Psychiatric Mental Health Nursing : Understanding the Client as Well as the Condition (2ND)

Psychiatric Mental Health Nursing : Understanding the Client as Well as the Condition (2ND)

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  • 言語 ENG
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Table of Contents

        List of Tables                             xvii
Contributors xviii
Reviewers xix
Preface xxi
Acknowledgments xxv
Boxed Features xxvi
How to Use this Text xxx
Unit 1: Foundations for Practice 1 (154)
Through the Door: Your First Day in 3 (12)
Psychiatric Nursing
Rites of Passage 5 (1)
Mental Health and Mental Illness 6 (2)
The Psychiatric Setting 8 (1)
Questions Students Usually Ask 9 (2)
Why and How Do Persons Seek Care? 9 (1)
Will I Be Able to Know the Staff from the 9 (1)
Clients?
Will Clients' Behaviors Make Me 10 (1)
Uncomfortable?
Are Psychiatric Clients Violent? 10 (1)
How Will I Feel Without My Regular 10 (1)
Nursing Uniform?
What Do Psychiatric Clients Think of 10 (1)
Student Nurses?
Advice from Prior Students 11 (1)
Beginning a New Course 11 (4)
Psychiatric Nursing: Evolution of a Specialty 15 (12)
Care of the Mentally Ill 17 (2)
Early Civilization 17 (1)
Middle Ages and Renaissance 17 (1)
Eighteenth and Early Nineteenth Centuries 17 (1)
Nineteenth Century 18 (1)
Nursing Education 19 (2)
Eighteenth and Nineteenth Centuries 19 (2)
Twentieth Century 21 (1)
The Role of Nursing Theory and Scholarship 21 (1)
Current Trends and Issues 21 (1)
Future Directions 22 (5)
Theory as Basis for Practice 27 (34)
What Is Theory? 30 (1)
Theory and Practice 31 (1)
Nursing Theory 31 (13)
Nursing Theories Based on Relationships 32 (1)
Hildegard Peplau 32 (1)
Helen Erickson, Evelyn Tomlin, and Mary 32 (2)
Ann Swain
Nursing Theories Based on Caring 34 (1)
Jean Watson 34 (1)
Madeleine Leininger 35 (2)
Anne Boykin and Savina Schoenbofer 37 (1)
Nursing Theories Based on Energy Fields 38 (1)
Martha Rogers 38 (1)
Rosemarie Rizzo Parse 39 (1)
Margaret Newman 39 (1)
Nursing Theories Based on the Concept of 40 (1)
``When Nursing Is Needed''
Dorothea Orem 41 (1)
Callista Roy 41 (1)
Betty Neuman 42 (2)
Psychiatric/Psychological Theory 44 (17)
Psychoanalytic Theory 44 (1)
Freud and Psychosexual Development 45 (2)
Psychosocial Development 47 (1)
Sullivan's Interpersonal Theory 48 (1)
Cognitive Development Theory 49 (1)
Jean Piaget 49 (2)
Adult Cognition 51 (2)
Humanistic Theory 53 (1)
Basic Needs Theories 53 (1)
Existential Philosophy 53 (1)
Behavioral Psychology 54 (1)
Sociocultural Theory 55 (6)
Neuroscience as a Basis for Practice 61 (18)
Biophysiological Theory 63 (16)
Brain Anatomy and Function 64 (1)
The Diencephalon 65 (1)
The Cortex 65 (1)
Brain Imaging 66 (1)
Computerized Tomography 66 (1)
Magnetic Resonance Imaging 67 (1)
Positron Emission Tomography 67 (1)
Electrophysiology and Neurochemistry 68 (2)
Neurotransmitters 70 (1)
Membrane Receptors 70 (1)
Neuropeptides and Intracellular 71 (1)
Modification of Synaptic Signals
Genetics 72 (1)
DNA 72 (1)
Chromosomes and Genes 72 (1)
Genetic Linkage 72 (1)
Chromosome Mapping 73 (1)
DNA Sequencing 74 (1)
Summary 75 (4)
Diagnostic Systems for Psychiatric Nursing 79 (18)
ICD-9 81 (1)
DSM-IV-TR 82 (4)
NANDA Taxonomy of Nursing Diagnoses 86 (4)
Collaborative Problems 88 (1)
Development of Psychiatric Nursing 89 (1)
Diagnoses
Choosing a Diagnostic System 90 (1)
Nursing Interventions Nursing Outcomes 91 (1)
Classifications
Diagnostic Systems and Computerized Health 92 (1)
Records
Issues of Privacy and Confidentiality 93 (1)
Diagnostic Coding 93 (1)
Advances in Diagnostic Nomenclature 93 (4)
Tools of Psychiatric Mental Health Nursing: 97 (17)
Communication, Nursing Process, and the
Nurse-Client Relationship
Communication 99 (4)
Communication Theory 99 (1)
Nonverbal Communication 99 (1)
Physical Space 100 (1)
Actions or Kinetics 101 (1)
Paralinguistic Cues 101 (1)
