, 4THv EDITION
Neeb’sFundamentals of
v v v
MentalHealth Nursi
v v
ng
LindavM.vGorman,vRN,vMN,vPMHCNS-BC,vFPCN
ClinicalvNursevSpecialist/Nursing vConsultant
PrivatevPractice
vStudiov City,v California
RobynnvF.vAnwar,vMST,vMSN,vEd
vNursingvFaculty/CNAvandvMulti-
SkilledvCoordinatorvCamdenvCountyvCollege,vCa
mdenvCampus
Camden,v Newv Jersey
,F.A.vDavisvCompanyv191
5vArchvStreet
Philadelphia,vPAv19103v
www.fadavis.com
Copyrightv©v2014vbyvF.vA.vDavisvCompany
Copyrightv©v1997,v2001,v2006,vbyvF.A.vDavisvCompany.vAllvrightsvreserved.vThisvbookvisvprotectedvbyvcopy
-
vright.vNo vpartvofvitvmayvbevreproduced,vstoredvinvavretrieval vsystem, vorvtransmitted vinvanyvformvorvbyvanyvm
eans,velectronic,vmechanical,vphotocopying,vrecording,vorvotherwise,vwithoutvwrittenvpermissionvfromvthevpu
blisher.
PrintedvinvthevUnitedvStatesvofvAmericavLa
stvdigitvindicatesvprintvnumber:v10v9v8v7v6v5v4v3v2v1
Publisher,vNursing:vLisavB.vHouck
Directorv ofv Contentv Development:v Darlenev D.v Pedersen
ProjectvEditor:vJacalynvC.vClay
ElectronicvProjectvEditor:vSandravA.vGlennie
Illustrationv andv Designv Manager:v CarolynvO’Brien
Asvnewvscientificvinformationvbecomesvavailablevthroughvbasicvandvclinicalvresearch,vrecommendedvtreatmentsv
andvdrugvtherapiesvundergovchanges.vThevauthor(s)vandvpublishervhavevdoneveverythingvpossiblevtovmakevthisv
bookvaccurate,vupvtovdate,vandvinvaccordvwithvacceptedvstandardsvatvthevtimevofvpublication.vThevauthor(s),vedi-
vtors,vandvpublishervarevnotvresponsiblevforverrorsvorvomissionsvorvforvconsequencesvfromvapplicationvofvthevbook,
vandvmakevnovwarranty,vexpressed vorvimplied,vinvregardvtovthevcontentsvofvthevbook.vAnyvpracticevdescribedvinv
thisvbookvshouldvbevappliedvbyvthevreadervinvaccordancevwithvprofessionalvstandardsvofvcarevusedvinvregardvtovthe
uniquevcircumstancesvthatvmayvapplyvinveachvsituation.vThevreadervisvadvisedvalwaysvtovcheckvproductvinformatio
nv(packagevinserts)vforvchangesvandvnewvinformationvregardingvdosevandvcontraindicationsvbeforevadministeringv
anyvdrug.vCautionvisvespeciallyvurgedvwhenvusingvnewvorvinfrequentlyvorderedvdrugs.
Libraryv ofv Congressv Cataloging-in-Publicationv Data
Gorman,vLindavM.,vauthor.
Neeb’svfundamentalsvofvmentalvhealthvnursingv/vLindavM.vGorman,vRobynnvF.vAnwar.v—vFourthvedition.
p.v;vcm.
Fundamentalsvofvmentalvhealthvnursing
Precededvby:vFundamentalsvofvmentalvhealthvnursingv/vKathyvNeeb.v3rdved.vc2006.vInclud
esvbibliographicalvreferencesvandvindex.
ISBNv978-0-8036-2993-6v(pbk.v:valk.vpaper)
I.vAnwar,vRobynnvF.,vauthor.vII.vNeeb,vKathy,v1952-
vFundamentalsvofvmentalvhealthvnursing.vPrecededvbyv(work):vIII. vTitle.vIV.vTitle:vFundamentals vofvmentalvheal
thvnursing.
[DNLM:v1.v MentalvDisorders—nursing.v2.v Nursing,vPractical.v3.v PsychiatricvNursing—
methods.v WYv160]vRC440
616.89’0231—dc23
2013021696
Authorizationvtovphotocopyvitemsvforvinternalvorvpersonalvuse,vorvthevinternalvorvpersonalvusevofvspecificvclients,vi
svgrantedvbyvF.vA.vDavisvCompanyvforvusersvregisteredvwithvthevCopyrightvClearancevCenterv(CCC)vTransactio
nalvReportingvService,vprovidedvthatvthevfeevofv$.25vpervcopyvisvpaidvdirectlyvtovCCC,v222vRosewoodvDrive,vDan
vers,vMAv01923.vForvthosevorganizationsvthatvhavevbeenvgrantedvavphotocopyvlicensevbyvCCC,vavseparatevsystemv
ofvpay-vmentvhasvbeenvarranged.vThevfeevcodevforvusersvofvthevTransactionalvReportingvServicevis:v8036-1169-
2/04v0v+v$.25.
, TovCorie,v whovsawv mevasvanvauthorv manyvyearsv ago.
(LG)
TovMayme,vIvrealizevhowvmuchveasiervthisvjourneyvwouldvhavevbeenv ifv
youvwerevhere.vWasimvandvAndrea,vIvappreciatevyourvbeliefvinvmyvabil
ities.v“MomvBessie,”vwhovrenewedvhervpracticalvnursevlicensevatvagev94
.vLinda,vthankvyouvforvbeingvmyvmentorvthroughvthisvprocess.vShirley,v
Toni,vandvTed—Thankvyou.
