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**Impetigo** is a cutaneous bacterial infection that occurs on the upper surface of the skin [\(Figure 40.8\)](#page-1071-1). Typically, impetigo is seen in infants and children, although it may occasionally be seen in adults. The causative organisms are most often Staphylococcus aureus and Streptococcus pyogenes bacte... | {
"Header 1": "CHAPTER 40 Dermatologic Disorder Drugs",
"Header 2": "**Cutaneous Warts**",
"Header 3": "**Impetigo**",
"token_count": 287,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Pharmacology-WEB.pdf"
} |
**Rosacea** is a skin condition that develops from an inflammatory process, causing redness, swelling, prominent small vessels, and papular lesions on the face [\(Figure 40.9](#page-1072-0)). Metronidazole, an antifungal, is used in the treatment of rosacea to reduce redness and inflammatory lesions. Nurses should note... | {
"Header 1": "CHAPTER 40 Dermatologic Disorder Drugs",
"Header 2": "**Cutaneous Warts**",
"Header 3": "**Rosacea**",
"token_count": 956,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Pharmacology-WEB.pdf"
} |
The greatest risk from minor burns is infection. Because a burn removes layers of skin, an open lesion forms, breaking the skin's integrity and allowing bacteria and other organisms to enter the client's body. Silver sulfadiazine and mafenide acetate are two topical anti-infectives used in the treatment and prevention ... | {
"Header 1": "CHAPTER 40 Dermatologic Disorder Drugs",
"Header 2": "**Topical Anti-infectives for Burns**",
"token_count": 346,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Pharmacology-WEB.pdf"
} |
#### **LEARNING OBJECTIVES**
By the end of this section, you will be able to:
- Compare and contrast psychiatric-mental health to psychiatric-mental illness
- List standard nursing practices in psychiatric mental health
It is important for nurses to understand the line between mental health and mental illness. Th... | {
"Header 1": "**1.1 Mental Health and Mental Illness**",
"token_count": 812,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### Stress and Physical Response
The body's response to stress, often called the fight-or-flight response, can initiate both physical and psychological symptoms. The fight-or-flight response is triggered when a stressful situation puts hormones into overdrive. Even if the stress is not life-threatening, this respons... | {
"Header 1": "PSYCHOSOCIAL CONSIDERATIONS",
"token_count": 931,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
What Is the Clinical Judgment Measurement Model (CJMM)?
Designed by the National Council of State Boards of Nursing (NCSBN), the CJMM measures a nursing licensure candidate's ability to exercise sound clinical judgment and decision-making. Grounded in the nursing process, the CJMM includes six components: (1) recogni... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "CLINICAL JUDGMENT MEASUREMENT MODEL",
"token_count": 418,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
The full scope of psychiatric nursing [\(https://openstax.org/r/77fullscope\)](https://openstax.org/r/77fullscope) can be accessed on the American
Psychiatric Nurses Association website.
Nursing assessments related to mental health disorders differ from physiological assessments because they have a greater focus on... | {
"Header 1": "LINK TO LEARNING",
"token_count": 473,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### Competency: Description of QSEN Competencies
The references to Quality and Safety Education for Nurses (QSEN) competencies throughout this text refer to the educational repository created through funding by the Robert Wood Johnson Foundation to provide evidence-based teaching resources for nursing curricula. Thi... | {
"Header 1": "CLINICAL SAFETY AND PROCEDURES (QSEN)",
"token_count": 564,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
By the end of this section, you will be able to:
- Discuss various risk factors of psychiatric-mental illness
- Describe various protective factors for psychiatric-mental illness
- Identify nursing implications associated with risk and protection factors
A **risk factor** increases the chances of developing a menta... | {
"Header 1": "**1.2 Risk and Protective Factors of Mental Health**",
"Header 3": "**LEARNING OBJECTIVES**",
"token_count": 204,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Mental health researchers have developed several theories to explain the causes of mental health disorders, but
they have not reached consensus [Figure 1.5](#page-28-0). One point on which they agree is that an individual is not at fault for the condition; they cannot simply turn symptoms on or off at will. There are... | {
"Header 1": "**1.2 Risk and Protective Factors of Mental Health**",
"Header 3": "**Risk Factors**",
"token_count": 2031,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
The culture of a client influences many aspects of mental health and mental illness. Be mindful, however, that general statements about cultural characteristics of a given group may also invite stereotyping. Cultural information should not be broadly applied to any individual member of a racial, ethnic, or cultural gro... | {
"Header 1": "CULTURAL CONTEXT",
"Header 3": "Cultural Influences on Mental Health and Mental Illness",
"token_count": 644,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### Older Adult Risk Factors for Psychiatric-Mental Illness
Risk factors for mental disorders in older adults include being female, loneliness, alcohol abuse, lack of education, financial difficulties, family history of mental diseases, and severe physical disease. In addition, adults with serious mental illness ove... | {
"Header 1": "LIFE-STAGE CONTEXT",
"token_count": 551,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
The Mayo Clinic provides a list of mental illness risk factors [\(https://openstax.org/r/77riskfactors\)](https://openstax.org/r/77riskfactors) with more information about mental illness symptoms, causes, treatment, and resources.
