Give your students a solid foundation in psychiatric-mental health nursing with this comprehensive, evidence-based text! Varcarolis' Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 10th Edition makes it easy to understand the complexities of psychiatric disorders and how to provide quality mental and behavioral health care. Clinical chapters follow the nursing process framework and progress from theory to application, preparing students for practice with real-world examples. Other notable features include illustrated explanations of the neurobiology of disorders, DSM-5-TR™ criteria for major disorders, and nursing care plans. A market leader in RN psychiatric-mental health nursing, this text has been updated throughout and now includes Next-Generation NCLEX® Examination content to prepare students for success on their licensure exams.
NEW! Updated content throughout reflects the latest research and clinical practice
NEW! Current coverage incorporates the 2021 AACN Essentials, the latest APA guidelines for patient care, and the most up-to-date DSM-5-TR™ content
Order of clinical chapters mirrors that of the DSM-5-TR™, and many of the major disorders are accompanied by specific DSM-5-TR™ diagnostic criteria
Six-step nursing process is followed in clinical chapters, providing consistent guidelines for comprehensive assessment and intervention
Conversational, mentor-like writing style reinforces important information and helps in applying textbook content to the clinical setting
Coverage of therapeutic communication techniques and nontherapeutic communication provides tips to help students build patient interaction skills
Emphasis on adverse childhood experiences, trauma, and trauma-informed care addresses the near-universal experience of trauma in individuals with psychiatric-mental health disorders and conditions
Next-Generation NCLEX® Exam (NGN)–style case studies and questions are provided at the end of each clinical chapter to support the development of clinical judgment skills and prepare students for licensure
Advanced practice treatment modalities are addressed separately from the nursing process in the categories of biological interventions (e.g., pharmacotherapy and brain stimulation therapies) and psychological therapies (e.g., cognitive-behavioral therapy and interpersonal therapy)
Case Study and Nursing Care Plan boxes include real-life vignettes of patients with specific psychiatric-mental health disorders
Assessment Guidelines summarize the steps of patient assessment for various disorders
Current screening tools and rating scales make it easier to quantify symptoms and assess the severity of a disorder
Standardized nursing diagnoses from the International Classification for Nursing Practice (ICNP) provide consistent language that is easily translatable across settings and disciplines
Considering Culture boxes discuss the importance of person-centered care in providing competent care to diverse populations in various clinical situations
Evidence-Based Practice boxes describe recent research studies and how their findings affect nursing practice
Health Policy boxes describe current legislation related to mental health
Patient and Family Teaching boxesfocus on the nurse’s role in helping patients and families understand psychiatric-mental health disorders, treatments, complications, and medication side effects
Additional learning features include Key Terms and Concepts, Key Points to Remember, Critical Thinking Questions, and Chapter Reviews
1 Mental Health and Mental Illness Mental Health and Mental Illness Mental Health Mental Illness Mental Health Continuum Determinants of Mental Health Perceptions of Mental Health and Mental Illness Nature Versus Nurture National Influences on Mental Health Care Consumer Movement and Mental Health Recovery Decade of the Brain Surgeon General’s Report on Mental Health Human Genome Project President’s New Freedom Commission on Mental Health Institute of Medicine Brain Research Through Advancing Innovative Neurotechnologies Initiative Research Domain Criteria Initiative National Suicide and Crisis Lifeline Addressing a National Mental Health Crisis Legislation and Mental Health Funding Mental Health Parity Patient Protection and Affordable Care Act Epidemiology of Mental Disorders Comorbidity Incidence and Prevalence Clinical Epidemiology Classification of Mental Disorders Diagnostic and Statistical Manual of Mental Disorders International Classification of Diseases Psychiatric–Mental Health Nursing Classification of Nursing Diagnoses Psychiatric–Mental Health Nurse Education Trends Impacting Psychiatric–Mental Health Nursing Key Points to Remember Clinical Judgment Chapter Review
