Psychiatric Nursing Certification Review Guide for the Generalist and Advanced Practice Psychiatric and Mental Health Nurse, Third Edition

302 Pages·2010·2.82 MB·English

by  Victoria Mosack

Psychiatric Nursing
Certifcation Review Guide
for the Generalist and
Advanced Practice
Psychiatric and Mental Health Nurse
Third Edition
Victoria Mosack, PhD, RN, APNP, BC
Assistant Professor
School of Nursing
Wichita State University
Wichita, Kansas
World Headquarters
Jones and Bartlett Publishers Jones and Bartlett Publishers Jones and Bartlett Publishers
40 Tall Pine Drive Canada International
Sudbury, MA 01776 6339 Ormindale Way Barb House, Barb Mews
978-443-5000 Mississauga, Ontario L5V 1J2 London W6 7PA
Contents
Preface vii Interdisciplinary Treatment & the
Healthcare Team 16
Acknowledgments ix
Client Advocacy 17
Chapter 1 Case Management 17
Psychiatric Liaison Nursing 18
Test Taking Strategies and Techniques 1
Milieu 18
Strategy #1 Know Yourself 1 Principles of Prescriptive Authority 19
Strategy #2 Develop Your Thinking Skills 1 Mental Health Education 21
Strategy #3 Know the Content 3 Family Therapy 21
Strategy #4 Become Test-Wise 6 Group Dynamics & Group Process
Strategy #5 Apply Basic Rules of Test Theory 22
Taking 7 Ethical Considerations 23
Strategy #6 Psych Yourself Up: Taking a Test Questions 25
is Stressful 8 Answers 32
Summary 9 Bibliography 33
Bibliography 9
Chapter 3
Chapter 2 Major Theoretical Frameworks for
Essentials of Psychiatric Nursing Care 11 Psychiatric Nursing 35
Mental Health 11 Theory 35
Change 11 Evidence-Based Practice (EBP) 35
The Nursing Process 12 Research 36
Nurse–Client Relationship 12 Nursing Theoretical Models 37
Communication 13 Nursing Theories 37
Cultural & Ethnic Factors 15 Personality Theories 39
iii
iv Contents
Chapter 7
Theories of Growth and Development 42
Social/Interpersonal Theories 43 Mood Disorders 137
Existential/Humanistic Theories 43
Mood Disorders—Overview 137
Behavioral Theories 45
Depressive Disorders 139
Cognitive Theories 45
Bipolar Disorders 140
Theories of Communication 46
Mood Disorder Due to . . . (Indicate General
Theories of Group Behavior and
Medical Condition) 141
Therapy 47
Substance-Induced Mood Disorder 141
Family Theories 48
Suicide 141
Neurobiological Theories 49
Etiology of Mood Disorders 142
Miscellaneous Theories 51
Diagnostic Studies/Tests 143
Questions 52
Screening Instruments 143
Answers 60
Interventions 144
Bibliography 61
Questions 156
Answers 164
Chapter 4
Bibliography 164
Substance-Related Mental Disorders 63
Chapter 8
Substance-Related Disorders 63
Questions 76 Behavioral Syndromes and Disorders of
Answers 80 Adult Personality 165
Bibliography 80
Eating Disorders 165
Sexual and Gender Identity Disorders 168
Chapter 5
Sexual Dysfunctions 170
Anxiety and Stress-Related Disorders 83
Sleep Disorders 171
Anxiety Disorders 83 Impulse Control Disorders 173
Somatoform Disorders 95 Personality Disorders—Coded on Axis II of
Factitious Disorders 98 the DSM-IV-TR Multiaxial Classifcation
Dissociative Disorders 99 System 174
Adjustment Disorder 104 Questions 179
Questions 105 Answers 184
Answers 111 Bibliography 184
Bibliography 111
Chapter 9
Chapter 6
Cognitive Mental Disorders and
Schizophrenia and Other Psychotic Geropsychiatric Nursing 187
Disorders 115
Cognitive Disorders 187
Overview of Disorders 115 Geropsychiatric Nursing 196
Information Common to Schizophrenia Questions 197
and Other Psychotic Disorders 118 Answers 202
Questions 129 Bibliography 202
Answers 134
Bibliography 134
Contents v
Chapter 10 Chapter 11
Behavioral and Emotional Disorders of The Larger Mental Health Environment
Childhood and Adolescence 205
Mental Healthcare Delivery System 253
Child and Adolescent Psychiatric and Managed Care—An Internal Force of
Mental Health Nursing 205 Change within the Mental Health
Mental Disorders Diagnosed in Children & Delivery System 257
Adolescents 208 Reimbursement for Mental Health
Other Disorders of Infancy, Childhood, or Services 257
Adolescence 227 Types of Healthcare Insurance Plans 257
Treatment Modalities for Mental Disorders External Forces Interacting with the Mental
in Childhood and Adolescence 231 Health System 258
Questions 240 Leadership and Management 261
Answers 249 Questions 270
Bibliography 249 Answers 276
Bibliography 276
Index 279
Preface
