Nursing Diagnoses and Process in Psychiatric Mental Health Nursing

"Nursing Diagnoses and Process in Psychiatric Mental Health Nursing" offers student and practicing nurses a convenient reference to the basic concepts and specific nursing actions related to the care of the psychiatric client. In an outline format, it progresses from brief descriptions of the major schools of psychiatric thought, conceptual frameworks for psychiatric nursing practice, and the nursing process, to detailed information about specific psychiatric nursing diagnoses and interventions,as well as major psychiatric disorders and their treatment (particularly drug therapy). The chapters on nursing diagnoses and interventions are particularly important because they provide the nurse with critical information that makes the implementation of nursing diagnoses in the psychiatric setting much easier, and consequently allows for better care plan construction and the provision of quality psychiatric nursing care. Other important features include - principles of and strategies for developing a therapeutic nurse-patient relationship; detailed questionaire for the initial psychiatric assessment of an adult; details of the mental health status examination; a discussion of the DSM-III-R and major psychiatric disorders discussed with appropriate treamtents.

Table of Contents:
Part 1 Concepts of mental health and mental illness: major views of mental health and mental illness; the problem; neurobiological approach; stress-adaptation approach; psychodynamic approach; interpersonal approach; ego development approach; behaviourist approach; humanistic-existential approach; family approach; group approach. Part 2 Therapeutic relationship: the one-to-one nurse-patient relationship; principles and strategies for developing and maintaining a therapeutic nurse-patient relationship. Part 3 Initial psychiatric assessment of the adult: conceptual frameworks for psychiatric nursing practice; initial psychiatric assessment of the adult patient; the mental status examination; the multiaxial evaluation system of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R); psychological testing. Part 4 Nursing diagnoses in caring for the psychiatric patient: aggression, anxiety; communication, impaired; coping, defensive; coping, ineffective individual; crisis, situational; decisional conflict; depression; family processes, altered; grieving, anticipatory and grieving, dysfunctional; manipulation; powerlessness; ritualistic behaviour; self-esteem distrubance; sexual dysfunction; social interaction, impaired; suicide, potential; thought processes, altered (acute confusion, delusions, hallucinations, suspiciousness). Part 5 Major nursing interventions: advocacy; assertiveness training; communication techniques; contracting; crisis intervention; decision making; discharge planning; education, family education; milieu therapy; protective interventions; reality orientation; social skills training; stress management; supportive therapy; group treatment. Part 6 Major psychiatric disorders: organic mental syndromes and disorders; delusional paranoid) disorder and psychotic disorders (not elsewhere classified); anxiety disorders and adjustment disorders with anxious features; somatoform disorders; dissociative disorders; personality disorders. Part 7 Administration of drug therapy: areas for nursing assessment; antipsychotic drugs; anticholinergic drugs; antimanic drugs; antianxiety drugs.