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Gain the knowledge and skills you need to care for clients with mental health disorders! Foundations of Mental Health Care, 8th Edition uses an easy-to-read, multidisciplinary approach to describe the treatment of clients with a wide range of maladaptive behaviors. Ideal for LPN/LVNs and other caregivers, this guide provides concise coverage of issues and principles, therapeutic interventions, mental health problems throughout the lifecycle, and specific psychological and psychosocial conditions. This edition is updated with the latest information on violence, suicide, substance abuse, and more. Written by expert educator Michelle Morrison-Valfre, this resource helps you master skills in mental health assessment, effective communication, and the therapeutic relationship.
DSM-5 criteria are used in the descriptions of all mental health disordersSample client care plans show how members of the health care team work collaboratively to meet client needsCase studies provide realistic client scenarios that illustrate chapter concepts and strengthen critical thinkingTherapeutic interventions include multidisciplinary and holistic treatment, medical management, application of the nursing process, and pharmacologic therapyCritical Thinking boxes contain thought-provoking client issues and questions, helping you develop skills in clinical reasoningDrug Alert boxes identify the risks and possible adverse reactions of psychotherapeutic medicationsCultural Consideration boxes highlight cultural issues and address the mental health needs of culturally diverse clientsGet Ready for the NCLEX® Examination sections include key points, additional learning resources, and NCLEX-PN review questions with answers on the Evolve website, all designed to prepare you for success on classroom and licensure examsKey terms at the beginning of each chapter introduce difficult medical, nursing, or scientific terms, and include page number references and phonetic pronunciationsStudy Guide on the Evolve website reinforces your understanding of important concepts from the text. Included free with textbook purchaseNEW! Next-Generation NCLEX® case studies and new format questions help you prepare for success on the NCLEX-PN® examinationNEW! Updated coverage keeps you current with the latest issues and approaches to mental health care in the United States, and includes new information on violence, suicide, physical abuse, substance abuse, and schizophrenia
From the Publisher



Publisher : Mosby
Publication date : October 10, 2022
Edition : 8th
Language : English
Print length : 456 pages
ISBN-10 : 0323810292
ISBN-13 : 978-0323810296
Item Weight : 7.6 ounces
Dimensions : 8.9 x 0.7 x 11.1 inches
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As a gardener, you’re undoubtedly familiar with that perpetual question when you find that something has been nibbling on your greens:
Are they safe to eat?
In many cases, yes, they are perfectly edible and you need not worry. However, at other times, the answer is absolutely not.

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In this guide, will walk you through these different scenarios, so you will know whether or not you can eat the damaged greens in your garden.
Here’s what’s ahead:
If you pick the leafy vegetables that you so lovingly tended through the season, and you discover that something – or someone – has been enjoying their own feast before you had a chance to harvest your crops, are they safe to consume?


Fortunately, there’s good news!
Greens with holes in them that were created by feeding insects or slugs should be fine to eat, if you cut away the damaged parts.
However, there are times when you do want to avoid produce that has been damaged by the local wildlife. Let’s take a look.
If you are particularly unlucky, it is possible to become gravely ill from eating damaged greens.
In your vegetable beds, check the ground nearby to look for signs that a mammal may have been nibbling on the leaves.
If you find piles of deer or rabbit poop in the vicinity, do not eat the greens.