#### **Protective Factors**
There is a link between protective factors and resilience... | {
"Header 1": "LINK TO LEARNING",
"token_count": 2045,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **Nursing Implications Associated with Factors of Risk or Protection**
As the nurse completes a full assessment of the client, using purposeful questions and active listening are important parts of the process. The nurse must maintain a nonjudgmental attitude during the assessment (Higgins et al., 2015). The a... | {
"Header 1": "LINK TO LEARNING",
"token_count": 753,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **LEARNING OBJECTIVES**
By the end of this section, you will be able to:
- Discuss stigma surrounding psychiatric-mental health and illness
- Explain the importance of representation and acceptance of mental health in the community
- Describe the nurse's role in stigma reduction
According to the National All... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**1.3 Mental Health Stigma**",
"token_count": 656,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### Stigma
To fully understand the impact of stigma, it is important to understand several types: self-stigma, public stigma, and institutional stigma. There is also a fourth type of stigma relating to the caretakers of people with mental illness, internalized stigma or affiliated stigma (Kaggwa et al., 2023). Publi... | {
"Header 1": "PSYCHOSOCIAL CONSIDERATIONS",
"token_count": 1963,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
The Rural Health Information Hub provides [data and resources, including a Mental Health Toolkit](https://openstax.org/r/77MHTookit) [\(https://openstax.org/r/77MHTookit\)](https://openstax.org/r/77MHTookit) for communities in rural areas of the United States. The site is supported by the Health Resources and Services ... | {
"Header 1": "LINK TO LEARNING",
"token_count": 230,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Stigma and negative attitudes toward mental illness can still be found among nurses. Several studies from a variety of countries indicated that health-care professionals can be classified in three categories in relation to stigma, including "stigmatizers," "the stigmatized," and "de-stigmatizers." Stigmatizers refer to... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**Nursing Implications**",
"token_count": 1136,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Mental illness is treatable. Research reveals that people with mental illness can get better, and many recover completely (Centers for Disease Control and Prevention, 2021a). The majority of individuals with mental illness continue to function in their daily lives. The term **recovery** refers to a process of change th... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**Principles of the Recovery Model**",
"token_count": 844,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Managed by the courts, compulsory detoxification centers in China have been criticized for human rights violations. However, community-based treatment and voluntary treatment with medical management also exist in the country. Yang and Giummarra (2021) propose evidence-based treatment while acknowledging the Chinese pop... | {
"Header 1": "CULTURAL CONTEXT",
"Header 3": "Cultural Views of Drug Use in China",
"token_count": 243,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
The five stages of recovery include starting treatment, mental illness education, making a change, finding new meaning, and sticking with recovery (Georgetown Behavioral Hospital, 2023) ([Figure 1.7\)](#page-42-0). While each stage builds on the prior one, it is important to remember that recovery itself is a nonlinear... | {
"Header 1": "CULTURAL CONTEXT",
"Header 3": "**Five Stages of the Psychiatric-Mental Health Recovery Model**",
"token_count": 1588,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### What Is Psychosocial Rehabilitation?