Touch 101 (1)
Verbal Communication 102 (1)
Listening 102 (1)
Silence 102 (1)
Broad Openings 102 (1)
Restating 102 (1)
Clarification 102 (1)
Reflection 103 (1)
Focusing 103 (1)
Informing 103 (1)
Suggesting 103 (1)
Confronting 103 (1)
Defense Mechanisms 103 (1)
Evaluating Communication 103 (2)
Nursing Process 105 (4)
The Nurse-Client Relationship 109 (5)
Cultural and Ethnic Considerations 114 (13)
Culture Defined 115 (1)
Cultural Sensitivity 116 (8)
Beliefs about Mental Illness and Care 117 (1)
Normal Versus Abnormal Behavior 118 (1)
Care Seeking and Acceptable Care 118 (1)
Interpersonal Interaction 119 (1)
Verbal and Nonverbal Communication 120 (1)
Eye Contact 120 (1)
Proxemics 121 (1)
Touch 121 (1)
Silence 121 (1)
Social Behavior 122 (1)
Time Orientation 122 (1)
Diet and Food Habits 122 (1)
Biological Variation 122 (2)
The Culturally Competent Mental Health Nurse 124 (3)
Epidemiology of Mental Health and Illness 127 (12)
Why Study Epidemiology? 129 (1)
How Is Epidemiology Done? 130 (1)
Epidemiology and Mental Disorders: Defining 130 (2)
Disease
The Diagnostic and Statistical Manual of 131 (1)
Mental Disorders
Assessing the Epidemiology of Mental 131 (1)
Disorders
Disorders in DSM-IV-TR 131 (1)
Epidemiological Studies of Mental Disorders 132 (7)
Early Studies 132 (1)
The Carter Commission and the 133 (1)
Epidemiologic Catchment Area Study
Planning and Execution 133 (1)
General Results 134 (1)
The Tip-of-the-Iceberg Phenomenon 134 (1)
Importance of the ECA and Other Related 135 (4)
Studies
Ethical and Legal Bases for Care 139 (16)
Ethical Issues in Psychiatric Mental Health 141 (4)
Nursing
Normative Ethics 141 (1)
Ethical Theories 142 (1)
Ethics and the Law 143 (1)
Making Ethical Decisions 144 (1)
Ethical Actions for the Social Good 144 (1)
Legal Issues in Psychiatric Mental Health 145 (10)
Nursing
Clients' Rights 145 (1)
Right to Privacy 145 (1)
Right to Keep Personal Items 146 (1)
Right to Enter into Legal Contracts 146 (1)
Right of Habeas Corpus 147 (1)
Right to Informed Consent 147 (1)
Right to Refuse Treatment 148 (1)
Legal Issues in Hospitalization and 149 (1)
Inpatient Treatment
Legal Issues Related to Care in the 150 (1)
Community
Professional Negligence 151 (1)
Failure to Prevent Dangerous Client 151 (1)
Behavior
Sexual Involvement with Clients 152 (1)
Breaching Confidentiality 152 (1)
Failure to Honor Individual Rights 152 (1)
Control of Violent or Self-Destructive 152 (3)
Behaviors
Unit 2: Clients with Psychiatric Disorders 155 (296)
The Client Undergoing Crisis 157 (24)
What Is Crisis? 159 (7)
Kinds of Crisis? 161 (1)
Stages of Crisis 161 (1)
Personal Development and Crisis 161 (1)
Stress Theory 162 (4)
Nursing Theory and Crisis 166 (4)
Adaptation Theories 166 (1)
Caring Theories 167 (2)
Cultural Care Theory 169 (1)
Nursing Process 170 (5)
Case Study/Care Plan 175 (6)
The Client Experiencing Anxiety 181 (36)
The Experience of Fear and Anxiety 184 (3)
Autonomic Nervous System 185 (1)
Neurobiology of Anxiety 185 (2)
Stages of Anxiety 187 (1)
Anxiety Disorders 187 (12)
Generalized Anxiety Disorder 187 (1)
Epidemiology 188 (1)
Panic Disorder 189 (1)
Epidemiology 190 (1)
Agoraphobia 190 (2)
Epidemiology 192 (1)
Phobias 192 (1)
Epidemiology 193 (1)
Obsessive-Compulsive Disorder 194 (2)
Epidemiology 196 (1)
Post-Traumatic Stress Disorder 197 (1)
Epidemiology 198 (1)
Causes of Anxiety Disorders 199 (1)
Treatment of Anxiety Disorders 200 (2)
Psychotherapy 200 (1)
Insight-Based Treatments 200 (1)
Behaviorally Based Treatments 200 (1)
Emergency Treatments for Acute Stress 201 (1)
Pharmacotherapy 201 (1)
Combination Therapy 201 (1)
Anxiety and Spiritual Well-Being 202 (1)
Nursing Theory and Clients Experiencing 203 (1)
Anxiety
Nursing Process 204 (2)
Case Studies/Care Plans 206 (11)
The Client Experiencing Schizophrenia 217 (28)
The Experience of Schizophrenia 220 (3)
Disordered Thoughts 220 (1)