2 Theories and Therapies Psychoanalytic Theories and Therapies Psychoanalytic Theory Psychoanalytic Therapy Psychodynamic Therapy Implications of Freudian Theory for Nursing Practice Interpersonal Theories and Therapies Interpersonal Theory Interpersonal Therapy Implications of Interpersonal Theory to Nursing Behavioral Theories and Therapies Classical Conditioning Theory Behavioral Theory Operant Conditioning Theory Behavior Therapy Implications of Behavior Theory to Nursing Cognitive Theories and Therapies Rational-Emotive Therapy Cognitive Behavioral Therapy Trauma-Focused Cognitive Behavioral Therapy Dialectical Behavioral Therapy Implications of Cognitive Theory for Nursing Humanistic Theories Theory of Human Motivation Implications of Motivation Theory for Nursing Biological Theories and Therapies Biological Model Biological Therapies Implications of the Biological Model for Nursing Developmental Theories Cognitive Development Theory of Psychosocial Development Theory of Object Relations Theories of Moral Development Ethics of Care Theory Conclusion Key Points to Remember Clinical Judgment Chapter Review
3 Psychobiology and Psychopharmacology Functions of the Brain Maintenance of Homeostasis Regulation of the Autonomic Nervous System and Hormones Control of Biological Drives and Behavior Conscious Mental Activity Cellular Composition of the Brain Neurons Neurotransmitters Neurotransmitter Inactivation Organization of the Brain Brainstem Hypothalamus Cerebellum Cerebrum Visualizing the Brain Structural Imaging Techniques Functional Imaging Techniques Disturbances of Mental Function Genetics Neurotransmitters Pharmacotherapy Action of Psychotropic Medications Antianxiety Agents Sleep-Wake Medications Antidepressant Medications Mood Stabilizers Antipsychotic Medications Attention-Deficit/Hyperactivity Disorder Medication Neurocognitive Medication Herbal Treatments Key Points to Remember Clinical Judgment Chapter Review
UNIT II Foundations for Practice
4 Treatment Settings Background Continuum of Care Outpatient Care Outpatient Care Settings Prevention in Outpatient Care Outpatient Psychiatric Nursing Care Inpatient Care Inpatient Care Settings Considerations for Inpatient Care Inpatient Psychiatric Nursing Care Specialty Treatment Settings Key Points to Remember Clinical Judgment Chapter Review
5 Cultural Implications Race Ethnicity and Culture Race Ethnicity Culture Measuring Race and Ethnicity in the United States Demographic Shifts in the United States Diversity Equality Equity and Inclusion Diversity Equality Equity Inclusion Social Determinants of Health Worldviews Western Tradition Eastern Tradition Indigenous Culture Impact of Culture Cultural Barriers to Mental Health Services Communication Barriers Stigma of Mental Illness Misdiagnosis Cultural Concepts of Distress Cultural Idioms Cultural Explanations Cultural Syndromes Genetic Variation in Pharmacodynamics Special At-Risk Populations Immigrants Refugees Poverty Culturally Congruent Care Cultural Competemility Cultural Awareness Cultural Knowledge Cultural Encounters Cultural Skill Cultural Desire Key Points to Remember Clinical Judgment Chapter Review
6 Ethical and Legal Considerations Ethics in Psychiatric Nursing Ethical Principles Genetic Ethical Issues Legal Issues in Psychiatric Nursing Hospitalization Patients’ Rights Under the Law Laws Relevant to Psychiatric Nursing Intentional Torts Unintentional Torts Standards for Nursing Care State Boards of Nursing Professional Associations Institutional Policies and Procedures Custom as a Standard of Care Acting on Questionable Practice Negligence Irresponsibility or Impairment State Laws Documentation of Care Medical Records and Quality Improvement Medical Records as Evidence Guidelines for Electronic Documentation Forensic Nursing Violence in the Psychiatric Setting Key Points to Remember Clinical Judgment Chapter Review
UNIT III Psychosocial Nursing Tools
7 The Nursing Process and Standards of Care The Nursing Process Assessment Age Considerations Language Barriers Psychiatric–Mental Health Nursing Assessment Gathering Data Validating the Assessment Using Rating Scales Diagnosis Diagnostic Statements Types of Nursing Diagnoses Outcomes Identification Planning
Margaret Jordan Halter, PhD, APRN, Editor, Manual of Psychiatric Nursing Care, Former Clinical Nurse Specialist, Cleveland Clinic Akron General, Akron, Ohio, Former Faculty, Malone College, Canton, Ohio; University of Akron, Akron, Ohio, The Ohio State University, Columbus, Ohio, Former Associate Dean, Ashland University, Mansfield, Ohio, USA
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