Psychosocial rehabilitation helps individuals develop the skills to live happily with the smallest amount of professional intervention manageable. Psychosocial rehabilitation uses two strategies: coping skills to empower the client to more successfully handle stressful situat... | {
"Header 1": "PSYCHOSOCIAL CONSIDERATIONS",
"token_count": 627,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **LEARNING OBJECTIVES**
By the end of this section, you will be able to:
- Identify credible sources of research evidence for psychiatric-mental health nursing
- Apply concepts of evidence-based practice (EBP) to psychiatric-mental health nursing
- Locate evidence on representation and acceptance of mental hea... | {
"Header 1": "**1.5 Integration of Research- and Evidence-Based Standards**",
"token_count": 565,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Application of evidence-based practice (EBP) concepts to psychiatric-mental health nursing begins with definitions. In both the clinical and research settings, defining the question requires delineating a particular problem that has been identified by the nurse (Bermudez, 2021). In the research sector, the question ari... | {
"Header 1": "**1.5 Integration of Research- and Evidence-Based Standards**",
"Header 3": "**Applying EBP to Psychiatric-Mental Health Nursing**",
"token_count": 1700,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Often, an evidence-based practice committee responds to client care questions that come up; members are assigned parts of the research process and share all of the information in order to make an informed decision. They can then base interventions on that new information, try them with the client, and evaluate outcomes... | {
"Header 1": "LINK TO LEARNING",
"token_count": 979,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
**FIGURE 2.1** Psychiatric-mental health nurses are important members of an interdisciplinary team that collaborates to evaluate and treat clients. (credit: U.S. Air Force photo/Staff Sgt. Lillian Moreno, Public Domain)
#### **CHAPTER OUTLINE**
- 2.1 [Psychoanalytic Theories and Thera... | {
"Header 1": "CHAPTER 2 Fundamentals of Theories and Therapies",
"token_count": 409,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **LEARNING OBJECTIVES**
By the end of this section, you will be able to:
- Define psychoanalytic theories and therapies
- Identify nursing applications of psychoanalytic theories and therapies
Dr. Sigmund Freud (1856–1939) was the founder of psychoanalysis and noted for his theory that provides explanation o... | {
"Header 1": "**2.1 Psychoanalytic Theories and Therapies**",
"token_count": 2038,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Interpersonal theories posit that personality development and mental health depend upon relationships between people. With the therapeutic relationship between nurse and client being so foundational to nursing practice, these theories resonate when nurses interact with clients. In fact, many interventions have been cre... | {
"Header 1": "**2.2 Interpersonal Theories and Therapies**",
"Header 3": "**Definitions**",
"token_count": 581,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Peplau's most lauded contribution to nursing is the application of interpersonal theory to anxiety. She described levels of anxiety as mild, moderate, severe, and panic on perception of learning ([Table 2.3\)](#page-66-0). She promoted and taught different strategies to lower anxiety to a level where the client could l... | {
"Header 1": "**2.2 Interpersonal Theories and Therapies**",
"Header 3": "**Nursing Application of Interpersonal Theories**",
"token_count": 1999,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **LEARNING OBJECTIVES**
By the end of this section, you will be able to:
- Define behavioral and cognitive behavioral theories and therapies
- Identify nursing application of behavioral and cognitive behavioral theories and therapies
Behavioral theory states that human responses can be retrained. Behavior th... | {
"Header 1": "**2.3 Cognitive Theories and Therapies**",
"token_count": 548,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
This fact sheet describes the core principles of CBT [\(https://openstax.org/r/77CBT\)](https://openstax.org/r/77CBT) and outlines treatment strategies.
#### **Essential Elements of Cognitive Behavioral Therapy**
CBT is based on the principle that how a person perceives life experiences or interprets events determi... | {
"Header 1": "LINK TO LEARNING",
"token_count": 855,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### QSEN Competency: Teamwork and Collaboration
The role of the nurse in caring for clients experiencing emotional stressors is related to primary nursing care, but in collaboration with interprofessional team members. As an interprofessional team member, the nurse may consult with psychiatrists, psychologists, lice... | {
"Header 1": "CLINICAL SAFETY AND PROCEDURES (QSEN)",
"token_count": 602,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### Adapted Cultural Formulation Interview for Children and Adolescents
The Cultural Formulation Interview (CFI) is a structured tool in the DSM-5, adaptable to the setting, and used to assess the influence of culture on a client's experience of distress (Jarvis et al., 2020). The following is an adapted version of ... | {
"Header 1": "CULTURAL CONTEXT",
"token_count": 705,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **LEARNING OBJECTIVES**
By the end of this section, you will be able to:
- Define humanistic theories and therapies
- Identify nursing application of humanistic theories and therapies
Humanistic theory emerged after the concepts of psychoanalytic and behavioral theories. Humanistic theory states that persons... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**2.4 Humanistic Theories and Therapies**",
"token_count": 960,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **LEARNING OBJECTIVES**
By the end of this section, you will be able to:
- Define biological theories and therapies
- Identify nursing application of biological theories and therapies
From a biological perspective, psychiatric-mental health conditions are considered physiological disorders with a focus on th... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**2.5 Biological Theories and Therapies**",
"token_count": 1087,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Developmental theories seek to explain the process of a child's understanding. This process is investigated as occurring in steps or stages, or in a continual way through the life span.
#### **Jean Piaget**
Jean Piaget (1896–1980) was a Swiss psychologist and researcher. Piaget worked in a boys' school and scored t... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**Definitions**",
"token_count": 1298,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
In the article ["An Object Relations Approach to Cult Membership"](https://openstax.org/r/77psytherapy) (https://openstax.org/r/77psytherapy), the authors apply the theories of object relations to interactions throughout life that are guided by the earliest relationships.
