Table Of Contents:

Unit One INTRODUCTION TO PSYCHIATRIC/MENTAL HEALTH CONCEPTS

Chapter 1 Mental Health and Mental Illness 3(13)

Introduction 4(1)

Mental Health 4(1)

Mental Illness 5(1)

Physical and Psychological Responses to Stress 6(6)

Responses to Stress 6(1)

Physical Responses 6(1)

Psychological Responses 7(5)

The DSM-IV-TR Multiaxial Evaluation System 12(1)

Summary and Key Points 12(4)

Chapter 2 Concepts of Personality Development 16(17)

Introduction 17(1)

Psychoanalytic Theory 17(3)

Structure of the Personality 18(1)

Topography of the Mind 18(1)

Dynamics of the Personality 19(1)

Freud's Stages of Personality Development 19(1)

Relevance of Psychoanalytic Theory to Nursing Practice 20(1)

Interpersonal Theory 20(2)

Sullivan's Stages of Personality Development 21(1)

Relevance of Interpersonal Theory to Nursing Practice 22(1)

Theory of Psychosocial Development 22(3)

Erikson's Stages of Personality Development 22(3)

Relevance of Psychosocial Development Theory to Nursing Practice 25(1)

Theory of Object Relations 25(1)

Phase I The Autistic Phase (Birth to 1 Month) 25(1)

Phase II The Symbiotic Phase (1 to 5 Months) 25(1)

Phase III Separation-Individuation (5 to 36 Months) 25(1)

Relevance of Object Relations Theory to Nursing Practice 26(1)

A Nursing Model-Hildegard E. Peplau 26(4)

Peplau's Stages of Personality Development 27(2)

Relevance of Peplau's Model to Nursing Practice 29(1)

Summary and Key Points 30(3)

Chapter 3 Biological Implications 33(25)

Introduction 34(1)

Neurophysiological Influences 34(11)

The Nervous System 34(9)

The Neuroendocrine System 43(2)

Implications for Psychiatric Illness 45(3)

Schizophrenia 46(1)

Mood Disorders 46(1)

Anxiety Disorders 47(1)

Anorexia Nervosa 47(1)

Alzheimer's Disease 47(1)

Diagnostic Procedures Used to Detect Altered Brain Function 48(1)

Electroencephalography 48(1)

Computerized EEG Mapping 48(1)

Computed Tomographic Scan 49(1)

Magnetic Resonance Imaging 49(1)

Positron Emission Tomography 49(1)

Single Photon Emission Computed Tomography 49(1)

Psychopharmacology 49(4)

Historical Perspectives 50(1)

Role of the Nurse 50(1)

How Do Psychotropics Work? 51(2)

Implications for Nursing 53(2)

Summary and Key Points 55(3)

Chapter 4 Ethical and Legal Issues 58(18)

Introduction 59(1)

Ethical Considerations 60(4)

Theoretical Perspectives 60(1)

Ethical Dilemmas 61(1)

Ethical Principles 61(1)

A Model for Making Ethical Decisions 62(1)

Ethical Issues in Psychiatric/Mental Health Nursing 63(1)

Legal Considerations 64(8)

Nurse Practice Acts 64(1)

Types of Law 65(1)

Classifications Within Statutory and Common Law 65(1)

Legal Issues in Psychiatric/Mental Health Nursing 65(4)

Commitment Issues 69(1)

Nursing Liability 70(2)

Summary and Key Points 72(4)

Chapter 5 Cultural and Spiritual Concepts Relevant to Psychiatric/Mental Health Nursing 76(31)

Cultural Concepts 77(1)

How Do Cultures Differ? 78(1)

Communication 78(1)

Space 78(1)

Social Organization 79(1)

Time 79(1)

Environmental Control 79(1)

Biological Variations 79(1)

Application of the Nursing Process 79(13)

Background Assessment Data 79(8)

Culture-Bound Syndromes 87(1)

Diagnosis/Outcome Identification 87(4)

Planning/Implementation 91(1)

Evaluation 92(1)

Spiritual Concepts 92(3)

Spiritual Needs 92(2)

Religion 94(1)

Assessment of Spiritual and Religious Needs 95(2)

Diagnoses/Outcome Identification/Evaluation 95(1)

Planning/Implementation 95(2)

Evaluation 97(1)

Summary and Key Points 97(10)

