Mental Health Nursing: Applying Theory to Practice, 1st Edition
By Gylo (Julie) Hercelinskyj and Louise Alexander
Contents:
Guide to the text x
Guide to the online resources xiii
Preface xiv
About the authors xv
Acknowledgements xvii
SECTION 1
Underpinnings Of Mental Health Nursing 1
CHAPTER 1
Mental health nursing – then and now 2
Introduction 3
Belief in supernatural origins of illness and disease 3
Asylums of the world 5
History of Australia’s asylums and mental health nursing 6
Treatments throughout history 8
The role and identity of the mental health nurse in
contemporary service delivery 10
Chapter resources 13
CHAPTER 2
Theoretical frameworks underpinning practice 16
Introduction 17
Health, mental health and human behaviour 17
Biomedical theories of personality 17
Psychodynamic theories of personality 18
The behavioural/social cognitive orientation 23
The humanistic orientation 26
The use of psychological and sociological theories of
personality in mental health nursing practice 27
Relevance of psychological and/or nursing theories to
nursing practice 29
Chapter resources 30
CHAPTER 3
Ethics, law and mental health nursing practice 33
Introduction 34
Context of mental health legislation in Australia 34
Legislation facilitating care and treatment of people
with a mental health condition 36
Mental health conditions, offending and the law 40
Legal and ethical dimensions of practice for nurses 41
Compulsory care and treatment from a consumer
perspective 43
Chapter resources 44
CHAPTER 4
Treatment modalities utilised in contemporary
mental health service delivery 48
Introduction 49
Pharmacological interventions 49
Psychosocial interventions 52
Motivational interviewing 52
Mindfulness-based interventions 57
Cognitive behavioural therapy 58
Rational emotive behaviour therapy 60
Dialectical behaviour therapy 61
Structured problem solving 62
Psychoeducation 63
Chapter resources 65
CHAPTER 5
Mental health nursing as a therapeutic process 68
Introduction 69
Interpersonal communication within the
nurse–consumer relationship 69
Core elements of the communication process 70
Effective communication skills 70
The therapeutic relationship 74
Therapeutic use of self 75
Developing, maintaining and terminating
therapeutic relationships 77
The application of therapeutic communication
qualities and skills in the clinical context 80
Chapter resources 86
CHAPTER 6
Using evidence to guide mental health
nursing practice 91
Introduction 92
What is evidence-based practice? 92
Implementing evidence-based nursing practice 93
Critical appraisal of research evidence 99
Translating evidence into clinical practice 100
Mental health outcome measures 101
Chapter resources 102
SECTION 2
The Clinical Context Of Practice 106
CHAPTER 7
Assessment and diagnosis 107
Introduction 108
The context of practice 108
Assessment in mental health 108
Comprehensive mental health assessment 111
Modern diagnostic classification systems in mental
health assessment 122
Chapter resources 124
CHAPTER 8
Schizophrenia spectrum and other
psychotic disorders 127
Introduction 128
Aetiology 128
Diagnostic criteria schizophrenia 133
Clinical presentation and the mental state examination 136
Treatment 141
Recovery and relapse prevention 146
Other psychotic disorders 147
Chapter resources 149
CHAPTER 9
Bipolar and related disorders 152
Introduction 153
Aetiology 153
Diagnostic criteria bipolar I and II disorder 155
Clinical presentation and the mental state examination 158
Treatment 163
Recovery and relapse prevention 166
Chapter resources 169
CHAPTER 10
Depressive disorders 171
Introduction 172
Aetiology and epidemiology 172
Clinical presentation of depressive disorder in the
context of the mental state examination 176
Treatment 177
Persistent depressive disorder (dysthymia) 184
Depression in the perinatal period 185
Depression and older people 186
Recovery and relapse prevention 189
The family’s experience of depression 189
Chapter resources 191
CHAPTER 11
Anxiety disorders 195
Introduction 196
What is anxiety? 196
Aetiology 197
Diagnostic criteria 198
Treatment of anxiety disorders 203
How do mental health nurses assist a person
experiencing anxiety? 207
Chapter resources 208
CHAPTER 12
Personality disorders 211
Introduction 212
Defining personality and understanding general
personality disorder 212
Introducing cluster A, B and C personality disorders 213
Antisocial personality disorder (APD) 220
Borderline personality disorder 224
Chapter resources 232
CHAPTER 13
Eating disorders 235
Introduction 236
Anorexia nervosa 236
Bulimia nervosa 246
Binge-eating disorder 252
Males and eating disorders 253
Chapter resources 254
