Basic Concepts of Psychiatric-Mental Health Nursing.
Basic Concepts of Psychiatric-Mental Health Nursing
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Publication Date: 2011
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ISBN/ISSN: 9781605478876

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This is a core textbook for the LPN and ADN psychiatric-mental health course. This textbook presents succinct, yet comprehensive coverage of topics for the short or integrated psychiatric-mental health course. The Eighth Edition has been updated for currency and retains key features that have been well-received in previous editions, specifically self-awareness prompts, clinical examples, and recurring boxes.
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Content is organized in a progressive manner:
  • Unit I begins with general information about psychiatric-mental health nursing
  • Unit II addresses special psychosocial issues
  • Unit III addresses components of the nurse-client relationship
  • Unit IV focuses on interactive therapies
  • Unit V discusses special treatment modalities
  • Unit VI includes a discussion of clients with psychiatric disorders including application of the nursing process
  • Unit VII focuses on special populations including application of the nursing process

Key threads utilized where appropriate throughout include

  • Psychobiological and developmental theories related to specific disorders 
  • Economic, spiritual, sexual, and religious factors affecting mental health
  • Cultural and ethnic diversity
  • Loss and grief
  • The nurse’s role in clinical psychopharmacology
  • Management of pain and sleep disturbances
  • Client empowerment
  • Utilization of behavior therapy as a nursing intervention when appropriate

 Key Pedagogic Features:

  • Self Awareness Prompts – Critical thinking prompts that encourage students to consider how issues from their own personal biases or experiences could affect their practice, or areas in which they may struggle to understand certain aspects of psychiatric-mental health nursing practice, and to explore and discuss ways to address these issues.
  • Clinical Examples – Case descriptions of clients exhibiting symptoms of disorders discussed in the text
  • The Nursing Process section / Nursing Plan of Care Box – Each clinical disorder chapter concludes with a ‘The Nursing Process’ section, which walks through the application of the nursing process to clients exhibiting the disorder(s) discussed in the chapter, followed by a ‘Nursing Plan of Care’ Box, demonstrating the application of this process to a specific case example.
  • Drug Summary Tables – located in the clinical disorder chapters, these tables include generic/trade name, dosage range, adverse effects, and nursing interventions
  • Recurring Boxes – Recurring boxes summarizing the major clinical symptoms and diagnostic characteristics associated with specific psychiatric mental health disorders incorporating the DSM-IV-TR criteria; highlighting examples of North American Nursing Diagnosis Association (NANDA) nursing diagnoses for specific disorders; providing examples of client outcomes for specific disorders; highlighting features such as Med Alerts, assessment or screening tools, subtypes of a specific disorder, and nursing interventions; and addressing supporting evidence for practice.

  Areas of New and Expanded Content in the 8th Edition:

  • Examples of unique community- and school-based outreach intervention programs such as In Shape (Chapter 12), D-Bart Program (Chapter 27), Teaching Kids to Cope (Chapter 29), Signs of Suicide Prevention Programs ( Chapter 31), Assertive Community Treatment Model (Chapter 35), and Welcome Home Ministries (Chapter 35);
  • Examples of current statistics, research, and surveys pertaining to specific psychiatric mental health disorders including schizophrenia, eating disorders, substance abuse, dementia, and autism;
  • New content in Chapter 1 focusing on the development of self-awareness and some of the common issues and concerns that students may experience;
  • New content in Chapter 2 discussing the concepts of genetics, genomics, and stigma and their influence in psychiatric–mental health nursing;
  • Expanded content in Chapter 3 explaining the relationship between nursing theory and research;
  • Expanded content in Chapter 4 addressing spiritual, cultural, and ethnic issues;
  • Expanded content in Chapter 5 focusing on legal issues such as risk management, quality assurance, and sentinel events;
  • Expanded content in Chapter 7 regarding care for clients experiencing loss and grief;
  • Expanded content in Chapter 8 describing trends affecting continuum of care;
  • Expanded content in Chapter 9 regarding the assessment of a client’s spirituality, sleep pattern, and level of pain;
  • Expanded content in Chapter 10 regarding the application of the nursing diagnosis;
  • Expanded content in Chapter 11 discussing factors that affect communication and the development of a therapeutic relationship;
  • Expanded content in Chapter 12 focusing on interventions related to client education;
  • Expanded content in Chapter 13 discussing crisis and disaster intervention;
  • Expanded content in Chapter 14 focusing on individual psychotherapy;
  • Expanded content in Chapter 16 regarding the decision to medicate a client exhibiting clinical symptoms of a psychiatric disorder;
  • Expanded content in Chapter 17 describing recent advances in alternative somatic therapies;
  • Expanded content in Chapter 19 regarding the application of the nursing process when caring for clients with an anxiety disorder;
  • Expanded content in Chapter 20 related to somatoform and dissociative disorders;
  • Expanded content in Chapter 21 including application of the nursing process when caring for clients with a mood disorder;
  • Expanded content in Chapter 22 including the purpose of the three-phase Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) in Schizophrenia and application of the nursing process;
  • Expanded content in Chapter 23 focusing on the various categories of eating disorders, the importance of a comprehensive physical exam, and interactive therapies;
  • Expanded content in Chapter 24 regarding clinical symptoms and diagnostic characteristics of personality disorders and application of the nursing process;
  • New and expanded content in Chapter 25 including the epidemiology and theories of substance use and abuse, disease concept of alcoholism, concept of harm avoidance or reduction, current methods of substance abuse such as “robo tripping,” and nursing interventions utilized during detoxification;
  • Expanded content in Chapter 26 discussing sexual identity terminology and application of the nursing process when providing care for clients with sexual disorders;
  • New and expanded content in Chapter 27 addressing the assessment of spirituality and sexuality, application of behavioral intervention techniques and programs, and medication management of clients with cognitive disorders;
  • Expanded content in Chapter 28 describing the assessment of delusional and shared psychotic disorders;
  • Expanded content in Chapter 29 including the discussion of intellectual and developmental disabilities and application of nursing process;
  • New content in Chapter 30 focusing on the psychosocial needs of the Arab American elderly and application of the nursing process when providing care for elderly clients;
  • New and expanded content in Chapter 31 including the Interpersonal–Psychological Theory of Suicidal Behavior, identification of individuals at high risk for suicide, and assessment tools for clients at risk for suicide;
  • Expanded and revised content in Chapter 33 to present the discussion of physical and sexual abuse as well as neglect followed by the discussion of intimate partner or domestic violence, youth violence, workplace violence, and hate crimes;
  • Expanded content in Chapter 34 related to the psychosocial impact of AIDS;
  • Expanded content in Chapter 35 related to special populations of the homeless, impulse control disorders, and the application of the nursing process including assessment, medication management and education, continuum of care, and empowerment of clients with SPMI; and
  • Updated selected references and suggested readings. 

