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Psychiatric Nursing
- 8th Edition - June 13, 2018
- Authors: Norman L. Keltner, Debbie Steele
- Language: English
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 5 2 8 7 4 - 0
Covering the field’s latest trends and treatments, Psychiatric Nursing, 8th Edition provides you with the solid, therapeutic skills you need to deliver safe and effective psychi… Read more
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Request a sales quoteCovering the field’s latest trends and treatments, Psychiatric Nursing, 8th Edition provides you with the solid, therapeutic skills you need to deliver safe and effective psychiatric nursing care. This new edition features a unique, three-pronged approach to psychotherapeutic management which emphasizes the nurse’s three primary tools: themselves and their relationship with patients, medications, and the environment. Written in a friendly, approachable style, this text clearly defines the nurse’s role in caring for individuals with psychiatric disorders like no other book on the market!
- Unique! A practical, three-pronged approach to psychotherapeutic management includes: 1) the therapeutic nurse-patient relationship, 2) psychopharmacology, and 3) milieu management.
- Unique! Norm’s Notes offer helpful tips from the lead author, Norman Keltner, at the beginning of each chapter, making it easier to understand difficult topics
- DSM-5 information is integrated throughout the text, along with updated content and NANDA content.
- Patient and Family Education boxes highlight information that the nurse should provide to patients and families.
- Nursing care plans highlight the nurse’s role in psychiatric care, emphasizing assessment, planning, nursing diagnoses, implementation, and evaluation for specific disorders.
- Case studies depict psychiatric disorders and show the development of effective nursing care strategies.
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Ancillary Writers
- Reviewers
- Preface
- Teaching and Learning Resources
- For Instructors
- For Students
- Acknowledgments
- Unit I: The Basics
- 1: Me, Meds, Milieu
- Psychotherapeutic management
- Psychotherapeutic management: three interventions
- Continuum of care: all the places to implement me, meds, and milieu
- Primary care
- Study Notes
- 2: Historical Issues
- Benchmarks in psychiatric history
- Issues that affect the delivery of psychiatric care
- Current and future historical issues
- Summary
- Study Notes
- 3: Legal Issues
- Sources of Law
- Torts (Civil Law)
- Commitment Issues
- Patient Rights
- Psychiatric Advance Directives
- Study Notes
- 4: Psychobiologic Bases of Behavior
- Neuroanatomy review
- Functional localization of the nervous system
- Clinical application
- Study Notes
- 5: Cultural Issues
- Basic Concepts
- Culture-Bound Mental Health Issues
- Alternative Therapies
- Ethnopharmacology
- Nurse’s Role in Cultural Assessment
- Summary
- Study notes
- 6: Spirituality 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
- Study notes
- Unit II: Me: Therapeutic Nurse-Patient Relationship
- 7: Models for Working With Psychiatric Patients
- Recovery model
- Attachment theory
- Developmental model
- Interpersonal model
- Cognitive-behavioral models
- Integrative approach
- Study Notes
- 8: Learning to Communicate Professionally
- Categories of communication
- Therapeutic communication
- Interference in therapeutic communication
- Study Notes
- 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
- Study Notes
- 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
- Study Notes
- 11: Working With the Family
- Family and the recovery model
- A normal family
- Family characteristics
- Stages of family development
- Contemporary families
- Family systems theory
- Effects of mental disorders on the family
- Family reactions to psychiatric treatment and hospitalization
- Nurse response to patients and families seeking treatment
- Abilities needed in working with families
- Application of the nursing process to the family
- Study Notes
- Unit III: Meds: Psychopharmacology
- 12: Introduction to Psychotropic Drugs
- Nursing Responsibilities
- Pharmacokinetics: what the body does to the drug
- Pharmacodynamics: what the drug does to the body
- The blood-brain barrier
- Neurons and neurotransmitters
- Receptors
- Patient education
- Study Notes
- 13: Antiparkinsonian Drugs
- Parkinson disease and extrapyramidal side effects
- Anticholinergics to treat extrapyramidal side effects
- Other treatment options for extrapyramidal side effects
- Prevention
- Study Notes
- 14: Antipsychotic Drugs
- Classification systems: first-generation antipsychotics, second-generation antipsychotics, and third-generation antipsychotics!
