Psychiatric and mental health nursing demystified

544 Pages·2014·15.449 MB·English

by  Keogh, James Edward

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This book is dedicated to Anne, Sandy, Joanne, Amber-Leigh Christine, Shawn, Eric, and Amy. Without u
their help and support, this book couldn’t have been written. rsing
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—Jim Keogh, RN-BC, MSN ng
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About the Author rsity 5
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Jim Keogh, RN-BC, MSN, is Board Certified in Psychiatric-Mental Health and /1
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has written McGraw-Hill’s Nursing DeMystified series. These include Pharma- ]. Co
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cology DeMystified, Microbiology DeMystified, Medical-Surgical Nursing DeMysti- rig
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Tests DeMystified, Dosage Calculations DeMystified, Medical Charting DeMysti- cG
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fied, Pediatric Nursing DeMystified, Nurse Management DeMystified, Schaum’s -H
Outline of ECG Interpretations, Schaum’s Outline of Medical Terminology, and ill G
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Schaum’s Outline of Emergency Nursing. His books can be found in leading uni- ba
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versity libraries including Yale School of Medicine, Yale University, University du
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of Pennsylvania Biomedical Library, Columbia University, Brown University, Uni- tio
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versity of Medicine and Dentistry of New Jersey, Cambridge University, and o
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Oxford University. He is a former member of the faculty at Columbia Univer- g
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University in New Jersey. . No
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Contents 5
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Introduction xi /1
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chapteR 1 Foundation of psychiatric and Mental health Nursing 1 ht ©
Mental Illness 2 M
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1. Models of Human Behavior 2 ra
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2. Therapeutic Relationship 4 -H
3. Therapeutic Communication 5 ill G
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4. Barriers to Communication 8 a
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5. Defense Mechanisms 14 du
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6. Legal Environment 18 tio
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7. Psychiatric Therapies 22 H
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8. Psychiatric Assessment Tests 24 in
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9. American Nurses Association Standards s, L
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C
of Care 25 . N
10. Nursing Assessment 28 ot to
11. Mental Status Examination 35 be
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1123.. SDuemvemloapriinzeg tah Ne uNrusirnsign gD iAasgsneosssmis ent 4447 distrib
u
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chapteR 2 childhood and adolescent psychiatric Disorders 55 r m
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Childhood and Adolescent Mental Illness 56 d
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Diagnosing 57 d in
Treatment 57 an
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vi CoNTENTS
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Working With a Difficult Child 58 ed
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1. Attention Deficit Hyperactivity Disorder 59 [ F
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2. Autistic Disorder 62 c
u
3. Conduct Disorder 66 lty o
4. oppositional Defiant Disorder 69 f Nu
5. Major Depression Disorder 71 rsin
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6. Mental Retardation 74 , Ch
ia
7. Tourette Syndrome 78 ng
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chapteR 3 anxiety and anxiety Disorders 87 n
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Anxiety 88 rsity
1. Acute Stress Disorder 89 5
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2. Generalized Anxiety Disorder 92 .1
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3. obsessive-Compulsive Disorder 94 .8
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4. Panic Disorder 97 ] at [0
5. Phobia 100 7/1
8
6. Posttraumatic Stress Disorder 103 /16
7. Substance Abuse Anxiety Disorder 106 ]. C
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chapteR 4 Somatoform and Dissociative Disorders 115 righ
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What Are Somatoform Disorders M
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and Dissociative Disorders? 116 Gra
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Factitious Disorders and Malingering Disorders 117 -H
1. Body Dysmorphic Disorder 117 ill G
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2. Conversion Disorder 120 b
a
3. Hypochondriasis 122 l Ed
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4. Pain Disorder 124 atio
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5. Somatization Disorder 127 H
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6. Depersonalization Disorder 130 ldin
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7. Dissociative Amnesia 132 s, L
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8. Dissociative Fugue 134 C
. N
9. Dissociative Identity Disorder 136 o
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chapteR 5 Schizophrenia 143 re
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What Is Schizophrenia Disorder? 144 istrib
Hallucinations 145 ute
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Delusion 145 or m
