Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach 9th Edition, ISBN-13: 978-0323697071

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Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach 9th Edition, ISBN-13: 978-0323697071

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• Publisher: ‎ Saunders; 9th edition (August 27, 2021)
• Language: ‎ English
• ‎696 pages
• ISBN-10: ‎ 0323697070
• ISBN-13: ‎ 978-0323697071

Selected for Doody’s Core Titles 2024

Prepare for psychiatric nursing care with this comprehensive, evidence-based text! Varcarolis’ Foundations of Psychiatric-Mental Health Nursing: A Clinical Approach, 9th 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 you for practice with real-world examples. Other notable features include illustrated explanations of the neurobiology of disorders, DSM-5 criteria for major disorders, and nursing care plans. From clinical nurse specialist and lead author Dr. Margaret Jordan Halter, this bestselling text includes new Next Generation NCLEX® content to prepare you for success on your PMHN certification exam.

• Case Study and Nursing Care Plan boxes include real-life vignettes of patients with specific psychiatric disorders.
• Evidence-Based Practice boxes describe recent research studies and how their findings affect nursing practice.
• Six-step nursing process is followed in clinical chapters, providing consistent guidelines for comprehensive assessment and intervention.
• Learning features include key terms and concepts, key points to remember, critical thinking, and chapter reviews.
• 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 you build patient interaction skills.
• Assessment Guidelines summarize the steps of patient assessment for various disorders.
• Considering Culture boxes discuss the importance of person-centered care in providing competent care to diverse populations in various clinical situations.
• Patient and Family Teaching boxesfocus on the nurse’s role in helping patients and families understand psychiatric disorders, treatments, complications, and medication side effects.

• NEW! Next Generation NCLEX® (NGN) case studies and questions are provided at the end of each clinical chapter to support critical thinking and prepare you for your state board examination.
• NEW! Updated screening tools and rating scales make it easier to quantify symptoms and assess the severity of a disorder.
• NEW! 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).
• NEW! Emphasis on adverse childhood experiences, trauma, and trauma-informed care addresses the near-universal experience of trauma in individuals with psychiatric disorders and conditions.
• NEW! Order of clinical chapters mirrors that of the DSM-5, and many of the major disorders are accompanied by specific DSM-5 diagnostic criteria.
• NEW! Health Policy boxes are updated to describe current legislation related to mental health.
• NEW! The International Classification for Nursing Practice (ICNP), from the International Council of Nurses (ICN), provides straightforward nursing diagnoses that are easily translatable across settings and disciplines.

Table of Contents:

Cover image

Title page

Disclaimer

Table of Contents

About the Cover Artwork

Copyright

Dedication

Acknowledgments

Contributors

Reviewers

To The Instructor

To The Student

Unit I. Foundations in Theory

1. Mental Health and Mental Illness

Mental Health and Mental Illness

Mental Health Continuum

Risk and Protective Factors

Legislation and Mental Health Funding

Epidemiology of Mental Disorders

Psychiatric-Mental Health Nursing

Trends Affecting the Future of Psychiatric-Mental Health Nursing

Advocacy and Legislative Involvement

2. Theories and Therapies

Psychoanalytic Theories and Therapies

Interpersonal Theories and Therapies

Behavioral Theories and Therapies

Cognitive Theories and Therapies

Humanistic Theories

Biological Theories and Therapies

Developmental Theories

Conclusion

3. Neurobiology and Pharmacotherapy

Structure and Function of the Brain

Action of Psychotropic Medications

Unit II. Foundations for Practice

4. Treatment Settings

Background

Continuum of Care

Outpatient Care Settings

Prevention in Outpatient Care

Outpatient Psychiatric Nursing Care

Inpatient Care Settings

Considerations for Inpatient Care

Inpatient Psychiatric Nursing Care

Specialty Treatment Settings

5. Cultural Implications

Minority, Race, Ethnicity, and Culture

Demographic Shifts in the United States

Basic Worldviews

Impact of Culture

Cultural Barriers to Mental Health Services

Special At-Risk Populations

Culturally Congruent Care and Associated Competencies

6. Legal and Ethical Considerations

Ethical Concepts

Evolving Ethical Issues in Psychiatric Care

Mental Health Laws

Hospitalization

Patients’ Rights Under the Law

Laws Relevant to Psychiatric Nursing

Standards for Nursing Care

Acting on Questionable Practice

Documentation of Care

Forensic Nursing

Violence in the Psychiatric Setting

Unit III. Psychosocial Nursing Tools

7. The Nursing Process and Standards of Care

Standards of Practice for Psychiatric–Mental Health Nursing: Standard 1: Assessment