Unit Two PSYCHIATRIC/MENTAL HEALTH NURSING INTERVENTIONS

Chapter 6 Relationship Development and Therapeutic Communication 107(22)

Introduction 108(1)

The Therapeutic Nurse-Client Relationship 108(1)

Therapeutic Use of Self 109(1)

Conditions Essential to Development of a Therapeutic Relationship 109(2)

Rapport 109(1)

Trust 109(1)

Respect 110(1)

Genuineness 110(1)

Empathy 111(1)

Phases of a Therapeutic Nurse-Client Relationship 111(3)

The Preinteraction Phase 112(1)

The Orientation (Introductory) Phase 112(1)

The Working Phase 112(1)

The Termination Phase 113(1)

Boundaries in the Nurse-Client Relationship 114(1)

Interpersonal Communication 115(10)

The Impact of Preexisting Conditions 115(2)

Nonverbal Communication 117(2)

Therapeutic Communication Techniques 119(1)

Nontherapeutic Communication Techniques 119(1)

Process Recordings 119(4)

Active Listening 123(1)

Feedback 124(1)

Summary and Key Points 125(4)

Chapter 7 The Nursing Process in Psychiatric/Mental Health Nursing 129(28)

Introduction 130(1)

The Nursing Process 130(12)

Definition 130(1)

Standards of Practice 130(12)

Why Nursing Diagnosis? 142(1)

Nursing Case Management 143(3)

Critical Pathways of Care 144(2)

Applying the Nursing Process in the Psychiatric Setting 146(1)

Concept Mapping 147(2)

Documentation of the Nursing Process 149(3)

Problem-Oriented Recording 149(1)

Focus Charting 150(1)

The PIE Method 151(1)

Electronic Documentation 152(1)

Summary and Key Points 152(5)

Chapter 8 Milieu Therapy---The Therapeutic Community 157(10)

Introduction 158(1)

Milieu, Defined 158(1)

Current Status of the Therapeutic Community 158(1)

Basic Assumptions 158(1)

Conditions That Promote a Therapeutic Community 159(1)

The Program of Therapeutic Community 160(2)

The Role of the Nurse 162(1)

Summary and Key Points 163(4)

Chapter 9 Intervention in Groups 167(13)

Introduction 168(1)

Functions of a Group 168(1)

Types of Groups 168(1)

Task Groups 168(1)

Teaching Groups 168(1)

Supportive/Therapeutic Groups 169(1)

Self-Help Groups 169(1)

Physical Conditions That Influence Group Dynamics 169(1)

Seating 169(1)

Size 169(1)

Membership 170(1)

Curative Factors 170(1)

Phases of Group Development 170(2)

Phase I Intial or Orientation Phase 171(1)

Phase II Middle or Working Phase 171(1)

Phase III Final or Termination Phase 171(1)

Leadership Styles 172(1)

Autocratic 172(1)

Democratic 172(1)

Laissez-Faire 172(1)

Member Roles 172(1)

Psychodrama 173(1)

The Family as a Group 174(1)

The Role of the Nurse in Group Interventions 174(1)

Summary and Key Points 175(5)

Chapter 10 Intervening in Crises 180(24)

Introduction 181(1)

Characteristics of a Crisis 181(1)

Phases in the Development of a Crisis 181(1)

Types of Crises 182(2)

Class 1 Dispositional Crises 182(1)

Class 2 Crises of Anticipated Life Transitions 183(1)

Class 3 Crises Resulting From Traumatic Stress 183(1)

Class 4 Maturational/Developmental Crises 183(1)

Class 5 Crises Reflecting Psychopathology 183(1)

Class 6 Psychiatric Emergencies 184(1)

Crisis Intervention 184(1)

Phases of Crisis Intervention: The Role of the Nurse 185(2)

Phase 1 Assessment 185(1)

Phase 2 Planning of Therapeutic Intervention 185(1)

Phase 3 Intervention 185(1)

Phase 4 Evaluation of Crisis Resolution and Anticipatory Planning 186(1)

Crisis on the Inpatient Unit: Anger/Aggression Management 187(1)

Assessment 187(1)

Diagnosis/Outcome Identification 188(1)

Planning/Implementation 188(1)

Evaluation 188(1)

Disaster Nursing 188(4)

Application of the Nursing Process to Disaster Nursing 192(1)

Background Assessment Data 192(1)

Nursing Diagnoses/Outcome Identification 193(1)

Planning/Implementation 193(1)

