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|a Advanced practice psychiatric nursing :
|b integrating psychotherapy, psychopharmacology, and complementary and alternative approaches /
|c Kathleen R. Tusaie, PhD, APRN-BC, Joyce J. Fitzpatrick, PhD, MBA, RN, FAAN, editors.
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|a New York :
|b Springer Publishing Company,
|c 2013.
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|c ©2013
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|a 1 online resource (581 pages) :
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|a Includes bibliographical references and index.
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|a I. The Dynamic Nature of Advanced Practice Psychiatric Mental Health Nursing -- 1. Theoretical Understandings and Evidence Base for Practice / Joyce J. Fitzpatrick -- Commonly Used Theories in Psychiatric Mental Health Practice -- Psychodynamic Theories -- Cognitive Theories -- Behavioral Theories -- Psychosocial Theories -- Developmental Theories -- Interpersonal Theories -- Humanistic Theories -- Biological Theories -- General Systems Theory -- Change Theories -- The Theory of Reasoned Action and Planned Behavior -- Transtheoretical Model -- Nursing Theories Specific to Psychiatric Nursing -- Interrelationship Between Theory and Research -- Distinctions Between Research and Evidence-Based Practice -- Summary -- 2. Shared Decision-Making: Concordance Between Psychiatric Mental Health Advanced Practice Nurse and Client / Kathleen R. Tusaie -- Advanced Psychiatric Mental Health Nursing Practice -- Concordance -- Background -- Knowledge.
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|a Health Beliefs -- Collaboration -- Improving Concordance -- Knowledge -- Health Beliefs -- Collaboration -- Summary and Conclusion -- II. Foundations for Integrated Practice -- 3. Synergy of Integrative Treatment / Kathleen R. Tusaie -- Rationale for Integrated Treatment -- Thinking About the World -- Transdiagnostic Syndromes -- Effects of Integrative Treatment -- Continuum of Treatment Interventions -- 4. Overview of Psychotherapy / Ricardo Broach -- Dynamic Therapy -- Psychoanalytic Psychiatry -- Cognitive Therapy -- Interpersonal Therapy -- Behavior Therapies -- Theoretical Basis Underlying Change -- Techniques of Behavior Therapies -- Core Competencies, Psychotherapy, and PMH Advanced Practice -- Nursing -- Conclusion -- 5. Overview of Psychopharmacology / Norman L. Keltner -- Neuronal Transmission -- Dopamine -- Norepinephrine -- Serotonin -- GABA -- Glutamate -- Acetylcholine -- Psychotropic Drugs -- History of Antipsychotics.
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|a Typical Antipsychotics -- Adverse Effects and Typical Antipsychotics -- Extrapyramidal Side Effects -- Hyperprolactinemia -- Increased Negative Symptoms -- Neuroleptic Malignant Syndrome -- Atypical Antipsychotics -- Individual Atypical Antipsychotics -- The Newest A typical Antipsychotics -- Adverse Effects and Atypical Antipsychotics -- Cardiometabolic Syndrome -- New Developments -- Antidepressants -- Selective Monoamine Reuptake Inhibitors -- Anti-Anxiety Agents -- Bipolar Disorder Medications -- Summary -- 6. Overview of Complementary/Alternative Approaches / Kathleen R. Tusaie -- Types of Complementary/Alternative Interventions -- Natural Products -- Specific Herbs and Nutrients Commonly Suggested for Mental Health -- Mind-Body Interventions -- Relaxation Response -- Manipulative and Body-Based Practices -- Energy Work -- Practice Guidelines -- 7. Stages of Treatment / Kathleen R. Tusaie -- Overview.
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|a Techniques for Developing Therapeutic Relationships -- Instilling Hope -- Communication Strategies to Follow Up on Leads and Instill Hope -- Client Resources -- PMH-APRN Resources -- Skill and Knowledge -- Identifying Stages of Treatment -- Assessment and Diagnosis -- Transitioning to New Topics -- Personal Developmental History -- Values/Aspirations -- Using Self-Report Questionnaires -- Synthesizing Information -- Risk Formulation -- Diagnosis (DSM) -- Case Formulation -- Treatment Plan -- Comparison of Individual and Group Therapy -- Further Testing/Referrals -- Acute Treatment -- Therapeutic Communication Techniques -- Stabilization/Maintenance -- Termination -- III. Integrative Management of Specific Syndromes -- 8. Integrative Management of Disordered Mood / Kathleen R. Tusaie -- Overview -- Spectrum of Moods -- Etiology -- Diathesis -- Stress -- Summary -- Shared Decision Making/Achieving Concordance -- Bearing Witness to Suffering -- Assessment.
