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Full Download PDF of Psychiatric-Mental Health Nursing 8th Edition by Shelia Videbeck (Ebook PDF) All Chapter
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Reviewers
8
College Lecturer, Nursing
Hudson Community College
Jersey City, New Jersey
9
Preface
10
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. These include 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 of mental disorders. This unit has been reorganized to reflect
current concepts in mental disorders. New chapters include trauma and
stressor-related disorders, obsessive–compulsive disorder and related
disorders, somatic symptom disorders, disruptive disorders, and
neurodevelopmental disorders. Each chapter provides current information on
etiology, onset and clinical course, treatment, and nursing care. The chapters
are compatible for use with any medical classification system for mental
disorders.
Pedagogical Features
Psychiatric–Mental Health Nursing incorporates several pedagogical features
designed to facilitate student learning:
• Learning Objectives focus on the students’ reading and study.
• Key Terms identify new terms used in the chapter. Each term is identified
in bold and defined in the text.
• Application of the Nursing Process sections, with a special design in this
edition, highlight the assessment framework to help students compare and
contrast various disorders more easily.
• Critical Thinking Questions stimulate students’ thinking about current
dilemmas and issues in mental health.
• Key Points summarize chapter content to reinforce important concepts.
• Chapter Study Guides provide workbook-style questions for students to
test their knowledge and understanding of each chapter.
Special Features
11
• Clinical Vignettes, provided for each major disorder discussed in the text,
“paint a picture” of a client dealing with the disorder to enhance
understanding.
• Nursing Care Plans demonstrate a sample plan of care for a client with a
specific disorder.
• Drug Alerts highlight essential points about psychotropic drugs.
• Warning boxes are the FDA black box drug warnings for specific
medications.
• Cultural Considerations sections highlight diversity in client care.
• Elder Considerations sections highlight the key considerations for a
growing older adult population.
• Therapeutic dialogues give specific examples of the nurse–client
interaction to promote therapeutic communication skills.
• Client and Family Education boxes provide information that helps
strengthen students’ roles as educators.
• Nursing Interventions provide a summary of key interventions for the
specific disorder.
• DSM-5 Diagnostic Criteria boxes include specific diagnostic information
for the disorder.
• Best Practices boxes highlight current evidence-based practice and future
directions for research on a wide variety of practice issues.
• Self-Awareness Issues encourage students to reflect on themselves, their
emotions, and their attitudes as a way to foster both personal and
professional development.
• Concept Mastery Alerts clarify important concepts that are essential to
students’ learning and practice.
• Unfolding Patient Stories, written by the National League for
Nursing, are an engaging way to begin meaningful conversations in the
classroom. These vignettes, which appear throughout the book, feature
patients from Wolters Kluwer’s | Mental Health.
12
• PowerPoint Slides
• Image Bank
• Test Generator
• Pre-Lecture Quizzes
• Discussion Topics
• Web Assignments
• Guided Lecture Notes
• Case Studies
Lippincott CoursePoint+
The same trusted solution, innovation, and unmatched support that you have
come to expect from Lippincott CoursePoint+ is now enhanced with more
engaging learning tools and deeper analytics to help prepare students for
practice. This powerfully integrated, digital learning solution combines
learning tools, case studies, virtual simulation, real-time data, and the most
trusted nursing education content on the market to make curriculum-wide
learning more efficient and to meet students where they’re at in their learning.
And now, it’s easier than ever for instructors and students to use, giving them
everything they need for course and curriculum success!
Lippincott CoursePoint+ includes:
• Engaging course content provides a variety of learning tools to engage
students of all learning styles.
• A more personalized learning approach, including adaptive learning
powered by PrepU, gives students the content and tools they need at the
moment they need it, giving them data for more focused remediation and
helping to boost their confidence.
• Varying levels of case studies, virtual simulation, and access to Lippincott
Advisor help students learn the critical thinking and clinical judgment skills
to help them become practice-ready nurses.
• Unparalleled reporting provides in-depth dashboards with several data
points to track student progress and help identify strengths and weaknesses.
• Unmatched support includes training coaches, product trainers, and nursing
education consultants to help educators and students implement
CoursePoint with ease.
Student Resources
Students who purchase a new copy of Psychiatric–Mental Health Nursing
gain access to the following learning tools on using the access code in the
front of their book:
13
• Watch and Learn Videos, highlighting films depicting individuals with
mental health disorders, provide students the opportunity to approach
nursing care related to mental health and illness in a novel way.
• NCLEX-Style Review Questions help students review important concepts
and practice for the NCLEX examination.
• Journal Articles offer access to current research available in Wolters
Kluwer journals.
