Mental Health Nursing Care / Edition 2

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Overview

Eby and Brown

Mental Health Nursing Care, 2e

Back Cover Copy

The nature of nursing is …

Mental Health Nursing Care

Linda Eby, RN, MN

Nancy J. Brown, RN, MSN

The nature of nursing embodies the ever-changing rewards and challenges for today’s practical and vocational nursing students. Mental Health Nursing Care provides a foundation for safe, effective nursing care of clients.

Features that promote success include:

· Critical thinking care maps and case studies to engage problem-solving for likely situations.

· Case Examples to give real life application to mental health topics.

· Extensive review for NCLEX-PN® exam preparation.

· Nursing care features such as priorities in nursing care, nursing care checklists, clinical alerts, and nursing process care plans.

· Critical Self-Checks to encourage readers to clarify their own values and beliefs, and think critically about mental health issues.

· Learning About You end-of-unit features encourage readers to develop insight into their own views about mental health.

Additional resources include:

· Companion Website at www.prenhall.com/eby with chapter-specific online resources, case studies, animations, and additional NCLEX- PN® -style questions.

The nature of nursing — grow with it!

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Product Details

  • ISBN-13: 9780136136927
  • Publisher: Prentice Hall
  • Publication date: 2/6/2008
  • Series: Pearson Custom Health Professions Series
  • Edition description: New Edition
  • Edition number: 2
  • Pages: 456
  • Sales rank: 569,969
  • Product dimensions: 7.90 (w) x 9.90 (h) x 0.80 (d)

Meet the Author

Linda Eby, RN, MN

Linda Eby received her Bachelor of Science in Nursing and Master of Nursing degrees from the Oregon Health and Science University. Her work experience includes being a staff nurse and nurse manager in critical care, a home health/hospice nurse, case manager, Clinical Nurse Specialist in clinical genetics, and a psychiatric mental-health nurse. She has consulted and taught workshops on the topics of promoting student success and reducing culture bias in nursing education.

Linda currently teaches Psychiatric—Mental Health Nursing theory and clinical courses at Portland Community College. She is also Coordinator of the Nursing Student Success Program. This program promotes the success of nursing students who speak English as a nonnative language, immigrant students, students of color, academically disadvantaged students, and nontraditional students of nursing. Her greatest career accomplishment is contributing to the success of these inspiring students.

She is Secretary of AFT-Oregon, state affiliate of the American Federation of Teachers, and Vice President of the Portland Community College Faculty Federation. She has twin daughters, Kristine who was recently married to Jens Schrader and is continuing her studies at Portland State University, and Monica, an artist, art teacher, and art student at Marylhurst University (she really likes art). Linda is a nature and arts and crafts enthusiast and a good friend to her dogs Wendu and Charlie.