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|a Suicidal and Homicidal Thoughts -- Diagnosis -- Symptoms/Questionnaires -- History of Mood Disorder Symptoms -- Comorbidity -- Insomnia -- Collaborative Case Conceptualization -- Expected Outcomes -- Treatment -- Response -- Initiating Treatment -- Determine Severity of Symptoms and Level of Risk -- Low Severity/Low Risk -- Complementary/Alternative Approaches -- Moderate Severity and Risk -- Transcranial Magnetic Stimulation -- Psychotherapy -- High Level of Severity of Symptoms and Risk -- Electroconvulsive Therapy -- Vagal Nerve Stimulation -- Acute Follow-Up/Continuation -- Managing Side Effects -- Pharmacotherapy -- Maintenance -- Primary Prevention -- 9. Integrative Management of Anxiety / Kathryn Johnson -- The Anxiety Cycle -- Physiologic Responses -- Cognition -- Behavioral Responses -- Anxiety Disorders -- Prevalence and Impact of Anxiety Conditions -- Types of Anxiety Problems -- Etiology of Anxiety Disorders -- Psychological Views of Anxiety.
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|a Physiologic Factors -- Genetic Factors -- Assessment -- Chief Complaint -- Historical Data -- Mental Status Examination -- Concordance and Treatment Planning -- Expected Outcomes -- Treatment Initiation -- Psychotherapy -- Cognitive Behavioral Therapies -- Other Psychotherapies -- Eye Movement Desensitization and Reprocessing -- Medications -- Benzodiazepines -- Antidepressants -- Azapirones -- Noradrenergic Agents -- Anticonvulsants -- Second-Generation Antipsychotics -- Client Self-Management -- Herbal Remedies and Nutritional Supplements -- Bibliotherapy and Computer-Assisted CBT -- Physical Methods -- Special Considerations: Prevention -- 10. Integrative Management of Psychotic Symptoms / Marianne Tarraza -- Incidence-Prevalence -- History -- Etiology -- Assessment -- Stages of Schizophrenia -- Clinical Assessment -- Assessment Scales -- Concordance and Shared Decision Making -- Expected Outcomes -- Suicide and Psychosis -- Diagnosis.
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|a Differential Diagnoses -- Cultural Considerations -- Families -- Treatment -- Medications -- Managing Side Effects -- Neuroleptic Malignant Syndrome -- Serotonin Syndrome -- Extrapyramidal Side Effects -- Tardive Dyskinesia -- Abnormal Involuntary Movement Scale -- Other Side Effects of Consideration -- Concerns in Prescribing -- Treatment: Psychosocial and Others -- Patient Education -- Summary Points: Psychosis -- 11. Integrative Management of Sleep Disturbances / Anita Mitchell -- Normal Sleep Architecture -- Sleep Across the Life Span -- Preterm Newborn Period -- Newborn Period -- Infancy -- Toddlerhood -- School-Age -- Adolescence -- Young and Middle-Aged Adulthood -- Older Adulthood -- Familial and Genetic Implications -- Sleep Disorders -- Sleep History and Physical -- General Sleep History -- Focused Physical Assessment -- Analysis of Sleep Symptoms and Specialized Sleep Screening -- Specialized Sleep Screening Tools -- Regulation of Sleep.
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|a Sleep and Comorbid Psychiatric Disorders -- Sleep and Comorbid Medical Disorders -- Nursing Decision Trees -- Shared Decision Making and Collaborative Treatment Planning -- Treatment -- Nonpharmacologic Treatment of Sleep Disorders -- Complementary and Alternative Medicine Modalities -- Long-Term Management of Sleep Disorders -- Circadian Rhythm Disorders -- Narcolepsy -- Insomnia -- REM Behavior Disorder -- Central and Mixed Sleep Apneas -- Obstructive Sleep Apnea -- RLS and PLM of Sleep -- Age-Related Sleep Implications -- Conclusion and Discussion -- 12. Integrative Management of Disordered Eating / Kathleen R. Tusaie -- Definition of Bulimia Nervosa -- Epidemiology -- Etiology of BN -- Biological Factors -- Social and Psychological Factors of BN -- Assessment -- Screening Instruments -- Concordance -- Expected Outcomes -- Treatment Initiation/Acute Follow-Up -- Maintenance -- Pharmacotherapy of BN -- Managing Side Effects -- Prognosis.
