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The fifth edition of Psychiatric–Mental Health Nursing maintains a strong student focus, presenting sound nursing theory, therapeutic modalities, and clinical applications across the treatment continuum. The chapters are short and the writing style is direct in order to facilitate reading comprehension and student learning. This text uses the nursing process framework and emphasizes assessment, therapeutic communication, neurobiologic theory, and pharmacology throughout. Interventions focus on all aspects of client care, including communication, client and family education, and community resources, as well as their practical application in various clinical settings. This new edition is supported with an ancillary package designed to assist instructors with course planning and execution, and student evaluation, and to assist students with comprehensive knowledge synthesis. ORGANIZATION OF THE TEXT Unit 1: Current Theories and Practice provides a strong foundation for students. It addresses current issues in psychiatric nursing as well as the many treatment settings in which nurses encounter clients. It discusses thoroughly neurobiologic theories, psychopharmacology, and psychosocial theories and therapy as a basis for understanding mental illness and its treatment. Unit 2: Building the Nurse–Client Relationship presents the basic elements essential to the practice of mental health nursing. Chapters on therapeutic relationships and therapeutic communication prepare students to begin working with clients both in mental health settings and in all other areas of nursing practice. The chapter on the client’s response to illness provides a framework for understanding the individual client. An entire chapter is devoted to assessment, emphasizing its importance in nursing. Unit 3: Current Social and Emotional Concerns covers topics that are not exclusive to mental health settings, including legal and ethical issues; anger, aggression, and hostility; abuse and violence; and grief and loss. Nurses in all practice settings find themselves confronted with issues related to these topics. Additionally, many legal and ethical concerns are interwoven with issues of violence and loss. Unit 4: Nursing Practice for Psychiatric Disorders covers all the major categories identified in the DSM-IV-TR. Each chapter provides current information on etiology, onset and clinical course, treatment, and nursing care. PEDAGOGICAL FEATURES Psychiatric–Mental Health Nursing incorporates several pedagogical features designed to facilitate student learning: • Learning Objectives focus the students’ reading and study. • Key Terms identify new terms used in the chapter. Each term is identified in bold and defined in the text. • Application of the Nursing Process sections use the assessment framework presented in Chapter 8, so students can compare and contrast various disorders more easily. • Critical Thinking Questions stimulate students’ thinking about current dilemmas and issues in mental health. • Key Points summarize chapter content to reinforce important concepts. • Chapter Study Guides provide workbook-style questions for students to test their knowledge and understanding of each chapter. SPECIAL FEATURES • Clinical Vignettes are provided for each major disorder discussed in the text to “paint a picture” for better understanding. • Drug Alerts highlight essential points about psychotropic drugs. • Cultural Considerations sections appear in each chapter, as a response to increasing diversity. • Therapeutic dialogues give specific examples of nurse– client interaction to promote therapeutic communication skills. • Internet Resources to further enhance study are located at the end of each chapter. • Client/Family Teaching boxes provide information that help strengthen students’ roles as educators. • Symptoms and Interventions are highlighted for chapters in Units 3 and 4. • Sample Nursing Care Plans are provided for chapters in Units 3 and 4. • Self-Awareness features appear at the end of each chapter, which encourage students to reflect on themselves, their emotions, and their attitudes as a way to foster both personal and professional development ANCILLARY PACKAGE FOR THE FIFTH EDITION Faculty This fifth edition comes with a collection of ancillary materials designed to help you plan class and clinical learning activities and evaluate students’ learning. The Instructor Resource DVD-ROM contains information and activities that will help you engage your students throughout the semester, including • PowerPoint Slides • Image Bank • Test Generator Additional content and technology resources are available online at ThePoint —http://thepoint.lww.com—allowing instructors easy access to an extensive selection of materials for each chapter, including • Pre-lecture Quizzes • Discussion Topics • Written, Group, Clinical, and Web Assignments • Guided Lecture Notes • Online eBook • Journal Articles Students Free and bound in the book, the fifth edition DVD-ROM supplies the following learning tools: • Movie-Viewing Guides highlighting films depicting individuals with mental health disorders and providing students the opportunity to approach nursing care related to mental health and illness in a novel way. • Clinical Simulations on Schizophrenia, Depression, and the Acutely Manic Phase that walk students through case studies and put them in real-life situations. • Drug Monographs of commonly prescribed psychotropic drugs. These and other valuable student resources, including NCLEX-style psychiatric nursing questions designed to help students prepare to face exams armed with confidence and knowledge, are also available on ThePoint —http:// thepoint.lww.com. As always, I am grateful to all the nursing students who contribute to this book in more ways than they might imagine. Their continued questions and feedback guide me to keep this text useful, easy to read and understand, and focused on student learning. I want to thank the people at Lippincott Williams & Wilkins for their valuable assistance in making this textbook a reality. Their contributions to its success are greatly appreciated. I thank Jean Rodenberger, Katherine Burland, Laura Scott, and Cynthia Rudy for a job well done once again. My friends, Sheri and Beth, continue to listen, support, and encourage me in all that I do while keeping me from taking myself too seriously. And the women in my neighborhood who help me to laugh and enjoy life––their support is greatly appreciated.