Opening Features - Chapter Opening Quote, Learning Objectives & Key Terms

End of Chapter Features - Key Concepts, Chapter Worksheet (includes 3 sections: Critical Thinking Questions, Reflection, and NCLEX-Style Questions), Selected References, Suggested Readings

Louise Rebraca Shives MSN, ARNP, CNS
Consultant in Long-Term Care and Nurse Practitioner in Private Practice, Orlando, FL


Edition: 8
ISBN/ISSN: 9781605478876
Product Format: Softbound
Trim Size: 8.375 x 10.875
Pages: 624
Pub Date: 2011
Weight: 3.15
Unit 1 Psychiatric-Mental Health Nursing
  • Chapter 1 Self-Awareness
  • Chapter 2 History and Trends in Psychiatric-Mental Health Nursing
  • Chapter 3 Development of Psychiatric-Mental Health Nursing Theory


Unit 2 Special Issues Related to Psychiatric-Mental Health Nursing
  • Chapter 4 Spiritual, Cultural, and Ethnic Issues
  • Chapter 5 Ethical and Legal Issues
  • Chapter 6 Forensic Nursing Practice
  • Chapter 7 Loss, Grief, and End-of-Life Care
  • Chapter 8 Continuum of Care


Unit 3 Components of the Nurse-Client Relationship
  • Chapter 9 Assessment of Psychiatric-Mental Health Clients
  • Chapter 10 Nursing Diagnosis, Outcome Identification, Planning, Implementation, and Evaluation
  • Chapter 11 Therapeutic Communication and Relationships
  • Chapter 12 The Therapeutic Millieu


Unit 4 Interactive Therapies
  • Chapter 13 Crisis and Disaster Intervention
  • Chapter 14 Individual Psychotherapy
  • Chapter 15 Family, Couples, and Group Therapy


Unit 5 Special Treatment Modalities
  • Chapter 16 Psychopharmacology
  • Chapter 17 Somatic Therapies
  • Chapter 18 Complementary and Alternative Medicine


Unit 6 Clients with Psychiatric Disorders
  • Chapter 19 Anxiety Disorders
  • Chapter 20 Somatoform and Dissociative Disorders
  • Chapter 21 Mood Disorders
  • Chapter 22 Schizophrenia and Schizophrenic-Like Disorders
  • Chapter 23 Eating Disorders
  • Chapter 24 Personality Development and Personality Disorders
  • Chapter 25 Substance-Related Disorders
  • Chapter 26 Seduality and Sexual Disorders
  • Chapter 27 Cognitive Disorders
  • Chapter 28 Delusional and Shared Psychotic Disorders


Unit 7 Special Populations
  • Chapter 29 Infant, Child, and Adolescent Clients
  • Chapter 30 Aging Clients with Psychosocial Needs
  • Chapter 31 Suicidal Clients
  • Chapter 32 Clients with a Dual Diagnosis
  • Chapter 33 Clients Experiencing Abuse and Violence
  • Chapter 34 Clients Coping with Acquired Immunodeficiency Syndrome (AIDS)
  • Chapter 35 Seriously and Persistently Mentally Ill, Homeless, or Incarcerated Clients
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