(RA)
Neeb’sFundamentals of
v v v
MentalHealth Nursi
v v
ng
LindavM.vGorman,vRN,vMN,vPMHCNS-BC,vFPCN
ClinicalvNursevSpecialist/Nursing vConsultant
PrivatevPractice
vStudiov City,v California
RobynnvF.vAnwar,vMST,vMSN,vEd
vNursingvFaculty/CNAvandvMulti-
SkilledvCoordinatorvCamdenvCountyvCollege,vCa
mdenvCampus
Camden,v Newv Jersey
,F.A.vDavisvCompanyv191
5vArchvStreet
Philadelphia,vPAv19103v
www.fadavis.com
Copyrightv©v2014vbyvF.vA.vDavisvCompany
Copyrightv©v1997,v2001,v2006,vbyvF.A.vDavisvCompany.vAllvrightsvreserved.vThisvbookvisvprotectedvbyvcopy
-
vright.vNo vpartvofvitvmayvbevreproduced,vstoredvinvavretrieval vsystem, vorvtransmitted vinvanyvformvorvbyvanyvm
eans,velectronic,vmechanical,vphotocopying,vrecording,vorvotherwise,vwithoutvwrittenvpermissionvfromvthevpu
blisher.
PrintedvinvthevUnitedvStatesvofvAmericavLa
stvdigitvindicatesvprintvnumber:v10v9v8v7v6v5v4v3v2v1
Publisher,vNursing:vLisavB.vHouck
Directorv ofv Contentv Development:v Darlenev D.v Pedersen
ProjectvEditor:vJacalynvC.vClay
ElectronicvProjectvEditor:vSandravA.vGlennie
Illustrationv andv Designv Manager:v CarolynvO’Brien
Asvnewvscientificvinformationvbecomesvavailablevthroughvbasicvandvclinicalvresearch,vrecommendedvtreatmentsv
andvdrugvtherapiesvundergovchanges.vThevauthor(s)vandvpublishervhavevdoneveverythingvpossiblevtovmakevthisv
bookvaccurate,vupvtovdate,vandvinvaccordvwithvacceptedvstandardsvatvthevtimevofvpublication.vThevauthor(s),vedi-
vtors,vandvpublishervarevnotvresponsiblevforverrorsvorvomissionsvorvforvconsequencesvfromvapplicationvofvthevbook,
vandvmakevnovwarranty,vexpressed vorvimplied,vinvregardvtovthevcontentsvofvthevbook.vAnyvpracticevdescribedvinv
thisvbookvshouldvbevappliedvbyvthevreadervinvaccordancevwithvprofessionalvstandardsvofvcarevusedvinvregardvtovthe
uniquevcircumstancesvthatvmayvapplyvinveachvsituation.vThevreadervisvadvisedvalwaysvtovcheckvproductvinformatio
nv(packagevinserts)vforvchangesvandvnewvinformationvregardingvdosevandvcontraindicationsvbeforevadministeringv
anyvdrug.vCautionvisvespeciallyvurgedvwhenvusingvnewvorvinfrequentlyvorderedvdrugs.
Libraryv ofv Congressv Cataloging-in-Publicationv Data
Gorman,vLindavM.,vauthor.
Neeb’svfundamentalsvofvmentalvhealthvnursingv/vLindavM.vGorman,vRobynnvF.vAnwar.v—vFourthvedition.
p.v;vcm.
Fundamentalsvofvmentalvhealthvnursing
Precededvby:vFundamentalsvofvmentalvhealthvnursingv/vKathyvNeeb.v3rdved.vc2006.vInclud
esvbibliographicalvreferencesvandvindex.
ISBNv978-0-8036-2993-6v(pbk.v:valk.vpaper)
I.vAnwar,vRobynnvF.,vauthor.vII.vNeeb,vKathy,v1952-
vFundamentalsvofvmentalvhealthvnursing.vPrecededvbyv(work):vIII. vTitle.vIV.vTitle:vFundamentals vofvmentalvheal
thvnursing.
[DNLM:v1.v MentalvDisorders—nursing.v2.v Nursing,vPractical.v3.v PsychiatricvNursing—
methods.v WYv160]vRC440
616.89’0231—dc23
2013021696
Authorizationvtovphotocopyvitemsvforvinternalvorvpersonalvuse,vorvthevinternalvorvpersonalvusevofvspecificvclients,vi
svgrantedvbyvF.vA.vDavisvCompanyvforvusersvregisteredvwithvthevCopyrightvClearancevCenterv(CCC)vTransactio
nalvReportingvService,vprovidedvthatvthevfeevofv$.25vpervcopyvisvpaidvdirectlyvtovCCC,v222vRosewoodvDrive,vDan
vers,vMAv01923.vForvthosevorganizationsvthatvhavevbeenvgrantedvavphotocopyvlicensevbyvCCC,vavseparatevsystemv
ofvpay-vmentvhasvbeenvarranged.vThevfeevcodevforvusersvofvthevTransactionalvReportingvServicevis:v8036-1169-
2/04v0v+v$.25.
, TovCorie,v whovsawv mevasvanvauthorv manyvyearsv ago.
(LG)
TovMayme,vIvrealizevhowvmuchveasiervthisvjourneyvwouldvhavevbeenv ifv
youvwerevhere.vWasimvandvAndrea,vIvappreciatevyourvbeliefvinvmyvabil
ities.v“MomvBessie,”vwhovrenewedvhervpracticalvnursevlicensevatvagev94
.vLinda,vthankvyouvforvbeingvmyvmentorvthroughvthisvprocess.vShirley,v
Toni,vandvTed—Thankvyou.
(RA)