Cover image for Mental health and mental illness
Mental health and mental illness
Barry, Patricia D.
Personal Author:
Fourth edition.
Publication Information:
Philadelphia : Lippincott, [1990]

Physical Description:
xvi, 348 pages ; 23 cm
Format :


Call Number
Material Type
Home Location
Item Holds
RC454.4 .B372 1990 Adult Non-Fiction Central Closed Stacks

On Order



Now in its Seventh Edition, this psychiatric and mental health nursing text covers both care of patients with psychiatric disorders and the psychosocial aspects of physiological disorders. Geared toward LPN/LVN students, the book's format reflects the nursing model and the shift of psychiatric nursing care from hospitals to community-based settings. New content includes care planning and psychotropic drug monitoring and the DSM-IV-TR. Other features include an increased emphasis on communication, and a family and resource support list that includes selected Web resources. End-of-chapter review questions allow the reader to balance knowledge-based, analysis and application questions. The Ancillary package consists of a printed Instructor's Manual and Test Bank on disk.

Table of Contents

Unit 1 Patterns of Mental Health Carep. 1
1 Current and Evolving Patterns of Mental Health Carep. 3
History of Mental Health Carep. 3
Changing Patterns of Mental Health Care Deliveryp. 5
Changes in Inpatient Mental Health Treatmentp. 7
Importance of Economic Factors in Decision Making About Mental Health Treatmentp. 8
2 The Roles of the Nurse in Different Mental Health Settingsp. 13
Concepts of Nursing Practicep. 14
Roles and Functions of the Licensed Practical and Vocational Nursep. 16
Types of Nursing Roles in Mental Health Settingsp. 17
The Role of the LPN/LVN in Different Settingsp. 19
3 Inpatient Hospitalization: The Mental Health Treatment Team and the Therapeutic Milieup. 23
Preliminary Care Planning in the Inpatient Treatment Settingp. 24
Critical Pathsp. 25
The Mental Health Treatment Teamp. 25
Communication Within the Treatment Teamp. 27
The Therapeutic Milieup. 28
Therapeutic Team Treatmentp. 29
4 Community-Based Treatment Settings for Mental Disordersp. 33
Community Mental Health Centersp. 35
The Homeless and Mental Illnessp. 37
Assertive Community Treatmentp. 38
5 Home Care Setting: Client and Family Issuesp. 43
The New Option of Home Care for Treatment of Mental Disordersp. 44
The Philosophy of Home Care Nursingp. 44
Basic Principles of Mental Health Rehabilitationp. 47
Criteria for Assessment of Safe Mental Health Home Carep. 47
Home Care Services for the Person in a Mental Health Crisisp. 48
Collaborative Care With Other Health Care Disciplinesp. 50
6 Professional, Legal, and Ethical Issues in Mental Health Nursingp. 55
The Code for Nursesp. 55
The Code for Licensed Practical/Vocational Nursesp. 56
Nursing Practice Standards for the Licensed Practical Nursep. 57
Standards of Psychiatric-Mental Health Clinical Nursing Practicep. 59
Legal Aspects of Mental Health Nursingp. 60
The Ethics of Nursing Practicep. 63
Unit 1
Developing Critical Thinking Skills Through Class Discussionp. 67
Case Studyp. 67
Discussion Questionsp. 67
Unit 2 Foundations of the Therapeutic Relationshipp. 69
7 Communicating in the Therapeutic Relationshipp. 71
Important Elements in a Therapeutic Relationshipp. 72
Important Personal Qualities in a Therapeutic Relationshipp. 78
Communication Patterns in the Counseling Relationshipp. 78
Other Aspects of the Therapeutic Relationshipp. 80
8 Theories and Stages of Personality Developmentp. 85
Heredityp. 86
