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Purple_book-PSYCHIATRIC- MENTAL HEALTH NURSE PRACTITIONER 4th edition.

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INSTRUCTIONS FOR OBTAINING CONTINUING EDUCATION CREDIT XI CHAPTER 1. Taking The Certification Examination 1 General Suggestions for Preparing for the Exam 1 About the Certification Exams 8 Internet Resources 9 CHAPTER 2. Psychiatric–Mental Health Nurse Practitioner Role, Scope of Practice, and Regulatory Process 11 Nurse Practitioner Advanced Practice Core Content 11 Nurse Practitioner Advanced Practice Specialized Content 12 History of the NP Role 13 Professional Role Responsibilities 16 Roles of the PMHNP 22 Culturally Competent Care and Special Populations 23 Case Study 1 29 Case Study 2 29 Answers to Case Study Discussion Questions 31 References and Resources 32 CHAPTER 3. Theoretical Basis of Care 37 Biopsychosocial Framework of Care 37 Classification of Psychiatric Disorders: DSM-5 38 Therapeutic Relationship 38 Developmental Theories 40 Foundational Theories Supporting PMHNP Role 41 Nursing Theories 47 Case Study 1 48 Case Study 2 48 Answers to Case Study Discussion Questions 49 References and Resources 49 CHAPTER 4. Psychiatric–Mental Health Nurse Practitioner Professional Role and Health Policy: Leadership, Quality Improvement and Safety, Practice Inquiry, and Health Policy 51 Leadership 51 Quality Improvement 55 Just Culture of Safety 55 Health Delivery Systems 56 Conflict of Interest 57 Rights of Clients 58 Health Policy Development 58 Case Study 59 Answers to Case Study Discussion Questions 60 References and Resources 60 CHAPTER 5. Neuroanatomy, Neurophysiology, and Behavior 63 The Nervous System 63 Neuroanatomy and the Brain 64 Neurophysiology and the Brain 68 Neuroimaging Assessment and Diagnostic Procedures 71 Genomics 73 Case Study 1 76 Case Study 2 76 Answers to Case Study Discussion Questions 77 References and Resources 77 CHAPTER 6. Advanced Health and Physical Health Assessment . .79 Physical Exam 79 Neurological Exam 80 Disease Prevention Activities 97 Gender-Based Medical Testing and Screening Recommendations for the General Public 99 Health Behavior Guidelines 101 Public Health Principles 103 Case Study 1 105 Case Study 2 105 Answers to Case Study Discussion Questions 107 References and Resources 107 CHAPTER 7. Pharmacological Principles 111 Concepts in Pharmacological Management 111 PMHNP Pharmacological Management Role 114 Case Study 1 120 Case Study 2 120 Case Study 3 120 Answers to Case Study Discussion Questions 122 References and Resources 123 CHAPTER 8. Nonpharmacological Treatment 125 Individual Therapy 125 Group Therapy 127 Family Therapies 129 Complementary and Alternative Therapies (CATs) 132 Case Study 136 Answers to Case Study Discussion Questions 137 References and Resources 137 CHAPTER 9. Depressive Disorders and Bipolar Disorders 139 Sadness as a Common Emotional State 139 Major Depressive Disorder (MDD) 140 Persistent Depressive Disorder (Dysthymia) 166 Grief and Bereavement 169 Premenstrual Dysphoric Disorder 173 Bipolar (BP) Disorder 173 Stevens Johnson Syndrome (SJS) 184 Cyclothymic Disorder 186 Case Study 189 Answers to Case Study Discussion Questions 191 References and Resources 191 CHAPTER 10. Anxiety Disorders, Obsessive–Compulsive Disorder, and Trauma- and Stressor-Related Disorders 195 Anxiety Disorders 196 Panic Disorder 207 Agoraphobia 210 Specific Phobias (Simple Phobias) 211 Social Anxiety (Phobia) Disorder 214 Generalized Anxiety Disorder (GAD) 215 Separation Anxiety Disorder 218 Obsessive–Compulsive Disorder (OCD) 218 Posttraumatic Stress Disorder (PTSD) 222 Dissociative Disorders 225 Body Dysmorphic Disorder 226 Hoarding Disorder 226 Trichotillomania 226 Excoriation Disorder 226 Case Study 227 Answers to Case Study Discussion Questions 230 References and Resources 230 CHAPTER 11. Schizophrenia Spectrum and Other Psychotic Disorders 233 General Description of Psychotic Disorders 233 Schizophrenia 235 Schizophreniform Disorder 258 Schizoaffective Disorder 260 Delusional Disorder 262 Brief Psychotic Disorder 264 Shared Psychotic Disorder (Folie á Deux) 266 Case Study 268 Answers to Case Study Discussion Questions 269 References and Resources 269 CHAPTER 12. Neurocognitive Disorders 271 Cognitive Disorders 271 Delirium 271 Dementia 277 Major or Minor Neurocognitive Disorder Due to Traumatic Brain Injury 285 Case Study 291 Answers to Case Study Discussion Questions 292 References and Resources 292 CHAPTER 13. Substance-Related and Addictive Disorders 293 Substance-Related Disorders 293 Case Study 308 Answers to Case Study Discussion Questions 310 References and Resources 310 CHAPTER 14. Personality Disorders 313 Personality 313 Personality Disorders 314 Case Study 324 Answers to Case Study Discussion Questions 325 References and Resources 325 CHAPTER 15. Disorders of Childhood and Adolescence 327 Assessment and Care Planning for Children and Adolescents 327 Oppositional Defiant Disorder (ODD) 329 Conduct Disorder 332 Attention-Deficit Hyperactivity Disorder (ADHD) 335 Autism Spectrum Disorder 340 Rett Syndrome 343 Eating Disorders 346 Intellectual Disability 351 Disruptive Mood dysRegulation Disorder 355 Case Study 357 Answers to Case Study Discussion Questions 358 References and Resources 358 CHAPTER 16. Sleep 361 General Considerations 361 Insomnia 362 Case Study 1 369 Case Study 2 369 Case Study 3 369 Answers to Case Study Discussion Questions 370 References and Resources 371 CHAPTER 17. Violence 373 Intimate Partner Violence (IPV) 373 Assessment 375 Sexual Assault and Abuse 376 Lethality Assessment 379 Violence in School 380 Suicide Assessment 380 Homicide: Early Warning Signs 381 Threats of Violence 381 Case Study 383 Answers to Case Study Discussion Questions 384 References and Resources 384 APPENDIX A. Review Questions 385 APPENDIX B. Review Question Answers 409 INDEX 417 ...........................................continued......................................................

