Psychiatric Nursing - E-Book , livre ebook

Psychiatric Nursing
Seventh Edition
Norman L. Keltner, EdD, RN, CRNP
Professor, School of Nursing, University of Alabama at Birmingham, Birmingham, Alabama
Debbie Steele, PhD, RN, LMFT
Associate Professor, Christian Counseling, Golden Gate Baptist Theological Seminary, Mill Valley, California
Table of Contents
Cover image
Title page
Copyright
Contributor List
Reviewers
Preface
Teaching and Learning Resources
For Instructors
For Students
Acknowledgments
Unit I: The Basics
Chapter 1: Me, Meds, Milieu
Psychotherapeutic Management
Psychotherapeutic Management: Three Interventions
Continuum of Care: All the Places to Implement Me, Meds, and Milieu
Primary Care
Chapter 2: Historical Issues
Benchmarks in Psychiatric History
Issues that Affect the Delivery of Psychiatric Care
Summary
Chapter 3: Legal Issues
Sources of Law
Torts (Civil Law)
Commitment Issues
Patient Rights
Psychiatric Advance Directives
Chapter 4: Psychobiologic Bases of Behavior
Neuroanatomy of the Brain
Neurons and Neurotransmitters
Autonomic Nervous System
Ventricular System
Clinical Application
Chapter 5: Cultural Issues
Basic Concepts
Culture-Bound Mental Health Issues
Alternative Therapies
Ethnopharmacology
Nurse’s Role in Cultural Assessment
Summary
Chapter 6: Spiritual Issues
Toward an Understanding of Spirituality
Patient Spirituality and the Psychiatric Nurse
Intersection of Spirituality and Mental or Emotional Distress
Health Care Applications
Using Clergy Resources
Unit II: You: Therapeutic Nurse-Patient Relationship
Chapter 7: Models for Working with Psychiatric Patients
Recovery Model
Psychoanalytical Model
Key Concepts
Developmental Model
Interpersonal Model
Cognitive-Behavioral Models
Integrative Approach
Chapter 8: Learning to Communicate Professionally
Categories of Communication
Therapeutic Communication
Interference With Therapeutic Communication
Chapter 9: Working with an Individual Patient
Therapeutic Relationships
Being Therapeutic Versus Providing Therapy
Stages of Development of a Therapeutic Relationship
Interactions with Selected Behaviors
Nursing Process
Chapter 10: Working with Groups of Patients
Benefits of Groups
Therapeutic Factors
Types of Groups
Group Management Issues
Common Management Issues
Types of Patients in Groups
Chapter 11: Working with the Family
Definition of Family
Family Systems Theory
Contemporary Families
Family Characteristics
Stages of Family Development
Effects of Mental Disorders on the Family
Family Reactions to Psychiatric Treatment and Hospitalization
Nurse Response to Patients and Families Seeking Treatment
Abilities Needed when Working with Families
Application of the Nursing Process to the Family
Unit III: Medication: Psychopharmacology
Chapter 12: Introduction to Psychotropic Drugs
Nursing Responsibilities
Pharmacokinetics: What the Body Does to the Drug
Pharmacodynamics: What the Drug Does to the Body
Blood-Brain Barrier
Neurons and Neurotransmitters
Receptors
Patient Education
Chapter 13: Antiparkinsonian Drugs
Parkinson’s Disease and Extrapyramidal Side Effects
Anticholinergics to Treat Extrapyramidal Side Effects
Other Treatment Options for Extrapyramidal Side Effects
Prevention
Chapter 14: Antipsychotic Drugs
Classification Systems
Neurochemical Theory of Schizophrenia
Overview
Traditional (First-Generation) Drugs: Introduced in 1950
Atypical Antipsychotic (Second-Generation) Drugs: Introduced in 1990
A New Theory of Schizophrenia
Chapter 15: Antidepressant Drugs
Biochemical Theory of Depression
Selective Serotonin Reuptake Inhibitors
Tricyclic Antidepressants
Monoamine Oxidase Inhibitors
Nontraditional Approaches to Depression
Chapter 16: Antimanic Drugs
Lithium
Anticonvulsants
Antipsychotics
Other Treatments for Bipolar Disorder
Chapter 17: Antianxiety Drugs
Models of Anxiety
Benzodiazepines
Nonbenzodiazepine: Buspiron
Selective Serotonin Reuptake Inhibitor
Other Drugs with Antianxiety Propertie
Chapter 18: Antidementia Drugs
Drugs Used to Treat Dementias
Agents that Restore Acetylcholine
Agents that May Retard Neurodegeneration
Drugs to Prevent Alzheimer’s Disease
Chapter 19: Over-the-Counter Drugs
Background
Herbal Therapies
Herbals to Treat Anxiety and Depression
Anxiolytic Herbals Without Sufficient Evidence of Efficacy and Safety
Herbals for Memory and Dementia
Herbals that Might Cause Problems for Patients Receiving Psychiatric Care
Vitamin, Mineral, and Nutritional Supplement Therapies
General Concerns Regarding Herbs and Supplements
Future Directions of Integrative Health Care
Unit IV: Environment: Milieu Management