Standards of Practice for Psychiatric–Mental Health Nursing: Standard 2: Diagnosis

Standards of Practice for Psychiatric–Mental Health Nursing: Standard 3: Outcomes Identification

Standards of Practice for Psychiatric–Mental Health Nursing: Standard 4: Planning

Standards of Practice for Psychiatric–Mental Health Nursing: Standard 5: Implementation

Registered Nurse Interventions

Advanced Practice Registered Nurse Interventions

Standards of Practice for Psychiatric–Mental Health Nursing: Standard 6: Evaluation

8. Therapeutic Relationships

Concepts Central to the Nurse-Patient Relationship

A Focus on Self-Awareness

Peplau’s Model of the Nurse-Patient Relationship

Factors that Promote Patients’ Growth

9. Therapeutic Communication

Introduction

Theoretical Models of Communication

Factors that Affect Communication

Verbal and Nonverbal Communication

Communication Skills for Nurses

The Clinical Interview

10. Stress Responses and Stress Management

Adverse Childhood Experiences

Responses to and Effects of Stress

Mediators of the Stress Response

Nursing Management of Stress Responses

Other Ways to Relax

Unit IV. Psychobiological Disorders

11. Childhood and Neurodevelopmental Disorders

Risk Factors

Child and Adolescent Psychiatric-Mental Health Nursing

Treatment Modalities

Neurodevelopmental Disorders

Communication Disorders

Motor Disorders

Specific Learning Disorder

Intellectual Disability

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Implementation

Evaluation

Autism Spectrum Disorder

Application of the Nursing Process

Nursing Diagnosis

Outcome Identification

Implementation

Evaluation

Treatment Modalities

Attention-Deficit/Hyperactivity Disorder

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Implementation

Evaluation

Treatment Modalities

12. Schizophrenia Spectrum Disorders

Delusional Disorder

Brief Psychotic Disorder

Schizophreniform Disorder

Schizoaffective Disorder

Substance-Induced Psychotic Disorder and Psychotic Disorder Due to Another Medical Condition

