Table Of ContentE E
EN N
DITIHAN EDITHIANCE
ONC OND
E
D
GO ON, BE
UNSTOPPABLE
The up-to-date content in this book
helps you to get the knowledge
you need to succeed.
Helps you understand the theory and
clinical reasoning needed to work in
mental health nursing
Scenarios from the real world introduce
you to intricate mental health nursing
challenges
Learn about major mental health
disorders with coverage of the Mental
Health Act and criteria from DSM-5
Gain insight into the effects of global
crises, such as the COVID-19 pandemic,
on the mental health of consumers and
practitioners
ISBN 978-0170458610
9 780170 458610
Copyright 2022 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-300
Mental
Health
Nursing
Applying Theory to Practice
Gylo ( Julie ) Hercelinskyj
& Louise Alexander
Copyright 2022 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-300
Copyright 2022 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-300
Mental
Health
Nursing
Applying Theory to Practice
Gylo (Julie) Hercelinskyj
& Louise Alexander
Copyright 2022 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-300
Mental health nursing: Applying theory to practice © 2022 Cengage Learning Australia Pty Limited
1st Enhanced Edition
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v
BRIEF CONTENTS
SECTION 1 CHAPTER 15
UNDERPINNINGS OF MENTAL HEALTH NURSING 1 Neurodevelopmental disorders 299
CHAPTER 1 CHAPTER 16
Mental health nursing – then and now 2 Neurocognitive disorders 317
CHAPTER 2 CHAPTER 17
Theoretical frameworks underpinning practice 16 Obsessive compulsive and related disorders 339
CHAPTER 3 CHAPTER 18
Ethics, law and mental health nursing practice 33 Trauma and stress-related disorders 351
CHAPTER 4 CHAPTER 19
Treatment modalities utilised in contemporary mental health Other disorders of clinical interest 367
service delivery 48
CHAPTER 5 SECTION 3
Mental health nursing as a therapeutic process 68
CONTEMPORARY ISSUES IN MENTAL
CHAPTER 6 HEALTH NURSING 391
Using evidence to guide mental health nursing practice 91
CHAPTER 20
Suicide and non-suicidal self-injury 392
SECTION 2 CHAPTER 21
THE CLINICAL CONTEXT OF PRACTICE 106 Recovery and resilience in mental health 413
CHAPTER 7 CHAPTER 22
Assessment and diagnosis 107 The family’s role in contemporary mental health
service delivery 435
CHAPTER 8
Schizophrenia spectrum and other psychotic disorders 127 CHAPTER 23
The multidisciplinary team 450
CHAPTER 9
Bipolar and related disorders 152 CHAPTER 24
Community mental health context 464
CHAPTER 10
Depressive disorders 171 CHAPTER 25
Cultural context in practice in Australia 482
CHAPTER 11
Anxiety disorders 195 CHAPTER 26
Mental health first aid 497
CHAPTER 12
Personality disorders 211
CHAPTER 13
Eating disorders 235
CHAPTER 14
Substance-related and addictive disorders 258
Copyright 2022 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-300
Copyright 2022 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-300
vii
CONTENTS
Guide to the text x CHAPTER 4
Guide to the online resources xiii Treatment modalities utilised in contemporary
Preface xiv mental health service delivery 48
About the authors xv Introduction 49
Acknowledgements xvii Pharmacological interventions 49
Psychosocial interventions 52
Motivational interviewing 52
SECTION 1
Mindfulness-based interventions 57
UNDERPINNINGS OF MENTAL HEALTH NURSING 1
Cognitive behavioural therapy 58
CHAPTER 1 Rational emotive behaviour therapy 60
Mental health nursing – then and now 2 Dialectical behaviour therapy 61
Introduction 3 Structured problem solving 62
Belief in supernatural origins of illness and disease 3 Psychoeducation 63
Asylums of the world 5 Chapter resources 65
History of Australia’s asylums and mental health nursing 6 CHAPTER 5
Treatments throughout history 8
Mental health nursing as a therapeutic process 68
The role and identity of the mental health nurse in
Introduction 69
contemporary service delivery 10
Interpersonal communication within the
Chapter resources 13
nurse–consumer relationship 69
CHAPTER 2 Core elements of the communication process 70
Theoretical frameworks underpinning practice 16 Effective communication skills 70
