Essentials of Psychiatric Mental Health

A Guide to ESSENTIALS OF PSYCHIATRIC MENTAL HEALTH NURSING, 4TH EDITION Essentials of Psychiatric Mental Health Nursing, 4th Edition makes an often intimidating subject easier to understand! This popular text continues to clearly and concisely present the fundamentals of psychiatric nursing in a user-friendly design and reader-friendly writing style that reflects the voice of a single author. 15 SCHIZOPHRENIA AND OTHER PSYCHOTIC DISORDERS REVIEW QUESTIONS The 4th Edition delivers everything you need to excel! LEARNING TOOLS Each chapter begins with a Chapter Outline, Chapter Objectives, and a list of Key Terms. New to this Edition, Core Concepts are defined in boxes throughout each chapter. Each chapter closes with a Summary, followed by Review Questions, and References to the literature and to the Internet. Appendices feature all DSM-IV-TR classifications, NANDA diagnoses and behaviors, guidelines for mental health assessment, answers to the end-of-chapter review questions, and a glossary. STATE-OF-THE-ART CONTENT A brand-new chapter-Cultural and Spiritual Con-cepts Relevant to Psychiatric Mental Health Nursing. New content related to neurobiological processes, including the neurobiology of dementia, schizophrenia, depression, anxiety disorders, and violence. New discussions of Concept Mapping in Chapter 7. Updated NANDA terminology throughout the text. Terminology and diagnostic criteria from the latest DSM-IV-TR. New and updated information on psychotropics in Chapter 11 and all other relevant clinical chapters. SPECIAL FEATURES AND SUPERB ARTWORK New Medication Tables complement the chapter on Psychopharmacology, offering easy access to information relevant to specific psychiatric disorders. New and updated research studies with implications of research for evidence-based practice for specific nursing interventions. Care Plans for clients with DSM-IV-TR diagnoses include interventions and rationales for commonly observed nursing diagnoses. New brain schematic illustrations show neurotransmitter pathways: identify the areas of the brain affected by specific diseases; and present information on psychotropics and their possible side effects. New Concept Map Care Plans are succinct visual summaries of the care plans for the major psychiatric diagnoses. Topics for Client/Family Education are easily accessed in tables throughout the text. Test Your Critical Thinking Skills features case studies and exercises designed to stimulate problem solving. Box 15-2 Topics for Client/Family Education Related to Schizophrenia Nature of the less 1. What to expect as the illness progresses. 2. Symptoms associated with the illness. 3. Ways for family to respond to behaviors associated with the illness Management of the illness 1. Connection of exacerbation of symptome to times of stress 2. Appropriate medication management. 3. Side effects of medications. 1. Importance of not stopping medications. 5. When to contact health care provider. 6. Relaxation techniques. 7. Social skills training. 8. Daily living skills training Support Services 1. Financial assistance 2. Legal assistance 1. Caregiver support group 4. Rest Respite care 5. Home health care Test Your CRITICAL THINKING SKILL Sars, a 23-year-old single woman, has just boon admitted so the prychiatric unit by het parents. They explain that over the pan few months dhe has become increasingly with drawn. She says in her room alone, but lonely has been herself Sara left home for the first time at age 18 to arund cul lege. She performal well during her first semester, lar when she returned sther Chrisonas, she began to come her roommate of mealing her prowesions. She started writing to her purents that her roommate wamod to kill her and the her roommate was turning everyone against her. She said in her led most of the time. Somutimes the lochail herself in her closet. Her parents sook her home, and she was hos pitalirend and diagnosed with paranoid schizophrenia. She has since been maintained on antipsychotic medication while taking a few classes at the local community Sara selle the admitting nurse that she quis taking her mediction 4 weeks ago because the pharmacist who fills the prerons is ploting to have her killed. She believαι he is trying to poison her. She says she got this information from a television message. As Sars speaks, the murse notices that she sometimes stops in midsentence and listens some simes she cocks her houl to the side and moves her lips though she is talking 1. From the assessment data, what would be the most im medate suring cancern in working with Sural 2. What is the murning diagnosis related to this concern) 1. What initial intervemine le scrumplished before the nurse can be successful in working with Saral