Incomprehensible Language 221 (1)
Loss of Function 221 (1)
Delusions 222 (1)
Hallucinations 223 (1)
Symptoms 223 (3)
Clinical Course 226 (1)
Epidemiology 227 (1)
Social Costs 227 (1)
Etiology 228 (2)
Psychoanalytic Theory 228 (1)
Genetics 228 (1)
Current Views 229 (1)
Dopamine Hypothesis 230 (1)
Etiology Unknown 230 (1)
Treatment 230 (5)
Psychosocial Treatment 230 (1)
Clinical and Family Support Services 231 (1)
Rehabilitation 231 (1)
Humanitarian Aid/Public Safety 232 (1)
Pharmacological and Physical Treatments 233 (1)
Neuroleptic Medications 233 (2)
Other Physical Treatments 235 (1)
Nursing Perspectives 235 (1)
Nursing Theory 236 (1)
Nursing Process 236 (3)
Case Study/Care Plan 239 (6)
The Client Experiencing Depression 245 (32)
What Is Depression? 249 (8)
Major Depressive Disorder 250 (1)
Minor Depressive Disorder 251 (2)
Dysthymic Disorder 253 (1)
Bereavement Versus Depressive Disease 254 (1)
The Period of Shock 254 (1)
The Reality Stage 255 (1)
The Recovery Stage 256 (1)
Theories of Depression 257 (1)
Psychoanalysis 257 (1)
Object Loss Theory 257 (1)
Learned Helplessness Theory 257 (1)
Cognitive Theory 257 (1)
Physical/Biological Models 258 (1)
Treatment 258 (1)
Psychotherapy 259 (4)
Effect of Psychotherapy 259 (1)
Physical Therapies 259 (1)
Electroconvulsive Therapy 259 (1)
Light Therapy 260 (1)
Medications 260 (1)
Tricyclic and Related Antidepressants 260 (2)
Selective Serotonin Reuptake Inhibitors 262 (1)
Monoamine Oxidase Inhibitors 262 (1)
Effect of Medications 263 (1)
Nursing Perspectives 263 (1)
Caring Theories 263 (1)
Self-Care Deficit Theory 264 (1)
Nursing Process 264 (5)
Case Studies/Care Plans 269 (4)
Future Directions 273 (4)
The Client Experiencing Mania 277 (26)
Mania 281 (2)
Manic Episode 281 (1)
Hypomania 282 (1)
Bipolar Disorders 282 (1)
Epidemiology 283 (1)
Etiology 284 (2)
Molecular Basis 286 (1)
Other Causes 286 (1)
Drugs 286 (1)
Physical Disease 286 (1)
Clinical Course 286 (1)
Social Prognosis 287 (1)
Life Stress 287 (1)
Associated Disorders/Dual Diagnoses 287 (1)
Substance Abuse 287 (1)
Schizoaffective Disorder 288 (1)
Borderline Personality 288 (1)
Bipolar Disorder and Creativity 288 (1)
Treatment and Clinical Management 289 (4)
Pharmacological Treatment 289 (1)
Acute Mania 289 (1)
Maintenance Treatment 289 (1)
Lithium 289 (3)
Anticonvulsants 292 (1)
Psychotherapy 292 (1)
Other Treatments 293 (1)
Nursing Perspectives 293 (1)
Nursing Theory 293 (1)
Theory of Human Becoming 293 (1)
Self-Care Deficit Theory 294 (1)
Support for the Client's Family 294 (1)
The Ward Milieu and the Manic Client 294 (1)
Nursing Process 295 (1)
Case Study/Care Plan 296 (7)
The Client Who Is Suicidal 303 (26)
Prevalence of Suicide and Related Statistics 306 (5)
Suicide Potential 307 (1)
Suicide or Accident 307 (1)
Suicide Attempts 307 (1)
Suicidal Ideation 307 (1)
Methods 307 (2)
Suicide and Psychiatric Illness 309 (1)
Bipolar Disorder 309 (1)
Schizophrenia 309 (1)
Alcohol and Substance Abuse 309 (1)
Conduct Disorder 310 (1)
Mixed Diagnoses 310 (1)
Medical Conditions and Suicide 310 (1)
Theories of Suicide 311 (2)
Sociological Theory 311 (1)
Psychological Theory 311 (1)
Biological Explanations 311 (1)
Nursing Theory 312 (1)
Special Populations 313 (3)
Adolescents and Young Adults 313 (1)
The Elderly 314 (2)
The Incarcerated 316 (1)
Suicide Survivors 316 (2)
Nurisng Process 318 (5)
Case Study/Care Plan 323 (6)
The Client Who Abuses Chemical Substances 329 (34)
Definitions Related to Substance Abuse 331 (1)
Substance Use and Abuse in Society 332 (1)
Abused Substances 333 (1)
Efforts to Control Substance Abuse 334 (1)
Control of Tobacco Use 334 (1)
Control of Alcohol Use 334 (1)
Control of Cocaine and Opiate Use 334 (1)
Specific Abused Substances 335 (15)
Nicotine 335 (1)
Effects 335 (1)
Dependence and Withdrawal 335 (1)
Treatment of Dependence 336 (1)
Nurse's Role in Nicotine Abuse 336 (1)