Introduction 17 The therapeutic relationship 74
Health, mental health and human behaviour 17 Therapeutic use of self 75
Biomedical theories of personality 17 Developing, maintaining and terminating
Psychodynamic theories of personality 18 therapeutic relationships 77
The behavioural/social cognitive orientation 23 The application of therapeutic communication
The humanistic orientation 26 qualities and skills in the clinical context 80
The use of psychological and sociological theories of Chapter resources 86
personality in mental health nursing practice 27 CHAPTER 6
Relevance of psychological and/or nursing theories to
Using evidence to guide mental health
nursing practice 29
nursing practice 91
Chapter resources 30
Introduction 92
CHAPTER 3 What is evidence-based practice? 92
Ethics, law and mental health nursing practice 33 Implementing evidence-based nursing practice 93
Introduction 34 Critical appraisal of research evidence 99
Context of mental health legislation in Australia 34 Translating evidence into clinical practice 100
Legislation facilitating care and treatment of people Mental health outcome measures 101
with a mental health condition 36 Chapter resources 102
Mental health conditions, offending and the law 40
Legal and ethical dimensions of practice for nurses 41 SECTION 2
Compulsory care and treatment from a consumer
THE CLINICAL CONTEXT OF PRACTICE 106
perspective 43
Chapter resources 44 CHAPTER 7
Assessment and diagnosis 107
Introduction 108
The context of practice 108
Assessment in mental health 108
Copyright 2022 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-300
viii Contents
Comprehensive mental health assessment 111 Antisocial personality disorder (APD) 220
Modern diagnostic classification systems in mental Borderline personality disorder 224
health assessment 122 Chapter resources 232
Chapter resources 124
CHAPTER 13
CHAPTER 8 Eating disorders 235
Schizophrenia spectrum and other Introduction 236
psychotic disorders 127 Anorexia nervosa 236
Introduction 128 Bulimia nervosa 246
Aetiology 128 Binge-eating disorder 252
Diagnostic criteria schizophrenia 133 Males and eating disorders 253
Clinical presentation and the mental state examination 136 Chapter resources 254
Treatment 141
CHAPTER 14
Recovery and relapse prevention 146
Substance-related and addictive disorders 258
Other psychotic disorders 147
Introduction 259
Chapter resources 149
The historical context of substance use and misuse 259
CHAPTER 9 Understanding substance misuse, and defining
Bipolar and related disorders 152 illicit and psychoactive substances 259
Introduction 153 Addiction and dependence 260
Aetiology 153 Substance use, misuse problems and substance
Diagnostic criteria bipolar I and II disorder 155 use disorders 264
Clinical presentation and the mental state examination 158 Diagnostic criteria 274
Treatment 163 Biopsychosocial assessment framework 282
Recovery and relapse prevention 166 Clinical presentation and the mental state examination 285
Chapter resources 169 Chapter resources 294
CHAPTER 10 CHAPTER 15
Depressive disorders 171 Neurodevelopmental disorders 299
Introduction 172 Introduction 300
Aetiology and epidemiology 172 Neurodevelopmental disorders 300
Clinical presentation of depressive disorder in the Attention deficit/hyperactivity disorder 300
context of the mental state examination 176 Intellectual disability (intellectual disability disorder) 303
Treatment 177 Autism spectrum disorder 307
Persistent depressive disorder (dysthymia) 184 Risk assessment for people diagnosed
Depression in the perinatal period 185 with a neurodevelopmental disorder 312
Depression and older people 186 The impact of caring for a person with a diagnosis of a
Recovery and relapse prevention 189 neurodevelopmental disorder: who cares for the carers? 312
The family’s experience of depression 189 Chapter resources 313
Chapter resources 191
CHAPTER 16
CHAPTER 11 Neurocognitive disorders 317
Anxiety disorders 195 Introduction 318
Introduction 196 Ageing in Australia today: contemporary
What is anxiety? 196 trends and issues 318
Aetiology 197 Healthy ageing 319