CHAPTER 14
Substance-related and addictive disorders 258
Introduction 259
The historical context of substance use and misuse 259
Understanding substance misuse, and defining
illicit and psychoactive substances 259
Addiction and dependence 260
Substance use, misuse problems and substance
use disorders 264
Diagnostic criteria 274
Biopsychosocial assessment framework 282
Clinical presentation and the mental state examination 285
Chapter resources 294
CHAPTER 15
Neurodevelopmental disorders 299
Introduction 300
Neurodevelopmental disorders 300
Attention deficit/hyperactivity disorder 300
Intellectual disability (intellectual disability disorder) 303
Autism spectrum disorder 307
Risk assessment for people diagnosed
with a neurodevelopmental disorder 312
The impact of caring for a person with a diagnosis of a
neurodevelopmental disorder: who cares for the carers? 312
Chapter resources 313
CHAPTER 16
Neurocognitive disorders 317
Introduction 318
Ageing in Australia today: contemporary
trends and issues 318
Healthy ageing 319
Elder abuse 319
Mental health issues and older people 320
Delirium 321
Major neurocognitive disorders: dementia 323
The impact of neurocognitive disorders on families 333
Chapter resources 335
CHAPTER 17
Obsessive compulsive and related disorders 339
Introduction 340
Obsessive-compulsive disorder 340
Hoarding disorder 344
Trichotillomania 347
Excoriation 348
Chapter resources 349
CHAPTER 18
Trauma and stress-related disorders 351
Introduction 352
Understanding trauma and stress-related disorders 352
Trauma and stress-related disorders 353
Assessment and treatment of trauma and
stress-related disorders 357
Developing an individualised plan of care for a person
experiencing a disorder as a result of trauma/stress 359
Supporting family and other caregivers 362
Supporting clients on the recovery journey 363
Chapter resources 363
CHAPTER 19
Other disorders of clinical interest 367
Introduction 368
Conduct disorder 368
Oppositional defiant disorder 373
Dissociative identity disorder 375
Gender dysphoria 378
Conversion disorder 382
Chapter resources 387
SECTION 3
Contemporary Issues In Mental Health Nursing 391
CHAPTER 20
Suicide and non-suicidal self-injury 392
Introduction 393
Suicide 393
Theories of suicide 397
Cultural considerations and vulnerable groups 397
The role of the media 399
Assessing risk of suicide 400
Self-harm/injury (non-suicidal self-injury) 404
Assessment and collaborative care for consumers
who experience self-injuring behaviours 406
Chapter resources 409
CHAPTER 21
Recovery and resilience in mental health 413
Introduction 414
Recovery and recovery-oriented practice 414
Trauma-informed practice 416
Working with people 420
Be an ‘agent of change’ for recovery-oriented and
trauma-informed practices 427
The peer workforce and recovery 427
Recovery ethics and reflection 429
Chapter resources 431
CHAPTER 22
The family’s role in contemporary mental
health service delivery 435
Introduction 436
What is a family? 436
Theories regarding family structure and functioning 436
The family’s experience of caring for a loved
one with a mental health challenge 438
Families and resilience 440
Mental health nurses work with families 441
Assessing family structure, function and dynamics 441
Strategies for promoting family resilience 443
Consumers’ views of the family in supporting them through their journey 444
Chapter resources 446
CHAPTER 23
The multidisciplinary team 450
Introduction 451
The multidisciplinary team 451
Characteristics of effective teamwork 453
Becoming a member of the multidisciplinary
team: integrating into the team as a student nurse 457
Research on consumers’ views on the role of the
mental health nurse as a member of the multidisciplinary team 459
Chapter resources 461
CHAPTER 24
Community mental health context 464
Introduction 465
Historical factors of community mental health care 465
Social determinants of mental health 465
Primary mental health care 466
The roles of the mental health nurse 468
Specialised community services 471
Chapter resources 477
CHAPTER 25
Cultural context in practice in Australia 482
Introduction 483
Historical and cultural determinants 483
Social determinants 486
Indigenous Australians’ social and emotional well-being 488
Culturally safe practice: racial issues 491
Chapter resources 493
CHAPTER 26
Mental health first aid 497
Introduction 498
Introduction to the MHFA acronym 498
How to apply MHFA to various mental health problems 500
Cultural considerations of MHFA within vulnerable groups 509
Mental health first aid for carers 511
Chapter resources 511
Appendix 514
Glossary 517
Index 525