Alcohol 336 (1)
Effects 337 (1)
Dependence and Withdrawal 338 (2)
Treatment of Dependence 340 (3)
Nurse's Role in Alcohol Abuse 343 (1)
Nursing and ``Brief Intervention'' 343 (1)
Cocaine 344 (1)
Effects 345 (1)
Dependence and Withdrawal 346 (1)
Treatment of Dependence 346 (1)
Nurse's Role in Cocaine Abuse 346 (1)
Opiates 347 (1)
Effects 347 (1)
Dependence and Withdrawal 348 (1)
Treatment of Dependence 348 (1)
Nurse's Role in Opiate Abuse 349 (1)
Other Commonly Abused Substances 349 (1)
Hallucinogens 349 (1)
Inhalants 349 (1)
Cannabis (Marijuana) 350 (1)
Multiple Drugs, Multiple Diagnoses 350 (1)
Substance Abuse as a Social Problems 350 (1)
Impact of Drug Use/Abuse on Families 351 (2)
Family Dysfunction 351 (1)
Codependence 352 (1)
Nursing Theory and Psychological Theory 353 (1)
Nursing Process 353 (2)
Case Study/Care Plan 355 (8)
The Client with a Personality Disorder 363 (36)
Dramatic and Emotional Personality Cluster 366 (10)
Borderline Personality Disorder 366 (2)
Etiology 368 (1)
Narcissistic Personality Disorder 369 (2)
Etiology 371 (1)
Histrionic Personality Disorder 372 (1)
Etiology 373 (1)
Antisocial Personality Disorder 374 (1)
Etiology 375 (1)
Odd and Eccentric Personality Cluster 376 (7)
Schizoid Personality Disorder 376 (2)
Etiology 378 (1)
Schizotypal Personality Disorder 378 (1)
Etiology 379 (1)
Paranoid Personality Disorder 380 (2)
Etiology 382 (1)
Anxiety- and Fear-Based Personality Cluster 383 (7)
Obsessive-Compulsive Personality Disorder 383 (1)
Etiology 384 (1)
Avoidant Personality Disorder 385 (2)
Etiology 387 (1)
Dependent Personality Disorder 387 (1)
Etiology 388 (1)
Passive-Aggressive or Negativistic 388 (1)
Personality Disorder
Etiology 389 (1)
Nursing Perspectives 390 (1)
Nursing Theory 390 (1)
Nursing Process 391 (2)
Case Study/Care Plan 393 (6)
The Client Experiencing a Somatoform or 399 (22)
Factitious Disorder
History of Somatoform Disorders 402 (1)
Somatization Disorder 403 (4)
Epidemiology and Cause 405 (1)
Treatment 406 (1)
Psychotherapy 406 (1)
Hypochondriasis 407 (2)
Epidemiology and Cause 408 (1)
Treatment 408 (1)
Conversion Disorder 409 (2)
Epidemiology and Cause 411 (1)
Treatment 411 (1)
Factitious Disorder 411 (2)
Epidemiology and Cause 412 (1)
Treatment 412 (1)
Nursing Care and Somatoform Disorders 413 (1)
Nursing Theory 413 (2)
The Special Case of Factitious Disorder 415 (1)
Nursing Process 415 (1)
Case Study/Care Plan 416 (5)
The Client with Disorders of Self-Regulation: 421 (30)
Sleep Disorders, Eating Disorders, Sexual
Disorders
Sleep Disorders 423 (7)
Normal Sleep Cycles 424 (1)
Dyssomnias 424 (2)
Primary Insomnia in the Elderly: Special 426 (1)
Considerations
Daytime Sleepiness 427 (1)
Parasomnias 428 (2)
Nursing Process 430 (1)
Case Study/Care Plan 431 (1)
Eating Disorders 432 (5)
Bulimia Nervosa 432 (2)
Treatment 434 (1)
Anorexia Nervosa 434 (1)
Differential Diagnosis 435 (1)
The Perceived Need for Weight Control 435 (1)
History of Anorexia as a Disorder 436 (1)
Treatment 436 (1)
Nursing Process 437 (1)
Case Study/Care Plan 438 (1)
Sexual Disorders 439 (6)
Taking a Sexual History 440 (1)
Specific Sexual Disorders 440 (1)
Disorders of Sexual Functioning 440 (1)
Paraphilias 441 (4)
Other Disorders 445 (1)
Nursing Process 445 (1)
Case Study/Care Plan 446 (5)
Unit 3: Special Populations 451 (180)
The Physically Ill Client Experiencing 453 (24)
Emotional Distress
Impact of Emotions on Health 455 (1)
DSM-IV-TR and Physical Illness 456 (1)
Psychological Responses to Physical Illness 456 (14)
Cancer 456 (5)
Cardiovascular Disease 461 (4)
Chronic Pain 465 (2)
Movement and Neurological Disorders 467 (3)
Family Responses to Significant Illness 470 (1)
Nursing Roles 471 (1)
Liaison Psychiatric Nursing 471 (1)
Psychiatric Home Care 472 (1)
Nursing Theory 472 (1)
Psychiatric Nursing and Mind-Body Medicine 473 (1)
Psychoneuroimmunology 473 (1)
