N eeb's Fundamentals of Mental Health Nursing is a psychiatric nursing textbook tailored specifically to the needs of the LVN/LPN student. It is clear that the need for nurses to be educated to care for people with mental health problems is essential. The fourth edition of Neeb's Fundamentals of Mental Health Nursing brings new authors who have expanded on the foundation that Kathy Neeb established so successfully in the first three editions.
We, as mental health practitioners and educators, have seen the impact of mental health problems on our patients and society. GAYLALOVE, MSN, BSN, RN, CCM Program Coordinator, Practical Nursing Southern Crescent Technical College Griffin, Georgia. MCGARY, RN, MSN, NP-C Former Program Director, Practical Nursing Virginia Western Community College Wirtz, Virginia.
Foundations for Mental Health Nursing
History of Mental Health Nursing 3
Developmental Psychology Throughout
Sociocultural Influences on Mental Health 75
Nursing Process in Mental Health 89
Coping and Defense Mechanisms 105
Mental Health Treatments 113
Complementary and Alternative Treatment
Threats to Mental Health
Anxiety, Anxiety-Related, and Somatic Symptom
Neurocognitive Disorders: Delirium
Special Populations
Childhood and Adolescent Mental Health
Postpartum Issues in Mental Health 323
Victims of Abuse and Violence 353
Appendices
Who were the ones who spoke out on behalf of the patient and the profession? She carefully observed and documented the changes in the soldiers' circumstances, which led to her admiration as "The Lady with the Lamp" (from the poem "Santa Filomena"). A Lady with a Lamp will stand in the great history of the land, A noble kind of good.
Her contributions were mainly in home care and in promoting African acceptance. One of the professional responsibilities of nursing is to try to give something back to our profession. One of the largest asylums in the United States was known as ByBerry, which later became the Philadelphia State Hospital (Fig. 1-8).
THE LAWS
It also creates a kind of value system in the patient's mind that views the nurse's value as the "correct" value. The patient perceives a value system that places the nurse in the position of the expert, and in many ways so is the nurse. EXAMPLE EFFECT ON PATIENT Patient: “I am so •Stimulates discovering all this.” the meaning of the Nurse: “Tired?” rack.
The nurse must be able to detect signals from the patient when he or she wants to end communication. The patient tells the nurse of the news that she just found out her pet has died. EXAMPLE OF EFFECT ON PATIENT Sit quietly nearby. •Show that the patient feels comfortable with the nurse.
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It can be just one word that makes the difference between the patient being successful or not. HIPAA provides the patient with more control over what part of his or her information is made public. They must ensure the patient's physical and emotional safety during hospitalization.
The conversation about the patient's condition should only take place in designated places and with designated persons. The nurse or a representative of the facility will explain the meaning of these rights to the patient in detail. The nurse can also inform the patient that it is always acceptable to call the local hospital and request a list.
CASE STUDY
Honesty in nursing practice and excellent verbal and written communication are essential to the care of the patient. A selection of the main theorists in child development are presented together with others whose theories are used more in the areas of adult personality development. The characteristics may cover the beliefs of several of the individual theorists you will study.
Many scientific studies have been carried out in the specific disciplines; however, it remains to be proven that any one is true for all in every case. One of Freud's main principles, or beliefs, is that behavior resulting from ineffective personality development is unconscious. He believed that ineffective personality development was somehow related to the relationship of the child to the parent and that it was related to what he called psychosexual development. Although the reader is not expected to "convert" to any of the theories discussed in this text, it is necessary to have a working knowledge of the main theories of personality development.
All other theorists compare their theories with Freud's, either in agreement or in contrast. Included in the table are some of the expected behaviors that Freud thought you might see as a child progresses through these ages. Often its stages are identified by the words highlighted in the Developmental Tasks column.
He believed that a person must complete each stage of development before he or she can progress to the next stage. Although he was interested in the morality of his subjects, he was particularly interested in how people supported their decisions. Therefore, the stages must be experienced in the exact order, and one is not to retrace, or return to a previous stage.
