J Psychosoc Nurs Men
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J Psychosoc Nurs Men · May 2004
ReviewRational emotive behavior therapy: disputing irrational philosophies.
This article provides an overview of the concepts and techniques of rational emotive behavior therapy to distinguish it from cognitive-behavioral therapy. Rational emotive behavior therapy proposes that psychological disturbance is largely created and maintained through irrational philosophies consisting of internal absolutistic demands. This therapy strives to produce sustained and profound cognitive, emotive, and behavioral change through active, vigorous disputation of underlying irrational philosophies.
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Nurses need to become more aware of serotonin syndrome to avoid its development and to ensure a therapeutic response when early symptoms emerge. While polypharmacy tends to put individuals at greatest risk for the syndrome, use of a single serotonergic agent may also provoke an adverse response. Because the onset and progression of serotonin syndrome are rapid, prompt action may be needed to avoid potentially life-threatening consequences.
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J Psychosoc Nurs Men · Dec 2003
Review Case ReportsCurrent treatment of generalized anxiety disorder.
Generalized anxiety disorder is the most common anxiety disorder and is second only to depression as the most common disorder diagnosed in primary care. Because it is potentially disabling due to its high comorbidity with other psychiatric conditions, psychiatric nurses must accurately diagnose GAD and formulate individualized treatment plans that promote positive outcomes for clients with this disorder.
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J Psychosoc Nurs Men · Aug 2003
Use of a values history in approaching medical advance directives with psychiatric patients.
The Patient Self-Determination Act became federal law in 1990. However, many psychiatric facilities are just beginning to actively address the issue of medical advance directives. The term advance directives, for the purposes of this article, refers exclusively to medical advance directives. Psychiatric advance directives, which are related to issues such as involuntary hospitalization, are beyond the scope of this article.