Evaluation 193(1)

Summary and Key Points 193(11)

Chapter 11 Complementary and Psychosocial Therapies 204(29)

Complementary Therapies 205(4)

Commonalities and Contrasts 209(1)

Types of Complementary Therapies 209(11)

Herbal Medicine 209(3)

Acupressure and Acupuncture 212(1)

Diet and Nutrition 212(6)

Chiropractic Medicine 218(1)

Therapeutic Touch and Massage 218(1)

Yoga 219(1)

Pet Therapy 219(1)

Psychosocial Therapies 220(5)

Individual Psychotherapies 220(2)

Relaxation Therapy 222(1)

Assertiveness Training 223(1)

Cognitive Therapy 224(1)

Summary and Key Points 225(8)

Unit Three CARE OF CLIENTS WITH PSYCHIATRIC DISORDERS

Chapter 12 Delirium, Dementia, and Amnestic Disorders 233(33)

Introduction 234(1)

Delirium 234(1)

Clinical Findings and Course 234(1)

Etiological Implications 235(1)

Dementia 235(7)

Clinical Findings, Epidemiology, and Course 235(2)

Etiological Implications 237(5)

Amnestic Disorders 242(2)

Etiological Implications 243(1)

Application of the Nursing Process 244(8)

Assessment 244(4)

Nursing Diagnosis/Outcome Identification 248(1)

Planning/Implementation 248(1)

Concept Care Mapping 248(1)

Client/Family Education 248(1)

Evaluation 248(4)

Medical Treatment Modalities 252(5)

Delirium 252(2)

Dementia 254(3)

Summary and Key Points 257(9)

Chapter 13 Substance-Related Disorders 266(50)

Introduction 267(1)

Substance-Use Disorders 267(2)

Substance Abuse 267(1)

Substance Dependence 268(1)

Substance-Induced Disorders 269(1)

Substance Intoxication 269(1)

Substance Withdrawal 269(1)

Classes of Psychoactive Substances 269(1)

Etiological Implications 269(2)

Biological Factors 269(1)

Psychological Factors 270(1)

Sociocultural Factors 270(1)

The Dynamics of Substance-Related Disorders 271(20)

Alcohol Abuse and Dependence 271(4)

Alcohol Intoxication 275(1)

Alcohol Withdrawal 276(1)

Sedative, Hypnotic, or Anxiolytic Abuse and Dependence 276(2)

Sedative, Hypnotic, or Anxiolytic Intoxication 278(1)

Sedative, Hypnotic, or Anxiolytic Withdrawal 279(1)

CNS Stimulant Abuse and Dependence 279(3)

CNS Stimulant Intoxication 282(1)

CNS Stimulant Withdrawal 282(1)

Inhalant Abuse and Dependence 283(1)

Inhalant Intoxication 283(1)

Opioid Abuse and Dependence 284(2)

Opioid Intoxication 286(1)

Opioid Withdrawal 286(1)

Hallucinogen Abuse and Dependence 286(2)

Hallucinogen Intoxication 288(1)

Cannabis Abuse and Dependence 288(3)

Cannabis Intoxication 291(1)

Application of the Nursing Process 291(13)

Assessment 291(7)

Diagnosis/Outcome Identification 298(1)

Planning/Implementation 298(5)

Evaluation 303(1)

Treatment Modalities for Substance-Related Disorders 304(4)

Alcoholics Anonymous 304(1)

Pharmacotherapy 304(2)

Counseling 306(1)

Group Therapy 307(1)

Psychopharmacology for Substance Intoxication and Substance Withdrawal 307(1)

Summary and Key Points 308(8)

Chapter 14 Schizophrenia and Other Psychotic Disorders 316(40)

Introduction 317(1)

Nature of the Disorder 318(1)

Phase I The Premorbid Phase 318(1)

Phase II The Prodromal Phase 318(1)

Phase III Schizophrenia 319(1)

Phase IV Residual Phase 319(1)

Prognosis 319(1)

Etiological Implications 319(4)

Biological Influences 320(2)

Psychological Influences 322(1)

Environmental Influences 323(1)

Theoretical Integration 323(1)

Types of Schizophrenia and Other Psychotic Disorders 323(3)

Disorganized Schizophrenia 323(1)

Catatonic Schizophrenia 324(1)

Paranoid Schizophrenia 324(1)

Undifferentated Schizophrenia 324(1)