It shows that some cultures and peoples never progress to the highest level and suggests that behaviors that are acceptable in some cultures are "wrong". Kohlberg's theory also does not take into account the emotional.
Theorists: Adolescence to Adulthood
Helping Interview
The supportive interview is used to determine or isolate a particular concern in the patient and to help the patient learn to help himself or herself (Fig. 6-2). However, it is always important to remember not to help so much that it interferes with the patient's ability to help himself or herself. Consider a situation where the patient is not progressing after a "normal" postoperative course.
Intake/Admission Interview
Be assertive: if the interview is mandatory (e.g. intake interview, preoperative), the patient must understand that this is required. The nurse should assure the patient that he or she understands the patient's feelings and that the information shared by the patient is part of the patient's medical record. Only the patient, the person designated by the patient and people involved in his or her care have access to this information.
Use empathy: The nurse must tell the patient that he or she is interested in what is being said and that the nurse is there to help. It is the registered nurse's responsibility to assimilate the collected data and select one or more potential nursing diagnoses for the patient. In collaborative nursing practice, LPN/LVNs can make suggestions and rationales to the RN that can be incorporated into the patient's plan of care.
Rather, it is a common language among nurses to help clarify patient needs (see Appendix E, Assigning Nursing Diagnoses to Client Behavior). Planning care involves setting short- and long-term goals from the patient's perspective, not the nurse's perspective. It is for this reason that the patient and significant others must be involved in the care plan.
This is an area where the patient and nurse may not see things the same way. Nurses and patients view the same problem from two different perspectives, and the patient's priority can be quite different. However, when there is a threat to life or health that is a direct response to the patient's priority, the nurse must intervene and explain why the patient's wishes must wait a while.
When planning the patient's goals, there should be a short-term and long-term goal for the patient.
Interventions
It also allows the nurse to individualize the technique or offer options to the patient. In some cases, some of the interventions may be discontinued, depending on the patient's progress (DeWit, 2009). 3. When conducting patient teaching, the best method to evaluate the patient's success is to:.
One of the most helpful actions a nurse can take is to actively listen to the patient's thoughts and feelings about the stressor. Either way, the nurse will make observations about the patient's responses and participate in treatment. Typically, the psychoanalyst sits at the patient's head and slightly back, so that the patient cannot see the other side. - apist.
The theme can give the therapist an idea of the cause of the patient's emotional disturbance. At the end of the session, the therapist will give some useful tips for the patient. The nurse must take care of his or her own safety, and then take care of the patient's safety.
Define the problem: The nurse should try to find out from the patient's point of view the cause of the crisis. Due to the nature of the crisis, the patient may not have valuable insight into the situation. It is also part of the nurse's role to reinforce medication teaching to the patient.
How non-judgmental, open and accepting of different ideas for the success of the different methods is up to the patient.
Complementary and Alternative Treatments
This illustrates that what the patient believes and expects the placebo to do may be more important than the composition of the tablet itself. This point shows the need for the nurse to include direct questions to the patient about the use of CAMs. Biofeedback is a technique that teaches the patient to recognize and control stress reactions in the body.
When your hospitalized patient has a phobia such as agoraphobia, the anticipation of the patient's response to leaving his/her room for testing must be addressed with the patient to prevent distress. Document any changes in behavior: Any change, no matter how small, can be significant to the patient's care. Discuss with the patient's medical doctor all possibilities for physical illness rather than a somatoform disorder.
The nurse should not let a patient know that he or she thinks the patient is “faking it.” The belief about this condition is that the symptom, for example paralysis or blindness, allows the patient to avoid a situation that is unacceptable to him or her. Behavior modification can be effective if the patient is sensitive to secondary benefits of the somatic symptoms.
Nurses involve the patient in setting goals and interventions in the care plan. It is important that the nurse caring for patients with somatoform disorders remembers to pay attention to the patient, but does not do so. Nies orders blood tests and a chest X-ray and does a complete physical examination of the patient.
Tool Box|Clinicians use a number of depression scales to track the severity of the patient's symptoms over time.
