Nurse's Clinical Guide to Psychiatric and Mental Health Care

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Author :
Publisher : Springhouse Corporation
ISBN 13 : 9780874347203
Total Pages : 378 pages
Book Rating : 4.3/5 (472 download)

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Book Synopsis Nurse's Clinical Guide to Psychiatric and Mental Health Care by : Linda Carman Copel

Download or read book Nurse's Clinical Guide to Psychiatric and Mental Health Care written by Linda Carman Copel and published by Springhouse Corporation. This book was released on 1996 with total page 378 pages. Available in PDF, EPUB and Kindle. Book excerpt: This study guide offers dozens of self-study exercises, puzzles, and review questions.

Psychiatric Nursing Clinical Guide

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Publisher :
ISBN 13 : 9780721683362
Total Pages : 0 pages
Book Rating : 4.6/5 (833 download)

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Book Synopsis Psychiatric Nursing Clinical Guide by : Elizabeth M. Varcarolis

Download or read book Psychiatric Nursing Clinical Guide written by Elizabeth M. Varcarolis and published by . This book was released on 2000 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new pocket guide makes it easy to assess psychiatric nursing clients, formulate nursing diagnoses, and design appropriate nursing care plans! The content is clinically based and contains detailed information for use in the inpatient unit, community mental health setting, or home care setting.Following an overview of psychosocial nursing care planning, communication and counseling, and the clinical interview, individual chapters examine a full range of psychiatric syndromes.

Clinical Companion for Foundations of Psychiatric Mental Health Nursing

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Author :
Publisher : Saunders
ISBN 13 : 9780721688671
Total Pages : 92 pages
Book Rating : 4.6/5 (886 download)

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Book Synopsis Clinical Companion for Foundations of Psychiatric Mental Health Nursing by : Elizabeth M. Varcarolis

Download or read book Clinical Companion for Foundations of Psychiatric Mental Health Nursing written by Elizabeth M. Varcarolis and published by Saunders. This book was released on 1999-12 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Clinical Consult for Psychiatric Mental Health Care

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Publisher : Springer Publishing Company
ISBN 13 : 0826105025
Total Pages : 306 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Clinical Consult for Psychiatric Mental Health Care by : Jacqueline Rhoads, PhD, ACNP-BC, ANP-C, PMHNP-BE, CNL-C, FAANP

Download or read book Clinical Consult for Psychiatric Mental Health Care written by Jacqueline Rhoads, PhD, ACNP-BC, ANP-C, PMHNP-BE, CNL-C, FAANP and published by Springer Publishing Company. This book was released on 2010-10-25 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt: 2011 AJN Book of the Year Winner in Mental Health! This quick reference serves as an authoritative clinical guide to diagnostic treatment and monitoring recommendations for patients with mental disorders in the primary care setting. It offers fast and efficient access to evidence-based diagnostic and therapeutic guidelines for managing psychiatric and mental health conditions. The book guides family and adult advanced practice nurses in making clinical decisions that are supported by the best available evidence, reflecting current research and expert consensus. Additionally, researchers may use this book to identify important clinical questions where more research could be conducted to improve treatment decision making. This comprehensive text is organized by major diagnostic categories, such as anxiety disorders, with specific diagnoses organized alphabetically within each category. It supports informed practice, which increases confidence in differential diagnosis, safe and effective treatment decision making, reliable treatment monitoring and, ultimately, improved patient outcomes. Additionally, DSM-IV-TR diagnostic standard summaries and ICD-9 codes are incorporated for use in the clinical setting. It is an essential resource in everyday practice for all health care providers.

