Psychiatric
and Mental Health Care
Learning Objectives
Provide
expert care for patients with psychiatric problems.
This thoroughly revised edition of Nurse's
Clinical Guide to Psychiatric and Mental Health Care is the
next best thing to having a clinical expert by your side. Whether you're a
nursing student or a practicing professional, it has all the information you
need to provide confident care to psychiatric patients.
Accurate and helpful
Find the latest clinical information on:
Most major psychiatric problems,
from schizophrenia and anxiety to personality disorders and dementia
Psychiatric problems of children,
homeless or abused patients, and those with HIV/AIDS
Legal issues, including informed
consent, the right to refuse treatment, and nursing liabilities
Reimbursement practices of Medicare
and Medicaid
DSM-1V categories
and codes
Communication strategies for each
disorder
Nursing diagnoses, long and
short term goals, and nursing interventions with rationales
Treatments for each disorder,
including behavior modification, crisis intervention, and cognitive therapy;
medications; and family care.
Learning Objectives
I. Therapeutic communication skills and treatment modalities
1 Identify variables that influence communication between a nurse and a patient.
2 Describe principles and techniques that enhance communication.
3 Explain various treatment modalities used by psychiatric-mental health nurses.
II. Legal aspects of psychiatric-mental health nursing
4 List 6 types of psychiatric commitments.
5 Describe 3 types of involuntary commitments.
6 Describe client's rights in a clinical setting.
III. Disorders usually first evident in infancy, childhood, or adolescence
7 Describe characteristics displayed by an autistic child.
8 Describe the behavioral symptoms of children with attention-deficit/hyperactivity disorder.
9 Provide a nursing diagnosis of oppositional defiant disorder.
IV. Delirium, dementia, and amnestic and other cognitive disorders
10 List common symptoms of delirium, dementia, and amnestic disorders.
11 List medications used for detoxification.
12 List medications used for detoxification.
13 List medications used for detoxification.
14 List medications used for detoxification.
15 Distinguish between substance dependence and substance abuse.
16 List common withdrawal symptoms associated with psychoactive drugs.
17 Provide nursing diagnoses, interventions, and rationales for substance abuse.
18 Review medications used for various substance-abuse disorders.
VI. Schizophrenia and other psychotic disorders
19 Provide examples of positive and negative symptoms of schizophrenia.
20 Formulate communication strategies for dealing with a schizophrenic patient.
21 Identify various types of schizophrenia and their common symptoms.
22 Provide nursing diagnoses, interventions and rationales for altered thought processes, social isolation, and risk for violence.
23 Describe main characteristics of delusional disorder.
VII. Mood disorders
24 Provide a diagnosis of major depressive disorder.
25 List typical symptoms of depression.
26 Identify factors that contribute to suicide risk.
27 Provide indications for electroconvulsive therapy and describe the ECT procedure.
28 Describe bipolar disorders and suggest appropriate communication strategies.
VIII. Anxiety disorders
29 Describe panic disorder and list symptoms of panic attack.
30 Provide nursing diagnoses, interventions, and rationales for a client with panic disorder.
31 Explain behavior modification techniques used in the treatment of phobias.
32 Describe obsessive-compulsive disorder and provide nursing diagnoses and interventions.
33 Describe posttraumatic stress disorder and list symptoms associated with it.
34 List symptoms associated with generalized anxiety disorder and provide nursing interventions.
IX. Somatoform disorders
35 List symptoms associated with somatization disorder.
36 Explain conversion disorder.
37 Distinguish between somatization disorder and hypochondriasis.
38 Describe pain disorder and provide nursing interventions.
X. Somatoform disorders 39 Describe how dissociative amnesia occurs.
40 Identity types of memory loss associated with dissociative amnesia.
41 Describe dissociative identity disorder.
XI. Eating disorders
42 Describe and differentiate between two types of anorexia nervosa.
43 Establish long- and short-term goals in the treatment of anorexia nervosa and provide nursing interventions.
44 Discuss therapies that have been found useful in the treatment of anorexia nervosa.
45 Provide nursing interventions that will decrease the incidence of binge-purge behaviors.
XII. Adjustment disorders
46 Identify common types of stressors that bring on adjustment disorders.
47 List symptoms associated with adjustment disorders.
48 List common stress management techniques.
XIII. Personality disorders
49 Discuss the three main clusters of personality disorders.
50 Discuss and differentiate between four cluster B personal disorders.
51 Suggest communication strategies for clients with cluster B personality disorders.
52 Discuss the three cluster C personality disorders.
XIV. Psychological factors affecting medical condition
53 Identify psychological factors that affect medical problems.
54 Describe the course of psychologically induced physiologic disturbances.
XV. Sleep disorders
55 Discuss three major groups of sleep disorders.
56 Describe various stages of sleep in adults.
57 Provide nursing interventions to achieve the goal of a client to sleep sufficiently to feel well rested.
58 Teach sleep hygiene techniques to a client.
XVI. Special needs of the homeless person with chronic mental illness
59 Explain the special needs of the homeless person with chronic mental illness.
XVII. Special needs of the abused person
60 Describe 5 types of child abuse.
61 Identify characteristics of abused children.
62 Discuss various types of partner abuse.
63 Identify stressors that contribute to partner abuse.
64 Define elder abuse.
65 Identify indicators of elder abuse.
XVIII. Special needs of the person with HIV/AIDS
66 List common psychiatric symptoms associated with AIDS.
67 Provide nursing diagnoses, interventions, and rationales for clients with HIV/AIDS.
Chapter
1. Therapeutic Communication Skills and Treatment Modalities
Chapter
2. Legal Aspects of Psychiatric Mental Health Nursing
Chapter
3. Disorders Usually First Evident in Infancy, Childhood, or Adolescence
Chapter
4. Delirium, Dementia, and Amnestic and Other Cognitive Disorders
Chapter
5. Substance Related Disorders
Chapter
6. Schizophrenia and Other Psychotic Disorders
Chapter
7. Mood Disorders
Chapter
8. Anxiety Disorders
Chapter
9. Somatoform Disorders
Chapter
10. Dissociative Disorders
Chapter
11. Eating Disorders
Chapter
12. Adjustment Disorders
Chapter
13. Personality Disorders
Chapter
14. Psychological Factors Affecting Medical Condition
Chapter
15. Sleep Disorders
Chapter
16. Special Needs of the Homeless Person with Chronic Mental Illness
Chapter
17. Special Needs of the Abused Person
Chapter
18. Special Needs of the Person with HIV/AIDS
Appendices
A:
NANDA-Approved Nursing Diagnoses
B:
DSM-lV Classification: Categories and Codes
C:
Mental Status Assessment
D:
Psychiatric Medications
E:
Sexual and Gender Identity Disorders
Selected
References
Index
"The entire course was very good. Helpful in both my practice & in my relationships." - S.F., RN, NM
"Well written material. It was a little difficult to absorb so much information, but very interesting." -R.E.K., LVN, CA
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