Residual Schizophrenia 324(1)

Schizoaffective Disorder 324(1)

Brief Psychotic Disorder 324(1)

Schizophreniform Disorder 324(1)

Delusional Disorder 325(1)

Shared Psychotic Disorder 325(1)

Psychotic Disorder Due to a General Medical Condition 325(1)

Substance-Induced Psychotic Disorder 325(1)

Application of the Nursing Process 326(12)

Background Assessment Data 326(4)

Diagnosis/Outcome Identification 330(1)

Planning/Implementation 331(7)

Evaluation 338(1)

Treatment Modalities for Schizophrenia and Other Psychotic Disorders 338(12)

Psychological Treatments 338(2)

Social Treatment 340(1)

Organic Treatment 341(9)

Summary and Key Points 350(6)

Chapter 15 Mood Disorders---Depression 356(47)

Introduction 357(1)

Historical Perspective 357(1)

Epidemiology 358(1)

Age and Gender 358(1)

Social Class 358(1)

Race and Culture 358(1)

Marital Status 359(1)

Seasonality 359(1)

Types of Depressive Disorders 359(3)

Major Depressive Disorder 359(1)

Dysthymic Disorder 359(2)

Prementstrual Dysphoric Disorder 361(1)

Other Depressive Disorders 361(1)

Etiological Implications 362(4)

Biological Theories 362(3)

Psychosocial Theories 365(1)

Developmental Implications 366(3)

Childhood 366(1)

Adolescence 366(1)

Senescence 367(1)

Postpartum Depression 368(1)

Application of the Nursing Process 369(9)

Background Assessment Data 369(1)

Diagnosis/Outcome Identification 370(1)

Planning/Implementation 370(6)

Evaluation of Care for the Depressed Client 376(2)

Treatment Modalities for Depression 378(10)

Individual Psychotherapy 378(1)

Group Therapy 379(1)

Family Therapy 379(1)

Cognitive Therapy 379(1)

Electroconvulsive Therapy 380(1)

Transcranial Magnetic Stimulation 381(1)

Light Therapy 381(1)

Psychopharmacology 382(6)

The Suicidal Client 388(1)

Epidemiological Factors 388(1)

Application of the Nursing Process with the Suicidal Client 388(7)

Assessment 388(2)

Diagnosis/Outcome Identification 390(1)

Planning/Implementation 391(2)

Evaluation 393(2)

Summary and Key Points 395(8)

Chapter 16 Mood Disorders---Bipolar Disorder 403(31)

Introduction 404(1)

Historical Perspective 404(1)

Epidemiology 404(1)

Types of Bipolar Disorders 405(1)

Bipolar I Disorder 405(1)

Bipolar II Disorder 406(1)

Cyclothymic Disorder 406(1)

Other Bipolar Disorders 406(1)

Etiological Implications 406(2)

Biological Theories 407(1)

Psychosocial Theories 408(1)

Developmental Implications 408(1)

Childhood and Adolescence 408(1)

Application of the Nursing Process to Bipolar Disorder (Mania) 409(6)

Background Assessment Data 409(2)

Diagnosis/Outcome Identification 411(1)

Planning/Implementation 411(1)

Evaluation of Care for the Manic Client 411(4)

Treatment Modalities for Bipolar Disorder (Mania) 415(14)

Individual Psychotherapy 415(1)

Group Therapy 415(2)

Family Therapy 417(1)

Cognitive Therapy 417(1)

Electroconvulsive Therapy 418(1)

Psychopharmacology with Mood-Stabilizing Agents 418(11)

Summary and Key Points 429(5)

Chapter 17 Anxiety Disorders 434(40)

Introduction 435(1)

Historical Aspects 435(2)

Epidemiological Statistics 437(1)

How Much is Too Much? 437(1)

Application of the Nursing Process 437(25)

Panic Disorder 437(1)

Generalized Anxiety Disorder 438(5)

Phobias 443(6)

Obsessive-Compulsive Disorder 449(5)

Post-Traumatic Stress Disorder 454(8)

Anxiety Disorder Due to a General Medical Condition 462(1)

Substance-Induced Anxiety Disorder 462(1)

Treatment Modalities 462(7)

Individual Psychotherapy 462(1)

Cognitive Therapy 462(2)

Behavior Therapy 464(1)

Group/Family Therapy 465(1)

Psychopharmacology 465(4)

Summary and Key Points 469(5)