Future Directions 474 (3)
Forgotten Populations: The Homeless and the 477 (18)
Incarcerated
The Homeless and the Incarcerated 477 (2)
The Homeless 479 (5)
Mental Illness 481 (1)
Physical Illness 482 (1)
Health Care Needs 482 (2)
Nursing Process 484 (2)
The Incarcerated 486 (2)
The Prison Population 487 (1)
Mental Health Needs 487 (1)
Mental Health Services 487 (1)
Risk of Suicide 487 (1)
Substance Abuse/Addiction 488 (1)
Nursing Process 488 (1)
Advocacy for Forgotten Populations 489 (6)
Prevention 489 (6)
The Child 495 (26)
Attention-Deficit/Hyperactivity Disorder 496 (3)
(ADHD)
Etiology of ADHD 497 (1)
Pharmacological Treatment of ADHD 498 (1)
Psychosocial Treatment of ADHD 498 (1)
ADHD and Schools 498 (1)
Safety of Long-Term Stimulant Use 499 (1)
Prognosis of ADHD 499 (1)
Depression and Suicide in Children 499 (3)
Reactive Depression 499 (1)
Major Depressive Disorder 500 (1)
Dysthymia in Children 501 (1)
Bipolar Disorder 501 (1)
Depression 501 (1)
Causes and Prevention of Depression 502 (1)
Psychological Treatment of Depression 502 (1)
Pharmacological Treatment of Depression 502 (1)
Anxiety Disorders 502 (2)
Separation Anxiety Disorders 502 (1)
Generalized Anxiety Disorder 503 (1)
Social Phobia 503 (1)
Obsessive-Compulsive Disorder 503 (1)
Psychotherapy Treatment of Anxiety 504 (1)
Pharmacotherapy Treatment of Anxiety 504 (1)
Other Mental Disorders in Children and 504 (4)
Adolescents
Developmental Disorders 504 (1)
Autism 504 (1)
Asperger's Syndrome 505 (2)
Disruptive Disorders 507 (1)
Oppositional Defiant Disorder 507 (1)
Conduct Disorder 507 (1)
Nursing Process 508 (5)
Case Study/Care Plan 513 (2)
Schools and Special-Needs Children 515 (6)
The Adolescent 521 (28)
Adolescence Defined 523 (3)
Physical Transitions 524 (1)
Cognitive Transitions 524 (1)
Emotional Transitions 524 (1)
Social Transitions 525 (1)
Theories of Adolescent Development 526 (2)
Identity Formation 526 (2)
Social Competence 528 (1)
Mental Health in Adolescence 528 (8)
Mental Health Care Needs 530 (2)
Needs Related to Physical Transitions 532 (1)
Needs Related to Cognitive Transitions 532 (1)
Needs Related to Emotional Transitions 533 (1)
Needs Related to Social Transitions 534 (2)
Nursing Theories 536 (3)
Humanistic Nursing 536 (2)
Health as Expanding Consciousness 538 (1)
Nursing Process 539 (2)
Case Study/Care Plan 541 (8)
The Elderly 549 (38)
Mental Health in the Aged 552 (1)
Cognition in the Elderly 553 (1)
Delirium 554 (1)
Characteristics 554 (1)
Diagnosis and Pathophysiology 554 (1)
Nursing Process 555 (3)
Depression 558 (3)
Theories of Depression 558 (1)
Characteristics and Diagnoses 559 (1)
Subtypes of Depression 559 (1)
Major Clinical Depression 559 (1)
Dysthymic Disorder 559 (1)
Adjustment Disorder with a Depressed Mood 560 (1)
Grief and Depression 560 (1)
Nursing Process 561 (3)
Case Study/Care Plan 564 (2)
Dementia 566 (8)
Alzheimer's Disease 566 (1)
Characteristics and Prevalence 566 (1)
Diagnosis and Pathophysiology 567 (1)
Genetic Link to Late-Onset AD 567 (1)
Vascular Dementias 568 (1)
Characteristics and Prevalence 568 (1)
Diagnosis and Pathophysiology 569 (1)
Relationship between Alzheimer's and 569 (1)
Vascular Dementia
Other Dementias 569 (1)
Symptoms and Sequelae 570 (4)
Nursing Process 574 (5)
Caring for the Caregivers 579 (1)
Honesty with the Diagnosis 579 (1)
Relationship Tensions 579 (1)
Financial and Legal Affairs 579 (1)
Use of Community Resources 579 (1)
Guilt Over Nursing Home Placement 579 (1)
Humor 580 (1)
The Positive Aspects 580 (1)
Future Directions 580 (7)
Survivors of Violence or Abuse 587 (44)
Child Abuse 588 (9)
Child Protective Legislation 589 (2)
Realities of Child Abuse 591 (1)
Sexual Abuse 592 (2)
Shaken-Baby Syndrome 594 (1)
Munchausen Syndrome by Proxy 595 (1)
Adolescent Abuse 595 (1)
Community Violence 596 (1)
Rape 597 (5)
Domestic Violence 602 (7)
Elder Abuse 609 (4)
Legislation 611 (2)
