Psychiatric mental health nursing : concepts of care / Mary C. Townsend.

Format:

Book

Author/Creator:

Townsend, Mary C., 1941-

Language:

English

Subjects (All):

Psychiatric nursing.

Psychiatric Nursing--methods.

Mental Disorders--nursing.

Psychotherapy--methods.

Medical Subjects:

Psychiatric Nursing--methods.

Mental Disorders--nursing.

Psychotherapy--methods.

Physical Description:

xxx, 957 pages : color illustrations ; 29 cm

Edition:

Fourth edition.

Place of Publication:

Philadelphia : F.A. Davis Co., 2003.

Contents:

Unit 1 Basic Concepts in Psychiatric/Mental Mealth Nursing

Chapter 1 The Concept of Stress Adaptation 3

Stress as a Biological Response 4

Stress as an Environmental Event 6

Stress as a Transaction between the Individual and the Environment 6

Stress Management 8

Chapter 2 Mental Health/Mental Illness: Historical and Theoretical Concepts 13

Historical Overview of Psychiatric Care 14

Mental Health 15

Mental Illness 16

Psychological Adaptation to Stress 17

Mental Health/Mental Illness Continuum 24

The DMS-IV-TR Multiaxial Evaluation System 24

Unit 2 Foundations for Psychiatric/Mental Health Nursing

Chapter 3 Theoretical Models of Personality Development 33

Psychoanalytic theory 34

Interpersonal Theory 36

Theory of Psychosocial Development 38

Theory of Object Relations 41

Cognitive Development Theory 42

Theory of Moral Development 43

A Nursing Model

Hildegard E. Peplau 44

Chapter 4 Concepts of Psychobiology 50

The Nervous System: An Anatomical Review 51

Neuroenocrinology 63

Genetics 69

Psychoimmunology 70

Implications for Nursing 71

Chapter 5 Ethical and Legal Issues in Psychiatric/Mental Health Nursing 77

Ethical Considerations 78

Legal Considerations 83

Chapter 6 Cultural Concepts Relevant to Psychiatric/Mental Health Nursing 92

How do Cultures Differ? 93

Application of the Nursing Process 94

Unit 3 Therapeutic Approaches in Psychiatric Nursing Care

Chapter 7 Relationship Development 109

Role of the Psychiatric Nurse 110

Dynamics of a Therapeutic Nurse-Client Relationship 111

Conditions Essential to Development of a Therapeutic Relationship 113

Phases of a Therapeutic Nurse-Client Relationship 115

Chapter 8 Therapeutic Communication 121

What is Communication? 122

The Impact of Preexisting Conditions 122

Nonverbal Communication 124

Therapeutic Communication Techniques 126

Nontherapeutic Communication Techniques 127

Active Listening 127

Process Recordings 129

Feedback 129

Chapter 9 The Nursing Process in Psychiatric/Mental Health Nursing 134

The Nursing Process 135

Why Nursing Diagnosis? 143

Nursing Case Management 144

Critical Pathways of Care 145

Applying the Nursing Process in the Psychiatric Setting 147

Documentation of the Nursing Process 147

Chapter 10 Therapeutic Groups 152

The Group, Defined 153

Functions of a Group 153

Types of Groups 153

Physical Conditions that Influence Group Dynamics 154

Curative Factors 155

Phases of Group Development 155

Leadership Styles 156

Member Roles 157

Psychodrama 157

The Role of the Nurse in Group Therapy 157

Chapter 11 Intervention with Families 163

Stages of Family Development 164

Major Variations 166

Family Functioning 167

Therapeutic Modalities with Families 171

The Nursing Process 177

Chapter 12 Milieu Therapy

The Therapeutic Community 184

Milieu, Defined 185

Basic Assumptions 185

Conditions that Promote a Therapeutic Community 185

The Program of Therapeutic Community 186

The Role of the Nurse 188

Chapter 13 Crisis Intervention 193

Crisis, Defined 194

Phases in the Development of a Crisis 194

Types of Crises 195

Crisis Intervention 198