Developmental Stagesp. 88
Development of Needsp. 89
Hierarchy of Human Needsp. 90
Personality Development and Learningp. 93
The Egop. 94
Levels of Consciousnessp. 95
Conflictp. 96
Factors in Personality Developmentp. 97
Theories of Personality Developmentp. 98
Erikson's Concept of Personality Developmentp. 99
9 Influences of Family and Social Environment on the Individualp. 107
General Systems Theoryp. 109
Systems, Subsystems, and Supersystemsp. 109
Concepts in Family System Functioningp. 112
Effects of Mental Illness on Family Dynamicsp. 114
Unit 2
Developing Critical Thinking Skills Through Class Discussionp. 120
Case Studyp. 120
Discussion Questionsp. 120
Unit 3 Foundations of Decision Making in the Mental Health Settingp. 121
10 Nursing Process in the Mental Health Settingp. 123
Assessmentp. 124
Nursing Diagnosisp. 126
Collaborative Problemsp. 130
Planningp. 132
Implementation and Interventionp. 133
The Importance of Documenting Nursing Actions in the Nursing Care Plan and Patient Notesp. 139
11 Human Emotionsp. 145
Physiologic Responsesp. 146
Control of Emotionsp. 147
Commonly Experienced Emotional Statesp. 148
12 Stress: Effective Coping and Adaptationp. 157
The Coping Processp. 159
The Effects of Coping on Mental and Physical Healthp. 162
Life Events That Contribute to the Stress Responsep. 163
Effective Coping Factorsp. 166
13 Stress: Ineffective Coping and Defense Mechanismsp. 171
How Defense Mechanisms Form a Response to Ineffective Copingp. 173
Types of Defense Mechanismsp. 175
General Adaptation Syndromep. 179
Types of Behaviorp. 179
14 The Mental Status Examp. 185
Level of Awareness and Orientationp. 187
Appearance and Behaviorp. 187
Speech and Communicationp. 189
Mood or Affectp. 189
Thinkingp. 190
Perceptionp. 191
Memoryp. 192
Judgmentp. 192
Mental Status Exam in Outpatient Carep. 192
Unit 3
Developing Critical Thinking Skills Through Class Discussionp. 196
Case Studyp. 196
Discussion Questionsp. 196
Unit 4 Nursing the Client With a Mental Disorderp. 197
15 The Client With a Mood Disorderp. 199
Mood Episodesp. 200
Depressive Disordersp. 203
Bipolar Disorderp. 204
Cyclothymic Disorderp. 205
Nursing Care of Clients With Mood Disordersp. 206
16 The Client With an Anxiety Disorderp. 215
Anxiety Disordersp. 218
Nursing Care of Clients With Anxiety Disordersp. 225
Somatoform Disordersp. 226
Nursing Care of Clients With Somatoform Disordersp. 228
17 The Client With Delirium, Dementia, Alzheimer's, and Other Cognitive Disordersp. 235
Deliriump. 238
Dementiap. 240
Other Cognitive Disordersp. 242
Physical Conditions That Can Cause Mental Disordersp. 245
18 The Client With Schizophrenia and Other Psychotic Disordersp. 257
Schizophrenic Disordersp. 258
Schizophreniap. 261
Delusional Disordersp. 268
Other Psychotic Disordersp. 270
19 The Client Who Is Contemplating Suicidep. 277
Clinical Issues Associated With Risk of Completed Suicidep. 278
Risk Factors for Suicidep. 280
Treatment for Suicidal Ideation, Plan, or Attemptp. 282
Nursing Diagnosis Categories Related to Client Who Is Contemplating Suicidep. 283
20 The Client With a Substance-Related Mental Disorderp. 291
Etiologic Factors in Substance Usep. 292
Substance Use Disordersp. 293
Alcohol-Related Disordersp. 295
Amphetamine-Related Disorderp. 298
Cannabis-Related Disorderp. 299
Cocaine-Related Disorderp. 300
Hallucinogen-Related Disorderp. 300
Nicotine-Related Disorderp. 300
Opioid-Related Disorderp. 301
Phencyclidine-Related Disorderp. 302
Sedative-Hypnotic-Related Disorderp. 302
Nursing Care of Clients With Substance-Related Disordersp. 304
