Principles and Practice of Psychiatric Nursing, 10e

834 Pages·2012·58.61 MB·English

by  Gail Wiscarz Stuart PhD RN FAAN

CONTENTS
UNIT 1 P RINCIPLES OF PSYCHIATRIC 22 Cognitive Responses and Organic Mental
NURSING CARE Disorders, 403
23 Chemically Mediated Responses and
1 Roles and Functions of Psychiatric – Mental Substance-Related Disorders, 433
Health Nurses: Competent Caring, 2 24 Eating Regulation Responses and Eating
2 Therapeutic Nurse – Patient Relationship, 13 Disorders, 477
3 The Stuart Stress Adaptation Model of 25 Sexual Responses and Sexual Disorders, 498
Psychiatric Nursing Care, 44
4 Evidence-Based Psychiatric Nursing
UNIT 4 T REATMENT MODALITIES
Practice, 57
5 Biological Context of Psychiatric Nursing 26 Psychopharmacology, 523
Care, 67 27 Behavior Change and Cognitive
6 Psychological Context of Psychiatric Interventions, 560
Nursing Care, 88 28 Preventing and Managing Aggressive
7 Social, Cultural, and Spiritual Context of Behavior, 572
Psychiatric Nursing Care, 98 29 Somatic Therapies, 594
8 Legal and Ethical Context of Psychiatric 30 Complementary and Alternative Therapies,
Nursing Care, 110 606
9 Policy and Advocacy in Mental Health 31 Therapeutic Groups, 617
Care, 127 32 Family Interventions, 628
10 Families as Resources, Caregivers, and
Collaborators, 138
UNIT 5 T REATMENT SETTINGS
11 Implementing the Nursing Process:
Standards of Practice and Professional
33 Hospital-Based Psychiatric Nursing Care, 639
Performance, 149
34 Community-Based Psychiatric Nursing
Care, 651
UNIT 2 C ONTINUUM OF CARE
UNIT 6 S PECIAL POPULATIONS
12 Prevention and Mental Health Promotion, 166
IN PSYCHIATRY
13 Crisis and Disaster Intervention, 181
14 Recovery Support, 199
35 Child Psychiatric Nursing, 669
36 Adolescent Psychiatric Nursing, 692
UNIT 3 A PPLYING PRINCIPLES 37 Geropsychiatric Nursing, 714
IN NURSING PRACTICE 38 Care of Survivors of Abuse and Violence,
735
15 Anxiety Responses and Anxiety Disorders, 217 39 The Military and Their Families, 751
16 Psychophysiological Responses and 40 Psychological Care of Patients With
Somatoform and Sleep Disorders, 244 a Life-Threatening Illness, 762
17 Self-Concept Responses and Dissociative
Disorders, 262
APPENDIXES
18 Emotional Responses and Mood Disorders,
289
A NANDA-Approved Nursing Diagnoses, 773
19 Self-Protective Responses and Suicidal
B Diagnostic Criteria for Mental Disorders
Behavior, 323
(DSM-IV-TR), 776
20 Neurobiological Responses and Schizophre-
nia and Psychotic Disorders, 344
Index, 787
21 Social Responses and Personality
Disorders, 382