Phases of Crisis Intervention: The Role of the Nurse 198

Disaster Nursing 199

Application of the Nursing Process 200

Chapter 14 Relaxation Therapy 209

The Stress Epidemic 210

Physiological, Cognitive, and Behavioral Manifestations of Relaxation 210

Methods of Achieving Relaxation 212

The Role of the Nurse in Relaxation Therapy 216

Chapter 15 Assertiveness Training 219

Assertive Communication 220

Basic Human Rights 220

Response Patterns 220

Behavioral Components of Assertive Behavior 222

Techniques that Promote Assertive Behavior 223

Thought-Stopping Techniques 224

Role of the Nurse 224

Chapter 16 Promoting Self-Esteem 231

Components of Self-Concept 232

The Development of Self-Esteem 232

The Manifestations of Low Self-Esteem 234

Boundaries 235

The Nursing Process 237

Chapter 17 Anger/Aggression Management 244

Anger and Aggression, Defined 245

Predisposing Factors to Anger and Aggression 245

The Nursing Process 247

Chapter 18 The Suicidal Client 255

Historical Perspectives 256

Epidemiological Factors 256

Risk Factors 256

Predisposing Factors: Theories of Suicide 258

Application of the Nursing Process with the Suicidal Client 259

Chapter 19 Behavior Therapy 270

Classical Conditioning 271

Operant Conditioning 271

Techniques for Modifying Client Behavior 272

Role of the Nurse in Behavior Therapy 274

Chapter 20 Cognitive Therapy 279

Historical Background 280

Indications for Cognitive Therapy 280

Goals and Principles of Cognitive Therapy 280

Techniques of Cognitive Therapy 282

Role of the Nurse in Cognitive Therapy 285

Chapter 21 Psychopharmacology 290

Historical Perspectives 291

Applying the Nursing Process in Psychopharmacological Therapy 291

Chapter 22 Electroconvulsive Therapy 315

Electroconvulsive Therapy, Defined 316

Historical Perspectives 317

Indications 317

Contraindications 317

Mechanism of Action 317

Side Effects 317

Risks Associated with Electroconvulsive Therapy 318

The Role of the Nurse in Electroconvulsive Therapy 318

Chapter 23 Complementary Therapies 323

Commonalities and Contrasts 324

Types of Complementary Therapies 325

Chapter 24 Client Education 337

Historical Perspectives 338

Theories of Teaching and Learning 338

Domains of Learning 340

Age and Developmental Considerations 340

The Nursing Process in Client Education 342

Documentation of Client Education 346

Unit 4 Nursing Care of Clients with Alterations in Psychosocial Adaptation

Chapter 25 Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence 355

Mental Retardation 356

Autistic Disorder 358

Attention-Deficit/Hyperactivity Disorder 361

Conduct Disorder 368

Oppositional Defiant Disorder 371

Tourette's Disorder 373

Separation Anxiety Disorder 376

General Therapeutic Approaches 379

Chapter 26 Delirium, Dementia, and Amnestic Disorders 387

Delirium 388

Dementia 389

Amnestic Disorders 393

Application of the Nursing Process 394

Medical Treatment Modalities 398

Chapter 27 Substance-related Disorders 407

Substance-Use Disorders 408

Substance-Induced Disorders 409

Classes of Psychoactive Substances 409

Predisposing Factors 410

The Dynamics of Substance-Related Disorders 411

Application of the Nursing Process 427

The Impaired Nurse 433

Codependency 437

Treatment Modalities for Substance-Related Disorders 439

Chapter 28 Schizophrenia and Other Psychotic Disorders 448

Nature of the Disorder 449

Predisposing Factors 450

Types of Schizophrenia and Other Psychotic Disorders 452

Application of the Nursing Process 456

Treatment Modalities for Schizophrenia and Other Psychotic Disorders 460

Chapter 29 Mood Disorders 474

Historical Perspective 475