#### **Lawrence Kohlberg**
Psychologist Law... | {
"Header 1": "LINK TO LEARNING",
"token_count": 846,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **LEARNING OBJECTIVES**
By the end of this section, you will be able to:
- Define holistic health-care theories and therapies, including social determinants of holistic health care
- Describe mindfulness as a type of holistic health care
- Identify nursing application of holistic theories
Holistic health car... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**2.7 Holistic Health and Interventions**",
"token_count": 372,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
The [Functional Analysis Screening Tool \(FAST\)](https://openstax.org/r/77FAST) (https://openstax.org/r/77FAST) is designed to identify a number of factors that may influence the occurrence of problem behaviors.
#### **Social Determinants and Associated Interventions: Healthy People 2030**
The conditions of the en... | {
"Header 1": "LINK TO LEARNING",
"token_count": 1445,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
**Nurse:** Karen B., MSN **Years in Practice**: 14 **Clinical Setting:** Community health clinic **Geographic Location:** Greensboro, NC
Fourteen years ago, when I began my career at a community mental health clinic, I worked with women who had experienced physical trauma from a partner. I felt a hesitancy from the c... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "REAL RN STORIES",
"token_count": 285,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
The Mindfulness Project [\(https://openstax.org/r/77mindproj\)](https://openstax.org/r/77mindproj) is a tool with numerous mindfulness activities.
#### **Guided Imagery**
Another form of mindfulness is **guided imagery**, which provides an alternate narration the mind can focus on during an unpleasant experience. A... | {
"Header 1": "LINK TO LEARNING",
"token_count": 651,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### Managing the Environment for the Therapeutic Interaction
- Select an area that provides few distractions, with comfortable seating or space to walk with the client, and enough privacy to protect the conversation without being isolated. This may be a conference room, with the door open, an area of the unit dayroo... | {
"Header 1": "PSYCHOSOCIAL CONSIDERATIONS",
"token_count": 555,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
The psychoanalytic theory from Sigmund Freud provides a foundation to understand psychiatric problems. This theory is the basis for the nurse to view the client through the lens of personality development and unconscious influences on behavior, and to incorporate this into the care of the client.
The id, ego, and sup... | {
"Header 1": "CLINICAL SAFETY AND PROCEDURES (QSEN)",
"Header 3": "**[2.1](#page-61-0) [Psychoanalytic Theories and Therapies](#page-61-0)**",
"token_count": 349,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Behavioral therapeutic interventions for emotional problems can include one or more of the following: milieu therapy, group therapy, family therapy, and forms of cognitive behavioral therapy. Goals of these therapies include awareness of emotions and modification of associated negative behaviors. Learned techniques ass... | {
"Header 1": "CLINICAL SAFETY AND PROCEDURES (QSEN)",
"Header 3": "**[2.3](#page-69-0) [Cognitive Theories and Therapies](#page-69-0)**",
"token_count": 348,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Developmental theories investigate human development through the life span. Theorists Jean Piaget, Margaret Mahler, and Lawrence Kohlberg all contributed developmental theories to explain how children develop throughout stages to reach a more complex way of thinking. Moral development also takes on more complex forms a... | {
"Header 1": "CLINICAL SAFETY AND PROCEDURES (QSEN)",
"Header 3": "**[2.6](#page-76-0) [Developmental Theories and Therapies](#page-76-0)**",
"token_count": 326,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
**acceptance and commitment therapy (ACT)** relies on positive reinforcement and counterconditioning **behavior therapy** method to change the person's responses to the environment, usually with reward systems **chlorpromazine** also known as Thorazine, a strong antipsychotic medication, first generation
- **cognitiv... | {
"Header 1": "CLINICAL SAFETY AND PROCEDURES (QSEN)",
"Header 3": "**Key Terms**",
"token_count": 947,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
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**FIGURE 3.1** Psychiatric-mental health nurses are important members of the interdisciplinary team that collaborates to evaluate and treat clients. (credit: U.S. Air Force photo/Staff Sgt. Lillian Moreno, Public Domain)
#### **CHAPTER OUTLINE**
- 3.1 [Therapeutic Communication and Re... | {
"Header 1": "CHAPTER 3 Communication, Perception, and Assessment",
"token_count": 296,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **LEARNING OBJECTIVES**
By the end of this section, you will be able to:
- Describe the significance of self-awareness in nursing practice
- Demonstrate therapeutic communication strategies and techniques when working with clients
- Identify barriers to therapeutic communication
- Discuss the therapeutic relat... | {
"Header 1": "**3.1 Therapeutic Communication and Relationships**",
"token_count": 840,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Psychiatric-mental health nurses can offer clients psychosocial support through the nurse's own self-awareness. As a nurse, use the Johari Window concepts to better understand your own behaviors and responses during interactions with clients and coworkers.
Examples:
- Nurse Janet is known as someone who comes to wo... | {
"Header 1": "PSYCHOSOCIAL CONSIDERATIONS",
"Header 3": "Applying the Johari Window in Nursing Practice",
"token_count": 399,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
This video explains how to use the Johari Window [\(https://openstax.org/r/77johariwin\)](https://openstax.org/r/77johariwin) to increase self-awareness and thereby improve communication with clients.