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Review and Resource Manual



PSYCHIATRIC-
MENTAL HEALTH
NURSE
PRACTITIONER
4th Edition




Nursing Certification Review Manual
Continuing Education Resource
Clinical Practice Resource

Kathryn Johnson, MSN, PMHNP-BC, PMHCNS-BC
Dawn Vanderhoef, PhD, DNP, PMHNP-BC, PMHCNS-BC

,
,Review and Resource Manual

Psychiatric–
Mental
Health Nurse
Practitioner
4th Edition
CONTINUING EDUCATION SOURCE
NURSING CERTIFICATION REVIEW MANUAL
CLINICAL PRACTICE RESOURCE




Published by American Nurses Credentialing Center
Kathryn Johnson, MSN, PMHNP-BC, PMHCNS-BC
Dawn Vanderhoef, PhD, DNP, PMHNP-BC, PMHCNS-BC




NURSING
KNOWLEDGE
CENTER

, Library of Congress Cataloging-in-Publication Data

Names: Johnson, Kathryn, 1947-, author. | Vanderhoef, Dawn, author. |
Nursing Knowledge Center, publisher.
Title: Psychiatric-mental health nurse practitioner review and resource
manual / Kathryn Johnson, Dawn Vanderhoe.
Other titles: Psychiatric-mental health nurse practitioner review manual
Description: 4th edition. | Silver Spring, MD : Nursing Knowledge Center,
American Nurses Association, 2016. | Preceded by Psychiatric-mental health
nurse practitioner review manual / by Kathryn Johnson and Dawn Vanderhoef.
3rd edition. 2013. | Includes bibliographical references and index.
Identifiers: LCCN 2016012871| ISBN 9781935213796 (pbk.) | ISBN 9781935213802
(ePub) | ISBN 9781935213819 (prc) | ISBN 9781935213826 (epdf)
Subjects: | MESH: Psychiatric Nursing--methods | Education, Nursing,
Continuing
Classification: LCC RC438 | NLM WY 18.5 | DDC 616.89/0231--dc23 LC record available at
http://lccn.loc.gov/2016012871

The American Nurses Association (ANA) is the only full-service professional organization
representing the interests of the nation’s 3.1 million registered nurses through its constituent/
state nurses associations and its organizational affiliates. The ANA advances the nursing
profession by fostering high standards of nursing practice, promoting the rights of nurses in the
workplace, projecting a positive and realistic view of nursing, and lobbying the Congress and
regulatory agencies on healthcare issues affecting nurses and the public.

© 2016 American Nurses Association
8515 Georgia Ave., Suite 400
Silver Spring, MD 20910
All rights reserved.
Third printing, August 2018

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