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Table of Contents

Unit I Foundations of Mental Health Nursing

Chapter 1 Understanding Mental Health and Mental Illness

Chapter 2 Ethical and Legal Issues

Chapter 3 Personality Theory

Chapter 4 Mentally Healthy Nursing

Chapter 5 The Nurse-Client Relationship and Communication

Chapter 6 Stress and Coping

Chapter 7 Psychobiology and Psychopharmacology

Unit II Nursing Care of Clients with Mental Disorders

Chapter 8 Schizophrenia

Chapter 9 Mood Disorders

Chapter 10 Personality Disorders

Chapter 11 Anxiety Disorders

Chapter 12 Substance Abuse and Dependency

Unit III Nursing Care of Clients with Disorders Related to Development

Chapter 13 Disorders in Childhood and Adolescence

Chapter 14 Eating Disorders

Chapter 15 Dementia and Cognitive Disorders

Unit IV Special Topics in Mental Health Nursing

Chapter 16 Violence and Abuse

Chapter 17 Psychosocial Issues in General Client Care

Appendix I: Answers and Critical Thinking Discussion

Appendix II: Mental Status Assessment Forms

Appendix III: 2007—2008 NANDA-Approved Nursing Diagnoses

References and Resources

Glossary

Index

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Preface

Mental Health Nursing Care was written to provide a broad fundamental knowledge base for LPN/LVN students that is interesting and engaging to read, and readily applicable to nursing practice. Our teaching philosophy is that learning is maximized when the teacher is enthusiastic about the subject; the material is presented in a clear and appealing style; and the concepts are relevant to real application. The learner must be willing to participate in the learning process. Learning is participative. This book is written as psychosocial nursing is really practiced: with intelligence, empathy, caring, and based on evidence. It is above all practical, with strategies that students can actually use to promote the health, well-being, and empowerment of their clients. The major curriculum concepts are:

  • Mental health
  • The biopsychosocial nature of mental disorders
  • Insight development and mental health promotion for nursing students
  • The nursing process (a part of which is critical thinking)
  • Care of diverse clients (across ages, genders, and cultures)
  • Client and nurse empowerment
  • Collaborative care with other members of the health-care team
  • Psychosocial nursing as a component of general nursing practice, as well as in the psychiatric setting

The writing style is deliberately personal for the purpose of making this complicated and fascinating subject engaging and easy to understand. It is clear without oversimplification or disrespect to the subject or the student. The style, organization, and pedagogy are chosen with adult learning principles in mind.

We wrote this bookwith the knowledge that the majority of nurses do not practice in the psychiatric nursing specialty. Promoting mental health and working with clients with mental disorders and psychosocial issues are part of the nursing role in every practice setting. We teach students to practice psychosocial nursing with diverse clients in a variety of settings. We bring in case studies and quotes from clients in their own words to help students who do not have psychiatric nursing clinical opportunities to develop empathy for our clients.

The authors bring their enthusiasm and experience in teaching psychiatric mental health nursing to this book. We teach the theory and practice of psychiatric nursing to diverse nursing students. The needs of students who speak English as a nonnative language, immigrant students, and other nontraditional students were considered in the writing of this book. Advocacy for people who have mental disorders and their families is an important aspect of the book as well. We are committed to psychiatric nursing education, and to helping you teach your students.

Organization

UNIT 1: Foundations of Psychiatric Mental Health Nursing provides a basis for understanding the fundamentals on which psychiatric nursing is built. Personality development is discussed as a psychosocial basis for mental disorders. Various personality theories are presented as the basis for the various therapeutic approaches to disorders of thinking, feeling, and behavior. Mental health and mental illness are covered, as well as the stigma of mental illness in our culture. Practical strategies for mental-health promotion are included. Stress management is presented as it relates to clients and nurses.

UNIT 2: Psychiatric Mental Health Nursing encourages the mentally healthy practice of nursing. The nurse-client relationship is presented as the foundation of nursing practice. Ethical and legal aspects of psychiatric nursing are covered in this unit. The importance of client advocacy is emphasized. The biological basis for mental disorders is discussed. Psychopharmacology is given its rightful place as a major cornerstone of psychiatric nursing, but not the only cornerstone.

UNIT 3: Nursing Care of Clients with Mental Disorders covers specific biological and clinical information about the major mental illnesses included in the DSM-IV-TR. Biological and psychosocial issues are the foundation for nursing goals and interventions. The nursing process provides the format for nursing practice. Medication management, collaboration with other health professionals, and client empowerment are integral parts.

UNIT 4: Nursing Care of Clients with Disorders Related to Development includes disorders of children, adolescents, and the elderly. Dementia and cognitive disorders are covered extensively because of their importance in nursing practice. Eating disorders are also presented here.

UNIT 5: Special Topics in Psychiatric Mental Health Nursing includes the timely topics of violence and abuse, as well as psychosocial issues for general client care. The final chapter takes psychosocial nursing to every client and presents realistic strategies for managing the care of "difficult" clients in general nursing practice.

Each chapter begins with Sharing Experiences, that provide words of wisdom from the lived experiences of those who have been touched by mental illness. Learning Outcomes map the direction and goals of each chapter.

