UNIT ONE
Foundations for Mental Health Nursing
CHAPTER 1 History of Mental Health
Nursing 2
The Trailblazers 2
The Facilities 6
The Breakthroughs 7
The Law 9
CHAPTER 2 Basics of Communication 13
Communication Th
...
UNIT ONE
Foundations for Mental Health Nursing
CHAPTER 1 History of Mental Health
Nursing 2
The Trailblazers 2
The Facilities 6
The Breakthroughs 7
The Law 9
CHAPTER 2 Basics of Communication 13
Communication Theory 14
Types of Communication 14
Challenges to Communication 16
Therapeutic Communication 19
Adaptive Communication
Techniques 24
CHAPTER 3 Ethics and Law 28
Professionalism 28
Ethics 29
Confidentiality 33
Responsibility 35
Accountability 36
Abiding by the Current Laws 36
Patients’ Rights 37
Patient Advocacy 40
Community Resources 40
CHAPTER 4 Developmental Psychology
Throughout the Life Span 44
Human Development 44
Developmental Theorists:
Newborn to Adolescence 45
Developmental Theorists:
Adolescence to Adulthood 51
Stages of Human Development 57
CHAPTER 5 Sociocultural Influences
on Mental Health 68
Culture 68
Ethnicity 71
The Changing Family 72
Homelessness 74
Economic Considerations 75
Abuse 77
Parenting 77
CHAPTER 6 Nursing Process in Mental
Health 81
Step 1: Assessing the Patient’s
Mental Health 82
Step 2: Nursing Diagnosis:
Defining Patient Problems 88
Step 3: Planning (Short- and
Long-Term Goals) 88
Step 4: Implementations/
Interventions 89
Step 5: Evaluating Interventions 93
CHAPTER 7 Coping and Defense
Mechanisms 96
Coping 96
Defense Mechanisms 98
CHAPTER 8 Mental Health Treatments 104
Psychopharmacology 105
Milieu 114
Psychotherapies 115
Global Crisis 127
Summary 128
CHAPTER 9 Complementary and
Alternative Treatment
Modalities 132
Mind, Body, and Belief 133
Common Complementary
and Alternative Treatments 133
Primary Sensory Representation 142
Summary 143
UNIT TWO
Threats to Mental Health
CHAPTER 10 Anxiety, Anxiety-Related,
and Somatic Symptom
Disorders 150
Anxiety Disorders 150
Etiology of Anxiety and Stress 151
Differential Diagnosis 152
Types of Anxiety and
Anxiety-Related Disorders 152
Medical Treatment of People
With Anxiety and
Anxiety-Related Disorders 157
xi
xii Table of Contents
CHAPTER 16 Neurocognitive Disorders:
Delirium and Dementia 229
Delirium 229
Dementia 231
Nursing Care of Patients
With Delirium and Dementia 237
CHAPTER 17 Substance Use and Addictive
Disorders 244
Alcohol 247
Other Substances 253
Nursing Care of Patients
With Substance Use
Disorders (Including Alcohol) 262
CHAPTER 18 Eating Disorders 269
Anorexia Nervosa 270
Symptoms of Anorexia Nervosa 270
Treatment of Anorexia Nervosa 271
Bulimia 272
Binge Eating Disorder 275
Morbid Obesity 275
Nursing Care of Patients
With Eating Disorders 276
UNIT THREE
Special Populations
CHAPTER 19 Childhood and Adolescent
Mental Health Issues 284
Depression, Bipolar Disorder,
and Suicide in Children
and Adolescents 285
Attention Deficit/Hyperactivity
Disorder 290
Autism Spectrum Disorder 293
Conduct Disorder 297
CHAPTER 20 Postpartum Issues in
Mental Health 302
Postpartum Blues 302
Postpartum Depression 303
Postpartum Psychosis 305
Nursing Care of Women
With Postpartum Mental
Disorders 307
Alternative Interventions for
People With Anxiety and
Anxiety-Related Disorders 158
Nursing Care for People
With Anxiety and
Anxiety-Related Disorders 158
Somatic Symptom and Related
Disorders 160
CHAPTER 11 Depressive Disorders 170
Types of Depressive Disorders 170
Etiology of Depressive Disorders 175
Treatment of Depressive
Disorders 175
Nursing Care of the Patient
With Depressive Disorders 177
CHAPTER 12 Bipolar Disorders 181
Characteristics of Bipolar
Disorders 181
Etiology of Bipolar Disorders 184
Treatment of Bipolar Disorders 184
Nursing Care of the Patient
With Bipolar Disorders 187
CHAPTER 13 Suicide 191
The Reality of Suicide 191
Etiology of Suicide 194
Treatment of Individuals at Risk
for Suicide 195
Nursing Care of the Suicidal
Patient 196
CHAPTER 14 Personality Disorders 202
Types of Personality Disorders 203
Psychiatric Treatment of
Personality Disorders 208
Nursing Care of Patients
With Personality Disorders 209
CHAPTER 15 Schizophrenia Spectrum
and Other Psychotic
Disorders 216
Symptoms 218
Etiology of Schizophrenia 219
Psychiatric Treatment of
Schizophrenia 220
Nursing Care of the
Schizophrenic Patient 223
Table of Contents xiii
Appendices
APPENDIX A Answers and Rationales 347
APPENDIX B Agencies That Help People
Who Have Threats to
Their Mental Health 363
APPENDIX C Organizations That Support
the Licensed Practical/
Vocational Nurse 365
APPENDIX D Standards of Nursing
Practice for LPNs/LVNs 367
APPENDIX E Assigning Nursing Diagnoses
to Client Behaviors 369
Glossary 371
Index 379
CHAPTER 21 Aging Population 312
Alzheimer’s Disease and Other
Cognitive Alterations 315
Cerebrovascular Accident
(Stroke) 315
Depression in the Elderly 316
Medication Concerns 317
Paranoid Thinking 317
Insomnia 319
End-of-Life Issues 319
Social Concerns 320
Nursing Skills for Working
With Older Adults 321
Restorative Nursing 323
Palliative Care 325
CHAPTER 22 Victims of Abuse and
Violence 329
The Abuser 330
The Victim 331
Categories of Abuse 332
Treatment of Abuse 338
Nursing Care of Victims
of Abuse 339
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