Reflection should accompany and enhance self-awareness. There are many models of self-reflection in the research. One... | {
"Header 1": "LINK TO LEARNING",
"token_count": 277,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Communication is an art and a science. When a nurse supports, draws out information for an assessment, or provokes deeper understanding on what a client is communicating, they are participating in **therapeutic communication**. Communication between the client and the nurse must be honest, ethical, and legal. The scien... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**Therapeutic Communication Strategies and Techniques**",
"token_count": 1239,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
As a nurse, it is important to be culturally sensitive with each client. There are certain cultural groups that, because of historical events or cultural mores, do not trust health providers and information; trust is built over time with health-care providers and nurses. When communicating with members of cultures that... | {
"Header 1": "CULTURAL CONTEXT",
"Header 3": "Trust and Health Communication",
"token_count": 2042,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Knowing what not to do is part of learning how to care for clients. Self-awareness and knowledge of these communication barriers can help nurses enhance their therapeutic communication techniques and form positive and productive nurse-client relationships.
#### **Therapeutic Nurse-Client Relationships**
A **thera... | {
"Header 1": "CULTURAL CONTEXT",
"Header 3": "Trust and Health Communication",
"token_count": 1980,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
**Nurse:** Sara, RN **Years in Practice:** 0 **Clinical Setting:** Adult psychiatric unit **Geographic Location:** Washington, DC
Sara is a novice nurse who recently began working in a psychiatric adult unit in Washington, DC. She finished orientation two weeks ago and has gone out with a few friends from work for di... | {
"Header 1": "REAL RN STORIES",
"token_count": 777,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **LEARNING OBJECTIVES**
By the end of this section, you will be able to:
- Discuss client beliefs about and stigmas associated with psychiatric-mental illness
- Identify factors that influence the perception of psychiatric-mental illness
- Review treatment compliance and resources for psychiatric-mental illnes... | {
"Header 1": "REAL RN STORIES",
"Header 3": "**3.2 Client Perception of Illness**",
"token_count": 220,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Where do people obtain or learn beliefs and attitudes in general? They come from numerous sources, including families, schools, workplaces, culture, society, and religion. Beliefs and attitudes are formed by those who teach, model, and influence people. Clients' beliefs about mental illness are often formed by societal... | {
"Header 1": "REAL RN STORIES",
"Header 3": "**Client Beliefs and Stigma**",
"token_count": 1667,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **LEARNING OBJECTIVES**
By the end of this section, you will be able to:
- Compare a physical head-to-toe nursing assessment to a psychiatric-mental health (PMH) physical nursing assessment
- Identify characteristics of a psychosocial assessment
- Describe the Clinical Judgment Measurement Model (CJMM) to reco... | {
"Header 1": "REAL RN STORIES",
"Header 3": "**3.3 Nursing Assessment and Clinical Tools**",
"token_count": 1044,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### QSEN Competency: Evidence-Based Practice (EBP)
The QSEN Competency for EBP involves delivering optimal health care by combining the best current evidence with the nurse's clinical expertise and client/family preferences and values. The nurse will:
- value the concept of EBP
- develop an individualized plan of ... | {
"Header 1": "CLINICAL SAFETY AND PROCEDURES (QSEN)",
"token_count": 1026,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
The Suicide Prevention Resource Center produced a [pocket card for the Suicide Assessment Five-Step Evaluation](https://openstax.org/r/77samhsa) and Triage (SAFE-T) [\(https://openstax.org/r/77samhsa\)](https://openstax.org/r/77samhsa) for use by health-care providers. It provides triage guidelines, documentation guide... | {
"Header 1": "LINK TO LEARNING",
"token_count": 1631,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **[3.1](#page-97-0) [Therapeutic Communication and Relationships](#page-97-0)**
Communication is an art and a science. The facets of communication—sender, message, channel or mode, recipient, feedback—are consistent, but the human component brings in other considerations like emotions, nonverbal cues, and bounda... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**Summary**",
"token_count": 407,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
**FIGURE 4.1** Psychiatric-mental health nurses are important members of an interdisciplinary team that collaborates to evaluate and treat clients. (credit: U.S. Air Force photo/Staff Sgt. Lillian Moreno, Public Domain)
#### **CHAPTER OUTLINE**
4.1 [Foundations of Neurobiology](#page... | {
"Header 1": "CHAPTER 4 Neurobiology and Pharmacological Standards",
"token_count": 418,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **LEARNING OBJECTIVES**
By the end of this section, you will be able to:
- Review the functions of the nervous system
- Describe the role of neurotransmitters in human behavior
- Explain the relationship between endocrine functioning and psychological and mental health disorders
In order to understand mental... | {
"Header 1": "CHAPTER 4 Neurobiology and Pharmacological Standards",
"Header 3": "**4.1 Foundations of Neurobiology**",
"token_count": 940,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
This Khan Academy video describing and illustrating [the structure and function of the nervous system](https://openstax.org/r/77NervSystem) [\(https://openstax.org/r/77NervSystem\)](https://openstax.org/r/77NervSystem) provides an excellent primer and/or review of the anatomy associated with psychopharmaceuticals.