Positive and Negative Symptoms 145 od
Phases of Schizophrenia Disorder 146 ified
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Degrees of Schizophrenia Disorder 146 a
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Antipsychotic Medication Adverse Side Effects 147 w
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1. Paranoid Schizophrenia Disorder 148 w
2. Disorganized Schizophrenia Disorder 150 itho
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CoNTENTS vii
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3. Undifferentiated Schizophrenia Disorder 152 ed
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4. Residual Schizophrenia Disorder 154 y [ F
5. Catatonic Schizophrenia Disorder 155 ac
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chapteR 6 personality Disorders 163 f N
u
Personality and Personality Disorders 164 rsin
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Clusters 165 , C
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1. Antisocial Personality Disorder 165 ian
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2. Avoidant Personality Disorder 168 a
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3. Borderline Personality Disorder 170 n
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4. Dependent Personality Disorder 173 rsity
5. Histrionic Personality Disorder 176 5
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6. Narcissistic Personality Disorder 178 .1
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7. obsessive-Compulsive Personality Disorder 180 .8
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8. Paranoid Personality Disorder 183 ] at [0
9. Schizoid Personality Disorder 186 7/1
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10. Schizotypal Personality Disorder 188 /1
6
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chapteR 7 Mood Disorders 197 p
y
Mood 198 righ
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Mood Disorder 199 M
c
1. Bipolar Disorder 199 G
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2. Cyclothymic Disorder 205 -H
3. Dysthymic Disorder 207 ill G
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4. Major Depressive Disorder 209 b
a
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chapteR 8 Substance abuse 219 uc
a
Abuse, Dependency, and Addiction 220 tion
H
Dependency and Pain Medication 221 old
in
Detoxification 221 gs, L
Recovery, Cravings, and Triggers 222 L
C
Social Support Problems 223 . N
o
Common Signs of Substance Abuse 223 t to
b
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1. Alcohol Dependence Disorder 224 re
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2. Amphetamine Abuse Disorder 235 istrib
3. Anxiolytic, Hypnotic, Sedative ute
d
Dependent Disorder 240 o
r m
4. Cannabis Abuse Disorder 244 o
d
5. Cocaine Abuse Disorder 248 ifie
d
6. Hallucinogen Abuse Disorder 253 in a
n
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7. Inhalant Abuse Disorder 259 w
a
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8. Nicotine Dependent Disorder 264 w
9. opioid Dependent Disorder 267 itho
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viii CoNTENTS
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chapteR 9 eating Disorders 279 ed
b
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1. Anorexia Nervosa Disorder 280 [ F
a
2. Bulimia Nervosa Disorder 283 c
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chapteR 10 Sleeping Disorders 293 f N
u
Sleep 294 rsin
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Measuring Sleep 295 , C
h
Missed Sleep 295 ian
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m
Sleeping Habits 296 a
i U
Stages of Sleep 297 n
iv
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Physiology During Sleep 297 rsity
Dreams 298 5
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1. Breathing-Related Sleep Disorder 298 .1
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6
2. Circadian Rhythm Sleep Disorder 300 .8
6
3. Narcolepsy Disorder 303 ] at [0
4. Primary Hypersomnia Disorder 305 7/1
8
5. Primary Insomnia Disorder 307 /1
6
]. C
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chapteR 11 Sexual Disorders 315 py
rig
Sexual Activity 316 h
t ©
Gender Identity 317 M
c
Paraphilia 318 G
ra
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1. Gender Identity Disorder 318 -H
2. Paraphilia Disorder 321 ill G
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3. Sexual Dysfunction Disorder 325 b
a
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chapteR 12 therapeutic communications 337 c
a
tio
1. A Therapeutic Relationship 338 n
H
2. Therapeutic Communication 339 old
in
3. Therapeutic Interventions 348 gs, L
4. Mediating Conflicts 351 L
C
5. Crisis 353 . N
o
6. Developing a Therapeutic Relationship 362 t to
b
e
7. Running Groups 364 re
d
8. Addiction Intervention 370 istrib
9. Legal Considerations 375 ute
d
10. Nurse Process Report 378 or m
11. Milieu 382 od
ifie
d
chapteR 13 patient psychiatric assessment and patient in
a
n
psychiatric care plans 389 y w
a
1. Mental Health Diagnosis 390 y w
2. Psychiatric Nursing Process 393 ith
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CoNTENTS ix
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3. Behavioral Assessment 395 ad
e
d
4. Psychiatric Nursing Diagnosis 406 b
y
5. Psychiatric Care Plan 409 [ F
a
c
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chapteR 14 physiologic Basis of Mental Illness 419 o
f N
Mental Illness 420 u
1. Neurologic System 421 rsing
, C
2. Neurotransmitters 424 h
ia
n
3. Nervous System and Mental Illness 426 gm
a
4. Medication 429 i U
n
5. Substance Abuse 438 iv
e
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Final Exam 447 .6
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Glossary 479 56
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Index 507 6] a
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