Mental Health and Mental Illness

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ISBN: 9780397550135 | 0397550138
Cover: Paperback
Copyright: 1/1/1994

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Now in its Seventh Edition, this psychiatric and mental health nursing text covers both care of patients with psychiatric disorders and the psychosocial aspects of physiological disorders. Geared toward LPN/LVN students, the book's format reflects the nursing model and the shift of psychiatric nursing care from hospitals to community-based settings. New content includes care planning and psychotropic drug monitoring and the DSM-IV-TR. Other features include an increased emphasis on communication, and a family and resource support list that includes selected Web resources. End-of-chapter review questions allow the reader to balance knowledge-based, analysis and application questions. The Ancillary package consists of a printed Instructor's Manual and Test Bank on disk.

Patterns of Mental Health Care	p. 1
Current and Evolving Patterns of Mental Health Care	p. 3
History of Mental Health Care	p. 3
Changing Patterns of Mental Health Care Delivery	p. 5
Changes in Inpatient Mental Health Treatment	p. 7
Importance of Economic Factors in Decision Making About Mental Health Treatment	p. 8
The Roles of the Nurse in Different Mental Health Settings	p. 13
Concepts of Nursing Practice	p. 14
Roles and Functions of the Licensed Practical and Vocational Nurse	p. 16
Types of Nursing Roles in Mental Health Settings	p. 17
The Role of the LPN/LVN in Different Settings	p. 19
Inpatient Hospitalization: The Mental Health Treatment Team and the Therapeutic Milieu	p. 23
Preliminary Care Planning in the Inpatient Treatment Setting	p. 24
Critical Paths	p. 25
The Mental Health Treatment Team	p. 25
Communication Within the Treatment Team	p. 27
The Therapeutic Milieu	p. 28
Therapeutic Team Treatment	p. 29
Community-Based Treatment Settings for Mental Disorders	p. 33
Community Mental Health Centers	p. 35
The Homeless and Mental Illness	p. 37
Assertive Community Treatment	p. 38
Home Care Setting: Client and Family Issues	p. 43
The New Option of Home Care for Treatment of Mental Disorders	p. 44
The Philosophy of Home Care Nursing	p. 44
Basic Principles of Mental Health Rehabilitation	p. 47
Criteria for Assessment of Safe Mental Health Home Care	p. 47
Home Care Services for the Person in a Mental Health Crisis	p. 48
Collaborative Care With Other Health Care Disciplines	p. 50
Professional, Legal, and Ethical Issues in Mental Health Nursing	p. 55
The Code for Nurses	p. 55
The Code for Licensed Practical/Vocational Nurses	p. 56
Nursing Practice Standards for the Licensed Practical Nurse	p. 57
Standards of Psychiatric-Mental Health Clinical Nursing Practice	p. 59
Legal Aspects of Mental Health Nursing	p. 60
The Ethics of Nursing Practice	p. 63
Unit 1
Developing Critical Thinking Skills Through Class Discussion	p. 67
Case Study	p. 67
Discussion Questions	p. 67
Foundations of the Therapeutic Relationship	p. 69
Communicating in the Therapeutic Relationship	p. 71
Important Elements in a Therapeutic Relationship	p. 72
Important Personal Qualities in a Therapeutic Relationship	p. 78
Communication Patterns in the Counseling Relationship	p. 78
Other Aspects of the Therapeutic Relationship	p. 80
Theories and Stages of Personality Development	p. 85
Heredity	p. 86
Developmental Stages	p. 88
Development of Needs	p. 89
Hierarchy of Human Needs	p. 90
Personality Development and Learning	p. 93
The Ego	p. 94
Levels of Consciousness	p. 95