A Nurse's Guide to Women's Mental Health

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Publisher : Springer Publishing Company
ISBN 13 : 0826171141
Total Pages : 363 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis A Nurse's Guide to Women's Mental Health by : Michele R. Davidson, PhD, CNM, CFN, RN

Download or read book A Nurse's Guide to Women's Mental Health written by Michele R. Davidson, PhD, CNM, CFN, RN and published by Springer Publishing Company. This book was released on 2012-05-22 with total page 363 pages. Available in PDF, EPUB and Kindle. Book excerpt: Named a 2013 Doody's Core Title! 2012 Third Place AJN Book of the Year Award Winner in Psychiatric-Mental Health Nursing! "This is a great resource for any nurse working with women."--Score: 94, 4 Stars. Doody's Medical Reviews This is a quick-access clinical guide to the range of mental health issues and diagnoses that commonly affect women across the life span. It focuses on the unique biopsychosocial factors that make women especially vulnerable to psychological disorders and emphasizes key stressors specific to women that are precursors to mental illness. Frequent headings and bulleted, concise presentation of information facilitates reading. In addition to discussing mental health issues specific to women, the guide covers unique populations such as disabled women, lesbian and transgendered women, female veterans, women with forensic health concerns, and women who have been the object of violence. Chapters also address childbearing issues, including menstruation-related problems, infertility and its psychological implications, and antepartum, intrapartum, and postpartum psychological disorders. Developmental milestones, the impact of culture on mental illness, and global health issues are covered as well. Tables and charts present key facts in an easy-to-read format. Key Features: Provides a concise, easy-to-use guide to womenís mental health issues across the life span for new and seasoned nurse practitioners Focuses on stressors unique to women as precursors of mental illness Delivers commonly occurring DSM-IV disorders in women, using a consistent format that includes etiology, assessment, and drug and behavioral therapeutic approaches Discusses preconception and childbearing issues, the impact of violence, female veterans, disabled women, lesbian women, and transgendered women

Clinical Consult to Psychiatric Mental Health Management for Nurse Practitioners, Second Edition

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Publisher : Springer Publishing Company
ISBN 13 : 0826161847
Total Pages : 630 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Clinical Consult to Psychiatric Mental Health Management for Nurse Practitioners, Second Edition by : Jacqueline Rhoads, PhD, APRN-BC, CNL-BC, PMHNP-BE, FAANP

Download or read book Clinical Consult to Psychiatric Mental Health Management for Nurse Practitioners, Second Edition written by Jacqueline Rhoads, PhD, APRN-BC, CNL-BC, PMHNP-BE, FAANP and published by Springer Publishing Company. This book was released on 2021-01-12 with total page 630 pages. Available in PDF, EPUB and Kindle. Book excerpt: Convenient, practical, and portable Revised and updated, the second edition of this practical resource remains the only advanced practice guide to provide an overview of the major DSM-5 disorders across the lifespan and complete clinical guidelines for their psychopharmacologic management. Compiled by expert practitioners in psychiatric care and pharmacy, it is designed specifically for use by nurse practitioners and other primary caregivers in clinical practice. Organized for quick access to key information, the resource includes the clinical features of each disorder and symptoms and information about the most current and effective drugs for its management. Tables delineate the first and second lines of drug therapy along with adjunctive therapies for each disorder. Drugs are organized according to classification and include the essential information needed to safely prescribe and monitor a patient’s response to a particular drug. Brand and generic names, drug class, customary dosage, side effects, drug interactions, pharmacokinetics, precautions, and management of special populations are also addressed. Convenient, practical, and portable, this guide will be a welcome and frequently used resource. Key Features: Delivers psychopharmacological treatment guidelines for major DSM-5 disorders and parameters for drug use Prioritizes drugs according to their clinical efficacy and recommended treatment algorithms Includes brand and generic names, dosages, side effects, drug interactions, pharmacokinetics, precautions, and management of special populations Provides easy-to-read tables for quick clinical consultation Offers information on clinical algorithms, lab evaluation, and preventive services Addresses medical and legal pitfalls

A Guide to Mental Health and Psychiatric Nursing

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Author :
Publisher : Jaypee Brothers,Medical Publishers Pvt. Limited
ISBN 13 : 9788184489446
Total Pages : 414 pages
Book Rating : 4.4/5 (894 download)

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Book Synopsis A Guide to Mental Health and Psychiatric Nursing by : R Sreevani

