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Psychiatric Nursing Assessment, Care Plans, and Medications by Mary C Townsend

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Psychiatric Nursing: Assessment, Care Plans, and Medications by Mary C. Townsend and Karyn I. Morgan is a highly regarded reference text designed as a "two books in one" practical guide for developing individualized psyc ...

Psychiatric Nursing: Assessment, Care Plans, and Medications by Mary C. Townsend and Karyn I. Morgan is a highly regarded reference text designed as a "two books in one" practical guide for developing individualized psychiatric care plans and safely administering psychotropic drugs. [1, 2]

Book Overview

Structure: The first half focuses on assessment data and NANDA-I nursing diagnoses, while the second half details psychotropic medication classifications. [1, 2]
Framework: It aligns diagnostic criteria from the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) with standardized nursing frameworks. [1, 2]
Clinical Utility: Features include "Clinical Pearl" boxes for critical takeaways, predefined client behavioral indexes, and sample concept care maps. [1, 2]

Part 1: Assessment and Care Plans

The book breaks down individual psychiatric disorders (e.g., depressive disorders, schizophrenia spectrum, substance use disorders) into standard nursing steps: [1, 2, 3]

Background Assessment Data: Outlines essential predisposing genetic, physical, and psychological factors along with observable symptomatology. [1, 2]
Standard Care Plan Formatting: Provides precise phrasing for nursing student clinical records or professional charting:

Nursing Diagnosis: Stated clearly using standard syntax: "Related to..." (etiology) and "Evidenced by..." (defining clinical characteristics).
Objectives: Divided cleanly into measurable short-term goals and long-term discharge goals.
Interventions & Rationales: Actionable nursing steps paired with scientific justifications for why the intervention works.
Outcome Evaluation: Specific evaluation metrics to verify patient improvement. [1]

Part 2: Psychotropic Medications

The pharmacology portion details clinical safety parameters, dosing protocols, and patient education guidelines for seven primary drug categories: [1, 2]

Drug Classification

Common Clinical Indications

Key Nursing Interventions & Monitoring Parameters

Antianxiety Agents

Anxiety disorders, acute alcohol withdrawal.

Monitor for central nervous system depression, sedation, and potential dependence or tolerance.

Antidepressants

Major depression, dysthymia, anxiety variants.

Assess for an increase in suicidal ideation during early treatment phases; monitor for serotonin syndrome.

Mood-Stabilizing Agents

Bipolar mania and bipolar depression.

Require routine laboratory blood draws to evaluate serum levels (e.g., lithium toxicity monitoring).

Antipsychotic Agents

Schizophrenia, acute psychosis, severe agitation.

Observe closely for Extrapyramidal Symptoms (EPS) and life-threatening Neuroleptic Malignant Syndrome (NMS).

Antiparkinsonian Drugs

Drug-induced extrapyramidal symptoms.

Administered alongside antipsychotics to reduce physical rigidity, tremors, and acute dystonic reactions.

Sedative-Hypnotics

Short-term management of insomnia and sleep onset.

Educate on short-term application; monitor for daytime grogginess or rebound insomnia upon cessation.

ADHD Agents

Attention-Deficit/Hyperactivity Disorder.

Track baseline weight, growth curves in youth, and monitor blood pressure due to central nervous system stimulation.

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