##... | {
"Header 1": "LINK TO LEARNING",
"token_count": 1802,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
| Structure | | Function |
|-----------|---------------|-----------------------------------------------------------------------... | {
"Header 1": "LINK TO LEARNING",
"token_count": 2039,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
The more awake a human is, the greater demand or debt is required for sleep. The more that the human is asleep, the less demand for sleep there is. That process repeats every day.
**FIGURE 4.7** The suprachiasmatic nucleus sends signals to the pineal gland to regulate the circadian cycl... | {
"Header 1": "LINK TO LEARNING",
"token_count": 1502,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
To contextualize psychiatric disorders biologically and neurologically, it is important to consider both anatomical and
neuroendocrine perspectives, genetic determinants, and environmental influences. The **stress diathesis model** posits that there are genetic traits that, when combined with certain environmental in... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**PMH Disorders and Their Relationship to the Nervous System**",
"token_count": 584,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
The role of psychopharmacology formally began in the mid-20th century with the invention of chlorpromazine, first used to treat psychotic disorders. The emergence of this drug and further advances in science enabled clinicians to understand the etiology of mental illness better. Health-care providers who contemplate ps... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**The Biology of Psychopharmacology**",
"token_count": 2033,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
With the advent of chlorpromazine, the first generation of antipsychotics arrived. These medications included haloperidol, trifluoperazine, thioridazine, and fluphenazine. Classified as "first-generation antipsychotics or typical antipsychotics" in the 1950s, these medications primarily block dopamine receptors. The fi... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**The Biology of Psychopharmacology**",
"token_count": 2011,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### QSEN Competency: Client-Centered Care
Side effects of antipsychotic medications can occur at any stage of treatment and include the extrapyramidal symptoms (EPS), dystonia, tardive dyskinesia, akathisia, and anti-parkinsonian. Providing client-centered care involves assessing and identifying these adverse events... | {
"Header 1": "CLINICAL SAFETY AND PROCEDURES (QSEN)",
"token_count": 520,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Read this [research article reviewing assessment scales and describing the necessity of prevention and detection of](https://openstax.org/r/77MedSideEffect) medication side effects [\(https://openstax.org/r/77MedSideEffect\)](https://openstax.org/r/77MedSideEffect) to learn more. Nursing implications include accurate a... | {
"Header 1": "LINK TO LEARNING",
"token_count": 2023,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Drug contraindications include MAO inhibitors, and this drug should be used cautiously with other serotonergic medications because of the possibility of serotonin syndrome. Use is cautioned in people with narrow-angle glaucoma, due to mydriatic activity of the drug, which can increase intraocular pressure. Abrupt disco... | {
"Header 1": "LINK TO LEARNING",
"token_count": 665,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### Education on Psychopharmaceuticals
The nurse should work with the provider and team to ensure that the client:
- understands the need for their medications
- understands the side effects of the medications
- can afford the cost of medications
- can take the medications as seldom as possible, for example, one t... | {
"Header 1": "PSYCHOSOCIAL CONSIDERATIONS",
"token_count": 563,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### Psychopharmacology
The Clinical Judgment Measurement Model is an evidence-based model that identifies six cognitive skills needed to make appropriate clinical judgments. Consider these skills in the context of psychopharmacology.
A nurse works in a clinic with clients diagnosed with severe mental illness. Clie... | {
"Header 1": "PSYCHOSOCIAL CONSIDERATIONS",
"Header 3": "CLINICAL JUDGMENT MEASUREMENT MODEL",
"token_count": 1368,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Management of lithium levels involves understanding peak and trough levels. Review [the details of monitoring](https://openstax.org/r/77MonitorLith) lithium [\(https://openstax.org/r/77MonitorLith\)](https://openstax.org/r/77MonitorLith) from Psych Scene.
Lamotrigine and carbamazepine side effects are sedation, dizzi... | {
"Header 1": "LINK TO LEARNING",
"token_count": 1665,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### Medications for Older Adults
The American Geriatric Society publishes a guideline called the Beers Criteria for Potentially Inappropriate Medication Use in Older Adults, most often referred to as the Beers List. This evidenced-based approach provides information to health-care providers on the safe management of... | {
"Header 1": "LIFE-STAGE CONTEXT",
"token_count": 1506,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
This Berkeley Well-Being video discusses the details of fight or flight [\(https://openstax.org/r/77FightFlight\)](https://openstax.org/r/77FightFlight) as a normative response to a threat in the environment and its links to some mental health symptoms.