Download or read book A Guide to Mental Health and Psychiatric Nursing written by R Sreevani and published by Jaypee Brothers,Medical Publishers Pvt. Limited. This book was released on 2010-01-31 with total page 414 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ocular allergy is the most frequently diagnosed immune disorder of the eye. This book examines the immunologic reactions of ocular allergy in comparison to allergic skin diseases, reviews recent advances in the pathophysiology of ocular allergy and summarizes current clinical knowledge and treatment strategies. Key Points - Explains the epidemiology of ocular allergy, the role of the environment in allergy, and the clinical manifestation of dermal and ocular allergic disorders. - In-depth coverage of vernal and atopic keratoconjunctivitis, seasonal conjunctivitis, urticaria, idiopathic thrombocytopenic purpura, hypersensitivity vasculitis, contact dermatitis and atopic dermatitis. - Thoroughly explains the immune cells involved in allergic reactions, including detailed chapters on basophils, mast cells, and B-cells. In addition, the allergic immune response in the asthmatic lung is covered. - Up-to-date coverage of treatment strategies for ocular allergy: mast cell stabilizing drugs, antihistamines, systemic immune therapy and immunomodulatory strategies.

Pocket Psych Drugs Point-of-Care Clinical Guide

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Author :
Publisher : F.A. Davis
ISBN 13 : 0803675844
Total Pages : 234 pages
Book Rating : 4.8/5 (36 download)

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Book Synopsis Pocket Psych Drugs Point-of-Care Clinical Guide by : Darlene D Pedersen

Download or read book Pocket Psych Drugs Point-of-Care Clinical Guide written by Darlene D Pedersen and published by F.A. Davis. This book was released on 2017-01-04 with total page 234 pages. Available in PDF, EPUB and Kindle. Book excerpt: Crucial, on-the-go drug information! From alprazolam to zolpidem—this handy guide delivers quick access to the important pharmacologic content for 80 psychotropic drugs. Organized by generic name, each monograph covers indications (including off-label use

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

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Author :
Publisher : Jones & Bartlett Publishers
ISBN 13 : 1449610935
Total Pages : 301 pages
Book Rating : 4.4/5 (496 download)

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Book Synopsis Psychiatric Nursing Certification Review Guide for the Generalist and Advanced Practice Psychiatric and Mental Health Nurse by : Victoria Mosack

Download or read book Psychiatric Nursing Certification Review Guide for the Generalist and Advanced Practice Psychiatric and Mental Health Nurse written by Victoria Mosack and published by Jones & Bartlett Publishers. This book was released on 2010-02-05 with total page 301 pages. Available in PDF, EPUB and Kindle. Book excerpt: Developed especially for practicing nurses preparing for the certification examination offered by the American Nurses Credentialing Center (ANCC), the Psychiatric Nursing Certification Review Guide for the Generalist and Advanced Practice Psychiatric and Mental Health Nurse provides a succinct, yet comprehensive review of the core material. This book has been organized to give the reviewer test taking strategies and techniques and sample test questions, which are intended to serve as an introduction to the testing arena. In addition, a bibliography is included for those who need a more in depth discussion of the subject matter in each chapter. The Third Edition has been completely revised and updated to reflect current guidelines and information from the latest version of the DSM IV-TR. The medications and use of medications has also been updated to reflect proper usage and doses.

Psych Notes

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Publisher : F.A. Davis
ISBN 13 : 0803640390
Total Pages : 249 pages
Book Rating : 4.8/5 (36 download)

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Book Synopsis Psych Notes by : Darlene D Pedersen

Download or read book Psych Notes written by Darlene D Pedersen and published by F.A. Davis. This book was released on 2013-08-01 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: Now with DSM-5 Content! This pocket guide delivers quick access to need-to-know information on basic behavioral theories, key aspects of psychiatric and crisis interventions, mental status assessments and exams, mental health history and assessment tools, and so much more.