Conflict	p. 96
Factors in Personality Development	p. 97
Theories of Personality Development	p. 98
Erikson's Concept of Personality Development	p. 99
Influences of Family and Social Environment on the Individual	p. 107
General Systems Theory	p. 109
Systems, Subsystems, and Supersystems	p. 109
Concepts in Family System Functioning	p. 112
Effects of Mental Illness on Family Dynamics	p. 114
Unit 2
Developing Critical Thinking Skills Through Class Discussion	p. 120
Case Study	p. 120
Discussion Questions	p. 120
Foundations of Decision Making in the Mental Health Setting	p. 121
Nursing Process in the Mental Health Setting	p. 123
Assessment	p. 124
Nursing Diagnosis	p. 126
Collaborative Problems	p. 130
Planning	p. 132
Implementation and Intervention	p. 133
The Importance of Documenting Nursing Actions in the Nursing Care Plan and Patient Notes	p. 139
Human Emotions	p. 145
Physiologic Responses	p. 146
Control of Emotions	p. 147
Commonly Experienced Emotional States	p. 148
Stress: Effective Coping and Adaptation	p. 157
The Coping Process	p. 159
The Effects of Coping on Mental and Physical Health	p. 162
Life Events That Contribute to the Stress Response	p. 163
Effective Coping Factors	p. 166
Stress: Ineffective Coping and Defense Mechanisms	p. 171
How Defense Mechanisms Form a Response to Ineffective Coping	p. 173
Types of Defense Mechanisms	p. 175
General Adaptation Syndrome	p. 179
Types of Behavior	p. 179
The Mental Status Exam	p. 185
Level of Awareness and Orientation	p. 187
Appearance and Behavior	p. 187
Speech and Communication	p. 189
Mood or Affect	p. 189
Thinking	p. 190
Perception	p. 191
Memory	p. 192
Judgment	p. 192
Mental Status Exam in Outpatient Care	p. 192
Unit 3
Developing Critical Thinking Skills Through Class Discussion	p. 196
Case Study	p. 196
Discussion Questions	p. 196
Nursing the Client With a Mental Disorder	p. 197
The Client With a Mood Disorder	p. 199
Mood Episodes	p. 200
Depressive Disorders	p. 203
Bipolar Disorder	p. 204
Cyclothymic Disorder	p. 205
Nursing Care of Clients With Mood Disorders	p. 206
The Client With an Anxiety Disorder	p. 215
Anxiety Disorders	p. 218
Nursing Care of Clients With Anxiety Disorders	p. 225
Somatoform Disorders	p. 226
Nursing Care of Clients With Somatoform Disorders	p. 228
The Client With Delirium, Dementia, Alzheimer's, and Other Cognitive Disorders	p. 235
Delirium	p. 238
Dementia	p. 240
Other Cognitive Disorders	p. 242
Physical Conditions That Can Cause Mental Disorders	p. 245
The Client With Schizophrenia and Other Psychotic Disorders	p. 257
Schizophrenic Disorders	p. 258
Schizophrenia	p. 261
Delusional Disorders	p. 268
Other Psychotic Disorders	p. 270
The Client Who Is Contemplating Suicide	p. 277
Clinical Issues Associated With Risk of Completed Suicide	p. 278
Risk Factors for Suicide	p. 280
Treatment for Suicidal Ideation, Plan, or Attempt	p. 282
Nursing Diagnosis Categories Related to Client Who Is Contemplating Suicide	p. 283
The Client With a Substance-Related Mental Disorder	p. 291
Etiologic Factors in Substance Use	p. 292
Substance Use Disorders	p. 293
Alcohol-Related Disorders	p. 295
Amphetamine-Related Disorder	p. 298
Cannabis-Related Disorder	p. 299
Cocaine-Related Disorder	p. 300
Hallucinogen-Related Disorder	p. 300
Nicotine-Related Disorder	p. 300
Opioid-Related Disorder	p. 301
Phencyclidine-Related Disorder	p. 302
Sedative-Hypnotic-Related Disorder	p. 302
Nursing Care of Clients With Substance-Related Disorders	p. 304
The Client With a Personality Disorder	p. 311
Paranoid Personality Disorder	p. 312
Schizoid Personality Disorder	p. 313
