Psychiatric Nursing Care Plans

ISBN-10: 0323039812

ISBN-13: 9780323039819

Edition: 5th 2006 (Revised)

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Description: The most comprehensive psychiatric nursing care planning text available assists students and practitioners in providing effective care in a variety of settings. Clear presentation of information, consistent use of the nursing process, correlation of nursing and medical diagnoses, and prioritization of interventions make this text an invaluable resource. Grounded in the latest classification of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) and the most current list of NANDA-approved nursing diagnoses, this text covers a wide range of disorders, their psychopathology, and appropriate nursing interventions with rationales. Care plans use real clinical situations and include therapeutic and nontherapeutic dialogue examples to familiarize nurses with likely scenarios and equip them with the tools they need to feel confident in any clinical setting. The first chapter, The Nursing Process, effectively describes the central principles of psychiatric nursing practice in detailing the ANAs six-step nursing process along with additional information on therapeutic nurse-client communication skills, client history and assessment tools, NIC and NOC, and more. The six-step nursing process format is maintained throughout to emphasize a practice-oriented, problem-solving approach to psychiatric care. Major psychiatric disorders are reviewed consistently and completely with sections including Etiology, Epidemiology, Assessment and Diagnostic Criteria, Interventions, and Prognosis and Discharge Criteria. With this basis of knowledge, relevant care plans are offered in the second section of each chapter. Care plans based on DSM-IV-TR medical and NANDA nursing diagnoses are logically and consistently organized with Assessment Data, Outcome Criteria, Planning and Implementation, and Evaluation sections. Assessment Data sections include detailed related factors (etiology) and defining characteristics or risk factors as appropriate for the specific diagnosis. Outcome Criteria sections give the reader clear indications of the desired end state. Planning and Implementation sections list specific, relevant, and practical nursing interventions with rationales in a clear, comprehensible two-column format. UNIQUE! Therapeutic and non-therapeutic dialogue examples are presented throughout to promote more effective client communication. Evaluation sections state the role of outcome evaluation as a critical and ongoing step in the nursing process. Client and Family Teaching boxes include Nurse Needs to Know and Teach Client and Family sections covering all aspects of post-treatment instructions for clients and caregivers. DSM-IV-TR boxes list all related DSM-IV-TR diagnoses for quick reference. Helpful appendices contain information and strategies that are timely and useful in the care of clients with mental and emotional disorders including such topics as psychiatric and psychosocial therapies, grief and loss, spirituality, and many more. New care plans, many that focus on the family, join completely updated and revised care plans to make this text the most comprehensive psychiatric nursing care planning text available. Dynamic internal design emphasizes the care plans as the focus of the text; tabbed pages noting the relevant disorder and a complete list of care plans with page number references make finding a specific care plan easier than ever before. Appropriate Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC) labels are presented with each care plan in order that students become familiar with these emerging classifications and practicing nurses can easily identify them for use in their care setting if applicable. A comprehensive pharmacotherapy appendix includes the most recent psychotropic drug information and appropriate related client care. O

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Book details

List price: $61.95
Edition: 5th
Copyright year: 2006
Publisher: Elsevier - Health Sciences Division
Publication date: 5/16/2006
Binding: Paperback
Pages: 592
Size: 8.50" wide x 11.00" long x 0.75" tall
Weight: 3.212
Language: English