Nursing Perspectives on Abuse and Neglect 613 (2)
Self-Care Deficit Theory 613 (1)
Crisis Intervention Theory 614 (1)
Nursing Responsibilities 614 (1)
Nursing Process 615 (6)
Case Studies/Care Plans 621 (4)
Future Directions 625 (6)
Unit 4: Nursing Interventions and Treatment 631 (128)
Modalities
Pharmacology in Psychiatric Care 633 (36)
History of Psychiatric Medication 635 (2)
How and Why Psychiatric Medications Work 637 (1)
Antipsychotic Drugs 638 (6)
Indications and Evidence for Effectiveness 638 (1)
Pharmacology 639 (1)
Grouping by Chemical Class 639 (1)
Grouping by Potency Class 639 (1)
Grouping by Length of Action 639 (1)
Non-Antipsychotic Drugs Commonly Used in 639 (2)
the Treatment of Psychosis
Dose/Administration 641 (1)
Drug Actions 642 (1)
Drug Interactions 642 (1)
Use During Pregnancy/Lactation 643 (1)
Side Effects 643 (1)
Adverse Effects 643 (1)
Neuroleptic Malignant Syndrome 644 (1)
Summary of Antipsychotics 644 (1)
Drugs for Treating Mood Disorders 644 (13)
Indications and Evidence for Effectiveness 644 (2)
Tricyclic and Related Antidepressants 646 (1)
Dose/Administration 646 (1)
Drug Actions 646 (1)
Drug Interactions 646 (1)
Use During Pregnancy/Lactation 647 (1)
Side Effects 647 (1)
Adverse Effects 647 (1)
Selective Serotonin Reuptake Inhibitors 648 (1)
Dose/Administration 649 (1)
Drug Actions 649 (1)
Drug Interactions 649 (1)
Use During Pregnancy/Lactation 649 (1)
Side Effects 649 (1)
Adverse Effects 650 (1)
Monoamine Oxidase Inhibitors 650 (1)
Indications and Evidence for Effectiveness 650 (1)
Pharmacology 650 (1)
Dose/Administration 650 (1)
Drug Actions 651 (1)
Drug Interactions 651 (1)
Food and Alcohol Interactions 651 (1)
Use During Pregnancy/Lactation 652 (1)
Side Effects 652 (1)
Adverse Effects 652 (1)
Miscellaneous Antidepressant Drug 652 (2)
Categories and Drug Combinations
Mood Stabilizers 654 (1)
Indications and Evidence for Effectiveness 654 (1)
Pharmacology 654 (1)
Dose/Administration 654 (1)
Drug Actions 655 (1)
Drug and Food Interactions 655 (1)
Use During Pregnancy/Lactation 655 (1)
Side Effects 655 (1)
Adverse Effects 656 (1)
Summary of Drugs for Treating Mood 656 (1)
Disorders
Drugs for Treating Anxiety and Sleep 657 (4)
Disorders
Indications and Evidence for Effectiveness 657 (1)
Pharmacology 658 (1)
Dose/Administration 658 (1)
Drug Actions 658 (1)
Drug and Food Interactions 659 (1)
Use During Pregnancy/Lactation 659 (1)
Side Effects 659 (1)
Adverse Effects 659 (1)
Nonbenzodiazepine Drugs for Anxiety and 659 (1)
Sleep Disorders
Buspirone 659 (1)
Beta Blockers 660 (1)
Zolpidem 660 (1)
Antidepressants and Antipsychotics 660 (1)
Antihistamines 660 (1)
Summary of Antianxiety Drugs 660 (1)
Drugs for Treating Substance Abuse and 661 (1)
Dependency
Substances with Little Role Outside 661 (1)
Substance Abuse or Withdrawal
Methadone 661 (1)
Disulfiram 662 (1)
Nicotine Replacement 662 (1)
Opioid Receptor Antagonists 662 (1)
Other Medications of Use in Managing 662 (1)
Substance Dependence
Stimulant Drugs 662 (7)
Individual Psychotherapy 669 (14)
Providers of Therapy 671 (1)
Major Approaches to Psychotherapy 672 (4)
Insight-Oriented Therapy 672 (1)
Psychoanalysis 672 (2)
Psychodynamic Therapy 674 (1)
Interpersonal Therapy 674 (1)
Task-Oriented Therapy 675 (1)
Experience-Oriented Therapy 675 (1)
Research Base for Psychotherapeutic 676 (1)
Interventions
Psychotherapy and Cultural Sensitivity 677 (1)
Psychotherapy in Nursing Practice 677
Nursing Theory 678 (1)
Collaborative Interventions 679
Nursing Process 674 (9)
Family Therapy 683 (28)
What Is a Family? 685 (1)
Views of the Family 686 (1)
Family as Context 686 (1)
Family as Client 686 (1)
Family as System 687 (1)
Family as Component of Society 687 (1)
Approaches to Family Nursing 687 (1)
Family Theories 688 (6)
Family Developmental Theory 688 (1)
Nursing Interpretations Based on Family 688 (1)
Development
Bowen's Family Theory 688 (2)
