Table of Contents
Unit I Essentials of Mental Health Care 1
1 Mental Health and Mental Disorder 1
Mental Health and Wellness 1
Overview of Mental Health Disorders 3
Recovery From Mental Illness 5
2 Cultural Communities and Spiritual Considerations Related to Mental Health Care 8
Cultural Identity 9
Cultural Competence and Humility 9
Linguistic Competence 9
Social Factors Related to Mental Illness 10
Underrepresented Population Groups 10
LGBTQIA+ Community 13
Intersectionality 13
Spirituality, Religion, and Mental Illness 13
3 Patient Rights and Legal Issues 17
Self-Determinism: A Fundamental Right and Need 17
Protection of Patient Rights 18
Treatment and Patient Rights 20
Privacy and Confidentiality 23
Criminal Judicial Processes 24
Accountability for Nurses and Other Mental Health Care Professionals 26
Unit II Psychiatric-Mental Health Nursing Frameworks 31
4 Ethics, Standards, and Nursing Frameworks 31
Ethics of Psychiatric Nursing 31
Scope and Standards of Practice 33
The Biopsychosocial Framework 36
Tools of Psychiatric Nursing Practice 37
Challenges of Psychiatric Nursing 38
5 Psychosocial Theoretic Basis or Psychiatric Nursing 41
Psychodynamic Theories 41
Cognitive Behavioral Theories 45
Developmental Theories 48
Social Theories 51
Nursing Theories 53
6 Biologic Foundations of Psychiatric Nursing 60
Neuroanatomy of the Central Nervous System 61
Neurophysiology of the Central Nervous System 66
Studies of the Biologic Basis of Mental Disorders 76
Diagnostic Approaches 80
7 Recovery Framework for Psychiatric-Mental Health Nursing 84
Chapter 7 is available at thepoint.lww.com/BoydEssentials3e and in the CoursePoint ebook.
Unit III Knowledge and Skills of Psychiatric-Mental Health Nursing 85
8 Therapeutic Communication 85
Self-Awareness 85
Effective Communication 86
Therapeutic Communication Strategies and Techniques 88
Boundaries and Body Space Zones 91
Defense Mechanisms 93
Communication Considerations for Patients With Mental Health Challenges 93
9 The Nurse-Patient Relationship 99
Considerations for Effective Communication and Relationships 99
The Nurse-Patient Relationship 100
Examples of Strategies Related to Therapeutic Relationships 104
10 The Psychiattic-Mental Health Nursing Process 109
Recovery-Oriented Psychiatric-Mental Health Nursing Assessment 109
Clinical Judgment 123
Developing Recovery Goals and Outcomes 123
Recovery-Oriented Nursing Interventions 124
Evaluating Outcomes 132
11 Psycho pharmacology, Dietary Supplements, and Biologic Interventions 135
Psychiatric Medications 136
Psychopharmacology 136
Phases of Drug Treatment and the Nurse's Role 145
Major Psychopharmacologic Drug Classes 146
Integrative and Complementary Health Care 165
Other Biologic Treatments 166
The Issue of Adherence 168
12 Group Interventions 173
Preparing to Lead a Group 174
Leading a Group 176
Types of Groups 182
Common Nursing Intervention Groups 183
Unit IV Prevention of Mental Disorder 189
13 Stress and Mental Health 189
Biologic Perspectives of Stress 190
Psychosocial Perspectives of Stress 192
Responses to Stress 195
Coping 196
Adaptation 197
Nursing Care for the Person Experiencing Stress 198
14 Anger, Aggression, and Violence 204
Anger 205
Aggression and Violence 209
Promoting Safety and Preventing Violence 211
Research and Policy Initiatives 217
15 Crisis, Loss, Grief, Bereavement, and Disaster Management 221
Crisis 221
Evidence-Based Nursing Care of Person in Crisis 223
Therapeutic Relationship 224
Mental Health Nursing Interventions 224
Loss, Grief, and Bereavement 226
Evidence-Based Nursing Care of Person in Grief 229
Disaster and Terrorism 230
Evidence-Based Nursing Care of Persons Experiencing Disasters 233
16 Suicide Prevention 238
