mental health nursing
, 4 TH EDITION
Neeb’s Fundamentals
of Mental Health
Nursing
Linda M. Gorman, RN, MN, PMHCNS-BC, FPCN
Clinical Nurse Specialist/Nursing Consultant
Private Practice
Studio City, California
Robynn F. Anwar, MST, MSN, Ed
Nursing Faculty/CNA and Multi-Skilled Coordinator
Camden County College, Camden Campus
Camden, New Jersey
,F.A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com
Copyright © 2014 by F. A. Davis Company
Copyright © 1997, 2001, 2006, by F.A. Davis Company. All rights reserved. This book is protected by copy-
right. 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: Lisa B. Houck
Director of Content Development: Darlene D. Pedersen
Project Editor: Jacalyn C. Clay
Electronic Project Editor: Sandra A. Glennie
Illustration and Design Manager: 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), edi-
tors, 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
Gorman, Linda M., author.
Neeb’s fundamentals of mental health nursing / Linda M. Gorman, Robynn F. Anwar. — Fourth edition.
p. ; cm.
Fundamentals of mental health nursing
Preceded by: Fundamentals of mental health nursing / Kathy Neeb. 3rd ed. c2006.
Includes bibliographical references and index.
ISBN 978-0-8036-2993-6 (pbk. : alk. paper)
I. Anwar, Robynn F., author. II. Neeb, Kathy, 1952- Fundamentals of mental health nursing. Preceded by
(work): III. Title. IV. Title: Fundamentals of mental health nursing.
[DNLM: 1. Mental Disorders—nursing. 2. Nursing, Practical. 3. Psychiatric Nursing—methods. WY 160]
RC440
616.89’0231—dc23
2013021696
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 pay-
ment has been arranged. The fee code for users of the Transactional Reporting Service is: 8036-1169-2/04 0 + $.25.
, To Corie, who saw me as an author many years ago.
(LG)
To Mayme, I realize how much easier this journey would have been
if you were here. Wasim and Andrea, I appreciate your belief in my
abilities. “Mom Bessie,” who renewed her practical nurse license at
age 94. Linda, thank you for being my mentor through this process.
Shirley, Toni, and Ted—Thank you.
(RA)
, 4 TH EDITION
Neeb’s Fundamentals
of Mental Health
Nursing
Linda M. Gorman, RN, MN, PMHCNS-BC, FPCN
Clinical Nurse Specialist/Nursing Consultant
Private Practice
Studio City, California
Robynn F. Anwar, MST, MSN, Ed
Nursing Faculty/CNA and Multi-Skilled Coordinator
Camden County College, Camden Campus
Camden, New Jersey
,F.A. Davis Company
1915 Arch Street
Philadelphia, PA 19103
www.fadavis.com
Copyright © 2014 by F. A. Davis Company
Copyright © 1997, 2001, 2006, by F.A. Davis Company. All rights reserved. This book is protected by copy-
right. 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: Lisa B. Houck
Director of Content Development: Darlene D. Pedersen
Project Editor: Jacalyn C. Clay
Electronic Project Editor: Sandra A. Glennie
Illustration and Design Manager: 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), edi-
tors, 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
Gorman, Linda M., author.
Neeb’s fundamentals of mental health nursing / Linda M. Gorman, Robynn F. Anwar. — Fourth edition.
p. ; cm.
Fundamentals of mental health nursing
Preceded by: Fundamentals of mental health nursing / Kathy Neeb. 3rd ed. c2006.
Includes bibliographical references and index.
ISBN 978-0-8036-2993-6 (pbk. : alk. paper)
I. Anwar, Robynn F., author. II. Neeb, Kathy, 1952- Fundamentals of mental health nursing. Preceded by
(work): III. Title. IV. Title: Fundamentals of mental health nursing.
[DNLM: 1. Mental Disorders—nursing. 2. Nursing, Practical. 3. Psychiatric Nursing—methods. WY 160]
RC440
616.89’0231—dc23
2013021696
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 pay-
ment has been arranged. The fee code for users of the Transactional Reporting Service is: 8036-1169-2/04 0 + $.25.
, To Corie, who saw me as an author many years ago.
(LG)
To Mayme, I realize how much easier this journey would have been
if you were here. Wasim and Andrea, I appreciate your belief in my
abilities. “Mom Bessie,” who renewed her practical nurse license at
age 94. Linda, thank you for being my mentor through this process.
Shirley, Toni, and Ted—Thank you.
(RA)