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|a Anorexia Nervosa -- Assessment -- Etiology -- Biological Factors of AN -- Genetics -- Distinguishing Between Causes and Effects of AN -- Sociological and Psychological Factors -- Expected Outcomes -- Special Considerations -- Obesity -- Relationship Between Psychiatric Disorders and Obesity -- Etiology -- Concordance -- Assessment -- Expected Outcomes -- Treatment Initiation and Acute Follow-Up -- Pharmacological Interventions -- Bariatric Surgery -- Maintenance/Termination -- Special Considerations -- 13. Integrative Management of Disordered Cognition / Anita Thompson Heisterman -- Classification of Cognitive Disorders -- General Principles for Assessment of Older Adults -- Delirium -- Assessment of Delirium -- Screening Instruments for Delirium -- Shared Decision Making/Achieving Concordance -- Outcomes -- Treatment of Delirium -- Pharmacologic Interventions -- Supportive Interventions -- Prevention -- Mild Cognitive Impairment -- Dementia -- Etiology.
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|a Alzheimer's Dementia -- Vascular Dementia -- Dementia With Lewy Bodies -- Dementia in Parkinson's Disease -- Frontotemporal Dementia -- Other Forms of Dementia -- Amnestic Disorders -- Clinical Signs and Course of Dementia -- Early Stage -- Intermediate Stage -- Late Stage -- Shared Decision Making/Achieving Concordance -- Assessment -- History -- Physical -- Mental Status Examination -- Diagnostic Tools -- Differential Diagnosis -- Expected Outcomes -- Treatment -- Initiating Treatment to Preserve Cognitive and Functional Status -- Initiating Treatment to Manage Behavioral or Mood Disturbances -- Nonpharmacological Interventions -- Complementary and Alternative Interventions for Patients and Caregivers -- Pharmacological Interventions -- Acute Follow-Up and Maintenance Treatment -- Conclusion -- 14. Integrative Management of Disordered Attention / Marianne Tarraza -- Overview of Attention Deficit Disorder/Attention Deficit/Hyperactivity Disorder.
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|a Autism Spectrum -- Etiology -- ADHD and the Brain -- ADHD and the Role of Neurotransmitters -- ADHD and Genetics -- ADHD and Environment -- Assessment -- Broadband Assessments -- Narrowband Assessments -- Assessment of Medication Adverse Effect -- Decision Tree -- Diagnosis -- Psychiatric Comorbidities -- Medical Comorbidities -- Achieving Concordance -- Expected Outcomes -- Treatment Initiation -- Nonpharmacological Treatments -- Behavior-Modification -- Cognitive Behavioral Therapy -- Individual, Family, and Group Therapy -- Complementary and Alternative Therapies -- Nutritional Interventions -- Electroencephalographic Biofeedback -- Herbal and Natural Health Products -- Vitamins and Minerals -- Homeopathy -- Massage and Yoga -- Playing in Green Spaces -- Pharmacological Treatments -- Overdiagnosing and Overprescribing -- Stimulants -- Response -- Nonstimulants -- Acute Follow-Up/Maintenance -- Managing Side Effects -- Additional Considerations.
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|a Cultural Considerations -- Autism Spectrum Disorder -- Prevalence -- Etiology/Risk Factors -- Symptoms -- Treatment -- Decision Tree -- Special Populations -- 15. Integrated Management of Self-Directed Injury / Bona Hong -- Overview -- Awareness of Own Reactions -- Definitions -- Epidemiology -- Differentiating Suicide Attempts From SIB -- The Case Approach to Assess NSSIB/SIB -- Assessment -- Relationship-Building During Assessment -- Integration -- Concordance -- Expected Outcomes -- Initiation of Treatment -- Cognitive Behavioral Therapy -- Dialectical Behavior Therapy -- Motivational Interviewing -- Mindfulness-Based Cognitive Therapy -- Future-Oriented Group Training Therapy -- Pharmacologic Management -- Follow-Up and Maintenance -- Special Considerations -- 16. Integrated Management of Other-Directed Violence / Maria McCall -- Specific Types of Violence -- IPV -- Child Abuse -- Elder Abuse -- Rape -- Human Trafficking -- Bullying.