Key Terms are defined in each chapter when they are first used. They are also included in an audio glossary on the Companion Website and Student CDROM, in which the words are spoken aloud to provide guidance for pronunciation. Key Points summarize the vital points in each chapter that will continue to be important for years to come.

The clinical chapters end with Critical Thinking Care Maps that provide brief case studies, assessment data, and a nursing diagnosis. The student sorts the data, chooses from interventions provided, evaluates the outcomes, and charts the results.

A built-in study guide concludes each chapter. The study guides have NCLEX-style questions, learning activities, and a For Further Study feature. This is a handy list of cross-references within the book to facilitate locating related topics. EXPLORE MediaLink calls attention to additional interactive learning activities on the Companion Website and CD-ROM.

Features
  • Features are based on adult learning principles.
  • The Learning About You! feature captures students' interest and applies their learning to their own lives.
  • Multiple strategies to promote critical thinking:
    • Critical Self-Checks, which encourage readers to clarify their own values and beliefs, and to think critically about topics in psychiatric nursing
    • Critical Thinking Care Maps in each clinical chapter
    • NCLEX-PN style review questions in each chapter
    • Multiple Case Examples to provide insight into mental disorders
  • Clinical Alerts underscore priority issues that "you can't afford to miss."
  • Nursing Process Care Plans illustrate realistic situations and engage students in problem solving and application of their new knowledge.
  • Culture Care boxes highlight transcultural nursing issues.
  • Reality Check boxes present experiences of real people with mental illnesses in their own words.
  • Client Empowerment Plans, unique to our book, combine teaching and empowerment strategies for clients with selected mental disorders (depression, bipolar disorder, schizophrenia, generalized anxiety, and families of patients with cognitive impairment). These empowerment plans are formatted with the thought of duplication for client-teaching purposes. They include client and family teaching, collaboration with care providers, problem-solving and coping strategies, and self-advocacy.
  • Visual appeal is achieved by more boxes, tables, diagrams, figures, and general art features, than any analogous text.
  • Websites for further study are included in each chapter, in addition to the Website created as a companion to this book.
TO THE FACULTY

This book and its supplements are intended to be realistic and practical supports to your course on Psychiatric Nursing. Supplemental materials include the Instructor's Resource Manual that contains:

  • NCLEX-style test bank organized by chapters of the book
  • Class discussion/lecture outlines
  • Strategies for promoting the success of students who speak English as a nonnative language
  • List of lecture PowerPoints and PowerPoint images that are available on the CD-ROM
  • A collection of all the case studies, critical thinking care maps, and end-of-chapter study guides from the book
  • "Teaching Critical Thinking" strategies
  • A section on avoiding culture bias in nursing exams
  • Suggestions for community experiences/assignments to supplement the students' learning about mental health resources in their communities
  • Clinical approaches for enhancing students' clinical learning.

The Instructor's Resource CD-ROM includes:

  • Electronic version of the Instructor's Resource Manual allows you to customize your lesson plans
  • Chapter-related PowerPoint presentations that contain reproductions of the textbook illustrations to enhance your classroom lectures
  • Time-saving chapter-related electronic Test Bank with NCLEX-style questions for pre- and post-learning assessment

The Companion Website includes:

  • Syllabus Manager
  • Faculty Office
  • Web Links
  • Audio Glossary
  • Study Tips
TO THE STUDENT

This book was created to be a realistic and interesting resource for you as you learn about the fascinating subject of Psychiatric Nursing. Whether you want to specialize in psychiatric nursing or you never see the inside of a psychiatric hospital, you will use the information you learn here to help clients with mental disorders and people with psychosocial needs in any nursing environment.

Keep an open mind and enjoy the process. Before you read this book, think about what you already know about mentally ill people. Probably some of what you think you know is wrong (there are lots of misconceptions). We think you will learn some things that will help you see people with mental illnesses in a more positive and sympathetic light. Most importantly, we think you will learn some interesting things that you can use to improve people's lives, including your own.