• Internet Resources provide relevant web links to further explore chapter
content.
New with this edition, | Mental Health, a new virtual simulation
platform is available via . Codeveloped by Laerdal Medical and Wolters
Kluwer, | Mental Health helps students develop clinical competence
and decision-making skills as they interact with virtual patients in a safe,
realistic environment. records and assesses student decisions
throughout the simulation, then provides a personalized feedback log
highlighting areas needing improvement. Also available via , Lippincott
DocuCare combines web-based electronic health record simulation software
with clinical case scenarios that link directly to many of the skills presented in
Focus on Nursing Pharmacology. Lippincott DocuCare’s nonlinear solution
works well in the classroom, simulation lab, and clinical practice.
14
correctly. Each question is also “normed” by all students in PrepU around the
country—how every student answers a specific question generates the
difficulty level of each question in the system. This adaptive experience
allows students to practice at their own pace and study much more effectively.
Personalized Reports
Students get individual feedback about their performance, and instructors can
track class statistics to gauge the level of understanding. Both get a window
into performance to help identify areas for remediation. Instructors can access
the average mastery level of the class, students’ strengths and weaknesses,
and how often students use PrepU. Students can see their own progress charts
showing strengths and weaknesses—so they can continue quizzing in areas
where they want to improve.
15
Acknowledgments
Many years of teaching and practice have shaped my teaching efforts and this
textbook. My experience with students and their curiosity and enthusiasm
guide me to keep this text useful, easy to read and understand, and focused on
student learning. As always, I strive to keep the text relevant to student needs.
I want to thank the people at Wolters Kluwer for their valuable assistance in
making this textbook a reality. Their contributions to its success are greatly
appreciated. I thank Natasha McIntyre, Staci Wolfson, Jennifer Forestieri,
Dave Murphy, and David Saltzberg for a job well done once again. My
friends continue to listen, support, and encourage my efforts in all endeavors.
My family and friends provide love and support in this endeavor, as well as in
the journey of life. I am truly fortunate and grateful.
—Sheila L. Videbeck
16
Contents
Reviewers
Preface
Acknowledgments
UNIT 1
Current Theories and Practice
1. Foundations of Psychiatric–Mental Health Nursing
Introduction
Mental Health and Mental Illness
Diagnostic and Statistical Manual of Mental Disorders
Historical Perspectives of the Treatment of Mental Illness
Mental Illness in the 21st Century
Psychiatric Nursing Practice
Student Concerns
2. Neurobiologic Theories and Psychopharmacology
Introduction
The Nervous System and How It Works
Brain Imaging Techniques
Neurobiologic Causes of Mental Illness
The Nurse’s Role in Research and Education
Psychopharmacology
3. Psychosocial Theories and Therapy
Introduction
Psychosocial Theories
Treatment Modalities
The Nurse and Psychosocial Interventions
4. Treatment Settings and Therapeutic Programs
Introduction
17
Treatment Settings
Psychiatric Rehabilitation and Recovery
Special Populations of Clients with Mental Illness
Interdisciplinary Team
Psychosocial Nursing in Public Health and Home Care
UNIT 2
Building the Nurse–Client Relationship
5. Therapeutic Relationships
Introduction
Components of a Therapeutic Relationship
Types of Relationships
Establishing the Therapeutic Relationship
Avoiding Behaviors that Diminish the Therapeutic Relationship
Roles of the Nurse in a Therapeutic Relationship
6. Therapeutic Communication
Introduction
What Is Therapeutic Communication?
