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Whether it s an entire course on psychiatric nursing or integrating these principles into an existing course, this is the text that s concise, engaging, and informative. It offers an evidence-based, holistic approach to mental health nursing in a streamlined format that explores nursing diagnoses for both physiological and psychological disorders. It s the psychiatric nursing text that students actually read, understand, and use. Completely revised and updated throughout, the 5th Edition reflects all of the new knowledge in the field and the practice of mental health nursing today, including the new, core competences outlined in the Quality and Safety Education for Nurses (QSEN) initiative.
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This page intentionally left blank Essentials of Psychiatric Mental Health Nursing CONCEPTS OF CARE IN EVIDENCE-BASED PRACTICE FIFTH EDITION Mary C. Townsend, dsn, pmhcns-bc Clinical Specialist/Nurse Consultant Adult Psychiatric Mental Health Nursing Former Assistant Professor and Coordinator, Mental Health Nursing Kramer School of Nursing Oklahoma City University Oklahoma City, Oklahoma 2338_FM_i-xxvi.indd v 9/1/10 2:53:25 PM F.A. Davis Company 1915 Arch Street Philadelphia, PA 19103 www.fadavis.com Copyright © 2011 by F.A. Davis Company Copyright © 2011 by F.A. Davis Company. All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Printed in the United States of America Last digit indicates print number: 10 9 8 7 6 5 4 3 2 1 Publisher, Nursing: Robert G. Martone Director of Content Development: Darlene D. Pedersen Senior Project Editor: Padraic J. Maroney Cover Design: Carolyn O’Brien As new scientific information becomes available through basic and clinical research, recommended treatments and drug therapies undergo changes. The author(s) and publisher have done everything possible to make this book accurate, up to date, and in accord with accepted standards at the time of publication. The author(s), editors, and publisher are not responsible for errors or omissions or for consequences from application of the book, and make no warranty, expressed or implied, in regard to the contents of the book. Any practice described in this book should be applied by the reader in accordance with professional standards of care used in regard to the unique circumstances that may apply in each situation. The reader is advised always to check product information (package inserts) for changes and new information regarding dose and contraindications before administering any drug. Caution is especially urged when using new or infrequently ordered drugs. Library of Congress Cataloging-in-Publication Data Townsend, Mary C., 1941– Essentials of psychiatric/mental health nursing : concepts of care in evidence-based practice / Mary C. Townsend. — fifth ed. p. ; cm. Includes bibliographical references and index. ISBN-13: 978-0-8036-2338-5 ISBN-10: 0-8036-2338-0 1. Psychiatric nursing. I. Title. [DNLM: 1. Psychiatric Nursing—methods. 2. Mental Disorders—nursing. WY 160 T749e 2011] RC440.T689 2011 616.89’0231—dc22 2010014990 Authorization to photocopy items for internal or personal use, or the internal or personal use of specific clients, is granted by F.A. Davis Company for users registered with the Copyright Clearance Center (CCC) Transactional Reporting Service, provided that the fee of $.25 per copy is paid directly to CCC, 222 Rosewood Drive, Danvers, MA 01923. For those organizations that have been granted a photocopy license by CCC, a separate system of payment has been arranged. The fee code for users of the Transactional Reporting Service is: 8036-2338-5/11 + $