Clinical Consult to Psychiatric Mental Health Management for Nurse Practitioners

630 Pages·2021·87.557 MB·English

by  Laura A. Mandos, Jennifer A. Reinhold, Jacqueline Rhoads

Clinical Consult to SECOND EDITION Rhoads SECOND EDITION
Psychiatric Mental Health
C
l
i
MANAGEMENT FOR NURSE PRACTITIONERS n
i
c Clinical Consult
Jacqueline Rhoads, PhD, ACNP-BC, ANP-C, PMHNP-BE, CNL-C, FAANP
a
l
EDITOR
C
o
Convenient, practical, and portable
n to Psychiatric
Revised and updated, the second edition of this practical resource remains the only advanced s
u
practice guide to provide an overview of the major DSM-5 disorders across the lifespan and
l
complete clinical guidelines for their psychopharmacological management. Compiled by expert t

practitioners in psychiatric care, it is designed specifically for use by nurse practitioners and other t
o Mental Health
primary caregivers in clinical practice.

P
Organized for quick access to key information, the resource includes the clinical features of each
s
disorder and symptoms and information about the most current and effective drugs for its management.
y
Tables delineate the first and second lines of drug therapy along with adjunctive therapies for each c
disorder. Drugs are organized according to classification and include the essential information needed h
MANAGEMENT FOR NURSE PRACTITIONERS
to safely prescribe and monitor a patient’s response to a particular drug. Brand and generic names, i
a
drug class, customary dosage, side effects, drug interactions, pharmacokinetics, precautions, and
t
management of special populations are also addressed. Convenient, practical, and portable, this guide r
i
will be a welcome and frequently used resource. c

M
Key Features:
e
• Delivers psychopharmacological treatment guidelines for major DSM-5 disorders n
t
• Prioritizes drugs according to their clinical efficacy and recommended treatment algorithms
a
• Includes brand and generic names, dosages, side effects, drug interactions, l

H
pharmacokinetics, precautions, and management of special populations
e
• Provides easy-to-read tables for quick clinical consultation
a
• Offers information on lab evaluation and preventive services l
t
h
• Addresses medical and legal pitfalls
• Purchase includes digital access for use on most
mobile devices or computers
ISBN 978-0-8261-6183-3 SECOND
EDITION
Jacqueline Rhoads
11 W. 42nd Street
New York, NY 10036-8002 9 780826 161833
www.springerpub.com E D I TO R
Psychiatric
Clinical Consult to
Mental Health
Jacqueline Rhoads, PhD, ACNP-BC, ANP-C, PMHNP-BE, CNL-C, FAANP, has held many faculty posi-
tions during her career and has taught in nurse practitioner programs since 1994. Dr. Rhoads has
been awarded major research funding for a variety of research projects and continues to foster an
evidence-based practice implementing outcomes-focused care. She is a fellow in the American
Academy of Nurse Practitioners and has been awarded numerous commendations and med-
als for meritorious service in the U.S. Army Nurse Corps. Dr. Rhoads has authored four books
for nursing publishers, as well as numerous articles. Her 2012 book Nurses’ Clinical Consult to
Psychopharmacology was awarded first place as an American Journal of Nursing Book of the Year.
The first edition of Clinical Consult to Psychiatric Mental Health Care won second place as an
AJN Book of the year.
Clinical Consult to Psychiatric
Mental Health
Management for Nurse Practitioners
Second Edition
Jacqueline Rhoads, PhD, ACNP-BC, ANP-C,
PMHNP-BE, CNL-C, FAANP
Copyright © 2021 Springer Publishing Company, LLC
All rights reserved.
First Springer Publishing Company edition 2014.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by
any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of
Springer Publishing Company, LLC, or authorization through payment of the appropriate fees to the
Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax [phone],
[email protected] or on the Web at www.copyright.com.
Springer Publishing Company, LLC
11 West 42nd Street
New York, NY 10036
www.springerpub.com
connect.springerpub.com/
Acquisitions Editor: Adrianne Brigido
Compositor: Transforma
ISBN: 978-0-8261-6183-3
E-book ISBN: 978-0-8261-6184-0
DOI: 10.1891/9780826161840
20 21 22 23 24 / 5 4 3 2 1
Medicine is an ever-changing science. Research and clinical experience are continually expanding our
knowledge, in particular our understanding of proper treatment and drug therapy. The authors, editors, and
publisher have made every effort to ensure that all information in this book is in accordance with the state of
knowledge at the time of production of the book. Nevertheless, the authors, editors, and publisher are not
responsible for any errors or omissions or for any consequence from application of the information in this book
and make no warranty, expressed or implied, with respect to the content of this publication. Every reader should
examine carefully the package inserts accompanying each drug and should carefully check whether the dosage
schedules therein or the contraindications stated by the manufacturer differ from the statements made in this
book. Such examination is particularly important with drugs that are either rarely used or have been newly
released on the market.
Library of Congress Cataloging-in-Publication Data
Names: Rhoads, Jacqueline, 1948–author.
Title: Clinical consult to psychiatric mental health management for nurse
practitioners / Jacqueline Rhoads.
Other titles: Clinical consult to psychiatric nursing for advanced practice
D escription: Second edition. | New York, NY : Springer Publishing Company, LLC, [2021] | Preceded by
Clinical consult to psychiatric nursing for advanced practice / Jacqueline Rhoads, Patrick J.M. Murphy.
[2015]. | Includes bibliographical references and index. | Summary: “Provides “what to do next” guidelines
when working with and beginning the treatment of a patient with a mental health disorder. Compiled by
expert practitioners in psychiatric care, this work provides an overview of the management of the major
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (American Psychiatric Association, 2013)
disorders across the life span and delivers complete clinical guidelines for their diagnosis, treatment options,
and psychopharmacologic management”-- Provided by publisher.
Identifiers: LCCN 2020037433 (print) | LCCN 2020037434 (ebook) | ISBN
9780826161833 (paperback) | ISBN 9780826161840 (ebook)
Subjects: MESH: Mental Disorders--nursing | Mental Disorders--therapy | Psychiatric Nursing--methods |
Nurse Practitioners--standards | Psychopharmacology--methods
Classification: LCC RC440 (print) | LCC RC440 (ebook) | NLM WY 160 | DDC 616.89/0231--dc23
LC record available at https://lccn.loc.gov/2020037433
LC ebook record available at https://lccn.loc.gov/2020037434
Contact [email protected] to receive discount rates on bulk purchases. We can also customize our books to
meet your needs.
For more information please contact: [email protected]
Publisher’s Note: New and used products purchased from third-party sellers are not guaranteed for quality,
authenticity, or access to any included digital components.
Printed in the United States of America.
This book is dedicated to all the healthcare workers out there—doctors,
nurses, technicians, medical staff, administrators, food service workers,
pharmacists, security guards, and our military deployed to set up
hospitals and deliver aid. I, as a provider, understand the sacrifice, pain,
and suffering you are exposed to every day. I understand the sleepless
nights and difficulty concentrating especially when you get those precious
days off. I’m so proud of you and feel a great deal of pride knowing I’m
part of this special group of men and women.