Suicide and Suicide Attempt 239
Treatment and Nursing Care for Suicide Prevention 245
Nurses' Reflection 251
17 Mental Health Care for Survivors of Violence 255
Types of Violence and Abuse 255
Theories of Violence 259
The Role of Technology in Caring for Survivors of Intimate Partner Violence 261
Therapeutic Relationship 262
Evidence-Based Nursing Care for Persons Experiencing Violence 262
Treatment for the Offender 270
Unit V Care and Recovery for Persons with Psychiatric Disorders 273
18 Anxiety Disorders 273
Normal Versus Exaggerated Anxiety Response 274
Phobias 276
Overview of Anxiety Disorders 276
Panic Disorder 277
Recovery-Oriented Care for Persons With Panic Disorder 280
Evidence-Based Nursing Care of Persons With Panic Disorder 281
Clinical Judgment 285
Therapeutic Relationship 285
Mental Health Nursing interventions 286
Generalized Anxiety Disorder 293
Other Anxiety Disorders 294
Agoraphobia 294
Specific Phobia Disorder 294
Social Anxiety Disorder (Social Phobia) 295
19 Trauma- and Stressor-Related Disorders 299
Trauma and Resilience 300
Trauma- and Stressor-Related Disorders Overview 300
Posttraumatic Stress Disorder 301
Recovery-Oriented Care for Persons With PTSD 304
Evidence-Based Nursing Care of the Person With Posttraumatic Stress Disorder 305
Clinical Judgment 307
Therapeutic Relationship 307
Mental Health Nursing Interventions 308
Other Trauma-and Stressor-Related Disorders 312
Dissociative Disorders 312
20 Obsessive-Compulsive and Related Disorders 316
Obsessions and Compulsions 317
Overview of Obsessive-Compulsive and Related Disorders 317
Obsessive-Compulsive Disorder 317
Recovery-Oriented Care for Persons With Obsessive-Compulsive Disorder 321
Evidence-Based Nursing Care of Persons With OCD 322
Clinical Judgment 324
Therapeutic Relationship 324
Mental Health Nursing Interventions 325
Other Related Obsessive-Compulsive Disorders 331
Trichotillomania and Excoriation Disorder 331
Excoriation (Skin-Picking) Disorder 332
Body Dysmorphic Disorder 332
Hoarding Disorder 333
21 Depression 337
Mood and Depression 338
Overview of Depressive Disorders 338
Major Depressive Disorder 338
Recovery-Oriented a Major Care for Persons With Depressive Disorder 343
Evidence-Based Nursing Care of Persons With a Major Depressive Disorder 344
Clinical judgment 347
Therapeutic Relationship 347
Mental Health Nursing Interventions 347
Other Depressive Disorders 357
22 Bipolar and Related Disorders 362
Mania 362
Overview of Bipolar Disorders 363
Bipolar I Disorder 363
Recovery-Oriented Care for Persons With Bipolar Disorder 367
Evidence-Based Nursing Care of Persons With Bipolar Disorder 367
Clinical Judgment 370
Therapeutic Relationship 370
Mental Health Nursing Interventions 370
Other Bipolar and Related Disorders 380
23 Schizophrenia and Related Disorders 384
Overview of Schizophrenia Spectrum Disorders 385
Schizophrenia 385
Recovery-Oriented Care for Persons With Schizophrenia 394
Evidence-Based Nursing Care of Persons With Schizophrenia 395
Clinical Judgment 401
Therapeutic Relationship 402
Mental Health Nursing Interventions 402
Schizoaffective Disorder 416
Delusional Disorder 417
Schizophreniform Disorder 417
Brief Psychotic Disorder 417
Psychotic Disorders Attributable to a Substance 417
24 Personality and Impulse-Control Disorders 423
Overview of Personality Disorders 424
Cluster A Disorders: Paranoid, Schizoid, and Schizotypal Personality Disorders 424
Paranoid Personality Disorder 424
Schizoid Personality Disorder 425
Schizotypal Personality Disorder 426
Cluster B Disorders: Borderline, Antisocial, Histrionic, and Narcissistic Personality Disorders 427
Borderline Personality Disorder 427
Antisocial Personality Disorder 442
Histrionic Personality Disorder 448