Low Level of Differentiation 690 (1)
Moderate Level of Differentiation 690 (1)
High Level of Differentiation 690 (1)
Family Dynamics and Level of 690 (2)
Differentiation
Nursing Interpretations Based on Bowen's 692 (1)
Theory
Structural Family Theory 692 (1)
Nursing Interpretations Based on 693 (1)
Structural Family Theory
Communication Theory 693 (1)
Nursing Interpretations Based on 694 (1)
Communication Theory
Nursing Process 694 (7)
Case Study/Care Plan 701 (10)
Group Therapy 711 (16)
Groups 713 (1)
Phases of Group Work 713 (2)
Orientation Phase 714 (1)
Working Phase 714 (1)
Termination Phase 714 (1)
Group Dynamics, Group Content, and Group 715 (2)
Process
Preparation of Group Leaders/Facilitators 716 (1)
Number of Group Leaders 716 (1)
Approaches to Therapy Groups 717 (3)
Psychoanalytic Approach 717 (1)
Interpersonal Groups 717 (1)
Existential Groups 717 (1)
Cognitive-Behavioral Groups 718 (1)
Psychodrama 719 (1)
Approaches to Supportive Groups 720 (1)
Socialization Groups 720 (1)
Recreation Groups 720 (1)
Educational Groups 720 (1)
Reality Orientation Groups 720 (1)
Reminiscence Groups 720 (1)
Self-Help Groups 721 (1)
Nursing Process 721 (6)
Community Mental Health Nursing 727 (16)
The Changing Focus of Care 729 (1)
Federal Government in Mental Health Care 730 (3)
Deinstitutionalization 730 (1)
Case Management 731 (2)
Consumer Involvement 733 (2)
Models for Community Mental Health Nursing 735 (3)
Client-Centered Model 735 (1)
Case Management Model 735 (1)
Capitation and Managed-Care Models 736 (1)
Public Health Model 736 (2)
Future Directions 738 (5)
Complementary and Somatic Therapies 743 (16)
Complementary Modalities 745 (8)
Relaxation 745 (2)
Guided Imagery 747 (1)
Hypontherapy 748 (1)
Massage and Touch 749 (1)
Energy-Based Modalities 750 (1)
Therapeutic Touch 750 (1)
Healing Touch 751 (1)
Energy-Based Modalities in Psychiatric 751 (1)
Mental Health Care
Music Therapy 751 (1)
Pet-Assisted Therapy 752 (1)
Nursing Role in Somatic Interventions 753 (1)
Anger Control Assistance 753 (1)
Physical Restraints 753 (1)
Seclusion 754 (1)
Reentry of the Client to the Unit 754 (1)
Light Therapy 754 (1)
Collaborative Interventions in Psychiatric 754 (5)
Somatic Treatments
Electroconvulsive Therapy 754 (1)
Pharmacological Aspects of ECT 755 (1)
Nursing Care 755 (4)
Unit 5: Caring for the Nurse 759 (42)
Self-Care Modalities 761 (18)
Self-Care: A New Modality for Psychiatric 763 (3)
Nurses
Attitudes 764 (1)
Behaviors 764 (1)
Practices 765 (1)
Self-Care Modalities 766 (8)
Imagery 766 (2)
Relaxation through Meditation 768 (1)
Self-Hypnosis 769 (1)
Energy Balancing/Centering 770 (2)
Humor 772 (1)
Support Groups 773 (1)
Nursing Self-Care Process 774 (5)
Friday Night at the Movies 779 (22)
Foundations for Practice 782 (2)
Chapters 1, 2, and 7: Psychiatric 782 (1)
Institutions, Psychiatric Care, Cultural
Considerations
Down to Earth 782 (1)
Day at the Races 782 (1)
Titticut Follies 782 (1)
King of Hearts 782 (1)
Marat Sade 783 (1)
One Flow Over the Cuckoo's Nest 783 (1)
Network 783 (1)
The Ninth Configuration 783 (1)
A Man Facing Southeast 783 (1)
The Madness of King George 783 (1)
Kids in the Hall: Brain Candy 783 (1)
Twelve Monkeys 783 (1)
Being John Malkovich 784 (1)
Clients With Psychiatric Disorders 784 (9)
The Client Undergoing Crisis 784 (1)
Seventh Veil 784 (1)
On the Beach 784 (1)
Cleo from 5 to 7 784 (1)
The Client Experiencing Anxiety 784 (1)
Caine Mutiny 784 (1)
The Burmese Harp 784 (1)
High Anxiety 784 (1)
The Onion Field 784 (1)
Johnny Stecchino 785 (1)
The Fear Inside 785 (1)
Copycat 785 (1)
Vertigo (1958/1997) 785 (1)
The Client Experiencing Schizophrenia 785 (1)
Mine Own Executioner 785 (1)
Sorry, Wrong Number 785 (1)
El: This Strange Passion 785 (1)
Through a Glass Darkly 785 (1)
David and Lisa 785 (1)
The President's Analyst 785 (1)
They Might be Giants 786 (1)
The Story of Adele H 786 (1)