Schizotypal Personality Disorder	p. 313
Antisocial Personality Disorder	p. 314
Borderline Personality Disorder	p. 315
Histrionic Personality Disorder	p. 315
Narcissistic Personality Disorder	p. 315
Avoidant Personality Disorder	p. 316
Dependent Personality Disorder	p. 316
Obsessive-Compulsive Personality Disorder	p. 316
Personality Disorder Not Otherwise Specified	p. 316
Treatment of Personality Disorders	p. 317
The Client With an Eating Disorder	p. 323
Types of Eating Disorders	p. 324
Medical Risk Factors With Severe Eating Disorders	p. 328
Treatment Options for Eating Disorders	p. 328
Nursing Care of the Client With an Eating Disorder	p. 330
The Infant, Child, or Adolescent With a Developmental Disorder	p. 335
Types of Developmental Disorders	p. 336
Attention Deficit/Hyperactivity Disorder	p. 337
Disruptive Behavior Disorder	p. 340
Unit 4
Developing Critical Thinking Skills Through Class Discussion	p. 346
Case Study	p. 346
Discussion Questions	p. 346
Intervention and Treatment of Mental Disorders	p. 347
Crisis Intervention	p. 349
Sequence of Developments Following a Critical Event	p. 350
Categories of Crisis	p. 351
Treatment Sites for Crisis Intervention	p. 356
The Use of Nursing Process With Clients in Crisis	p. 358
Nursing Care of the Older Adult With a Mental Disorder	p. 363
Effects of Loss on the Older Adult	p. 364
The Most Common Psychosocial Disorders of the Aged	p. 364
Nursing Care of the Older Adult With Depression	p. 365
Nursing Care of the Older Adult With Cognitive Impairment	p. 367
Nursing Care of the Older Adult With Insomnia	p. 369
Nursing Care of the Older Adult With Decrease in Social and Daily Living Skills	p. 369
Nursing Care of the Older Adult With Stress Reactions	p. 370
Milieu Therapy and Behavior Modification	p. 377
The Therapeutic Milieu	p. 378
The Treatment Model	p. 380
Behavior Modification	p. 383
Group Therapy	p. 391
Early Socialization in Groups	p. 392
The Purpose of Groups in the Therapeutic Setting	p. 392
The Purpose of Groups in the Community Setting	p. 393
The Nurse's Role in Group Therapy	p. 393
Types of Group Therapy	p. 394
Formation of the Group	p. 397
Leadership Style	p. 397
The Group Process	p. 398
Psychopharmacology and Electroconvulsive Treatment of Mental Disorders	p. 403
General Considerations About Psychopharmacology	p. 404
Major Drug Categories	p. 405
Adverse Effects of Psychotropic Medications	p. 417
The Role of the Licensed Practical Nurse in Administering Psychotropic Medications	p. 418
Legal Issues in Administering Psychotropic Medications	p. 419
Electroconvulsive Therapy	p. 420
Complementary Health Approaches: Therapies and Philosophy in Mental Health Treatment Settings	p. 427
Complementary Therapies	p. 428
What Types of Complementary Therapies Have Been Found Effective With Mental Disorders?	p. 429
Current Use of Complementary Methods in Mental Health Settings	p. 431
Using Systems Theory in Holistic Nursing Care	p. 434
The Importance of Potential for Change in the Client	p. 434
Change Theory	p. 435
Guidelines for Holistic Relationships	p. 435
Unit 5
Developing Critical Thinking Skills Through Class Discussion	p. 445
Case Study	p. 445
Discussion Questions	p. 445
Answers to Chapter Questions	p. 447
Glossary	p. 449
Barry Psychosocial Assessment	p. 474
North American Nursing Diagnosis Association (NANDA) Nursing Diagnoses: Definitions and Classification	p. 483
DSM-IV Classifications	p. 486
Index	p. 497
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Mental Health and Mental Illness

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