21 The Client With a Personality Disorderp. 311
Paranoid Personality Disorderp. 312
Schizoid Personality Disorderp. 313
Schizotypal Personality Disorderp. 313
Antisocial Personality Disorderp. 314
Borderline Personality Disorderp. 315
Histrionic Personality Disorderp. 315
Narcissistic Personality Disorderp. 315
Avoidant Personality Disorderp. 316
Dependent Personality Disorderp. 316
Obsessive-Compulsive Personality Disorderp. 316
Personality Disorder Not Otherwise Specifiedp. 316
Treatment of Personality Disordersp. 317
22 The Client With an Eating Disorderp. 323
Types of Eating Disordersp. 324
Medical Risk Factors With Severe Eating Disordersp. 328
Treatment Options for Eating Disordersp. 328
Nursing Care of the Client With an Eating Disorderp. 330
23 The Infant, Child, or Adolescent With a Developmental Disorderp. 335
Types of Developmental Disordersp. 336
Attention Deficit/Hyperactivity Disorderp. 337
Disruptive Behavior Disorderp. 340
Unit 4
Developing Critical Thinking Skills Through Class Discussionp. 346
Case Studyp. 346
Discussion Questionsp. 346
Unit 5 Intervention and Treatment of Mental Disordersp. 347
24 Crisis Interventionp. 349
Sequence of Developments Following a Critical Eventp. 350
Categories of Crisisp. 351
Treatment Sites for Crisis Interventionp. 356
The Use of Nursing Process With Clients in Crisisp. 358
25 Nursing Care of the Older Adult With a Mental Disorderp. 363
Effects of Loss on the Older Adultp. 364
The Most Common Psychosocial Disorders of the Agedp. 364
Nursing Care of the Older Adult With Depressionp. 365
Nursing Care of the Older Adult With Cognitive Impairmentp. 367
Nursing Care of the Older Adult With Insomniap. 369
Nursing Care of the Older Adult With Decrease in Social and Daily Living Skillsp. 369
Nursing Care of the Older Adult With Stress Reactionsp. 370
26 Milieu Therapy and Behavior Modificationp. 377
The Therapeutic Milieup. 378
The Treatment Modelp. 380
Behavior Modificationp. 383
27 Group Therapyp. 391
Early Socialization in Groupsp. 392
The Purpose of Groups in the Therapeutic Settingp. 392
The Purpose of Groups in the Community Settingp. 393
The Nurse's Role in Group Therapyp. 393
Types of Group Therapyp. 394
Formation of the Groupp. 397
Leadership Stylep. 397
The Group Processp. 398
28 Psychopharmacology and Electroconvulsive Treatment of Mental Disordersp. 403
General Considerations About Psychopharmacologyp. 404
Major Drug Categoriesp. 405
Adverse Effects of Psychotropic Medicationsp. 417
The Role of the Licensed Practical Nurse in Administering Psychotropic Medicationsp. 418
Legal Issues in Administering Psychotropic Medicationsp. 419
Electroconvulsive Therapyp. 420
29 Complementary Health Approaches: Therapies and Philosophy in Mental Health Treatment Settingsp. 427
Complementary Therapiesp. 428
What Types of Complementary Therapies Have Been Found Effective With Mental Disorders?p. 429
Current Use of Complementary Methods in Mental Health Settingsp. 431
Using Systems Theory in Holistic Nursing Carep. 434
The Importance of Potential for Change in the Clientp. 434
Change Theoryp. 435
Guidelines for Holistic Relationshipsp. 435
Unit 5
Developing Critical Thinking Skills Through Class Discussionp. 445
Case Studyp. 445
Discussion Questionsp. 445
Answers to Chapter Questionsp. 447
Glossaryp. 449
Appendix A Barry Psychosocial Assessmentp. 474
Appendix B North American Nursing Diagnosis Association (NANDA) Nursing Diagnoses: Definitions and Classificationp. 483
Appendix C DSM-IV Classificationsp. 486
Indexp. 497