Nursing Diagnoses in Psychiatric Nursing
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Relying on the standardizations of terminology and practice promoted by the North American Nursing Diagnosis Association, this pocket-sized resource provides advice in the construction of patient diagnoses using the PES format (where the Problem is related to Etiology evidenced by Signs and Symptoms). Also included is a guide to psychotropic medications. New materials include a chapter on loss and bereavement. Annotation ©2004 Book News, Inc., Portland, OR Doody Review Services Reviewer:Jayalakshmi Jambunathan, PhD, MSN, MA, BSN, BSc(University of Wisconsin-Oshkosh)Description:This book is designed to be used as a guide and quick reference in preparing nursing care plans for a variety of psychiatric clients, with the expectation that additional information will be needed for each nursing diagnosis in individualizing care for these clients. It incorporates the nomenclature of Taxonomy II approved by the North American Nursing Diagnosis Association (NANDA). The latest DSM terminology and NANDA diagnoses are presented in a simple manner so that they can be easily used in a variety of healthcare settings. The previous edition was published in 2001.Purpose:The purpose is to help and guide practicing nurses and students with the construction of nursing care plans that must be individualized for each client based on the nursing assessment. The book is needed as it will serve as a quick reference in helping to develop practical, individual care plans for psychiatric clients in various settings ranging from inpatient hospitals and outpatient clinics to private practice and home healthcare. The author's objectives are met, with each chapter beginning with an overview of information initially related to the medical category on the specific disorder, followed by predisposing factors and symptomatology, their respective nursing diagnoses and nursing interventions, and finally client and family education.Audience:The book can be used by undergraduate nursing students, practicing nurses, and nurse practitioners. Undergraduate students can learn about the various aspects of nursing diagnoses with related interventions and selected rationales, and patient education. Practicing nurses can also use this book as a quick reference for developing nursing care plans relative to the psychiatric diagnoses. The new information on psychotropic medications can facilitate use of the book for nurses administering these medications, and for nurse practitioners with prescriptive authority. The author is a clinical nurse specialist with a private practice in adult psychiatric mental health nursing, in addition to being a nurse consultant at a counseling center. She brings these experiences to this book to help practitioners develop and write care plans. The author is a credible authority.Features:The book contains the latest DSM terminology and NANDA diagnoses with individual chapters covering disorders relative to the DSM-IV TR 2000. Information pertaining to medical categories, followed by the appropriate nursing diagnoses, nursing interventions, and client and family education are provided in each chapter. The expanded section on psychotropic medications, with the latest FDA approved ADHD agents, antidepressants, and antipsychotic medications will help practitioners at all levels, as well as students, in keeping abreast of the latest changes and additions in psychotropic medications. The new chapter on loss and bereavement, and the new assessment tools such as medication assessment, cultural assessment, mental status assessment, etc., will prove extremely useful and beneficial to psychiatric nurses at all levels. Additionally, the table in Appendix I listing some client behaviors commonly observed in psychiatric settings can broaden one's understanding of the need to use a variety of nursing diagnoses in developing nursing care plans.Assessment:This will be an extremely useful and easy-to-use resource book for practitioners at all levels, as well as undergraduate students, since it offers guidance in developing practical, individual care plans for a variety of psychiatric patients in various settings. This sixth edition is fully justified since it reflects the latest DSM terminology and NANDA diagnoses, new updated material on psychotropic medications, and assessment tools.
Index of Client BehaviorsIndex of DSM-IV-TR Psychiatric DiagnosesHow to Use This BookUnit 1The Foundation for Planning Psychiatric Nursing Care1Ch. 1Nursing Process: One Step to Professionalism1Unit 2Alterations in Psychosocial Adaptation12Ch. 2Disorders Usually First Diagnosed In Infancy, Childhood, or Adolescence12Ch. 3Delirium, Dementia, and Amnestic Disorders51Ch. 4Substance-Related Disorders67Ch. 5Schizophrenia and Other Psychotic Disorders100Ch. 6Mood Disorders118Ch. 7Anxiety Disorders150Ch. 8Somatoform and Sleep Disorders165Ch. 9Dissociative Disorders185Ch. 10Sexual and Gender Identity Disorders194Ch. 11Eating Disorders210Ch. 12Adjustment Disorders227Ch. 13Impulse Control Disorders246Ch. 14Psychological Factors Affecting Medical Condition254Ch. 15Personality Disorders264Unit 3Special Topics in Psychiatric/Mental Health Nursing295Ch. 16Problems Related to Abuse or Neglect295Ch. 17Premenstrual Dysphoric Disorder305Ch. 18HIV Disease314Ch. 19Homelessness325Ch. 20Psychiatric Home Nursing Care331Ch. 21Forensic Nursing341Ch. 22Complementary Therapies353Ch. 23Loss and Bereavement372Unit 4Psychotropic Medications388Ch. 24Antianxiety Agents388Ch. 25Antidepressants399Ch. 26Mood-Stabilizing Drugs421Ch. 27Antipsychotic Agents434Ch. 28Antiparkinsonian Agents458Ch. 29Sedative-Hypnotics466Ch. 30Central Nervous System Stimulants475Bibliography486App. AEgo Defense Mechanisms492App. BLevels of Anxiety495App. CMedication Assessment Tool497App. DCultural Assessment Tool500App. EThe DSM-IV-TR Multiaxial Evaluation System502App. FGlobal Assessment of Functioning (GAF) Scale504App. GDSM-IV-TR Classification: Axes I and II Categories and Codes506App. HMental Status Assessment519App. IAssigning Nursing Diagnoses to Client Behaviors523Subject Index527Drug Index563Index of Nursing Diagnoses571
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