Psychiatric-Mental Health Nurse (PMH-BCTM) Certification Review

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Author :
Publisher : Springer Publishing Company
ISBN 13 : 0826145361
Total Pages : 376 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Psychiatric-Mental Health Nurse (PMH-BCTM) Certification Review by : Raymond Zakhari, DNP, EdM, ANP-BC, FNP-BC, PMHNP-BC

Download or read book Psychiatric-Mental Health Nurse (PMH-BCTM) Certification Review written by Raymond Zakhari, DNP, EdM, ANP-BC, FNP-BC, PMHNP-BC and published by Springer Publishing Company. This book was released on 2021-12-02 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: Psychiatric-Mental Health Nursing (PMH-BC™) Certification Review is designed to help you prepare for the American Nurses Credentialing Center (ANCC) board certification exam. This comprehensive study aid begins with an overview of the exam, scope and standards of practice, and fundamental theories. It examines topics such as therapeutic treatment and management, patient education, cultural competence, communication, health promotion, and crisis management. A wide range of psychiatric disorders, as organized in the DSM-5, are systematically reviewed in a templated approach that takes the reader through the nursing process step by step. Each chapter covers everything you need to know to pass the exam and includes end-of-chapter questions to check your knowledge. The review concludes with a full-length practice test to get you ready for exam day. With over 300 practice questions and detailed review content and answer rationales, this study aid empowers you with the tools and materials to study your way and the confidence to pass the first time, guaranteed! Know that you're ready. Know that you'll pass with Springer Publishing Exam Prep. Key Features Reflects the latest ANCC exam blueprint Provides a comprehensive yet concise review of essential knowledge for the exam Includes test-taking strategies and tips, scope of practice, and fundamental theories Covers the most commonly encountered psychiatric disorders, as organized in the DSM-5 Includes end-of-chapter Q&A and a full practice test with detailed rationales Boosts your confidence with a 100% pass guarantee PMH-BC™ is a registered service mark of American Nurses Credentialing Center (ANCC). ANCC does not sponsor or endorse this resource, nor does it have a proprietary relationship with Springer Publishing.

Psychiatric Nursing

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Publisher : F.A. Davis
ISBN 13 : 0803643950
Total Pages : 737 pages
Book Rating : 4.8/5 (36 download)

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Book Synopsis Psychiatric Nursing by : Mary C Townsend

Download or read book Psychiatric Nursing written by Mary C Townsend and published by F.A. Davis. This book was released on 2014-08-19 with total page 737 pages. Available in PDF, EPUB and Kindle. Book excerpt: Here’s the most complete and easy-to-use resource on how to develop practical, individualized plans of care for psychiatric and mental health patients. It’s really two books in one! The first half provides the diagnostic information needed to create a care plan; the second half covers the safe prescription and administration of psychotropic medications. And, the concepts can be applied to a variety of healthcare settings…from in-patient hospitalization through the outpatient clinic…to home health and private practice. Completely revised and updated throughout, the 9th Edition reflects all of the new knowledge and new medications in the field, including the DSM-5, all of today’s new psychotropic medications, and the 2012-2014 content in the NANDA Nursing Diagnoses: Taxonomy II.

Essentials of Psychiatric Mental Health Nursing - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323415377
Total Pages : 515 pages
Book Rating : 4.3/5 (234 download)

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Book Synopsis Essentials of Psychiatric Mental Health Nursing - E-Book by : Elizabeth M. Varcarolis