The Tenant 786 (1)
I Never Promised You a Rose Garden 786 (1)
Clean, Shaven 786 (1)
Don Juan de Marco 786 (1)
Angel Baby 786 (1)
The Client Experiencing Depression 787 (1)
The Snake Pit 787 (1)
Raintree County 787 (1)
The Fire Within 787 (1)
Face to Face 787 (1)
Despair 787 (1)
The Bell Jar 787 (1)
Ordinary People 787 (1)
Vincent and Theo 787 (1)
The Client Experiencing Mania 787 (1)
A Fine Madness 788 (1)
Animal House 788 (1)
Mosquito Coast 788 (1)
How to Get Ahead in Advertising 788 (1)
Mr. Jones 788 (1)
The Client Who Is Suicidal 788 (1)
It's a Wonderful Life 788 (1)
The Slender Thread 788 (1)
Harold and Maude 788 (1)
Ordinary People 788 (1)
Whose Life Is It Anyway? 789 (1)
The Big Chill 789 (1)
Vincent and Theo 789 (1)
The Client Who Abuses Chemical Substances 789 (1)
The Lost Weekend 789 (1)
I'll Cry Tomorrow 789 (1)
The Man with the Golden Arm 789 (1)
Days of Wine and Roses 789 (1)
Long Day's Journey into Night 789 (1)
Panic in Needle Park 789 (1)
The Seven Percent Solution 789 (1)
I'm Dancing as Fast as I Can 789 (1)
The Verdict 789 (1)
Educating Rita 790 (1)
Clean and Sober 790 (1)
Postcards from the Edge 790 (1)
Trainspotting 790 (1)
The Client with a Personality Disorder 790 (1)
Gone with the Wind 790 (1)
Rebecca 790 (1)
A Canterbury Tale 790 (1)
The Secret Life of Walter Mitty 790 (1)
Gypsy 790 (1)
Clockwork Orange 791 (1)
Pee Wee's Big Adventure 791 (1)
The House of Games 791 (1)
Henry: Portrait of a Serial Killer 791 (1)
Heavy 791 (1)
Stuart Saves His Family 791 (1)
Dissociative Disorders (Multiple 791 (1)
Personalities)
Dr. Jekyll and Mr. Hyde 791 (1)
The Three Faces of Eve 791 (1)
Sybil 791 (1)
The Client with a Psychosomatic Illness 791 (1)
The Barretts of Wimpole Street 791 (1)
Send Me No Flowers 791 (1)
Safe 792 (1)
The Client with Disorders of 792 (1)
Self-Regulation: Sleep Disorders, Eating
Disorders, Sexual Disorders
The Mark 792 (1)
The Best Little Girl in the World 792 (1)
Dreamchild 792 (1)
Superstar: The Karen Carpenter Story 792 (1)
The Offence 792 (1)
Life is Sweet 792 (1)
The Hairdresser's Husband 793 (1)
Le Cri de la Soie 793 (1)
Witman Fiuk 793 (1)
Special Populations 793 (4)
The Physically Ill Client Experiencing 793 (1)
Emotional Distress
The Pride of the Yankees 793 (1)
The Elephant Man 793 (1)
The Shadow Box 793 (1)
Parting Glances 793 (1)
Beaches 793 (1)
Awakenings 793 (1)
Passion Fish 794 (1)
Forgotten Populations: The Homeless and 794 (1)
the Incarcerated
Short Eyes 794 (1)
Dead Man Out 794 (1)
The Fisher King 794 (1)
The Saint of Fort Washington 794 (1)
The Child 794 (1)
The 400 Blows 794 (1)
The Effect of Cosmic Rays on Man-in-the 794 (1)
Moon Marigolds
Small Change 795 (1)
Rain Man 795 (1)
Lorenzo's Oil 795 (1)
The Adolescent 795 (1)
Mouchette 795 (1)
Gaby: A True Story 795 (1)
My Left Foot 795 (1)
Wildflower 795 (1)
Good Will Hunting 795 (1)
Virgin Suicides 795 (1)
The Elderly 796 (1)
The Last Laugh 796 (1)
Kotch 796 (1)
Harry and Tonto 796 (1)
Gin Game 796 (1)
Driving Miss Daisy 796 (1)
Age Old Friends 796 (1)
Children of Nature 796 (1)
A Woman's Tale 796 (1)
Survivors of Violence or Abuse 796 (1)
Murmur of the Heart 796 (1)
Judgment 797 (1)
Sleeping with the Enemy 797 (1)
Nursing Interventions and Treatment 797 (4)
Modalities
Secrets of the Soul 797 (1)
Spellbound 797 (1)
Freud 797 (1)
Pressure Point 797 (1)
Lilith 797 (1)
Frances 797 (1)
The Dream Team 797 (1)
Prince of Tides 798 (1)
Shall We Dance? 798 (3)
Appendix A: Standards of Psychriatric-Mental 801 (2)
Health Clinical Nursing Practice
Appendix B: Canadian Standards of Psychriatric 803 (5)
and Mental Health Nursing Practice (2nd ed.)
Appendix C: DSM-IV-TR Classification 808 (9)
Appendix D: NANDA Approved Nursing Diagnoses 817 (2)
Appendix E: Critical Pathway for a Client 819 (10)
Experiencing Depression
Appendix F: Psychological Tests in Common Use 829 (2)
Glossary 831 (10)
Index 841