This is the third edition of a book developed especially The book has been organized to provide the reviewer
for nurses preparing to take certifcation examinations with test taking strategies and techniques. This is
offered by the American Nurses Credentialing Center followed by chapters on the Essentials of Psychiatric
(ANCC). Major revisions were needed in a number of Nursing Care, Major Theoretical Frameworks for Psychi-
areas to accommodate changes in the feld of psychi- atric Nursing, Substance-Related Mental Disorders,
atric and mental health nursing and to incorporate Anxiety and Stress-Related Disorders, Schizophrenia
more recent references as well as evidence-based prac- and Other Psychotic Disorders, Mood Disorders,
tice guidelines that may have become available since Behavioral Syndromes and Disorders of Adult Person-
the previous revision was published. ality, Cognitive Mental Disorders and Geropsychiatric
The book is inclusive in that it contains both basic Nursing, Behavioral and Emotional Disorders of Child-
and advanced content, and may be used by nurses hood and Adolescence, and The Larger Mental Health
seeking certifcation as generalists as well as nurses Environment.
seeking certifcation in advanced practice psychiatric Following each chapter are test questions, which
and mental health nursing. It is assumed that the reader are intended to serve as an introduction to the testing
of this review guide has completed a course of study in arena. In addition, a bibliography is included for those
psychiatric and mental health nursing. The Psychiatric who desire a more in-depth discussion of the subject
Nursing Certifcation Review Guide for the Generalist matter in each chapter. These references can serve as
and Advanced Practice Psychiatric and Mental Health additional instructional material for the reader.
(PMH) Nurse is not intended to be a basic learning tool. Certifcation is a process that is gaining recognition
The purpose of the book is twofold. It will assist indi- both within and outside the profession. For the profes-
viduals engaged in self-study preparation for certif- sional, it is a means of gaining special recognition as
cation examinations, and may be used as a reference a certifed psychiatric nurse, which not only demon-
guide in the practice setting. Many nurses preparing strates a level of competency, but may also enhance
for certifcation examinations fnd that reviewing an professional opportunities and advancement. For
extensive body of scientifc knowledge requires a very the consumer, it means that a certifed nurse has met
diffcult search of many sources that must be synthe- certain predetermined standards set by the profession.
sized to provide a review base for the examination. The
purpose of this publication is to provide a succinct, yet
comprehensive review of the core material.
vii
AFrcoknnto/Ewnlde dMgamtteenrt s
Title
The author of the third edition would like to express Chapter 6. Schizophrenia and Other Psychotic Disor-
appreciation to the authors of the frst and second ders: Mary Ann Camaan, MN, RN, CS and Mary Fultz
editions of this review guide. The contributions of these Spencer, MN, RN, CS
authors provided a sound foundation upon which the
Chapter 7. Mood Disorders: Mary D. Moller, DNP, ARNP,
present revision was built.
APRN, PMHCNS-BC, CPRP, FAAN
Chapter 1. Test Taking Strategies: Clare Houseman,
Chapter 8. Behavioral Syndromes and Disorders of
PhD, RN, CS and Nancy A. Dickenson Hazard, MSN,
Adult Personality: Richardean Benjamin-Coleman,
RN, CPNP, FAAN
PhD, MPH, RN, CS
Chapter 2. The Essentials of Psychiatric Nursing Care:
Chapter 9. Cognitive Mental Disorders and
Clare Houseman, PhD, RN, CS
Geropsychiatric Nursing: Jane Bryant Neese, PhD,
Chapter 3. Major Theoretical Frameworks for Psychi- RN, CS, Anita Thompson-Heisterman, MSN, RN, CS,
atric Nursing: Clare Houseman, PhD, RN, CS and and Ivo L. Abraham, PhD, RN, CS, FAAN
Joan Donovan, PhD, RN, CS
Chapter 10. Behavioral and Emotional Disorders of
Chapter 4. Substance-Related Mental Disorders: Therese Childhood and Adolescence: Michele L. Zimmerman,
K. Killeen, PhD, RN, CS MA, RN, CS
Chapter 5. Anxiety and Stress-Related Disorders: Karma Chapter 11. The Larger Mental Health Environment:
Castleberry, PhD, RN, CS Janice V. R. Belcher, PhD, RN, CS
ix