Psychiatric and Mental Health Nursing Demystified
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Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. Psychiatric and Mental Health Nursing DeMYSTiFied Jim Keogh, RN New York Chicago San Francisco Athens London Madrid Mexico City Milan New Delhi Singapore Sydney Toronto Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. Copyright © 2014 by McGraw-Hill Education. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher. ISBN: 978-0-07-182051-6 MHID: 0-07-182051-5 The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-182052-3, MHID: 0-07-182052-3. eBook conversion by codeMantra Version 1.0 All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an editorial fashion only, and to the benefit of the trademark owner, with no intention of infringement of the trademark. Where such designations appear in this book, they have been printed with initial caps. McGraw-Hill Education eBooks are available at special quantity discounts to use as premiums and sales promotions or for use in corporate training programs. 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Not to be redistributed or modified in any way without permission. About the Author Jim Keogh, RN-BC, MSN, is Board Certified in Psychiatric-Mental Health and has written McGraw-Hill’s Nursing DeMystified series. These include Pharma- cology DeMystified, Microbiology DeMystified, Medical-Surgical Nursing DeMysti- fied, Medical Billing and Coding DeMystified, Nursing Laboratory and Diagnostic Tests DeMystified, Dosage Calculations DeMystified, Medical Charting DeMysti- fied, Pediatric Nursing DeMystified, Nurse Management DeMystified, Schaum’s Outline of ECG Interpretations, Schaum’s Outline of Medical Terminology, and Schaum’s Outline of Emergency Nursing. His books can be found in leading uni- versity libraries including Yale School of Medicine, Yale University, University of Pennsylvania Biomedical Library, Columbia University, Brown University, Uni- versity of Medicine and Dentistry of New Jersey, Cambridge University, and Oxford University. He is a former member of the faculty at Columbia Univer- sity and is a member of the faculty of New York University and Saint Peter’s University in New Jersey. Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. Contents Introduction xi CHAPTEr 1 Foundation of Psychiatric and Mental Health Nursing 1 Mental Illness 2 1. Models of Human Behavior 2 2. Therapeutic Relationship 4 3. Therapeutic Communication 5 4. Barriers to Communication 8 5. Defense Mechanisms 14 6. Legal Environment 18 7. Psychiatric Therapies 22 8. Psychiatric Assessment Tests 24 9. American Nurses Association Standards of Care 25 10. Nursing Assessment 28 11. Mental Status Examination 35 12. Summarize the Nursing Assessment 44 13. Developing a Nursing Diagnosis 47 CHAPTEr 2 Childhood and Adolescent Psychiatric Disorders 55 Childhood and Adolescent Mental Illness 56 Diagnosing 57 Treatment 57 v vi COntents Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. Working With a Difficult Child 58 1. Attention Deficit Hyperactivity Disorder 59 2. Autistic Disorder 62 3. Conduct Disorder 66 4. Oppositional Defiant Disorder 69 5. Major Depression Disorder 71 6. Mental Retardation 74 7. Tourette Syndrome 78 CHAPTEr 3 Anxiety and Anxiety Disorders 87 Anxiety 88 1. Acute Stress Disorder 89 2. Generalized Anxiety Disorder 92 3. Obsessive-Compulsive Disorder 94 4. Panic Disorder 97 5. Phobia 100 6. Posttraumatic Stress Disorder 103 7. Substance Abuse Anxiety Disorder 106 CHAPTEr 4 Somatoform and Dissociative Disorders 115 What Are Somatoform Disorders and Dissociative Disorders? 116 Factitious Disorders and Malingering Disorders 117 1. Body Dysmorphic Disorder 117 2. Conversion Disorder 120 3. Hypochondriasis 122 4. Pain Disorder 124 5. Somatization Disorder 127 6. Depersonalization Disorder 130 7. Dissociative Amnesia 132 8. Dissociative Fugue 134 9. Dissociative Identity Disorder 136 CHAPTEr 5 Schizophrenia 143 What Is Schizophrenia Disorder? 144 Hallucinations 145 Delusion 145 Positive and Negative Symptoms 145 Phases of Schizophrenia Disorder 146 Degrees of Schizophrenia Disorder 146 Antipsychotic Medication Adverse Side Effects 147 1. Paranoid Schizophrenia Disorder 148 2. Disorganized Schizophrenia Disorder 150 COntents vii Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. 3. Undifferentiated Schizophrenia Disorder 152 4. Residual Schizophrenia Disorder 154 5. Catatonic Schizophrenia Disorder 155 CHAPTEr 6 Personality Disorders 163 Personality and Personality Disorders 164 Clusters 165 1. Antisocial Personality Disorder 165 2. Avoidant Personality Disorder 168 3. Borderline Personality Disorder 170 4. Dependent Personality Disorder 173 5. Histrionic Personality Disorder 176 6. Narcissistic Personality Disorder 178 7. Obsessive-Compulsive Personality Disorder 180 8. Paranoid Personality Disorder 183 9. Schizoid Personality Disorder 186 10. Schizotypal Personality Disorder 188 CHAPTEr 7 Mood Disorders 197 Mood 198 Mood Disorder 199 1.