Read More Show Less

Introduction

Mental Health Nursing Care was written to provide a broad fundamental knowledge base for LPN/LVN students that is interesting and engaging to read, and readily applicable to nursing practice. Our teaching philosophy is that learning is maximized when the teacher is enthusiastic about the subject; the material is presented in a clear and appealing style; and the concepts are relevant to real application. The learner must be willing to participate in the learning process. Learning is participative. This book is written as psychosocial nursing is really practiced: with intelligence, empathy, caring, and based on evidence. It is above all practical, with strategies that students can actually use to promote the health, well-being, and empowerment of their clients. The major curriculum concepts are:

  • Mental health
  • The biopsychosocial nature of mental disorders
  • Insight development and mental health promotion for nursing students
  • The nursing process (a part of which is critical thinking)
  • Care of diverse clients (across ages, genders, and cultures)
  • Client and nurse empowerment
  • Collaborative care with other members of the health-care team
  • Psychosocial nursing as a component of general nursing practice, as well as in the psychiatric setting

The writing style is deliberately personal for the purpose of making this complicated and fascinating subject engaging and easy to understand. It is clear without oversimplification or disrespect to the subject or the student. The style, organization, and pedagogy are chosen with adult learning principles in mind.

We wrote this book with the knowledgethat the majority of nurses do not practice in the psychiatric nursing specialty. Promoting mental health and working with clients with mental disorders and psychosocial issues are part of the nursing role in every practice setting. We teach students to practice psychosocial nursing with diverse clients in a variety of settings. We bring in case studies and quotes from clients in their own words to help students who do not have psychiatric nursing clinical opportunities to develop empathy for our clients.

The authors bring their enthusiasm and experience in teaching psychiatric mental health nursing to this book. We teach the theory and practice of psychiatric nursing to diverse nursing students. The needs of students who speak English as a nonnative language, immigrant students, and other nontraditional students were considered in the writing of this book. Advocacy for people who have mental disorders and their families is an important aspect of the book as well. We are committed to psychiatric nursing education, and to helping you teach your students.

Organization

UNIT 1: Foundations of Psychiatric Mental Health Nursing provides a basis for understanding the fundamentals on which psychiatric nursing is built. Personality development is discussed as a psychosocial basis for mental disorders. Various personality theories are presented as the basis for the various therapeutic approaches to disorders of thinking, feeling, and behavior. Mental health and mental illness are covered, as well as the stigma of mental illness in our culture. Practical strategies for mental-health promotion are included. Stress management is presented as it relates to clients and nurses.

UNIT 2: Psychiatric Mental Health Nursing encourages the mentally healthy practice of nursing. The nurse-client relationship is presented as the foundation of nursing practice. Ethical and legal aspects of psychiatric nursing are covered in this unit. The importance of client advocacy is emphasized. The biological basis for mental disorders is discussed. Psychopharmacology is given its rightful place as a major cornerstone of psychiatric nursing, but not the only cornerstone.

UNIT 3: Nursing Care of Clients with Mental Disorders covers specific biological and clinical information about the major mental illnesses included in the DSM-IV-TR. Biological and psychosocial issues are the foundation for nursing goals and interventions. The nursing process provides the format for nursing practice. Medication management, collaboration with other health professionals, and client empowerment are integral parts.

UNIT 4: Nursing Care of Clients with Disorders Related to Development includes disorders of children, adolescents, and the elderly. Dementia and cognitive disorders are covered extensively because of their importance in nursing practice. Eating disorders are also presented here.

UNIT 5: Special Topics in Psychiatric Mental Health Nursing includes the timely topics of violence and abuse, as well as psychosocial issues for general client care. The final chapter takes psychosocial nursing to every client and presents realistic strategies for managing the care of "difficult" clients in general nursing practice.

Each chapter begins with Sharing Experiences, that provide words of wisdom from the lived experiences of those who have been touched by mental illness. Learning Outcomes map the direction and goals of each chapter.