Contents
Contributors ix
Preface xi
Abbreviations xiii
PART ONE. Overview of Psychiatric Patient Disorders
SECTION I. PSYCHIATRIC PATIENT MANAGEMENT
1. The Psychiatric Interview and Diagnosis 3
2. Psychotherapeutic Management 17
3. Behavioral, Cognitive–Behavioral Therapy, and Psychoanalysis 23
SECTION II. PRINCIPLES OF CLINICAL PSYCHOPHARMACOLOGY
4. The Relationship of Psychopharmacology to Neurotransmitters,
Receptors, Signal Transduction, and Second Messengers 37
5. Clinical Neuroanatomy of the Brain 43
6. Principles of Pharmacokinetics and Pharmacodynamics 53
7. Principles and Management of Psychiatric Emergencies 63
SECTION III. SYNDROMES AND TREATMENTS IN ADULT PSYCHIATRY
8. Behavioral and Psychological Disorders in Older Adults 71
9. Substance Use Disorders 83
10. Psychotic Disorders 99
vIII | ContEntS
11. Mood Disorders 127
12. Anxiety Disorders 169
13. Obsessive-Compulsive and Related Disorders 197
14. Dissociative Disorders 221
15. Sexual Dysfunction 235
16. Feeding and Eating Disorders 255
17. Sleep Disorders 281
18. Personality Disorders 299
19. Neurodevelopmental Disorders 311
PART TWO. Psychopharmacological Drug Monographs
20. Drug Monographs 357
Index 589
Contributors
Angela Chia-Chen Chen, PhD, RN Assistant Professor, College of Nursing and
Health Innovation, Arizona State University, Phoenix, Arizona
Karen Crowley, DNP, APRN-BC, ANP, WHNP, CNE Associate Dean, Graduate
Online Nursing, Associate Professor, Regis College, Weston, Massachusetts
Shari Harding, DNP, PMHNP-BC, CARN-AP Assistant Professor, University of
Massachusetts Medical School, Worcester, Massachusetts
Rachael Hovermale, DNP, APRN Coordinator and Associate Professor, Psychiatric-
Mental Health Nurse Practitioner Program, Baccalaureate and Graduate Nursing,
Eastern Kentucky University, Richmond, Kentucky
Jo-Ann Marrs, EdD, FNP, MSN, RN Professor, College of Nursing, East Tennessee
State University, Johnson City, Tennessee
Brenda Marshall, EdD, MSN, RN, APRN, ANEF Professor, Department of
Nursing, William Paterson University, Wayne, New Jersey
Anne M. Mingolelli, DNP, PMHNP-BC, APRN-BC Assistant Professor, Nursing,
Regis College, Weston, Massachusetts
Jacqueline Rhoads, PhD, ACNP-BC, ANP-C, PMHNP-BE, CNL-C, FAANP
Professor of Nursing, Retired
CONTRIBUTORS TO THE FIRST EDITION
Athena J. Arthur, MS, LCDC
Renee R. Azzouz, ARNP
Sandra S. Bauman, PhD, ARNP, LMHC