The Nursing Process
Assessment
Assessment of Mental Status
The Interview
Essential Qualities for a Therapeutic Relationship
Principles of a Therapeutic Nurse-Client Relationship
The Nurse-Client Relationship
Impasses That Obstruct a Therapeutic Relationship
Interpersonal Techniques
Nursing Diagnosis
Nursing Diagnoses and Medical Diagnoses
Components of the Nursing Diagnosis Statement
Risk Nursing Diagnosis
Outcome Identification
Planning
Clinical Pathways
Implementation
Impact of Interventions on Etiology
Interventions and Medical Actions
Rationale Statements
Evaluation
Legal and Ethical Issues
Confidentiality
Duty to Warn
Clients Rights
Voluntary and Involuntary Treatment
Forensic Evaluations
Malpractice
Documentation
The Nursing Process in Community and Home Settings
Psychiatric Home Health Care Case Management System
Nursing Outcomes Classification and Nursing Interventions Classification
Application of the Nursing Process
Case Study: The Client with Anxiety
Anxiety and Related Disorders
Anxiety
Responses to Anxiety
Anxiety Escalation
Anxiety Transmission
Etiology
Biologic Factors
Mind-Body Connection
Other Factors
Epidemiology
Anxiety Disorders
Assessment and Diagnostic Criteria
Panic Disorder
Panic Disorder with Agoraphobia and Agoraphobia without History of Panic Disorder
Specific Phobia
Social Phobia
Obsessive-Compulsive Disorder
Posttraumatic Stress Disorder
Acute Stress Disorder
Generalized Anxiety Disorder
Somatoform Disorders
Somatization Disorder
Conversion Disorder
Pain Disorder
Hypochondriasis
Body Dysmorphic Disorder
Factitious Disorders
Dissociative Disorders
Dissociative Identity Disorder
Dissociative Fugue
Dissociative Amnesia
Depersonalization Disorder
Interventions
Treatment Settings
Medications
Therapies
Prognosis and Discharge Criteria
Care Plan: Anxiety Disorders (All Types)
Anxiety
Compromised Family Coping
Care Plan: Phobia
Ineffective Coping
Care Plan: Obsessive-Compulsive Disorder
Impaired Social Interaction
Care Plan: Posttraumatic Stress Disorder/Acute Stress Disorder
Posttrauma Syndrome
Care Plan: Somatoform Disorders
Ineffective Coping
Care Plans: Dissociative Disorders
Ineffective Coping
Risk for Self-Directed Violence/Risk for Other-Directed Violence
Mood Disorders
Etiology
Epidemiology
Depression
Bipolar Disorder
Assessment and Diagnostic Criteria
Episodes of Mood Disorders
Additional Criteria for Episodes
Major Depressive Disorder
Dysthymic Disorder
Bipolar I and II Disorders
Cyclothymic Disorder
Mood Disorder due to Medical Condition
Substance-Induced Mood Disorder
Complications
Interventions
Treatment Settings
Medications
Electroconvulsive Therapy
Therapies
Neuromodulation Devices
Prognosis and Discharge Criteria
Care Plans: Depression (All Types)
Risk for Suicide
Impaired Social Interaction
Chronic Low Self-Esteem
Ineffective Coping
Hopelessness
Powerlessness
Self-Care Deficit
Interrupted Family Processes
Care Plans: Mania (All Types)
Risk for Self-Directed Violence/Risk for Other-Directed Violence
Risk for Injury
Impaired Social Interaction
Disturbed Thought Processes
Defensive Coping
Imbalanced Nutrition: Less than Body Requirements
Compromised Family Coping
Schizophrenia and Other Psychotic Disorders
Etiology
Epidemiology
Onset of Schizophrenia
Course of Schizophrenia
Drug Use
Mortality and Suicide
Assessment and Diagnostic Criteria
Symptoms of Schizophrenia
Acute Phase of Schizophrenia
DSM-IV-TR Criteria
Types of Schizophrenia
Paranoid Type
Disorganized Type
Catatonic Type
Undifferentiated Type
Residual Type
Associated Types
Other Psychotic Disorders
Delusional Disorder
Brief Psychotic Disorder
Shared Psychotic Disorder
Psychotic Disorder due to Medical Condition
Substance-Induced Psychotic Disorder
Interventions
Medications
Therapies
Community-Based Treatment
Prognosis and Discharge Criteria