Diagnostic criteria 198 Elder abuse 319
Treatment of anxiety disorders 203 Mental health issues and older people 320
How do mental health nurses assist a person Delirium 321
experiencing anxiety? 207 Major neurocognitive disorders: dementia 323
Chapter resources 208 The impact of neurocognitive disorders on families 333
Chapter resources 335
CHAPTER 12
Personality disorders 211 CHAPTER 17
Introduction 212 Obsessive compulsive and related disorders 339
Defining personality and understanding general Introduction 340
personality disorder 212 Obsessive-compulsive disorder 340
Introducing cluster A, B and C personality disorders 213 Hoarding disorder 344
Copyright 2022 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-300
Contents ix
Trichotillomania 347 CHAPTER 22
Excoriation 348 The family’s role in contemporary mental
Chapter resources 349 health service delivery 435
CHAPTER 18 Introduction 436
What is a family? 436
Trauma and stress-related disorders 351
Theories regarding family structure and functioning 436
Introduction 352
The family’s experience of caring for a loved
Understanding trauma and stress-related disorders 352
one with a mental health challenge 438
Trauma and stress-related disorders 353
Families and resilience 440
Assessment and treatment of trauma and
Mental health nurses work with families 441
stress-related disorders 357
Assessing family structure, function and dynamics 441
Developing an individualised plan of care for a person
Strategies for promoting family resilience 443
experiencing a disorder as a result of trauma/stress 359
Consumers’ views of the family in supporting them
Supporting family and other caregivers 362
through their journey 444
Supporting clients on the recovery journey 363
Chapter resources 446
Chapter resources 363
CHAPTER 19 CHAPTER 23
The multidisciplinary team 450
Other disorders of clinical interest 367
Introduction 451
Introduction 368
The multidisciplinary team 451
Conduct disorder 368
Characteristics of effective teamwork 453
Oppositional defiant disorder 373
Becoming a member of the multidisciplinary
Dissociative identity disorder 375
team: integrating into the team as a student nurse 457
Gender dysphoria 378
Research on consumers’ views on the role of the
Conversion disorder 382
mental health nurse as a member of the
Factitious disorder 384
multidisciplinary team 459
Chapter resources 387
Chapter resources 461
CHAPTER 24
SECTION 3
Community mental health context 464
CONTEMPORARY ISSUES IN MENTAL
Introduction 465
HEALTH NURSING 391
Historical factors of community mental health care 465
CHAPTER 20 Social determinants of mental health 465
Suicide and non-suicidal self-injury 392 Primary mental health care 466
Introduction 393 The roles of the mental health nurse 468
Suicide 393 Specialised community services 471
Theories of suicide 397 Chapter resources 477
Cultural considerations and vulnerable groups 397
CHAPTER 25
The role of the media 399
Cultural context in practice in Australia 482
Assessing risk of suicide 400
Introduction 483
Self-harm/injury (non-suicidal self-injury) 404
Historical and cultural determinants 483
Assessment and collaborative care for consumers
Social determinants 486
who experience self-injuring behaviours 406
Indigenous Australians’ social and emotional well-being 488
Chapter resources 409
Culturally safe practice: racial issues 491
CHAPTER 21 Chapter resources 493
Recovery and resilience in mental health 413
CHAPTER 26
Introduction 414
Mental health first aid 497
Recovery and recovery-oriented practice 414
Introduction 498
Trauma-informed practice 416
Introduction to the MHFA acronym 498
Working with people 420
How to apply MHFA to various mental health problems 500
Be an ‘agent of change’ for recovery-oriented and
Cultural considerations of MHFA within vulnerable groups 509
trauma-informed practices 427
Mental health first aid for carers 511
The peer workforce and recovery 427
Chapter resources 511
Recovery ethics and reflection 429
Chapter resources 431 Appendix 514
Glossary 517
Index 525
Copyright 2022 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. WCN 02-300