Verbal Communication Skills
Nonverbal Communication Skills
Understanding the Meaning of Communication
Understanding Context
Understanding Spirituality
The Therapeutic Communication Session
Assertive Communication
Community-Based Care
7. Client’s Response to Illness
Introduction
Individual Factors
Interpersonal Factors
Cultural Factors
8. Assessment
Introduction
Factors Influencing Assessment
How to Conduct the Interview
Content of the Assessment
Data Analysis
18
UNIT 3
Current Social and Emotional Concerns
9. Legal and Ethical Issues
Introduction
Legal Considerations
Ethical Issues
10. Grief and Loss
Introduction
Types of Losses
The Grieving Process
Dimensions of Grieving
Disenfranchised Grief
Complicated Grieving
11. Anger, Hostility, and Aggression
Introduction
Onset and Clinical Course
Related Disorders
Etiology
Treatment
Workplace Hostility
Community-Based Care
12. Abuse and Violence
Introduction
Clinical Picture of Abuse and Violence
Characteristics of Violent Families
Intimate Partner Violence
Child Abuse
Elder Abuse
Rape And Sexual Assault
Community Violence
UNIT 4
Nursing Practice for Psychiatric Disorders
13. Trauma and Stressor-Related Disorders
Introduction
Posttraumatic Stress Disorder
Dissociative Disorders
19
14. Anxiety and Anxiety Disorders
Introduction
Anxiety as a Response to Stress
Overview of Anxiety Disorders
Incidence
Onset and Clinical Course
Related Disorders
Etiology
Treatment
Community-Based Care
Mental Health Promotion
Panic Disorder
Phobias
Generalized Anxiety Disorder
15. Obsessive–Compulsive and RelatedDisorders
Introduction
Obsessive–Compulsive Disorder
16. Schizophrenia
Introduction
Clinical Course
Related Disorders
Etiology
Treatment
Community-Based Care
Mental Health Promotion
17. Mood Disorders and Suicide
Introduction
Categories of Mood Disorders
Related Disorders
Etiology
Major Depressive Disorder
Bipolar Disorder
Suicide
Community-Based Care
Mental Health Promotion
18. Personality Disorders
Introduction
Personality Disorders
Etiology
20
Treatment
Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder
Antisocial Personality Disorder
Borderline Personality Disorder
Histrionic Personality Disorder
Narcissistic Personality Disorder
Avoidant Personality Disorder
Dependent Personality Disorder
Obsessive–Compulsive Personality Disorder
Community-Based Care
Mental Health Promotion
19. Addiction
Introduction
Types of Substance Abuse
Onset and Clinical Course
Related Disorders
Etiology
Types of Substances and Treatment
Treatment and Prognosis
Community-Based Care
Mental Health Promotion
Substance Abuse In Health Professionals
20. Eating Disorders
Introduction
Overview of Eating Disorders
Categories of Eating Disorders
Etiology
Anorexia Nervosa
Bulimia Nervosa
Community-Based Care
Mental Health Promotion
21. Somatic Symptom Illnesses
Introduction
Overview of Somatic Symptom Illnesses
Etiology
Treatment
Community-Based Care
21
Mental Health Promotion
22. Neurodevelopmental Disorders
Introduction
Autism Spectrum Disorder
Attention-Deficit/Hyperactivity Disorder
Mental Health Promotion
23. Disruptive Behavior Disorders
Introduction
Related Disorders
Oppositional Defiant Disorder
Intermittent Explosive Disorder
Conduct Disorder
Community-Based Care
Mental Health Promotion
24. Cognitive Disorders
Introduction
Delirium
Dementia
Appendix A
Disorders of Sleep and Wakefulness
Appendix B
Sexual Dysfunctions and Gender Dysphoria
Appendix C
Drug Classification under the Controlled Substances Act
22
Current Theories and Practice
23
CHAPTER 1
Foundations of Psychiatric–Mental
Health Nursing
KEY TERMS
• asylum
• boarding
• case management
• deinstitutionalization
• Diagnostic and Statistical Manual of Mental
Disorders, fifth edition (DSM-5)
• managed care
• managed care organizations
• mental health
• mental illness
• phenomena of concern
• psychotropic drugs
• self-awareness
• standards of care
• utilization review firms
LEARNING OBJECTIVES
After reading this chapter, you should be able to:
1. Describe the characteristics of mental health and mental illness.
2. Discuss the purpose and use of the American Psychiatric Association’s
Diagnostic and Statistical Manual of Mental Disorders, fifth edition
(DSM-5).
3. Identify important historical landmarks in psychiatric care.
24
4. Discuss current trends in the treatment of people with mental illness.
5. Discuss the American Nurses Association (ANA) standards of practice for
psychiatric–mental health nursing.
6. Describe the common student concerns about psychiatric nursing.
INTRODUCTION
As you begin the study of psychiatric–mental health nursing, you may be
excited, uncertain, and even somewhat anxious. The field of mental health
often seems a little unfamiliar or mysterious, making it hard to imagine what
the experience will be like or what nurses do in this area. This chapter
addresses these concerns and others by providing an overview of the history
of mental illness, advances in treatment, current issues in mental health, and
the role of the psychiatric nurse.
Mental Health
The World Health Organization defines health as a state of complete physical,
mental, and social wellness, not merely the absence of disease or infirmity.
This definition emphasizes health as a positive state of well-being. People in a
state of emotional, physical, and social well-being fulfill life responsibilities,
function effectively in daily life, and are satisfied with their interpersonal
relationships and themselves.
No single universal definition of mental health exists. Generally, a person’s
behavior can provide clues to his or her mental health. Because each person
can have a different view or interpretation of behavior (depending on his or
her values and beliefs), the determination of mental health may be difficult. In
25
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