A B OU T T H E C OV E R A RT WOR K
“Butterfly Abstract” is by Bradley D. Rankin of Cuyahoga
Falls, Ohio. Bradley created this painting for the 2020 annual
Art of Recovery event in Akron, Ohio. This event highlights
artwork of clients from a local community mental health
center. Bradley comments, “The abstract background with
the more realistic butterflies depicts the confusion that
sometimes overpowers our environment.” Bradley’s recovery
from mental illness has led to a full-time job and the enjoy-
ment of creating art.
In his own words: “Art has given me confidence and pride
in my work and life. My grandmother is a retired professional
artist and is my teacher. We enjoy working together even though
sometimes we disagree on the subject I’m painting.” The artist
was given the opportunity to address the nursing students who
will use this book. Bradley responded by saying, “Mental illness
recovery is possible with help from family, friends, and profes-
sionals. Never give up on a patient.”
on
, 9TH EDITION
VARCAROLIS’
Foundations of
Psychiatric-Mental
Health Nursing
A Clinical Approach
Margaret (Peggy) Jordan Halter, PhD, APRN
Editor, Manual of Psychiatric Nursing Care
Former Clinical Nurse Specialist, Cleveland Clinic Akron General, Akron, Ohio
Former Faculty, Malone College, Canton, Ohio; University of Akron, Akron, Ohio;
Ohio State University, Columbus, Ohio
Former Associate Dean, Ashland University, Mansfield, Ohio
,Elsevier
3251 Riverport Lane
St. Louis, Missouri 63043
VARCAROLIS’ FOUNDATIONS OF PSYCHIATRIC-MENTAL
HEALTH NURSING: A CLINICAL APPROACH, EDITION 9 ISBN: 978-0-323-69707-1
Copyright © 2022 by Elsevier Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any information storage and retrieval system, without
permission in writing from the publisher. Details on how to seek permission, further information about the
Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance
Center and the Copyright Licensing Agency can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Notice
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds or experiments described herein. Because of rapid advances
in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be
made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contrib-
utors for any injury and/or damage to persons or property as a matter of products liability, negligence or
otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the
material herein.
Previous editions copyrighted 2018, 2014, 2010, 2006, 2002, 1998, 1994, and 1990.
Library of Congress Control Number: 2021939107
Executive Content Strategist: Yvonne Alexopoulos
Senior Content Development Manager: Lisa P. Newton
Publishing Services Manager: Julie Eddy
Book Production Specialist: Clay Broeker
Design Direction: Brian Salisbury
Printed in Canada
Last digit is the print number: 9 8 7 6 5 4 3 2 1
, D E D I C AT I O N
In memory of my friend and mentor, Betsy Varcarolis, who developed and edited five editions of
this textbook. Her life’s work in psychiatric nursing has influenced generations of future nurses,
touched the lives of countless people, and profoundly changed my life.
December 8, 1940 - May 31, 2020
This book is also dedicated to people who are being treated for and recovering from mental illness
and to the future nurses who will support their treatment and recovery.
on
“Butterfly Abstract” is by Bradley D. Rankin of Cuyahoga
Falls, Ohio. Bradley created this painting for the 2020 annual
Art of Recovery event in Akron, Ohio. This event highlights
artwork of clients from a local community mental health
center. Bradley comments, “The abstract background with
the more realistic butterflies depicts the confusion that
sometimes overpowers our environment.” Bradley’s recovery
from mental illness has led to a full-time job and the enjoy-
ment of creating art.
In his own words: “Art has given me confidence and pride
in my work and life. My grandmother is a retired professional
artist and is my teacher. We enjoy working together even though
sometimes we disagree on the subject I’m painting.” The artist
was given the opportunity to address the nursing students who
will use this book. Bradley responded by saying, “Mental illness
recovery is possible with help from family, friends, and profes-
sionals. Never give up on a patient.”
on
, 9TH EDITION
VARCAROLIS’
Foundations of
Psychiatric-Mental
Health Nursing
A Clinical Approach
Margaret (Peggy) Jordan Halter, PhD, APRN
Editor, Manual of Psychiatric Nursing Care
Former Clinical Nurse Specialist, Cleveland Clinic Akron General, Akron, Ohio
Former Faculty, Malone College, Canton, Ohio; University of Akron, Akron, Ohio;
Ohio State University, Columbus, Ohio
Former Associate Dean, Ashland University, Mansfield, Ohio
,Elsevier
3251 Riverport Lane
St. Louis, Missouri 63043
VARCAROLIS’ FOUNDATIONS OF PSYCHIATRIC-MENTAL
HEALTH NURSING: A CLINICAL APPROACH, EDITION 9 ISBN: 978-0-323-69707-1
Copyright © 2022 by Elsevier Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any information storage and retrieval system, without
permission in writing from the publisher. Details on how to seek permission, further information about the
Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance
Center and the Copyright Licensing Agency can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Notice
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds or experiments described herein. Because of rapid advances
in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be
made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contrib-
utors for any injury and/or damage to persons or property as a matter of products liability, negligence or
otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the
material herein.
Previous editions copyrighted 2018, 2014, 2010, 2006, 2002, 1998, 1994, and 1990.
Library of Congress Control Number: 2021939107
Executive Content Strategist: Yvonne Alexopoulos
Senior Content Development Manager: Lisa P. Newton
Publishing Services Manager: Julie Eddy
Book Production Specialist: Clay Broeker
Design Direction: Brian Salisbury
Printed in Canada
Last digit is the print number: 9 8 7 6 5 4 3 2 1
, D E D I C AT I O N
In memory of my friend and mentor, Betsy Varcarolis, who developed and edited five editions of
this textbook. Her life’s work in psychiatric nursing has influenced generations of future nurses,
touched the lives of countless people, and profoundly changed my life.
December 8, 1940 - May 31, 2020
This book is also dedicated to people who are being treated for and recovering from mental illness
and to the future nurses who will support their treatment and recovery.
on