Schizophrenia

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

13. Bipolar and Related Disorders

Clinical Picture

Epidemiology

Comorbidity

Risk Factors

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

14. Depressive Disorders

Disruptive Mood Dysregulation Disorder

Persistent Depressive Disorder

Premenstrual Dysphoric Disorder

Substance/Medication-Induced Depressive Disorder

Depressive Disorder due to Another Medical Condition

Major Depressive Disorder

application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

15. Anxiety and Obsessive-Compulsive Disorders

Anxiety

Levels of Anxiety

Defenses Against Anxiety

Anxiety Disorders

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

Obsessive-Compulsive Disorders

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

16. Trauma, Stressor-Related, and Dissociative Disorders

Trauma-Related Disorders

Posttraumatic Stress Disorder in Children and Adolescents

Application of the Nursing Process

Nursing Diagnosis

Outcome Identification

Implementation

Evaluation

Treatment Modalities

Posttraumatic Stress Disorder in Adults

Application of the Nursing Process

Nursing Diagnosis

OUTCOMES Identification

Implementation

Evaluation

Treatment Modalities

Acute Stress Disorder

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Implementation

Evaluation

Treatment Modalities

Adjustment Disorder

Dissociative Disorders

Dissociative Amnesia

Depersonalization/Derealization Disorder

Dissociative Identity Disorder

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

17. Somatic Symptom Disorders

Somatic Symptom Disorder

Treatment Modalities

Illness Anxiety Disorder

Treatment Modalities

Conversion Disorder

Treatment Modalities

Psychological Factors Affecting Medical Condition

Treatment Modalities

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Implementation

Evaluation

Treatment Modalities

Factitious Disorder

Treatment Modalities

Malingering

18. Eating and Feeding Disorders

Anorexia Nervosa

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

Bulimia Nervosa

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

Binge-Eating Disorder

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

Feeding Disorders

19. Sleep-Wake Disorders

Sleep

Diagnosing Sleep Disorders

Clinical Picture

Comorbidity

Application of the Nursing Process

Assessment

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

20. Sexual Dysfunction, Gender Dysphoria, and Paraphilic Disorders

Sexuality

Sexual Dysfunction

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

Gender Dysphoria

Treatment Modalities

Paraphilic Disorders

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

21. Impulse Control Disorders

Oppositional Defiant Disorder

Conduct Disorder

Intermittent Explosive Disorder

Pyromania and Kleptomania

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Implementation

Evaluation

Treatment Modalities

22. Substance-Related and Addictive Disorders

Substance Use Disorders

Alcohol Use Disorder

Application of the Nursing Process

Assessment

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

23. Neurocognitive Disorders

Delirium

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Mild and Major Neurocognitive Disorders

Alzheimer’s Disease

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

24. Personality Disorders

Overview

Cluster A Personality Disorders

Cluster B Personality Disorders

Cluster C Personality Disorders

Borderline Personality Disorder

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

Antisocial Personality Disorder

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

Unit V. Trauma Interventions

25. Suicide and Nonsuicidal Self-Injury

Suicide

Application of the Nursing Process

Assessment

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

Nonsuicidal Self-Injury

Application of the Nursing Process

Assessment

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

26. Crisis and Disaster

Crisis Characteristics

Crisis Theory

Types of Crises

Phases of Crisis

Application of the Nursing Process

Assessment

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

Disaster Response

27. Anger, Aggression, and Violence

Clinical Picture

Epidemiology

Comorbidity

Risk Factors

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

Anger, Aggression, and Violence in General Hospital Settings

28. Child, Older Adult, and Intimate Partner Violence

Types of Abuse

Crisis Situation

The Perpetrator and the Vulnerable Person

Child Abuse

Intimate Partner Violence

Older Adult Abuse

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

29. Sexual Assault

Sexual Assault and Sexual Violence

Epidemiology

Clinical Picture

Application of the Nursing Process

Nursing Diagnosis

Outcomes Identification

Planning

Implementation

Evaluation

Treatment Modalities

Unit VI. Interventions for Special Populations

30. Dying, Death, and Grieving

Death and Dying

Facilitating Death

Advance Care Planning

Nursing Care at the End of Life

The Dying Process

Grieving

Self-Care

31. Older Adults

Statistics on Aging

Mental Health and Aging

Healthcare Concerns of Older Adults

Healthcare Decision-Making

Application of the Nursing Process

Assessment

Nursing Diagnosis

Outcomes Identification

Implementation

Evaluation

Treatment Modalities

Treatment Settings for Older Adults

32. Serious Mental Illness

Serious Mental Illness Across the Lifespan

Development of Serious Mental Illness

Rehabilitation Versus Recovery: Two Models of Care

Issues Confronting Individuals With Serious Mental Illness

Serious Mental Illness Resources

Evidence-Based Treatment Approaches

Other Treatment Approaches

Nursing Care of Patients With Serious Mental Illness

Current Issues Affecting Individuals With Serious Mental Illness

33. Forensic Nursing

Forensic Nursing

Forensic Psychiatric Nursing

Correctional Nursing

Unit VII. Other Intervention Modalities

34. Therapeutic Groups

From Group to Therapeutic Group

Concepts Common to All Groups

Phases of Group Development

Roles of the Group Members

Theoretical Frameworks for Groups

Nurses as Group Leaders

Ethical Issues in Group Therapy

Dealing with Challenging Member Behaviors

Expected Outcomes

35. Family Interventions

Family Structure

Family Functions

Overview of Family Therapy

Concepts Central to Family Therapy

Application of the Nursing Process

Assessment

Nursing Diagnosis

Outcomes Identification

Planning

Intervention

Evaluation

Treatment Modalities

36. Integrative Care

Integrative Care in the United States

Classification of Integrative Care

Index

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