- Neurochemical theory of schizophrenia
- Overview
- First-generation antipsychotics (traditional): introduced in 1950
- Second-generation antipsychotics (atypical): introduced in 1990
- Older second-generation antipsychotics: 1990 to 2000
- Newer second-generation antipsychotics: 2000 to present
- Third-generation antipsychotics (atypical): introduced in 2002
- A new theory of schizophrenia
- Study Notes
- 15: Antidepressant Drugs
- Biochemical theory of depression
- Reuptake inhibiting antidepressants or cyclic antidepressants
- Enzyme inhibiting agents or monoamine oxidase inhibitors
- Reuptake inhibiting antidepressants or cyclic antidepressants
- Study Notes
- 16: Antimanic Drugs
- Lithium
- Anticonvulsants
- Antipsychotics
- Other treatments for bipolar disorder
- Study Notes
- 17: Antianxiety Drugs
- Models of anxiety
- Benzodiazepines
- Nonbenzodiazepine: Buspirone
- Selective serotonin reuptake inhibitor
- Other drugs with antianxiety properties
- Study Notes
- 18: Antidementia Drugs
- Drugs used to treat dementias
- Agents that restore acetylcholine
- Agents that may retard neurodegeneration
- Drugs to prevent alzheimer disease
- Study Notes
- 19: Alternative Preparations and Over-the-Counter Drugs
- Background
- Over-the-counter drugs
- Nonsteroidal antiinflammatory drugs
- Alternative preparations
- Herbal preparations to treat anxiety and depression
- Herbal preparations 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
- 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
- Study Notes
- 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
- Study Notes
- 22: Therapeutic Environment in Various Treatment Settings
- Inpatient settings
- Medical-psychiatric hospital units
- Community treatment settings
- Summary
- Study Notes
- Unit V: Putting It All Together (Psychopathology)
- 23: Introduction to Psychopathology
- Behavior
- Etiology
- Psychotherapeutic management
- Nurses need to understand psychopathology
- Study Notes
- 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
- Study Notes
- 25: Depressive Disorders
- Depressive disorders
- Major depressive disorder
- Disruptive mood dysregulation disorder
- Persistent depressive disorder
- Premenstrual dysphoric disorder
- Behavioral symptoms of depression
- Etiology of depression
- Assessment of depression
- Putting it all together
- Study Notes
- 26: Bipolar Disorders
- General description of bipolar disorder
- DSM-5 Terminology and criteria
- Bipolar Disorders
- Putting it all together
- Study Notes
- 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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- Study Notes
- 28: Neurocognitive Disorders
- Delirium
- Dementia
- Putting it all together
- Study Notes
- 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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- Study Notes
- 30: Sexual Disorders
- DSM-5 criteria and terminology
- Sexual dysfunctions
- Paraphilic disorders
- Gender dysphoria
- Putting it all together
- Study Notes
- 31: Substance Use Disorders
- Introduction
- DSM-5 criteria
- Alcohol
- Depressants
- Stimulants
- Related issues
- Study Notes
- 32: Eating Disorders
- Anorexia nervosa
- Bulimia nervosa
- Putting it all together
- Study Notes
- Unit VI: Special Populations
- 33: Survivors of Violence and Trauma
- Trauma
- Violence
- Putting it all together
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- Study Notes
- 34: Children and Adolescents
- Common psychiatric disorders in children and adolescents
- Bullying
- Psychotherapeutic management
- Conclusion
- Study Notes
- 35: Older Adults
- Introduction
- Continuum of care
- Psychopathology in older adults
- Assessment of older adults with mental disorders
- Study Notes
- 36: Soldiers and Veterans
- Overview
- Posttraumatic stress disorder
- Traumatic brain injury
- Treating posttraumatic stress disorder and traumatic brain injury
- Study Notes
- Appendix: NANDA-Approved Nursing Diagnoses 2021–2023
- Retired Diagnoses
- Glossary
- Index
- Language: English
- Edition: 8
- Published: June 13, 2018
- Imprint: Mosby
- eBook ISBN: 9780323528740
NK
Norman L. Keltner
Affiliations and expertise
Professor, School of Nursing, University of Alabama - Birmingham, Birmingham, AL