Download or read book Essentials of Psychiatric Mental Health Nursing - E-Book written by Elizabeth M. Varcarolis and published by Elsevier Health Sciences. This book was released on 2016-07-22 with total page 515 pages. Available in PDF, EPUB and Kindle. Book excerpt: Awarded third place in the 2017 AJN Book of the Year Awards in the Psychiatric and Mental Health Nursing Category. Get a full understanding of today’s psychiatric nursing practice in less time! Essentials of Psychiatric Mental Health Nursing, 3rd Edition offers the perfect balance of essential nursing interventions and clinical content paired with current research and evidence-based practice to fully equip you for today’s field of mental health nursing. This new edition continues to retain the reader-friendly style, emphasis on therapeutic communication, and the nursing process organization that was successful in the previous edition. It also includes additional DSM-5 disorders, illustrations of various neurobiology disorders, a new neurobiology learning tool, and new NCLEX review questions to help you pass your course and thoroughly prepare for the psychiatric nursing section of the NCLEX. REVISED! Examining the Evidence boxes explain the reasoning behind nursing interventions and how research affects everyday practice. UNIQUE! Applying the Art sections in the clinical chapters provide examples of therapeutic and nontherapeutic communication techniques as well as realistic nurse-patient interaction scenarios. Chapter review questions reinforce essential content from the chapter. Critical thinking questions introduce clinical situations in psychiatric nursing. Nursing Interventions tables familiarize readers with interventions for a disorder that they will encounter in clinical practice. Key concepts and terms clarify essential terminology. Vignettes offer succinct, real-life glimpses into clinical practice by describing patients and their psychiatric disorders. Assessment Guidelines familiarize readers with methods of assessing patients. Potential Nursing Diagnosis tables give several possible nursing diagnoses for a particular disorder along with the associated signs and symptoms. DSM-5 diagnostic criteria identifies medical diagnostic criteria for psychiatric disorders for integration into the nursing plan of care. Important contributions from psychiatric mental health nursing pioneers are featured in the opening unit pages. Cultural Considerations sections reinforce the principles of culturally competent care. Key Points to Remember outline the main concepts of each chapter in an easy to comprehend and concise bulleted list. Appendices feature the DSM-5 Classifications and a list of the latest NANDA-I diagnoses for readers’ reference.

Pediatric Mental Health for Primary Care Providers

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Publisher : Springer
ISBN 13 : 9783319903491
Total Pages : 0 pages
Book Rating : 4.9/5 (34 download)

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Book Synopsis Pediatric Mental Health for Primary Care Providers by : Sarah Y. Vinson

Download or read book Pediatric Mental Health for Primary Care Providers written by Sarah Y. Vinson and published by Springer. This book was released on 2018-09-28 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of this book is to provide a children’s mental health resource tailored to the needs of physicians working with children. There are currently no such texts, despite the fact that there are patient care, healthcare systems, and workforce factors that indicate a strong need for such a resource. Approximately 1 in 5 children are diagnosed with a mental illness by the age of 18. Additionally, mental health conditions, including Attention Deficit Hyperactivity Disorder, are consistently among the most common chronic conditions in pediatric clinical populations. Delays in both diagnosis and treatment increase the morbidity associated with these conditions. These delays expose the child to negative ramifications of his/her illness and can impact rates of poor academic performance, substance use disorders and criminal justice system involvement – potentially impacting long-term life trajectories. Early identification of mental illness and appropriate intervention is critical to the healthy development of youth, though physicians in primary care and pediatrics are seldom trained to detect and treat such illnesses. The importance of recognizing mental illness is reflected in practice guidelines for pediatric primary care providers as well as in how service delivery is being structured, but this does not offer in-depth clinical guidelines. Additionally, integrated care and medical home models include mental health as key components, though yet again physicians are often not trained to work with these models. While clearly indicated clinically, these requirements do not come with significant increases in reimbursement and are added to an already demanding schedule. Increasingly, providers are also expected to use evidence based screening instruments without exposure to this body of literature. Some guidance on using those instruments in context will help them to use those tools more effectively. Finally, primary care providers and even some adult psychiatrists and psychologists are operating in a healthcare system with a severe, nationwide shortage of child and adolescent psychiatrists and mental healthcare providers. While a text certainly cannot single-handedly compensate for such a workforce shortage, it could potentially help to mitigate the negative impact on patients by facilitating early identification and treatment in the primary care setting. Additionally, with more effective treatment in pediatric settings, less complex cases may be addressed before specialty care is needed, and the expertise of child and adolescent psychiatrists can be more effectively used for more complex cases. Pediatric Psychiatry in Primary Care is the ultimate resource for clinicians working with children, including pediatricians, family physicians, general psychiatrists, psychologists, early career child psychiatrists, social workers, nurses, school counselors, and all clinical professionals who may encounter children struggling with psychiatric disorders.

Psychiatric Mental Health Nursing: An Interpersonal Approach

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Author :
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284230295
Total Pages : 595 pages
Book Rating : 4.2/5 (842 download)

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Book Synopsis Psychiatric Mental Health Nursing: An Interpersonal Approach by : Dr. Jeffrey S Jones

Download or read book Psychiatric Mental Health Nursing: An Interpersonal Approach written by Dr. Jeffrey S Jones and published by Jones & Bartlett Learning. This book was released on 2022-02-02 with total page 595 pages. Available in PDF, EPUB and Kindle. Book excerpt: Preceded by Psychiatric-mental health nursing / [edited by] Jeffrey S. Jones, Joyce J. Fitzpatrick, Vickie L. Rogers. Second edition. [2017].