Key Terms are defined in each chapter when they are first used. They are also included in an audio glossary on the Companion Website and Student CDROM, in which the words are spoken aloud to provide guidance for pronunciation. Key Points summarize the vital points in each chapter that will continue to be important for years to come.

The clinical chapters end with Critical Thinking Care Maps that provide brief case studies, assessment data, and a nursing diagnosis. The student sorts the data, chooses from interventions provided, evaluates the outcomes, and charts the results.

A built-in study guide concludes each chapter. The study guides have NCLEX-style questions, learning activities, and a For Further Study feature. This is a handy list of cross-references within the book to facilitate locating related topics. EXPLORE MediaLink calls attention to additional interactive learning activities on the Companion Website and CD-ROM.

Features

  • Features are based on adult learning principles.
  • The Learning About You! feature captures students' interest and applies their learning to their own lives.
  • Multiple strategies to promote critical thinking:
    • Critical Self-Checks, which encourage readers to clarify their own values and beliefs, and to think critically about topics in psychiatric nursing
    • Critical Thinking Care Maps in each clinical chapter
    • NCLEX-PN style review questions in each chapter
    • Multiple Case Examples to provide insight into mental disorders
  • Clinical Alerts underscore priority issues that "you can't afford to miss."
  • Nursing Process Care Plans illustrate realistic situations and engage students in problem solving and application of their new knowledge.
  • Culture Care boxes highlight transcultural nursing issues.
  • Reality Check boxes present experiences of real people with mental illnesses in their own words.
  • Client Empowerment Plans, unique to our book, combine teaching and empowerment strategies for clients with selected mental disorders (depression, bipolar disorder, schizophrenia, generalized anxiety, and families of patients with cognitive impairment). These empowerment plans are formatted with the thought of duplication for client-teaching purposes. They include client and family teaching, collaboration with care providers, problem-solving and coping strategies, and self-advocacy.
  • Visual appeal is achieved by more boxes, tables, diagrams, figures, and general art features, than any analogous text.
  • Websites for further study are included in each chapter, in addition to the Website created as a companion to this book.

TO THE FACULTY

This book and its supplements are intended to be realistic and practical supports to your course on Psychiatric Nursing. Supplemental materials include the Instructor's Resource Manual that contains:

  • NCLEX-style test bank organized by chapters of the book
  • Class discussion/lecture outlines
  • Strategies for promoting the success of students who speak English as a nonnative language
  • List of lecture PowerPoints and PowerPoint images that are available on the CD-ROM
  • A collection of all the case studies, critical thinking care maps, and end-of-chapter study guides from the book
  • "Teaching Critical Thinking" strategies
  • A section on avoiding culture bias in nursing exams
  • Suggestions for community experiences/assignments to supplement the students' learning about mental health resources in their communities
  • Clinical approaches for enhancing students' clinical learning.

The Instructor's Resource CD-ROM includes:

  • Electronic version of the Instructor's Resource Manual allows you to customize your lesson plans
  • Chapter-related PowerPoint presentations that contain reproductions of the textbook illustrations to enhance your classroom lectures
  • Time-saving chapter-related electronic Test Bank with NCLEX-style questions for pre- and post-learning assessment

The Companion Website includes:

  • Syllabus Manager
  • Faculty Office
  • Web Links
  • Audio Glossary
  • Study Tips

TO THE STUDENT

This book was created to be a realistic and interesting resource for you as you learn about the fascinating subject of Psychiatric Nursing. Whether you want to specialize in psychiatric nursing or you never see the inside of a psychiatric hospital, you will use the information you learn here to help clients with mental disorders and people with psychosocial needs in any nursing environment.

Keep an open mind and enjoy the process. Before you read this book, think about what you already know about mentally ill people. Probably some of what you think you know is wrong (there are lots of misconceptions). We think you will learn some things that will help you see people with mental illnesses in a more positive and sympathetic light. Most importantly, we think you will learn some interesting things that you can use to improve people's lives, including your own.

Read More Show Less

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