Care Plans: Schizophrenia (All Types)
Disturbed Sensory Perception
Disturbed Thought Processes
Risk for Self-Directed Violence/Risk for Other-Directed Violence
Social Isolation
Impaired Verbal Communication
Defensive Coping
Disabled Family Coping
Self-Care Deficit
Adjustment Disorders
Etiology
Epidemiology
Assessment and Diagnostic Criteria
DSM-IV-TR Criteria
Interventions
Treatment Settings
Medications
Psychosocial Therapies
Prognosis and Discharge Criteria
Care Plans: Adjustment Disorders (All Types)
Ineffective Coping
Dysfunctional Grieving
Interrupted Family Processes
Personality Disorders
Etiology
Epidemiology
Assessment and Diagnostic Criteria
DSM-IV-TR Criteria
Interventions
Medications
Therapeutic Nurse-Client Relationship
Prognosis and Discharge Criteria
Care Plans: Personality Disorders (All Types)
Defensive Coping
Chronic Low Self-Esteem
Ineffective Coping
Interrupted Family Processes
Disorders of Infancy, Childhood, and Adolescence
Etiology
Epidemiology
Prevalence
Suicides
Assessment and Diagnostic Criteria
DSM-IV-TR Criteria
Mental Retardation
Etiology
Epidemiology
Mild Mental Retardation
Moderate Mental Retardation
Severe Mental Retardation
Profound Mental Retardation
Learning Disorders
Reading Disorder
Mathematics Disorder
Disorder of Written Expression
Motor Skills Disorder
Developmental Coordination Disorder
Communication Disorders
Expressive and Receptive Language Disorders
Phonologic Disorder
Stuttering
Pervasive Developmental Disorders
Autistic Disorder
Rett's Disorder
Childhood Disintegrative Disorder
Asperger's Disorder
Attention Deficit and Disruptive Behavior Disorders
Attention-Deficit/Hyperactivity Disorder
Conduct Disorder (Solitary Aggressive Type)
Oppositional Defiant Disorder
Feeding and Eating Disorders of Infancy or Early Childhood
Pica
Rumination Disorder
Feeding Disorder of Infancy or Early Childhood
Tic Disorder
Tourette's Disorder
Elimination Disorders
Enuresis
Encopresis
Other Disorders of Infancy, Childhood, or Adolescence
Separation Anxiety Disorder
Selective Mutism
Reactive Attachment Disorder of Infancy or Early Childhood
Stereotypic Movement Disorder
Interventions
Prevention Programs
Medications
Therapies
Prognosis and Discharge Criteria
Care Plan: Attention Deficit and Disruptive Behavior Disorders
Risk for Self-Directed Violence/Risk for Other-Directed Violence
Care Plan: Mental Retardation or Pervasive Development Disorders
Delayed Growth and Development
Care Plan: Disorders of Infancy, Childhood, and Adolescence (All Types)
Chronic Low Self-Esteem
Compromised Family Coping
Cognitive Disorders: Delirium, Dementia, and Amnestic Disorders
Etiology
Epidemiology
Delirium
Dementia
Amnestic and Other Cognitive Disorders
Assessment and Diagnostic Criteria
Delirium
Dementia
Amnestic and Other Cognitive Disorders
Interventions
Treatment Settings
Medications
Other Treatments
Therapies
Prognosis and Discharge Criteria
Care Plans: Delirium, Dementia, and Amnestic and Other Cognitive Disorders
Acute Confusion
Disturbed Thought Processes
Impaired Social Interaction
Substance-Related Disorders
Drugs of Abuse
Etiology
Epidemiology
Raves
Comorbidity
Assessment and Diagnostic Criteria
Substance Intoxication
Substance Abuse
Substance Dependence
The Substances of Abuse
Alcohol
Amphetamines
Caffeine
Cannabis
Cocaine
Hallucinogens
Inhalants
Nicotine
Opiates
Phencyclidine
Sedatives, Hypnotics, and Anxiolytics
Polysubstance Dependence
Interventions
Treatment Settings
Medications
Therapies
Prognosis and Discharge Criteria
Care Plans: Substance-Related Disorders
Ineffective Denial
Disabled Family Coping
Risk for Injury
Risk for Self-Directed Violence/Risk for Other-Directed Violence
Eating Disorders
Etiology
Epidemiology
Comorbidity
Assessment and Diagnostic Criteria
Anorexia Nervosa
Bulimia Nervosa
DSM-IV-TR Categories
Interventions
Therapies