Chapter 18 Somatoform and Dissociative Disorders 474(32)

Introduction 475(1)

Historical Aspects 475(1)

Epidemiological Statistics 476(1)

Application of the Nursing Process 477(18)

Background Assessment Data: Types of Somatoform Disorders 477(4)

Etiological Implications for Somatoform Disorders 481(1)

Background Assessment Data: Types of Dissociative Disorders 481(3)

Etiological Implications for Dissociative Disorders 484(1)

Diagnosis/Outcome Identification 485(1)

Planning/Implementation 486(1)

Concept Care Mapping 486(9)

Evaluation 495(1)

Treatment Modalities 495(6)

Somatoform Disorders 495(3)

Dissociative Amnesia 498(1)

Dissociative Fugue 498(1)

Dissociative Identity Disorder 499(1)

Depersonalization Disorder 499(2)

Summary and Key Points 501(5)

Chapter 19 Issues Related to Human Sexuality 506(34)

Introduction 507(1)

Development of Human Sexuality 507(3)

Birth Through Age 12 507(1)

Adolescence 508(1)

Adulthood 509(1)

Sexual Disorders 510(16)

Paraphilias 510(3)

Sexual Dysfunctions 513(4)

Application of the Nursing Process to Sexual Disorders 517(7)

Treatment Modalities for Sexual Dysfunctions 524(2)

Variations in Sexual Orientation 526(4)

Homosexuality 526(2)

Transgenderism 528(1)

Bisexuality 529(1)

Sexually Transmitted Diseases 530(3)

Summary and Key Points 533(7)

Chapter 20 Eating Disorders 540(24)

Introduction 541(1)

Epidemiological Factors 541(1)

Application of the Nursing Process 542(10)

Background Assessment Data (Anorexia Nervosa) 542(1)

Background Assessment Data (Bulimia Nervosa) 542(2)

Background Assessment Data (Obesity) 544(3)

Diagnosis/Outcome Identification 547(1)

Planning/Implementation 547(5)

Client/Family Education 552(1)

Evaluation 552(1)

Treatment Modalities 552(6)

Behavior Modification 552(3)

Individual Therapy 555(1)

Family Therapy 555(1)

Psychopharmacology 556(2)

Summary and Key Points 558(6)

Chapter 21 Personality Disorders 564(37)

Introduction 565(1)

Historical Aspects 566(1)

Types of Personality Disorders 567(6)

Paranoid Personality Disorder 567(1)

Schizoid Personality Disorder 568(1)

Schizotypal Personality Disorder 568(1)

Antisocial Personality Disorder 569(1)

Borderline Personality Disorder 569(1)

Histrionic Personality Disorder 569(1)

Narcissiistic Personality Disorder 570(1)

Avoidant Personality Disorder 571(1)

Dependent Personality Disorder 571(1)

Obsessive-Compulsive Personality Disorder 572(1)

Passive-Aggressive Personality Disorder 573(1)

Application of the Nursing Process 573(17)

Borderline Personality Disorder (Background Assessment Data) 573(3)

Diagnosis/Outcome Identification 576(1)

Planning/Implementation 577(1)

Evaluation 577(4)

Antisocial Personality Disorder (Background Assessment Data) 581(3)

Diagnosis/Outcome Identification 584(1)

Planning/Implementation 584(4)

Evaluation 588(2)

Treatment Modalities 590(3)

Interpersonal Psychotherapy 590(1)

Psychoanalytical Psychotherapy 590(1)

Milieu or Group Therapy 590(1)

Cognitive/Behavioral Therapy 590(1)

Dialectical Behavior Therapy 590(1)

Psychopharmacology 591(2)

Summary and Key Points 593(8)

Unit Four PSYCHIATRIC MENTAL HEALTH NURSING OF SPECIAL POPULATIONS

Chapter 22 Children and Adolescents 601(45)

Introduction 602(1)

Mental Retardation 602(4)

Etiological Implications 602(1)

Application of the Nursing Process to Mental Retardation 603(3)

Autistic Disorder 606(4)

Clinical Findings 606(1)

Epidemiology and Course 606(1)

Etiological Implications 607(1)

Application of the Nursing Process to Autistic Disorder 607(1)

Psychopharmacological Intervention for Autistic Disorder 608(2)

Attention Deficit-Hyperactivity Disorder 610(11)

Clinical Findings, Epidemiology, and Course 610(1)

