Angry Patients

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LINDA M. GORMAN, RN, MN, CS, OCN, CHPN Palliative Care/Hospice Clinical Nurse Specialist Cedars-Sinai Medical Center Los Angeles, California Assistant Professor University of California, Los Angeles Los Angeles, California Certified Clinical Nurse Specialist Adult Psychiatric/Mental Health Nursing MARCIA L. RAINES, PhD, RN, MN, CS Chair and Professor California State University, San Bernardino San Bernardino, California Certified Clinical Nurse Specialist Adult Psychiatric/Mental Health Nursing
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LINDA M. GORMAN,RN, MN, CS, OCN, CHPN Palliative Care/Hospice Clinical Nurse Specialist Cedars-Sinai Medical Center Los Angeles, California Assistant Professor University of California, Los Angeles Los Angeles, California Certi\ufb01ed Clinical Nurse Specialist Adult Psychiatric/Mental Health Nursing MARCIA L. RAINES,PhD, RN, MN, CS Chair and Professor California State University, San Bernardino San Bernardino, California Certi\ufb01ed Clinical Nurse Specialist Adult Psychiatric/Mental Health Nursing DONNA F. SULTAN,RN, MS Mental Health Counselor, RN West Valley Mental Health Center Los Angeles County Department of Mental Health Los Angeles, CaliforniaPsychosocial Nursing for General Patient Care SECOND EDITION F. A. DAVIS COMPANY\u2022 PhiladelphiaF.A. Davis Company 1915 Arch Street Philadelphia, PA 19103 www.fadavis.com Copyright \u00a9 2002 by F.A. Davis Company Copyright \u00a9 1996 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 writ- ten 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 Acquisitions Editor: Joanne DaCunha Developmental Editor: Diane Blodgett Cover Designer: Louis Forgione As new scienti\ufb01c information becomes available through basic and clinical research, recom- mended 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 stan- dards at the time of publication. The authors, editors, and publisher are not responsible for er- rors or omissions or for consequences from application of the book, and make no warranty, ex- pressed 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. Psychosocial nursing for general patient care / Linda M. Gorman, Marcia L. Raines, Donna F. Sultan.\u20142nd ed. p. cm. Previous ed. published with title: Davis\u2019s manual of psychosocial nursing for general patient care. Includes bibliographical references and index. ISBN 0-8036-0802-0 (pbk. : alk. paper) 1. Psychiatric nursing\u2014Handbooks, manuals, etc. 2. Nursing\u2014Social aspects\u2014Handbooks, manuals, etc. I. Luna-Raines, Marcia. II. Sultan, Donna. III. Gorman, Linda M. Davis\u2019s manual of psychosocial nursing for general patient care. RC440 .G659 2002 610.73\ue00068\u2014dc21 2001047637 Authorization to photocopy items for internal or personal use, or the internal or personal use of speci\ufb01c clients, is granted by F.A. Davis Company for users registered with the Copyright Clear- ance Center (CCC) Transactional Reporting Service, provided that the fee of $.10 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 payment has been arranged. The fee code for users of the Transactional Reporting Service is: 8036-0802/02 0\ue001 $.10.Having worked in a variety of specialty areas over the years as staff nurses, clinical nurse specialists, educators, and managers, we realize that nurses as- pire to become highly proficient in their area of practice but that psychosocial skills are often more difficult to perfect. Very often nurses feel inadequately prepared to deal with complex behaviors and psychiatric problems. Even nurses who practice in the psychiatric setting find themselves dealing with unique situations that challenge their level of expertise. And yet, a large per- centage of nurses’ time is spent dealing with these issues. Psychosocial Nursing for General Patient Carebridges the gap between the in- formation contained in large, comprehensive psychiatric nursing texts and the information needed to function effectively in a variety of healthcare set- tings. The clinician can refer to this book to find the information to effectively handle specific patient problems. The nursing student can use this book as a review of basic psychosocial information that will be useful throughout nurs- ing school curriculum. The concise, quick reference format allows the nurse to easily find informa- tion on a specific psychosocial problem commonly seen in practice. In addi- tion to common psychosocial problems, psychiatric disorders are explained and discussed. Information on etiology, assessment, age specific implica- tions, nursing diagnosis and interventions, patient/family education, phar- macologic approaches, and community-based care is provided. Today’s fast-paced healthcare environment demands quick assessment and treatment plans that are realistic, cost-effective, and outcome driven. The infor- mation contained in this book is readily applicable to all patient care settings. Each psychosocial problem includes a section on common nurses’ reactions to the patient behaviors that may result from the problem. Nurses often think they should have only acceptable and “proper” emotional reactions to their pa- tients. The nurses may deny certain feelings and have unrealistic expectations of themselves. These factors impact how the nurse then responds to the pa- tient’s problems. The more aware the nurse becomes of how one reacts to a pa- tient’s behaviors the easier it will be to accept one’s own feelings and under- stand how these feelings affect the patient and influence interventions. PREFACEv
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