Psychiatric nursing / Norman L. Keltner, Lee Hilyard Schwecke, Carol E. Bostrom

Includes bibliographical references and index.

CONTENTS
Unit I Introduction to Psychiatric Nursing
1. Introduction to Psychiatric Nursing --
Benchmarks in Psychiatric History --
Issues That Affect the Delivery of Psychiatric Care --
Summary --
2. Psychotherapeutic Management in the Continuum of Care --
Psychotherapeutic Management --
Continuum of Care --
Psychotherapeutic Management: Three Interventions --
Psychopathology --
Special Therapies --
3. Continuum of Care --
Hospital-Based Care
Discharge Planning
Community-Based Care
Traditional Outpatient Services
Intensive Outpatient Programs
Use of the Nursing Process in the Community
4.Models for Working With Psychiatric Patients--
Psychoanalytic Model
Developmental Model
Interpersonal Model
Cognitive-Behavioral Models
Reality Therapy Model
Stress Models
Integrative Approach
5.Legal Issues--
Sources of Law
Torts (Civil Law)
Commitment Issues
Patient Rights
Advance Directives for Health Care
6.Psychobiologic Bases of Behavior--
Neuroanatomy of the Brain
Neurons and Neurotransmitters
Autonomic Nervous System
Ventricular System
Clinical Application
Unit II Therapeutic Nurse-Patient Relationship
7. Nurse-Patient Communication
Categories of Communication
Therapeutic Communication
Interference With Therapeutic Communication
7.Nurse-Patient Relationship--
Therapeutic Relationships
Being Therapeutic Versus Providing Therapy
Stages of Development of a Therapeutic Relationship
Interactions With Selected Behaviors
9.Nursing Process--
Assessment
Nursing Diagnosis
Outcome Identification
Planning and Intervention
Evaluation
10. Stress, Anxiety, Coping, and Crisis--
Stress and Anxiety
Coping With Anxiety
Relationship Between Anxiety and Illness
Crisis
11.Working With the Aggressive Patient--
Anger and Related Concepts
Etiology of Aggression
Assessing Key Variables of Aggression
Nursing Interventions for Anger and Nonviolent Aggression
Nursing Interventions Based on the Assault Cycle
Staff Members as Victims of Assault
12.Working With Groups of Patients--
Benefits of Groups
Therapeutic Factors
Types of Groups
Group Management Issues
Common Management Issues
Types of Patients in Groups
13.Working With the Family--
Definition of Family
Contemporary Families
Family Characteristics
Stages of Family Development
Effects of Mental Illness on the Family and Individual
Family Reactions to Psychiatric Treatment and Hospitalization
Nurse Response to Patients and Families Seeking Treatment
Abilities Needed When Working With Families
Application of the Nursing Process to the Family
14.Cultural Competence in Psychiatric Nursing--
Basic Concepts
Culture-Bound Mental Health Issues
Alternative Therapies
Ethnopharmacology
Nurse's Role in Cultural Assessment
Summary
15.Spirituality--
Toward a Definition of Spirituality
Patient Spirituality and the Psychiatric Nurse
Health Care Applications
Intersection of Spirituality and Mental or Emotional Distress
Final Thought
Unit III Psychopharmacology
16. Introduction to Psychotropic Drugs--
Nursing Responsibilities
Pharmacokinetics
Pharmacodynamics
Blood-Brain Barrier
Neurons and Neurotransmitters
Receptors
Patient Education
17 Antiparkinsonian Drugs --
Parkinson's Disease and Extrapyramidal Side Effects
Anticholinergics to Treat Extrapyramidal Side Effects
Other Treatment Options for Extrapyramidal Side Effects
Prevention
Antipsychotic Drugs
Classification Systems
Neurochemical Theory of Schizophrenia
Overview
Traditional (First-Generation) Drugs: Introduced in 1950
Atypical Antipsychotic (Second-Generation) Drugs: Introduced in 1990
Novel Antipsychotic (Third-Generation) Drugs: Introduced in 2002
19. Antidepressant Drugs --
Biochemical Theory of Depression
Selective Serotonin Reuptake Inhibitors
Novel Antidepressants
Tricyclic Antidepressants
Monoamine Oxidase Inhibitors
Application of Established Drugs to Treat Depression
20.Antimanic Drugs--
Lithium
Anticonvulsants
Antipsychotics
Other Treatments for Dipolar Disorder
21. Antianxiety Drugs --
Models of Anxiety
Benzodiazepines
Nonbenzodiazepine: Buspirone
Selective Serotonin Reuptake Inhibitors
Other Drugs With Antianxiety Properties
22.Antidementia Drugs --
Drugs Used to Treat Dementias
Agents That Restore Acetylcholine
Agents That Retard Neurodegeneration
Drugs to Prevent Alzheimer's Disease
Unit IV Milieu Management
23. Introduction to Milieu Management --
Historical Overview
Joint Commission on the Accreditation of Healthcare Organizations: Environment of Care Issues
Nursing and the Therapeutic Environment
Elements of the Treatment Environment
The Nurse as Manager of the Treatment Environment
24.Variables Affecting the Therapeutic Environment --
Staff Relationships
Nursing's Influence
Burnout and Secondary Traumatization
Management Practices and Organizational Structure
Clinical Supervision
Aggression and Violence