Psychiatric-Mental Health Nursing

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Author :
Publisher : Springer Publishing Company
ISBN 13 : 0826105645
Total Pages : 909 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Psychiatric-Mental Health Nursing by : Jeffrey S. Jones, DNP, RN, PMHCNS-BC, CST, LNC

Download or read book Psychiatric-Mental Health Nursing written by Jeffrey S. Jones, DNP, RN, PMHCNS-BC, CST, LNC and published by Springer Publishing Company. This book was released on 2012-03-16 with total page 909 pages. Available in PDF, EPUB and Kindle. Book excerpt: This psychiatric-mental health undergraduate textbook, based on the theories of Hildegard Peplau and Joyce Travelbee, is the first recent book devoted to interpersonal relations as the foundation for therapeutic practice in psychiatric nursing. It guides the student through the essential phases of self-discovery necessary to integrate interpersonal nursing theory into practice, and provides a historical overview of the profession. The book addresses the most current ISPN and APNA competencies and presents content designed to foster self-growth, and critical thinking and decision-making skills, as well as to implement therapeutic interventions. It offers an overview of theories of mental illness and a detailed discussion of commonly seen psychiatric disorders, and addresses mental health care settings across the lifespan and different populations. Clinical case studies and first-hand accounts vividly describe the realities of living with specific mental illnesses, "What would you do?" questions stimulate discussions, and sample and practice care plans for chronic mental illness facilitate integration of concepts into practice. Evidence-based practice summaries from psychiatric nursing and related research literature are included, and NANDA guidelines are integrated throughout. A new chapter with DSM-V updates is also available. This affordably priced text additionally comes with supplementary materials for both teachers and students, including handy review guides, summaries, drug monographs, and hyperlinks to films and video illustrating content. A test bank and PowerPoint slides are also available for instructors. Key Features: Integrates and applies the Peplau/Travelbee interpersonal relations theories to the four-step Assessment, Planning/Diagnosing, Implementation, and Evaluation (APIE) nursing process Addresses critical thinking, clinical decision making, therapeutic interventions, case management roles, and mental health care settings across the lifespan Features NCLEX preparation questions, vivid clinical scenarios, and evidence-based practice summaries Addresses the most current ISPN and APNA competencies A new chapter with DSM-V updates is available Both student and teacher digital aids, including review guides, summaries, hyperlinks to films and video, and drug monographs are available A test bank and PowerPoint slides are also available for instructors eBook Features (available in all eBook formats): Bidirectional link between Key Terms and their glossary definitions Learning Outcomes at start of chapters link to respective sections in book Hyperlinks to supplementary films and videos Care plans DSM-V update This book is also available as part of a discounted set. To view the Psychiatric-Mental Health Nursing Special A Student Pack, click the link above.

American Psychiatric Association Practice Guidelines

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Author :
Publisher : American Psychiatric Publishing
ISBN 13 :
Total Pages : 372 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis American Psychiatric Association Practice Guidelines by : American Psychiatric Association

Download or read book American Psychiatric Association Practice Guidelines written by American Psychiatric Association and published by American Psychiatric Publishing. This book was released on 1996 with total page 372 pages. Available in PDF, EPUB and Kindle. Book excerpt: The aim of the American Psychiatric Association Practice Guideline series is to improve patient care. Guidelines provide a comprehensive synthesis of all available information relevant to the clinical topic. Practice guidelines can be vehicles for educating psychiatrists, other medical and mental health professionals, and the general public about appropriate and inappropriate treatments. The series also will identify those areas in which critical information is lacking and in which research could be expected to improve clinical decisions. The Practice Guidelines are also designed to help those charged with overseeing the utilization and reimbursement of psychiatric services to develop more scientifically based and clinically sensitive criteria.