Medications
Prognosis and Discharge Criteria
Care Plans: Anorexia Nervosa/Bulimia Nervosa
Imbalanced Nutrition: Less than Body Requirements
Disturbed Body Image
Interrupted Family Processes
Sexual and Gender Identity Disorders
Etiology
Epidemiology
Assessment and Diagnostic Criteria
Sexual Dysfunctions
Paraphilias
Gender Identity Disorder
Interventions
Treatment Settings
Therapies
Medications
Prognosis and Discharge Criteria
Care Plan: Sexual Dysfunctions
Sexual Dysfunction
Care Plan: Sexual and Gender Identity Disorders
Interrupted Family Processes
Appendixes
Suicide Assessment and Intervention Guidelines
Principles
Nursing Interventions
Crisis and Crisis Intervention
Types of Crisis
Developmental Crisis
Situational Crisis
Influencing Factors
Crisis Intervention
Therapist's Role
Active Intervention Process
Client Rights
Guidelines for Seclusion and Restraint Based on JCAHO Standards
Nursing Assessment
Plan of Action and Rationale
Model for Intervention
Intervention and Rationale
Verbal Interaction
Seclusion
Procedure
Provide Continual Documentation
Restraint
Policy
Documentation (Mandatory for Restraint Order)
Procedure (Supervised by Qualified Charge Nurse)
Post-Restraint Procedures
Grief and Loss: Caregivers, Clients, and Families
Grief
Phases of Grief
Phase I (1 to 3 Weeks): Shock, Numbness, Denial
Phase II (3 Weeks to 4 Months): Yearning and Protest, Anger, Confrontation
Phase III (4 to 14 Months): Apathy, Aimlessness, Disorganization, Despair
Phase IV (14 Months to Throughout Rest of Life): Recovery, Resolution, Acceptance
Anticipatory Grief: Premourning, Predeath
Interventions in Anticipatory Grief
Chronic Sorrow
Interventions in Chronic Sorrow
Summary of Theories of Grief
Lindemann
Kubler-Ross
Bowlby
Engel
Shneidman
Theory Synthesis
Tips for Helping Survivors
Spirituality as a Dimension of the Person
Descriptions of Terms
Spirituality
Religion
Faith
Spirituality in Mental Health
Role of the Chaplain in Mental Health
Stages of Faith in Spiritual Practice and Interventions
Impartial Individual
Institutional Individual
Individual Seeker
Integrated Individuals
Summary of Spirituality
Care Plan: Spirituality
Spiritual Distress
Psychiatric and Psychosocial Therapies
Cognitive Behavioral Therapy
Thought Stopping
Thought Substitution
Reframing/Relabeling
Rational-Emotive Therapy (RET)
Deep-Breathing Exercises
Benson's Relaxation Response
Progressive Relaxation Technique
Visualization (Visual Imagery, Guided Imagery)
Strategic Therapy
Assertiveness Training
Systematic Desensitization
Dialectical Behavior Therapy
Other Therapies
Psychoanalytic Therapy
Gestalt Therapy
Client-Centered Therapy
Family Therapy, Family Systems Therapy
Group Therapy
Transactional Analysis
Psychodrama
Eye Movement Desensitization and Reprocessing
Virtual Reality Exposure Therapy
Psychopharmacology
Sedative-Hypnotic Drugs
Antianxiety Drugs: Benzodiazepines
Antianxiety Drugs: Miscellaneous
Antipsychotic Drugs: Typical
Antipsychotic Drugs: Atypical
Antiparkinson/Anticholinergic Drugs
Antidepressant Drugs: Tricyclic (TCAs)
Antidepressant Drugs: Selective Serotonin Reuptake Inhibitors (SSRIs)
Antidepressant Drugs: Miscellaneous
Antidepressant Drugs: Monoamine Oxidase Inhibitors (MAOIs)
Antimanic Drugs: Mood Stabilizers
Central Nervous System Stimulants and Miscellaneous Drugs for Hyperkinesis
Alcohol and Drug Abuse Adjunct Treatment Drugs
Cholinesterase Inhibitors (Alzheimer Treatment)
Comparison of Developmental Theories
Freud's Psychosexual Theory
Erikson's Psychosocial Theory
Maslow's Theory of Human Need
Piaget's Theory of Cognitive Development
Kohlberg's Theory of Moral Reasoning
Defense Mechanisms and Strategies
Standards of Care for Psychiatric-Mental Health Nursing Practice
DSM-IV-TR Classification
Glossary
References
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