Inpatient Suicidal Behavior
Managed Care
Consumers and Advocates on the Psychiatric Unit
Effective Functioning in the Acute Psychiatric Setting
25.Therapeutic Environment in Various Treatment Settings--
Inpatient Settings
Differences in Inpatient Units
Community Treatment Settings
Conclusion
26 Special Environments: Forensic Psychiatric Treatment Settings --
State Forensic Psychiatric Facilities
Specific Nursing Interventions Used by Forensic Psychiatric Nurses
Summary and Future Directions
Unit V Psychopathology
27 Introduction to Psychopathology --
Behavior
Etiology
Psychotherapeutic Management
Nurses Need to Understand Psychopathology
28. Schizophrenia and Other Psychoses
338 (29)
Schizophrenia
Special Issues Related to Schizophrenia
Continuum of Care for People With Schizophrenia
Psychotherapeutic Management
Other Psychotic Disorders
Future Directions
29.Depression
Depressive Disorders
Dysthymic Disorder
Behavior Symptomatic of Depression
Etiology of Depression
Assessment of Depression
Suicide and Depression
30.Bipolar Disorders --
General Description of Bipolar Disorder
DSM-IV-TR Terminology and Criteria
Bipolar Disorders
Young Mania Rating Scale (YMRS)
31.Anxiety-Related, Somatoform, and Dissociative Disorders --
Anxiety-Related Disorders
Generalized Anxiety Disorder
Panic Disorder
Obsessive-Compulsive Disorder
Phobic Disorders
Acute Stress Disorder and Posttraumatic Stress Disorder
Adjustment Disorders
Somatoform Disorders
Somatization Disorder
Pain Disorder
Hypochondriasis
Conversion Disorder
Dissociative Disorders
Dissociative Amnesia
Dissociative Fugue
Depersonalization
Dissociative Identity Disorder
32.Cognitive Disorders --
Introduction
Overview of Nondementia Cognitive Disorders
Dementia
Reversible Dementias
Irreversible Dementias
33.Personality Disorders --
Etiology: Contemporary Views
Personality Disorder Clusters
Cluster A: Odd-Eccentric
Paranoid Personality Disorder
Schizoid Personality Disorder
Schizotypal Personality Disorder
Cluster B: Dramatic-Erratic
Antisocial Personality Disorder
Borderline Personality Disorder
Narcissistic Personality Disorder
Histrionic Personality Disorder
Cluster C: Anxious-Fearful
Dependent Personality Disorder
Avoidant Personality Disorder
Obsessive-Compulsive Personality Disorder
34.Sexual Disorders --
DSM-IV-TR Criteria and Terminology
Sexual Dysfunctions
Paraphilia
Gender Identity Disorder
35.Substance-Related Disorders --
Introduction
DSM-IV-TR Criteria
Alcohol
Central Nervous System Depressants
Barbiturates
Benzodiazepines
Gamma Hydroxybutyrate
Inhalants
Opioids (Narcotics)
Stimulants
Cocaine
Amphetamines and Related Drugs
Hallucinogens
Related Issues
Effects on Family
Treating the Chemically Dependent Person
Diagnostic Tools for Chemical Dependency
Psychotherapeutic Management
Intervention and Treatment Programs
Special Notes
Final Thoughts
36.Dual Diagnosis --
Dual Diagnosis Defined
Etiology
Treatment Issues
Continuum of Care
37. Eating Disorders --
Anorexia Nervosa
Bulimia Nervosa
Eating Disorders in Males
Binge-Eating Disorder
Unit VI Special Populations and Therapies in Psychiatric Nursing
38. Behavior Therapies ---
Foundations of Behavior Therapies
Application of Behavior Therapy in Psychiatric Nursing Practice
39.Somatic Therapies --
Electroconvulsive Therapy
Other Somatic Therapies
40.Alternative and Complementary Therapies --
Historical Perspective
Biologically Based Therapies
Herbal Therapies (Herbaceuticals)
Vitamins, Minerals, and Nutritional Supplement Therapies
Mind-Body-Based Therapies
Meditation, Yoga, and Spiritual Practices
Massage Therapy
Guided Imagery and Visualization
Whole Medical Systems
Traditional Chinese Medicine
Naturopathic and Homeopathic Remedies for Affective and Anxiety Disorders
General Concerns Regarding CAM Therapies
Issues of Safety and Efficacy of Herbals
Competence of Practitioners
Nurses and Alternative Therapies
Future Directions of Integrative Health Care
41.Survivors of Violence and Trauma --
Violation by Crime
Terrorism
Torture, Ritual Abuse, and Mind Control
Rape and Sexual Assault
Adult Survivors of Childhood Sexual Abuse
Partner Abuse
42.Child and Adolescent Psychiatric Nursing
Scope of the Problem
Diagnostic Categories of Child Psychiatric Disorders
Developmental Disorders
Attention-Deficit and Disruptive Behavior Disorders
Internalizing Disorders
Tic Disorders
Psychotic Disorders
Elimination Disorders
Psychopharmacology
Nonstimulant Medications for Attention-Deficit/Hyperactivity Disorder
Cognitive-Behavioral Therapy
43.Mental Disorders in Older Adults --
Introduction
Continuum of Care
Psychopathology in Older Adults
Depression
Manic Episodes
Psychotic Disorders
Anxiety Disorders
Substance Abuse
Assessment of Older Adults With Mental Disorders
Psychosocial Assessment
Physical Assessment
Psychotherapeutic Management
Appendix Diagnostic Criteria for Mental Disorders, Text Revision (DSM-IV-TR) 680 (10)
Glossary 690 (8)