Nursing Diagnoses and Process in Psychiatric Mental Health Nursing

Part 1 Concepts of mental health and mental illness: major views of mental health and mental illness; the problem; neurobiological approach; stress-adaptation approach; psychodynamic approach; interpersonal approach; ego development approach; behaviourist approach; humanistic-existential approach; family approach; group approach. Part 2 Therapeutic relationship: the one-to-one nurse-patient relationship; principles and strategies for developing and maintaining a therapeutic nurse-patient relationship. Part 3 Initial psychiatric assessment of the adult: conceptual frameworks for psychiatric nursing practice; initial psychiatric assessment of the adult patient; the mental status examination; the multiaxial evaluation system of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III-R); psychological testing. Part 4 Nursing diagnoses in caring for the psychiatric patient: aggression, anxiety; communication, impaired; coping, defensive; coping, ineffective individual; crisis, situational; decisional conflict; depression; family processes, altered; grieving, anticipatory and grieving, dysfunctional; manipulation; powerlessness; ritualistic behaviour; self-esteem distrubance; sexual dysfunction; social interaction, impaired; suicide, potential; thought processes, altered (acute confusion, delusions, hallucinations, suspiciousness). Part 5 Major nursing interventions: advocacy; assertiveness training; communication techniques; contracting; crisis intervention; decision making; discharge planning; education, family education; milieu therapy; protective interventions; reality orientation; social skills training; stress management; supportive therapy; group treatment. Part 6 Major psychiatric disorders: organic mental syndromes and disorders; delusional paranoid) disorder and psychotic disorders (not elsewhere classified); anxiety disorders and adjustment disorders with anxious features; somatoform disorders; dissociative disorders; personality disorders. Part 7 Administration of drug therapy: areas for nursing assessment; antipsychotic drugs; anticholinergic drugs; antimanic drugs; antianxiety drugs.