Narcissistic Personality Disorder 450
Cluster C Disorders: Avoidant Dependent, and Obsessive-Compulsive Personality Disorders 451
Avoidant Personality Disorder 451
Dependent Personality Disorder 452
Obsessive-Compulsive Personality Disorder 453
Disruptive, Impulse-Control, and Conduct Disorders 453
Intermittent Explosive Disorder 454
Kleptomania 454
Pyromania 455
Continuum of Care for Disruptive, Impulse-Control Disorders 455
25 Addiction and Substance Use-Related Disorders 459
Substance Use and Abuse Overview 459
Types of Substances and Related Disorders 461
Emerging Drugs and Trends 474
Non-Substance-Related Addictive Disorders 474
Evidence-Based Nursing Care for Persons With Substance-Related Disorders 475
Clinical Judgment 476
Therapeutic Relationship 476
Mental Health Nursing Interventions 476
Chemical Dependency and Professional Nurses 481
26 Eating Disorders 485
Eating Disorders Overview 486
Anorexia Nervosa 486
Bulimia Nervosa 500
Binge-Eating Disorder 506
Other Eating Disorders 507
Purging Disorder 507
Night Eating Syndrome 507
27 Somatic Symptom and Dissociative Disorders 510
Somatic Symptom and Related Disorders Overview 511
Somatic Symptom Disorder 511
Recovery-Oriented Care of Persons With SSD 514
Evidence-Based Mental Health Nursing Care of the Person With SSD 514
Clinical Judgment 518
Therapeutic Relationship 518
Mental Health Nursing Interventions 519
Other Disorders 523
Illness Anxiety Disorder 523
Conversion Disorder (Functional Neurologic Symptom Disorder) 523
Factitious Disorders 524
Factitious Disorder 524
Evidence-Based Nursing Care for Persons With Factitious Disorder 525
Factitious Disorder Imposed on Another 525
28 Sleep-Wake Disorders 529
Chapter 28 is available at thepoint.lww.com/BoydEssentials3e and in the CoursePoint ebook.
29 Sexual Disorders 530
Chapter 29 is available at thepoint.lww.com/BoydEssentials3e and in the CoursePoint ebook.
Unit VI Care of Special Populations 531
30 Mental Health Disorders of Childhood and Adolescence 531
Neurodevelopmental Disorders of Childhood that Cause Significant Delay in Development 532
Intellectual Disability 532
Autism Spectrum Disorder 534
Attention-Deficit Hyperactivity Disorder 537
Disruptive Behavior Disorders 543
Tic Disorders and Tourette Syndrome 546
Separation Anxiety Disorder 547
Obsessive-Compulsive Disorder 549
Other Neurodevelopmental Disorders 550
Specific Learning Disorders 550
Communication Disorders 551
Other Mental Disorders 552
Mood Disorders 552
Childhood Schizophrenia 552
Elimination Disorders 553
Enuresis 553
Encopresis 553
31 Mental Health Disorders of Older Adults 558
Delirium 559
Recovery-Oriented Care for Persons With Delirium 560
Evidence-Based Nursing Care for Persons With Delirium 561
Clinical Judgment 562
Mental Health Nursing Interventions 562
Alzheimer Disease 564
Recovery-Oriented Care for a Person With Alzheimer Disease 567
Evidence-Based Nursing Care for Persons With Alzheimer Disease 568
Clinical Judgment 573
Mental Health Nursing Interventions 573
Other Dementias 583
Frontotemporal Neurocognitive Disorder 583
Neurocognitive Disorder With Lewy Bodies 583
Neurocognitive Disorder Due to Prion Disease 584
Neurocognitive Disorder Due to Traumatic Brain Injury 584
Substance- or Medication-Induced Neurocognitive Disorder 584
32 Care of Veterans With Mental Health Needs 587
U.S. Military Organizations 587
Veterans of the U.S. Military 589
Health Care for Veterans 590
Mental Health Needs of Veterans 591
Posttraumatic Stress Disorder 592
Military Sexual Trauma 594
Depression 594
Suicide 595
Substance Use 597
Other Issues Impacting Veteran Mental Health 599
Appendix A Brief Psychiatric Raring Scale 607
Appendix B Abnormal Involuntary Movement Scale (AIMS) 608
Index 611