Disaster Management
21 Suicide Prevention: Screening, Assessment, and Intervention
Unit VI Care and Recovery for Persons with Psychiatric Disorders
22 Schizophrenia: Management of Thought Disorders
23 Schizoaffective, Delusional, and Other Psychotic Disorders:Management of Thoughts and Moods
24 Depression: Management of Depressive Moods and Suicidal Behavior
25 Bipolar Disorders: Management of Mood Lability
26 Anxiety Disorders: Management of Anxiety and Panic
27 Borderline Personality Disorder: Management of Emotional Dysregulation and Self Harm
28 Antisocial Personality and Other Personality and Impulse Control Disorders: Management of Personality Responses
29 Somatoform and Related Disorders: Management of the Consequences of Somatization
30 Eating Disorders: Management of Eating and Weight
31 Addiction and Substance-Related Disorders:Management of Alcohol and Drug Use
32 Sleep Disorders: Management of Insomniaand Sleep Problems
33 Sexual Disorders:Management of Sexual Dysfunction
Unit VII Care of Children and Adolescents with Psychiatric Disorders Diagnosed in Childhood
34 Mental Health Assessment of Children and Adolescents
35 Psychiatric Disorders of Childhood and Adolescence
Unit VIII Care of Older Adults with Neuropsychiatric Disorders
36 Mental Health Assessment of Older Adults
37 Delirium, Dementias, and Other Related Disorders
Unit IX Care of Special Populations
38 Caring for Persons who are Homeless and Mentally Ill
39 Caring for Persons with Co-Occurring Mental Disorders
40 Caring for Survivors of Violence
41 Caring for Persons with Mental Illness and Criminal Behavior
42 Caring for Medically Compromised Persons
Appendix A Brief Psychiatric Rating Scale
Appendix B Abnormal Involuntary Movement Scale (AIMS)
Appendix C Simplified Diagnosis for Tardive Dyskinesia (SD-TD)
Mary Ann Boyd PhD, DNS, RN, PMHCNS-BC Professor Emerita Southern Illinois University Edwardsville Edwardsville, Illinois Nursing Consultant and Educator U.S. Department of Veterans Affairs St. Louis