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|a Violence Toward Health Care Professionals -- Types of Violence Toward Health Professionals -- Patient Violence Toward Health Professionals -- Horizontal and Vertical Violence Within Nursing -- Effects of Violence on Survivors (Victims) -- Sequelae of IPV -- Office Safety Policies -- Assessment -- Migrant and Refugee Populations -- Emergency Workers Are at High Risk -- Psychiatric Clinicians -- Others Most at Risk for Victimization -- Seriously Mentally Ill Are Also Victims of Violence -- Assessment of Individual Potential for Violence -- Rule Out Medical Reasons First, Then Assess Psychiatric Factors -- Risk Assessment Questionnaires -- Inpatient -- Outpatient -- Etiology: Patient Populations at Risk for Perpetrating Violence -- General Diagnostic Categories -- Delusional Disorders -- CD and Antisocial Personality Disorder (APD) -- Substance Abuse, Mental Illness, and Antisocial Personality Disorder.
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|a Low IQ, Head Injury, Chemical Exposures as Risk Factors for Violence -- History of Traumatic Childhood Experiences -- Neuroendocrine, Genetic, and Hereditary Factors -- Expected Outcomes -- Concordance in Management of Incidents of Violence -- Treatment Initiation, Acute Phase of Violence -- Acute Agitation -- Acute Follow-Up: Acute Dystonia, NMS, Allergy -- Maintenance Interventions -- Antiepileptic Drugs -- Antidepressants -- General Medication Considerations -- Pediatric Considerations -- Aging Considerations -- Managing Side Effects -- Laboratory Studies -- Extrapyramidal Side Effects -- Blood Dyscrasias -- Anticonvulsant Hypersensitivity Syndrome -- Siadh, Hyponatremia, Acidosis -- Weight Gain, Hyperglycemia, Metabolic Syndrome, Cardiac Events -- Elevated Prolactin Level, Hypothyroidism, Renal Problems, Sexual Dysfunction -- Movement Disorders -- Dietary Measures, Caffeine, Sugar, Vitamins, and Supplements -- Caffeine.
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|a Micronutrients and Supplements -- Refined Foods and Sugar -- Exercise, Stress Management, Eastern Healing -- Environmental, Cultural, and Milieu Management -- Longer Term CBTs and Group Interventions -- Pediatric Considerations -- CBT and DBT -- Pediatric Clinical Case Study -- CBTs for Perpetrators -- Group Mobilization and Social Attitude Transformation -- Cognitive Therapy and Antisocial Personality Disorder -- Therapy Interventions for Parents -- Therapeutic Interventions for Children and Adolescents -- Complementary/Alternative Therapies -- Treatment for PTSD -- Therapeutic Milieu Treatment for the Developmentally Delayed Violent Person -- Training of Psychiatric Personnel in Violence Management -- Basic Elements of Violence Prevention Training -- Know the Physical Environment and Institutional Policies -- Critical Incident Stress Management -- Legal Issues -- Legal Responsibilities.
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|a When Legal Action Rather Than Further Treatment Must Be Pursued -- Providing Culturally Competent Care -- Summary Comments -- IV. Special Considerations -- 17. Co-Occurring Substance Misuse and Psychiatric Syndromes / Rita Hanuschock -- Definitions -- Etiology of Addictive Disorders -- Biochemical Factors -- Genetic Factors -- Other Factors -- Concordance -- Expected Outcomes -- Effects of the Substance and Toxicity -- Ethyl Alcohol: C2H5OH -- Opiates -- Sedatives: Benzodiazepines and Barbiturates -- Barbiturate Drugs -- Cocaine -- Amphetamines -- Marijuana -- Nicotine -- Other Prescription Medications -- Behavioral Addictions -- Negative Consequences -- Assessment -- Consultation and Referral Sources -- Tools Available -- Treatment -- Management of Persons Intoxicated With Alcohol and Subsequent Withdrawal -- Intoxication Present -- Withdrawal Present -- Medications to Manage Alcohol Withdrawal Symptoms.