TO ACCESS THE EVOLVE STUDENT RESOURCES FOR
THIS BOOK, VISIT:
http://evolve.elsevier.com/Stuart/
• Audio Chapter Summaries of the clinical chapters that you can listen to online
or download to your MP3 player.
• Chapter in Review are detailed summaries of content included in each chapter.
• Consumer Videos: In Their Own Words capture the personal stories of those living
with mental illness.
• Content Supplements include assessment tools, behavioral rating scales, and more.
• NCLEX Review Questions are provided for each chapter.
• Learning from a Case is presented in each clinical chapter.
• Mental Status Examination Video shows a psychiatric nurse assessing the mental
status of a patient.
• PowerPoint Lecture Slides are a great tool for students; they can use the note feature
to assist with lectures.
• Student Workbook Exercises include interactive games such as crossword puzzles
and memory match.
• Student’s Learning Guide presents new learning tools that will help you master
and apply the content.
REGISTER TODAY!
Gail Wiscarz Stuart,
PhD, RN, FAAN
Dean and Distinguished University Professor, College of Nursing
Professor, College of Medicine
Department of Psychiatry and Behavioral Sciences
Medical University of South Carolina
Charleston, South Carolina
3251 Riverport Lane
St Louis, Missouri 63043
PRINCIPLES AND PRACTICE OF PSYCHIATRIC NURSING, 10th edition ISBN: 978-0-323-09114-5
Copyright © 2013 by Mosby, an imprint of Elsevier Inc.
Original Artwork by Mary Edna Fraser: Mary Edna Fraser retains copyright to her original artwork.
All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means,
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Notice
Knowledge and best practice in this field are constantly changing. As new research and experience broaden
our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Read-
ers are advised to check the most current information provided (i) on procedures featured or (ii) by the
manufacturer of each product to be administered, to verify the recommended dose or formula, the method
and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on
their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best
treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of
the law, neither the Publisher nor the Editor assumes any liability for any injury and/or damage to persons or
property arising out of or related to any use of the material contained in this book.
The Publisher
Previous editions copyrighted 2009, 2005, 2001, 1998, 1995, 1991, 1987, 1983, 1979
Library of Congress Cataloging-in-Publication Data
Stuart, Gail Wiscarz, 1949-
Principles and practice of psychiatric nursing / Gail Wiscarz Stuart.—10th ed.
p. ; cm.
Psychiatric nursing
Includes bibliographical references and index.
ISBN 978-0-323-09114-5 (pbk. : alk. paper)
I. Title. II. Title: Psychiatric nursing.
[DNLM: 1. Mental Disorders—nursing. 2. Psychiatric Nursing—methods. WY 160]
616.89′0231—dc23 2012012532
Senior Content Strategist: Yvonne Alexopoulos
Senior Content Developmental Specialist: Lisa P. Newton
Publishing Services Manager: Jeff Patterson
Project Manager: Jeanne Genz
Designer: Paula Catalano
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2
ABOUT THE AUTHOR
D
r. Gail W. Stuart is dean Dr. Stuart’s current position at the Medical University
and a distinguished of South Carolina is dean of the College of Nursing. Before
university professor that appointment she was the director of doctoral studies and
in the College of Nursing and coordinator of the Psychiatric–Mental Health Nursing Grad-
a professor in the College of uate Program. She was previously the associate director of the
Medicine in the Department of Center for Health Care Research where she worked as a mem-
Psychiatry and Behavioral Sci- ber of an interdisciplinary research team focusing on issues of
ences at the Medical University access, resource utilization, and health care delivery systems.
of South Carolina. She received She also was the administrator and chief executive officer of
her bachelor of science degree the Institute of Psychiatry at the Medical University, where
in nursing from Georgetown she was responsible for all clinical, fiscal, and human opera-
University, her master of sci- tions across the continuum of psychiatric care. Dr. Stuart has
ence degree in psychiatric taught in undergraduate, graduate, and doctoral programs in
nursing from the University of Maryland, and her doctor- nursing.
ate in behavioral sciences from Johns Hopkins University, She serves on numerous academic, industry, philan-
School of Hygiene and Public Health. She also was a van thropic, and government boards, including the Advisory
Ameringen fellow at the Beck Institute of Cognitive Therapy Council of the National Institute of Nursing Research.
and Research. Dr. Stuart is a strong advocate for the specialty and is in great
She is a fellow in the American Academy of Nursing, a demand to speak and consult both nationally and interna-
member of Sigma Theta Tau, past president of the Ameri- tionally. She is a prolific writer and has published numerous
can College of Mental Health Administration, a distinguished articles, textbooks, and media productions. She has received
practitioner in the National Academies of Practice, and a many awards, including the American Nurses Association
past president of the American Psychiatric Nurses Associa- Distinguished Contribution to Psychiatric Nursing Award,
tion. Her current activities include positions as president of the Psychiatric Nurse of the Year Award from the Ameri-
the board of directors of the Annapolis Coalition on the can Psychiatric Nurses Association, and the 2008 Hildegard
Behavioral Health Workforce and a member of the board Peplau Award from the American Nurses Association, which
of directors of Mental Health America. She also is active was awarded to Dr. Stuart in recognition of her lifetime of
internationally through consultations worldwide and was a achievement and significant contributions to the field of psy-
visiting professor at King’s College, Institute of Psychiatry, chiatric nursing. Dr. Stuart’s clinical and research interests
at the Maudsley in London. Most recently she served as an involve the study of depression, anxiety disorders, clinical
educational consultant to the Mental Health Liberia Program outcomes, the behavioral health workforce, and health care
sponsored by the Carter Center. delivery systems.
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ABOUT THE ARTIST
M
ary Edna Fraser observes the health of our planet
transcribed onto silk using dyes in the ancient
medium of batik. As satellite imagery became
available, her attention began to focus on a series of images
based on the surface patterns of our neighboring planets and
celestial bodies. The Smithsonian National Air and Space
Museum and the National Aeronautics and Space Admin-
istration have partnered with Fraser on her research. She
is mapping this territory on a personal human level while
astronomers view outer space scientifically. Her batiks are
giant prayer flags both for individual problems and for the
problems our world faces.
For more information on Mary Edna Fraser, visit www.
maryedna.com.
The Day Moon Carolina Moon
Dark Night Earthrise
Rising Tide
Cover art:
38˝ × 49˝ batik on silk, 2001
Full Moon
Intuitive
vii
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