#### **Indications**
Non-stimulants and stimulants are indicat... | {
"Header 1": "LINK TO LEARNING",
"token_count": 604,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### Concordance and Motivational Interviewing for Medication Adherence
Adherence is behavior that coincides with prescribed medical health advice or plan of treatment. There are certain challenges to adherence to a plan that includes psychotropic medications: negative beliefs about the medication effectiveness, fami... | {
"Header 1": "PSYCHOSOCIAL CONSIDERATIONS",
"token_count": 229,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Alternative treatments are considered those that are done instead of the standard treatment procedures. For those who are engaged in mental health care, standardized treatment includes individual or group therapy, psychopharmaceutical treatments, and more intensive treatments, such as residential or in-client treatment... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**Alternative Treatments**",
"token_count": 2022,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Insurance companies and state and federal regulations have become increasingly supportive of internet-based mental health care, especially after the pandemic. There are several considerations before providers can engage in internet-based treatment. The services must be HIPAA-compliant, meaning that the providers' inter... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**Alternative Treatments**",
"token_count": 218,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **[4.1](#page-121-0) [Foundations of Neurobiology](#page-121-0)**
This section provided a review of the components and functions of the nervous system relative to mental health disorders nurses encounter in practice. It explained how neurotransmitters, like serotonin and dopamine, endocrine functioning, and horm... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**Summary**",
"token_count": 333,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **LEARNING OBJECTIVES**
By the end of this section, you will be able to:
- Describe the main types of treatment settings
- Identify advantages of each treatment setting
- Identify disadvantages of each treatment setting
The word milieu describes the environment in which mental health treatment occurs. There ... | {
"Header 1": "**5.1 Psychiatric-Mental Health Treatment Settings**",
"token_count": 287,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
The chosen site for the treatment is based on the type and acuity of a client's symptoms and the ability to treat them safely outside of the inpatient setting. More specifically, decisions about treatment environments are based on safety of the person and others, the person's mental capacity at the time of care, and, i... | {
"Header 1": "**5.1 Psychiatric-Mental Health Treatment Settings**",
"Header 3": "**Types of Treatment Settings**",
"token_count": 1980,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Core elements of the medical home model distinguish it from traditional primary care, such as:
- Clinical outreach: Outreach to people without homes, individuals in shelters, and to those in community locations, such as soup kitchens
- Low threshold access to care: Open access with walk-in capacity and flexible sched... | {
"Header 1": "**5.1 Psychiatric-Mental Health Treatment Settings**",
"Header 3": "**Types of Treatment Settings**",
"token_count": 544,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
This TED talk [\(https://openstax.org/r/77sangudelle\)](https://openstax.org/r/77sangudelle) discusses the use of digital tools to fight the stigma associated with getting mental health treatment.
#### **Telehealth Home Care Treatment**
COVID-19 led to increased availability of telehealth appointments both through ... | {
"Header 1": "LINK TO LEARNING",
"token_count": 2036,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### Overdoses in Native Americans
As the opioid crisis continues in the United States, nurses should be aware of the high overdose rates (OD) among Native Americans. Statistics of OD rates put this cultural group in second place, behind White people. The highest mortality rates are in Minnesota, Washington, Alaska, ... | {
"Header 1": "CULTURAL CONTEXT",
"token_count": 1340,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### QSEN Competencies: Client-Centered Care, Teamwork
A thirty-two-year-old female presents to the emergency department stating she has had a seizure and requests something for her "nerves." The client has a history of alcohol abuse, alcohol withdrawal, and does not have a permanent home. The client is admitted for ... | {
"Header 1": "CLINICAL SAFETY AND PROCEDURES (QSEN)",
"token_count": 575,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Group therapy serves many purposes for its participants: a place of belonging, a forum to share/learn new knowledge, an appropriate outlet, and an opportunity to practice supporting others and receiving support. A therapeutic group works as a unit to support its members and make them accountable for participation withi... | {
"Header 1": "**5.2 Group Therapy**",
"Header 3": "**Functions of a Group**",
"token_count": 215,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
A group starts with everyone agreeing on a like purpose or objective. Then, there are several important factors [\(Figure 5.3\)](#page-168-0) that further define how the group will operate and what it will look like when pursuing those objectives. These factors of group dynamics include roles, size, composition, leader... | {
"Header 1": "**5.2 Group Therapy**",
"Header 3": "**Group Dynamics**",
"token_count": 762,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### Analyze Cues: Leadership Styles in Group Settings
