,Psychiatric Nursing
Contemporary Practice
SEVENTH EDITION
Mary Ann Boyd, PhD, DNS, RN, PMHCNS-BC
Professor Emerita
Southern Illinois University Edwardsville
Edwardsville, Illinois
Rebecca Luebbert, PhD, RN, PMHCNS-BC
Associate Professor
Department Chair, Primary Care & Health Systems
Nursing
Southern Illinois University Edwardsville
Edwardsville, Illinois
,Vice President, Nursing Segment: Julie K. Stegman
Director, Nursing Education and Practice Content: Jamie Blum
Senior Development Editor: Julie M. Vitale
Editorial Coordinator: Vinodhini Varadharajalu
Editorial Assistant: Molly Kennedy
Marketing Manager: Brittany K. Riney
Production Project Manager: Barton Dudlick
Design Coordinator: Stephen Druding
Art Director: Jennifer Clements
Manufacturing Coordinator: Margie Orzech-Zeranko
Prepress Vendor: Lumina Datamatics
Seventh Edition
Copyright © 2022 Wolters Kluwer
Copyright © 2018, 2015, 2012, 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins. Copyright ©
2005, 2002, 1998 Lippincott Williams & Wilkins. All rights reserved. This book is protected by copyright.
No part of this book may be reproduced or transmitted in any form or by any means, including as
photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval
system without written permission from the copyright owner, except for brief quotations embodied in
critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official
duties as U.S. government employees are not covered by the above-mentioned copyright. To request
permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA
19103, via email at , or via our website at lww.com (products and services).
987654321
Printed in China
Library of Congress Cataloging-in-Publication Data
Names: Boyd, M. (Mary Ann), author. Luebbert, R. (Rebecca)
Title: Psychiatric Nursing: Contemporary Practice/Mary Ann Boyd & Rebecca Luebbert
Description: Seventh edition. | Philadelphia: Wolters Kluwer, [2022] | Includes bibliographical references.
Identifiers: LCCN 2017024303 | ISBN 9781975161187
Subjects: | MESH: Mental Disorders–nursing | Nursing Care–methods | Psychiatric Nursing–methods
Classification: LCC RC440 | NLM WY 160 | DDC 616.89/0231–dc23
LC record available at https://lccn.loc.gov/2017024303
This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied,
including any warranties as to accuracy, comprehensiveness, or currency of the content of this work.
This work is no substitute for individual patient assessment based upon health care professionals’
examination of each patient and consideration of, among other things, age, weight, gender, current or prior
medical conditions, medication history, laboratory data, and other factors unique to the patient. The
publisher does not provide medical advice or guidance, and this work is merely a reference tool. Health care
professionals, and not the publisher, are solely responsible for the use of this work including all medical
judgments and for any resulting diagnosis and treatments.
, Given continuous, rapid advances in medical science and health information, independent professional
verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and
treatment options should be made and health care professionals should consult a variety of sources. When
prescribing medication, health care professionals are advised to consult the product information sheet (the
manufacturer’s package insert) accompanying each drug to verify, among other things, conditions of use,
warnings, and side effects, and identify any changes in dosage schedule or contraindications, particularly if
the medication to be administered is new, is infrequently used, or has a narrow therapeutic range. To the
maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any
injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise,
or from any reference to or use by any person of this work.
shop.LWW.com
Contemporary Practice
SEVENTH EDITION
Mary Ann Boyd, PhD, DNS, RN, PMHCNS-BC
Professor Emerita
Southern Illinois University Edwardsville
Edwardsville, Illinois
Rebecca Luebbert, PhD, RN, PMHCNS-BC
Associate Professor
Department Chair, Primary Care & Health Systems
Nursing
Southern Illinois University Edwardsville
Edwardsville, Illinois
,Vice President, Nursing Segment: Julie K. Stegman
Director, Nursing Education and Practice Content: Jamie Blum
Senior Development Editor: Julie M. Vitale
Editorial Coordinator: Vinodhini Varadharajalu
Editorial Assistant: Molly Kennedy
Marketing Manager: Brittany K. Riney
Production Project Manager: Barton Dudlick
Design Coordinator: Stephen Druding
Art Director: Jennifer Clements
Manufacturing Coordinator: Margie Orzech-Zeranko
Prepress Vendor: Lumina Datamatics
Seventh Edition
Copyright © 2022 Wolters Kluwer
Copyright © 2018, 2015, 2012, 2008 Wolters Kluwer Health | Lippincott Williams & Wilkins. Copyright ©
2005, 2002, 1998 Lippincott Williams & Wilkins. All rights reserved. This book is protected by copyright.
No part of this book may be reproduced or transmitted in any form or by any means, including as
photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval
system without written permission from the copyright owner, except for brief quotations embodied in
critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official
duties as U.S. government employees are not covered by the above-mentioned copyright. To request
permission, please contact Wolters Kluwer at Two Commerce Square, 2001 Market Street, Philadelphia, PA
19103, via email at , or via our website at lww.com (products and services).
987654321
Printed in China
Library of Congress Cataloging-in-Publication Data
Names: Boyd, M. (Mary Ann), author. Luebbert, R. (Rebecca)
Title: Psychiatric Nursing: Contemporary Practice/Mary Ann Boyd & Rebecca Luebbert
Description: Seventh edition. | Philadelphia: Wolters Kluwer, [2022] | Includes bibliographical references.
Identifiers: LCCN 2017024303 | ISBN 9781975161187
Subjects: | MESH: Mental Disorders–nursing | Nursing Care–methods | Psychiatric Nursing–methods
Classification: LCC RC440 | NLM WY 160 | DDC 616.89/0231–dc23
LC record available at https://lccn.loc.gov/2017024303
This work is provided “as is,” and the publisher disclaims any and all warranties, express or implied,
including any warranties as to accuracy, comprehensiveness, or currency of the content of this work.
This work is no substitute for individual patient assessment based upon health care professionals’
examination of each patient and consideration of, among other things, age, weight, gender, current or prior
medical conditions, medication history, laboratory data, and other factors unique to the patient. The
publisher does not provide medical advice or guidance, and this work is merely a reference tool. Health care
professionals, and not the publisher, are solely responsible for the use of this work including all medical
judgments and for any resulting diagnosis and treatments.
, Given continuous, rapid advances in medical science and health information, independent professional
verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and
treatment options should be made and health care professionals should consult a variety of sources. When
prescribing medication, health care professionals are advised to consult the product information sheet (the
manufacturer’s package insert) accompanying each drug to verify, among other things, conditions of use,
warnings, and side effects, and identify any changes in dosage schedule or contraindications, particularly if
the medication to be administered is new, is infrequently used, or has a narrow therapeutic range. To the
maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any
injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise,
or from any reference to or use by any person of this work.
shop.LWW.com