Epidemiology 475

The Grief Response 476

Maladaptive Responses to Loss 479

Types of Mood Disorders 479

Depressive Disorders 484

Application of the Nursing Process to Depressive Disorders 490

Bipolar Disorder (Mania) 495

Application of the Nursing Process to Bipolar Disorder (Mania) 498

Treatment Modalities for Mood Disorders 505

Chapter 30 Anxiety Disorders 513

Historical Aspects 514

Epidemiological Statistics 514

How Much is too Much? 514

Application of the Nursing Process 515

Treatment Modalities 537

Chapter 31 Somatoform and Sleep Disorders 546

Somatoform Disorders 547

Application of the Nursing Process to Somatoform Disorders 548

Sleep Disorders 565

Treatment Modalities 568

Chapter 32 Dissociative Disorders 577

Historical Aspects 578

Epidemiological Statistics 578

Application of the Nursing Process 578

Treatment Modalities 593

Chapter 33 Sexual and Gender Identity Disorders 601

Development of Human Sexuality 602

Sexual Disorders 604

Gender Identity Disorder 618

Variations in Sexual Orientation 621

Sexually Transmitted Diseases 625

Chapter 34 Eating Disorders 631

Epidemiological Factors 632

Application of the Nursing Process 632

Treatment Modalities 639

Chapter 35 Adjustment and Impulse Control Disorders 649

Historical and Epidemiological Factors 650

Application of the Nursing Process 650

Treatment Modalities 662

Chapter 36 Psychological Factors Affecting Medical Conditions 669

Historical Aspects 670

Application of the Nursing Process 671

Treatment Modalities 680

Chapter 37 Personality Disorders 689

Historical Aspects 690

Types of Personality Disorders 691

Application of the Nursing Process 699

Treatment Modalities 710

Unit 5 Psychiatric/Mental Health Nursing of Special Populations

Chapter 38 The Aging Individual 719

How Old is Old? 720

Epidemiological Statistics 721

Theories of Aging 722

The Normal Aging Process 723

Psychological Aspects of Aging 726

Special Concerns of the Elderly 729

Application of the Nursing Process 734

Chapter 39 The Individual with HIV Disease 747

Pathophysiology Incurred by the HIV Virus 748

Historical Aspects 749

Epidemiological Statistics 749

Predisposing Factors 750

Application of the Nursing Process 751

Treatment Modalities 757

Chapter 40 Problems Related to Abuse or Neglect 773

Historical Perspectives 774

Predisposing Factors 774

Application of the Nursing Process 775

Treatment Modalities 782

Chapter 41 Men's and Women's Health Issues 792

Men's Health Issues 793

Women's Health Issues 797

Chapter 42 Community Mental Health Nursing 810

The Changing Focus of Care 811

The Public Health Model 812

The Role of the Nurse 813

Case Management 814

The Community as Client 815

Rural Mental Health Nursing 829

Chapter 43 Psychiatric Home Nursing Care 836

Historical Aspects 837

General Information Related to Psychiatric Home Nursing Care 837

Role of the Nurse 839

Application of the Nursing Process 839

Legal and Ethical Issues 840

Chapter 44 Forensic Nursing 850

What is Forensic Nursing? 851

Historical Perspectives 851

The Context of Forensic Nursing Practice 851

Forensic Nursing Specialties 852

Application of the Nursing Process in Clinical Forensic Nursing in Trauma Care 853

Application of the Nursing Process in Forensic Psychiatric Nursing in Correctional Facilities 857

Appendix B Mental Status Assessment 874

Appendix C DSM-IV-TR Classification: Axes I and II Categories and Codes 876

Appendix D Nanda Nursing Diagnosis: Taxonomy II 884

Appendix E Assigning Nursing Diagnoses to Client Behaviors 886.

Notes:

Includes bibliographical references and index.

ISBN:

0803610122

OCLC:

50333801