Etiological Implications 611(2)

Application of the Nursing Process to ADHD 613(2)

Psychopharmacological Intervention for ADHD 615(6)

Conduct Disorder 621(4)

Etiological Implications 621(1)

Application of the Nursing Process to Conduct Disorder 622(3)

Oppositional Defiant Disorder 625(4)

Clinical Findings, Epidemiology, and Course 625(1)

Etiological Implications 625(1)

Application of the Nursing Process to ODD 626(3)

Tourette's Disorder 629(4)

Clinical Findings, Epidemiology, and Course 629(1)

Etiological Implications 629(1)

Application of the Nursing Process to Tourette's Disorder 630(3)

Separation Anxiety Disorder 633(4)

Clinical Findings, Epidemiology, and Course 633(1)

Etiological Implications 633(1)

Application of the Nursing Process to Separation Anxiety Disorder 634(3)

General Therapeutic Approaches 637(2)

Behavior Therapy 637(1)

Family Therapy 637(2)

Group Therapy 639(1)

Psychopharmacology 639(1)

Summary and Key Points 639(7)

Chapter 23 Victims of Abuse or Neglect 646(23)

Introduction 647(1)

Etiological Implications 647(3)

Biological Theories 648(1)

Psychological Theories 648(1)

Sociocultural Theories 648(2)

Application of the Nursing Process 650(10)

Background Assessment Data 650(7)

Diagnosis/Outcome Identification 657(1)

Planning/Implementation 657(1)

Evaluation 657(3)

Treatment Modalities 660(3)

Crisis Intervention 660(2)

The Safe House or Shelter 662(1)

Family Therapy 662(1)

Summary and Key Points 663(6)

Chapter 24 The Aging Individual 669(33)

Introduction 670(1)

How Old is Old? 670(1)

Epidemiological Statistics 671(1)

The Population 671(1)

Marital Status 671(1)

Living Arrangements 671(1)

Economic Status 672(1)

Employment 672(1)

Health Status 672(1)

Theories of Aging 672(2)

Biological Theories 672(1)

Psychosocial Theories 673(1)

The Normal Aging Process 674(7)

Biological Aspects of Aging 674(3)

Psychological Aspects of Aging 677(2)

Sociocultural Aspects of Aging 679(1)

Sexual Aspects of Aging 680(1)

Special Concerns of the Elderly Population 681(6)

Retirement 681(2)

Long-Term Care 683(1)

Elder Abuse 684(2)

Suicide 686(1)

Application of the Nursing Process 687(8)

Assessment 687(1)

Diagnosis/Outcome Identification 687(2)

Planning/Implementation 689(1)

Evaluation 689(6)

Summary and Key Points 695(7)

Chapter 25 Community Mental Health Nursing 702(33)

Introduction 703(1)

The Changing Focus of Care 703(1)

The Public Health Model 704(2)

The Community as Client 706(23)

Primary Prevention 706(5)

Secondary Prevention 711(3)

Tertiary Prevention 714(15)

Summary and Key Points 729(6)

Chapter 26 The Bereaved Individual 735(23)

Introduction 736(1)

Theoretical Perspectives on Loss and Bereavement 736(5)

Stages of Grief 736(5)

Length of the Grief Process 741(1)

Anticipatory Grief 741(1)

Maladaptive Responses to Loss 741(2)

Delayed or Inhibited Grief 742(1)

Distorted (Exaggerated) Grief Response 742(1)

Chronic or Prolonged Grieving 742(1)

Normal Versus Maladaptive Grieving 742(1)

Application of the Nursing Process 743(4)

Background Assessment Data: Concepts of Death---Developmental Issues 743(1)

Background Assessment Data: Concepts of Death---Cultural Issues 744(2)

Nursing Diagnosis/Outcome Identification 746(1)

Planning/Implementation 747(1)

Evaluation 747(1)

Additional Assistance 747(5)

Hospice 747(4)

Advance Directives 751(1)

Summary and Key Points 752(6)
Appendix A DSM-IV-TR Classification: Axes I and II Categories and Codes 758(7)
Appendix B NANDA Nursing Diagnoses: Taxonomy II 765(4)
Appendix C Assigning Nursing Diagnoses to Client Behaviors 769(2)
Appendix D Mental Status Assessment 771(4)
Appendix E Glossary 775(15)
Appendix F Answers to Review Questions 790(4)
Index 794