Psychiatric Mental Health Assessment and Diagnosis of Adults for Advanced Practice Mental Health Nurses

177 Pages·2022·2.394 MB·English

by  Robert Kaplan, Kunsook S. Bernstein

Psychiatric Mental Health Assessment
and Diagnosis of Adults for Advanced
Practice Mental Health Nurses
This text provides a comprehensive and evidence-based introduction to psychiatric
mental health assessment and diagnosis in advanced nursing practice.
Taking a clinical, case-based approach, this textbook is designed to support
graduate nursing students who are studying psychiatric mental health nursing as
they develop their reasoning and decision-making skills. It presents:
·· Therapeutic communication and psychiatric interviewing techniques,
alongside basic psychiatric terminologies.
·· The major psychiatric diagnoses, drawing on the DSM-5.
·· A step-by-step guide to conducting a comprehensive psychiatric mental
health assessment.
·· Case examples demonstrating assessment across major psychopathologies.
·· Good practice for conducting mental health evaluations.
This is an essential text for all those undertaking psychiatric mental health nurse
practitioner programs and a valuable reference for advanced practice nurses in
clinical practice.
Kunsook S. Bernstein is Professor Emerita at Hunter College School of Nursing,
City University of New York, where she taught advanced psychiatric nurse prac-
titioner students and coordinated the psychiatric mental health nurse practitioner
program. Her primary area of research is Asian American immigrants’ mental
health and healthcare disparities.
Robert Kaplan is Advanced Senior Lecturer and Co-Principal Investigator
of the Writing Research Lab in the Program in Writing and Rhetoric at Stony
Brook University, State University of New York. He teaches research writing to
advanced undergraduate STEM students and is a science editor for public health
researchers.

Psychiatric Mental Health
Assessment and Diagnosis of
Adults for Advanced Practice
Mental Health Nurses
Kunsook S. Bernstein and Robert Kaplan
Cover image: © Getty Images
First published 2023
by Routledge
4 Park Square, Milton Park, Abingdon, Oxon OX14 4RN
and by Routledge
605 Third Avenue, New York, NY 10158
Routledge is an imprint of the Taylor & Francis Group, an informa business
© 2023 Kunsook S. Bernstein and Robert Kaplan
The right of Kunsook S. Bernstein and Robert Kaplan to be identified as
authors of this work has been asserted in accordance with sections 77 and
78 of the Copyright, Designs and Patents Act 1988.
All rights reserved. No part of this book may be reprinted or reproduced or
utilised in any form or by any electronic, mechanical, or other means, now
known or hereafter invented, including photocopying and recording, or in
any information storage or retrieval system, without permission in writing
from the publishers.
Trademark notice: Product or corporate names may be trademarks or
registered trademarks, and are used only for identification and explanation
without intent to infringe.
British Library Cataloguing-in-Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging-in-Publication Data
A catalog record has been requested for this book
ISBN: 978-0-367-68455-6 (hbk)
ISBN: 978-0-367-68448-8 (pbk)
ISBN: 978-1-003-13759-7 (ebk)
DOI: 10.4324/9781003137597
Typeset in Times New Roman
By Deanta Global Publishing Services, Chennai, India
Dedicated to my husband, Steven, and to my mother,
Bong-Suk Koo, to my children, Joseph and Beth, and to my
grandchildren, Catherine, Peter, and Jacob
-Kunsook S. Bernstein
Dedicated to my parents, Harold and Lore W. Kaplan
-Robert Kaplan

Contents
List of Figures ix
List of Tables x
List of Boxes xii
Introduction 1
Reference 2
1 Therapeutic Interviewing and Mental Health Evaluation of Adults 3
Section 1: Principles of Therapeutic Interviewing 3
Section 2: Guidelines of Mental Health Evaluation 11
Section 3: Case Exemplar 15
Section 4: Psychiatric Terminology 16
References 21
2 Case-Based Differential Diagnostic Mental Health Evaluation
for Adults 22
Section 1: Schizophrenia 22
Section 2: Depressive Disorders 35
Section 3: Bipolar Disorders 48
Section 4: Anxiety Disorders 59
Section 5: Obsessive-Compulsive and Related Disorders 68
Section 6: Trauma- and Stressor-Related Disorders 76
Section 7: Feeding and Eating Disorders 87
Section 8: Substance-Related and Addictive Disorders 96
Section 9: Neurocognitive Disorders 110
Section 10: Personality Disorders 123
References 132
viii C ontents
3 Practice Guidelines for the Assessment of Risk for Violent
Behaviors during the Psychiatric Evaluation 135
Section 1: Assessment of Suicidal Clients 136
Section 2: Assessment of Other-Directed Violence, including
Aggressive Behaviors and Homicide 145
References 150
4 Practice Guidelines for Cultural Assessments 152
Index 159
Figures
2.1 Cortical glutamate regulated dopamine neurons in two possible ways 27
2.2 Neurobiological model of obsessive-compulsive disorder 71