Chapter 20: Introduction to Milieu Management
Historical Overview
The Joint Commission: Environment of Care Issues
Nursing and the Therapeutic Environment
Elements of the Treatment Environment
The Nurse as Manager of the Treatment Environment
Chapter 21: Variables Affecting the Therapeutic Environment: Violence and Suicide
Current Trends
Aggression and Violence
Management of Inpatient Aggression
Nursing Interventions Based on the Assault Cycle
Suicide
Risk Factors
Assessment of Suicidal Patients
Suicide Interventions
Burnout and Secondary Traumatization
Clinical Supervision for Psychiatric Nurses
Effective Functioning in the Acute Psychiatric Setting
Chapter 22: Therapeutic Environment in Various Treatment Settings
Inpatient Settings
Medical-Psychiatric Hospital Units
Community Treatment Settings
Summary
Unit V: Putting it All Together: Psychopathology
Chapter 23: Introduction to Psychopathology
Behavior
Etiology
Psychotherapeutic Management
Nurses Need to Understand Psychopathology
Chapter 24: Schizophrenia Spectrum and Other Psychotic Disorders
Schizophrenia
Special Issues Related to Schizophrenia
Continuum of Care for People with Schizophrenia
Psychotherapeutic Management
Other Schizophrenia Spectrum Disorders
Future directions
Chapter 25: Depressive Disorders
Depressive Disorders
Major Depressive Disorder
Disruptive Mood Dysregulation Disorder
Persistent Depressive Disorder (Dysthymia)
Premenstrual Dysphoric Disorder
Behaviorial Symptoms of Depression
Etiology of Depression
Assessment of Depression
Putting it All Together
Chapter 26: Bipolar Disorders
General Description of Bipolar Disorder
DSM-5 Terminology and Criteria
Bipolar Disorders
Putting it All Together
Chapter 27: Anxiety-Related, Obsessive-Compulsive, Trauma and Stressor-Related, Somatic, and Dissociative Disorders
Stress
Anxiety
Anxiety-Related Disorders
Generalized Anxiety Disorder
Putting it All Together
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Chapter 28: Cognitive Disorders
Overview of Nondementia Cognitive Disorders
Dementia
Potentially Reversible Dementias
Irreversible Dementias
Putting it all Together
Chapter 29: Personality Disorders
Personality
Etiology: Contemporary Views
Personality Disorder Clusters
Cluster a: Odd-Eccentric
Putting it all Together
Cluster b: Dramatic-Erratic
Putting it All Together
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Cluster C: Anxious-Fearful
Putting it all Together
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Chapter 30: Sexual Disorders
DSM-5 Criteria and Terminology
Sexual Dysfunctions
Paraphilic Disorders
Gender Dysphoria
Putting it All Together
Chapter 31: Substance-Related Disorders
Introduction
DSM-5 Criteria
Alcohol
Illicit Drugs
Depressants
Stimulants
Related Issues
Chapter 32: Eating Disorders
Anorexia Nervosa
Bulimia Nervosa
Putting it All Together
Unit VI: Special Populations
Chapter 33: Survivors of Violence and Trauma
Violation by Crime
Putting it all Together
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Chapter 34: Children and Adolescents
Common Psychiatric Disorders
Bullying
Psychotherapeutic Management
Conclusion
Chapter 35: Older Adults
Introduction
Continuum of Care
Psychopathology in Older Adults
Assessment of Older Adults with Mental Disorders
Chapter 36: Soldiers and Veterans
Overview
Posttraumatic Stress Disorder
Traumatic Brain Injury
Treating Posttraumatic Stress Disorder and Traumatic Brain Injury
Appendix: DSM-5 Classification
Neurodevelopmental Disorders (31)
Schizophrenia Spectrum and Other Psychotic Disorders (87)
Bipolar and Related Disorders (123)
Depressive Disorders (155)
Anxiety Disorders (189)
Obsessive-Compulsive and Related Disorders (235)
Trauma- and Stressor-Related Disorders (265)
Dissociative Disorders (291)
Somatic Symptom and Related Disorders (309)
Feeding and Eating Disorders (329)
Elimination Disorders (355)
Sleep-Wake Disorders (361)
Sexual Dysfunctions (423)
Gender Dysphoria (451)
Disruptive, Impulse-Control, and Conduct Disorders (461)
Substance-Related and Addictive Disorders (481)
Neurocognitive Disorders (591)
Personality Disorders (645)
Paraphilic Disorders (685)
Other Mental Disorders (707)
Medication-Induced Movement Disorders and Other Adverse Effects of Medication (709)
Other Conditions that may be a Focus of Clinical Attention (715)
Glossary
Index
NANDA-I Nursing Diagnoses 2012-2014
Copyright

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PSYCHIATRIC NURSING, SEVENTH EDITION
ISBN: 978-0-323-18579-0
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