To understand how well the different leadership styles work within the group therapy intervention, nurses must be able to identify the types of leadership styles. Each style represents a different way that a group's leader will encourage members to interact with ... | {
"Header 1": "**5.2 Group Therapy**",
"Header 3": "CLINICAL JUDGMENT MEASUREMENT MODEL",
"token_count": 1354,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### Criteria for Client Placement in Group Therapy
Some criteria to consider before placing a client in group therapy include (1) the client's characteristics, needs, preferences, and stage of recovery; (2) the program resources; and (3) the nature of the group or groups available. Clients are matched with the type ... | {
"Header 1": "PSYCHOSOCIAL CONSIDERATIONS",
"token_count": 347,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### Overcoming Cultural Barriers
Nurses must recognize that cultural barriers can make or break the effectiveness of therapy. In "Overcoming Cultural Barriers on the Road to Recovery" (2021, October 7), Roselin Dueñas describes going to family therapy to deal with her mental health symptoms. "Being a gay, Latina wom... | {
"Header 1": "CULTURAL CONTEXT",
"token_count": 258,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **LEARNING OBJECTIVES**
By the end of this section, you will be able to:
- Describe a therapeutic community
- List conditions that promote a therapeutic community
- Identify members of the interdisciplinary treatment team
- Discuss the nurse's role in milieu therapy
When you think about community support sys... | {
"Header 1": "CULTURAL CONTEXT",
"Header 3": "**5.3 Community Support Systems**",
"token_count": 413,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
The underlying principle of a therapeutic community is that clients can use all the parts of the community in order to take care of themselves individually and collectively (Janeiro et al., 2018). Clients first learn how the community works, what is expected, and the intended goals for treatment. They then begin to int... | {
"Header 1": "CULTURAL CONTEXT",
"Header 3": "**Conditions That Promote Therapeutic Community**",
"token_count": 225,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Nurses constantly observe the ebb and flow of activity in the unit, quickly jumping into action at any indication of a change that may negatively affect the milieu to ensure the safety and therapeutic benefit of the milieu. The many roles of the registered nurse in milieu therapy include:
- demonstrating caring behav... | {
"Header 1": "CULTURAL CONTEXT",
"Header 3": "**The Nurse's Role in Milieu Therapy**",
"token_count": 267,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Recovery is a lifelong process for a person with psychiatric-mental health issues. Piat et al. (2011) state that there are two main parts to recovery: clinical recovery and personal recovery. Clinical recovery involves all the ways the clinicians rate a person's recovery over time, including "diagnosis, objective measu... | {
"Header 1": "**5.4 Family Support Systems**",
"Header 3": "**Family Support in PMH Recovery**",
"token_count": 285,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Family therapy is a special form of group therapy, consisting of one or more families. Although there are many theoretical orientations in family therapy, one of the most predominant is the systems approach. In this approach, the family is viewed as an organized system, and each individual within the family is a contri... | {
"Header 1": "**5.4 Family Support Systems**",
"Header 3": "**Key Concepts of Family Systems Therapy**",
"token_count": 350,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
Nurses help clients reach stability by building on the strengths of the family support system and understanding how they are connected to recovery and adapt to change. This [video on family systems theory](https://openstax.org/r/77famsystheory) (https://openstax.org/r/ [77famsystheory\)](https://openstax.org/r/77famsys... | {
"Header 1": "LINK TO LEARNING",
"token_count": 723,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
There are many types of psychiatric-mental health treatment settings, each with its own advantages and disadvantages. Treatment can happen in the community, in outpatient as well as in inpatient facilities. Clinicians and clients should work together to choose the least restrictive environment that meets the client's n... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**[5.1](#page-159-0) [Psychiatric-Mental Health Treatment Settings](#page-159-0)**",
"token_count": 560,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
**1**. Amber, a twenty-two-year-old female, has come to her primary care physician accompanied by her concerned mother. Amber's mother reports that she has been restricting her food intake in the past six months and appears to have lost a lot of weight. She has been avoiding family meals, exercising excessively, and st... | {
"Header 1": "LINK TO LEARNING",
"Header 3": "**What Should the Nurse Do?**",
"token_count": 1060,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
#### **LEARNING OBJECTIVES**
By the end of this section, you will be able to:
- Describe the phases of the nurse-client relationship
- Discuss the importance of building trust and rapport between the nurse and client
- Describe boundaries and how to maintain a professional nurse-client relationship
Establishment ... | {
"Header 1": "CHAPTER 6 Therapeutic Relationships",
"Header 3": "**6.1 Nurse-Client Relationship**",
"token_count": 299,
"source_pdf": "datasets/websources/Med_v1/med_textbook/Psychiatric-Mental_Health_Nursing-WEB.pdf"
} |
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