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|a Managing Persons Under the Influence of Sedatives (Benzodiazapines, Barbiturates, Meprobamate, and Carisoprodol) and Withdrawal -- Intoxication -- Withdrawal -- Managing Persons Under the Influence of Opiates and Opiate Withdrawal -- In an Office-Based Practice -- Intoxication -- Medications Used to Manage Opiate Withdrawal -- Management of Persons With Stimulant Intoxication and Withdrawal -- Intoxication With Stimulants -- Stimulant Withdrawal -- Managing Persons With Marijuana Intoxication and Withdrawal -- Intoxication -- Withdrawal -- Managing Nicotine Withdrawal -- Over-the-Counter Medications (Diphenhydramine, Dextromethorphan, and Nasal Spray) -- Recovery/Relapse Prevention -- Assistant Medications -- Maintenance Therapies -- Harm Reduction Therapies -- Adjunctive Treatments, Alternative/Complementary Approaches, and Psychotherapy -- Western Medications -- Psychotherapy -- Energy Therapies -- Treatment With Consideration for Diverse Populations.
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|a Medical and Psychiatric Comorbidites Related to Pharmacology -- The Impact of Common Medications Causing Psychiatric Syndromes -- The Impact of Common Psychiatric Medications Causing Medical Comorbidity -- Overview of Treatment -- Use of Appropriate Medical and Mental Health Screening Tools at First Encounters -- Evaluate for Underlying Medical Conditions That May Be Causing Psychiatric Syndromes and Mental Health Conditions That May Be Causing Medical Problems -- Use of Medication Reconciliation at All Encounters -- Appropriate and Timely Referrals Between Caregivers -- Holistic Approach -- Decision Tree -- Summary Points: Psychiatric Comorbidities -- 19. Pregnancy During Psychiatric Syndromes / Carrie Cichocki -- Concordance -- Anxiety Disorders -- Screening and Etiology -- Treatment -- Depression -- Screening and Etiology -- Treatment -- Suicide -- Screening and Etiology -- Treatment -- Mania, Hypomania, and Mixed States -- Assessment and Screening.
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|a Treatment -- Psychotic Disorders -- Assessment and Screening -- Treatment -- Chemical Dependency -- Treatment -- Special Considerations -- Hyperemesis Gravidarum -- Treatment -- Intimate Partner Violence -- Screening and Assessment -- Treatment -- Fetal Demise -- Treatment -- Postpartum -- Treatment -- Infanticide and Filicide -- Treatment -- Breastfeeding -- Conclusion -- 20. Forensic Issues and Psychiatric Syndromes / Jeffrey S. Jones -- Overview -- Corrections -- Interpersonal Process -- Concept of Nursing Care and the Criminal -- Boundaries -- Therapy -- Antisocial Personality Disorder -- Malingering -- The Diagnostic Interview -- Follow-Up Work -- Assessments -- Etiology -- True Severe and Persistent Mental Illness -- Malingering -- Antisocial Personality Disorder -- Concordance (Shared Decision Making, Planning With Client) -- Expected Outcomes -- Treatment Initiation -- Treatment of Severe and Persistent Chronic Mental Illness.
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|a Treatment of Malingering -- Treatment of Antisocial Personality Disorder -- Adjustment Disorders -- Special Considerations -- Summary -- 21. Global Perspectives and the Future of Advanced Practice Psychiatric Mental Health Nursing / Joyce J. Fitzpatrick -- Global Initiatives in Psychiatric Nursing -- Exemplary Psychiatric Mental Health Nurse: A Global Role Model -- Strategies for Global Connections -- Professional Self-Development -- Interdisciplinary Partnerships -- Future Directions for Practice and Research in Psychiatric Mental Health Nursing.
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|a This core text fills a void in nursing literature by integrating psychotherapy, psychopharmacology, and complementary and alternative medicine (CAM) approaches into advanced practice nursing. It is organized around psychiatric "syndromes" rather than DSM diagnoses, so it will remain current even after the publication of the DSM-5 . The book provides clear and relevant treatment options in the form of decision trees with additional explanatory narratives. These decision trees enable practitioners to distinguish "normal" patients from those who require more customized therapeutic
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|a English.
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|a Online resource; title from electronic title page (ebrary, viewed on December 16, 2013).
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|a Tusaie, Kathleen R.,
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