These animals can spread dangerous strains of E. coli (the “lab rat” of bacteria and a common ingredient in feces), as well as Salmonella.
While most strains of E. coli are harmless, there are strains that produce a toxin that can prove fatal to susceptible individuals like young children and the elderly.
Deer can be carriers of these strains. The toxin that these bacteria produce can be inactivated by heating food to 158°F, but why take a chance?
I think it’s far better to forego part of your crop than it is to risk your health.
Cat droppings can also pose a health hazard. They can spread the parasite that causes toxoplasmosis.
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I’ve been sharing about magnesium’s benefits for over 15 years now on the blog and podcast. It’s one of the few supplements that I take every day because I’ve noticed such a huge difference with it. More recently, I’ve come to realize how much it helps with nervous system regulation and mineral balance.
Once I started using magnesium regularly I noticed not only did I sleep better, but I handled stress better and didn’t feel so depleted. For me (and so many others) it’s one of those supplements that are core to my wellness routine.
More people are now aware of magnesium’s benefits, but it does so much more than help with sleep or relaxing. It’s deeply connected to how our cells make energy, how our nervous system communicates, and how we respond to stress. Unfortunately, unless you’re thoughtfully supplementing, you’re very likely not getting enough.
Experts estimate magnesium is involved in around 800 (or more!) enzymatic reactions in the body. If you’re making hormones, repairing tissue, digesting food, producing energy, or regulating the nervous system, you can thank magnesium. It’s one reason why magnesium deficiency can show up in so many different ways.
One of magnesium’s most important jobs is helping the body create usable cellular energy. The body’s energy currency is ATP (adenosine triphosphate), but ATP isn’t biologically active on its own. It has to bind to magnesium to actually function. In practical terms, this means magnesium is directly connected to whether our cells can efficiently produce and use energy.
When magnesium levels are low the entire body can see the effects. Fatigue, poor recovery, muscle tension, headaches, and brain fog can all be signs that the body doesn’t have the mineral support it needs.
I noticed this during the years when my body was stuck in a highly inflamed state. Even though I’d been taking magnesium for years, I realized I wasn’t always absorbing or tolerating it well because my nervous system and digestion were so dysregulated. At one point, magnesium supplements actually made me itchy, which surprised me because magnesium is supposed to be so good for you.
Eventually, I learned that I had to work up slowly while also addressing larger issues like inflammation, nervous system stress, mast cell activation, and what’s often called the “cell danger response.” Once my body felt safer and calmer overall (and I found magnesium that worked for me) I finally started seeing the positive benefits.
Between chronic stress, mineral-depleted soil, filtered water, medications, and even intense exercise, many of us are likely running low without realizing it. As moms with lots of responsibilities and stressful situations, it’s easy to become magnesium deficient.
Stress, physical or emotional, dramatically changes our magnesium demand. When cortisol and adrenaline levels are chronically too high, it increases how much magnesium our cells use and excrete. It’s our body’s built-in survival response.
This makes sense biologically. In an emergency, the body prioritizes immediate survival over long-term repair. The problem is that many of us now live in a constant low-level stress state. We’re overstimulated, under-rested, chronically busy, and often disconnected from the rhythms that once allowed our nervous system to fully recover.
So now? Our body constantly uses magnesium faster than we can replace it. Over time, this can create a cycle where stress depletes magnesium, and low magnesium makes us feel even more stressed, anxious, tight, or exhausted.
For me, this showed up as the classic “wired but tired” feeling for years. I could push through the day on stress hormones and sheer willpower, but my nervous system never truly relaxed. Once I started viewing magnesium not just as a supplement, but as a foundational safety signal for the body, things began to shift.
Magnesium helps calm the nervous system and relax smooth muscle tissue. Adequate magnesium essentially tells the body that it’s safe enough to move into repair mode. This is one reason people often notice better sleep, less muscle tension, headaches, and constipation, or better stress resilience with more magnesium.
Women have different factors that can increase our need for magnesium. Fluctuating hormones through the menstrual cycle (especially right before a period) increase our magnesium needs. Pregnancy and breastfeeding both dramatically increase mineral needs too.
Perimenopause and menopause add another layer because fluctuating hormones and higher stress loads often increase nervous system sensitivity. Many women notice symptoms like irritability, poor sleep, muscle tension, headaches, or worsening PMS when the body craves more magnesium.
Looking back, I can see how much this applied in my own life. During pregnancy and postpartum especially, I often felt depleted in ways that I couldn’t fully explain at the time. Now I realize that mineral depletion was likely a much bigger part of the picture than I understood then.
This is also why I think magnesium conversations need more nuance than simply “take magnesium for sleep.” Magnesium is connected to hormone balance, energy production, stress response, muscle function, nervous system regulation, and cellular repair. Sleep benefits are wonderful, but they’re really just one visible piece of a much larger picture.
One reason why magnesium deficiency is so common is because modern life seems perfectly designed to burn through it. Our food is no longer mineral rich because the soil is so depleted, even compared to a few generations ago.
Filtered water can also contribute to the problem. While water filtration is absolutely beneficial, many systems remove naturally occurring minerals as well. Unless we intentionally remineralize our water or prioritize mineral intake elsewhere, this can deplete magnesium even more.
Here are some more things that deplete magnesium:
I gave up alcohol several years ago, but I do enjoy my coffee. Due to that and my active lifestyle I really pay attention to replenishing minerals.
The symptoms of low magnesium can be surprisingly broad. In many ways, magnesium deficiency can start to look a lot like modern life itself. Anxiety, insomnia, constipation, migraines, PMS symptoms, muscle cramps, tight shoulders, restless legs, irritability, and heart palpitations can all point toward magnesium depletion.
As important as it is, magnesium doesn’t work alone. Sodium, potassium, and calcium (among others) work together in a tightly coordinated system. Calcium and magnesium work almost like opposites in the body. Calcium helps muscles contract and excites nerves. Magnesium helps muscles relax and calms nerves. We need both, but we need them in balance.
The challenge is that many processed foods and supplements add calcium while fewer people prioritize magnesium. Too much calcium without enough magnesium can contribute to muscle tension, cramps, irritability, and an overstimulated nervous system.
Magnesium also plays a critical role in potassium balance. Potassium is essential for electrical activity in our cells, but we need magnesium to help move potassium into cells. This means low magnesium can create problems even if it seems like we’re getting enough potassium.
This relationship becomes even more important when thinking about energy, muscle function, and heart rhythm. Sodium, potassium, and magnesium all work together to regulate cellular electrical activity. When one is chronically low, the whole system can feel dysregulated.
I’ve noticed that improving magnesium intake worked much better when I also became more intentional about electrolytes overall. Focusing on only one mineral in isolation rarely created the same results as supporting the broader mineral balance together.
One reason magnesium can feel confusing is that different forms do different things. Many people try one isolated form, don’t feel better, or experience digestive issues, and assume magnesium simply isn’t helpful for them.
You could mix and match and guess which ones you need. However, I’ve found the best results with taking a broad-spectrum magnesium supplement with all seven forms. It’s better than guessing which one my body needs most at any given time. Once I switched to BIOptimizers I finally noticed a difference from magnesium supplementation. Even my Oura ring showed the visible results through health metrics.
Topical magnesium deserves its own category because it can be incredibly helpful, especially for people with more sensitive digestion. Since it absorbs through the skin, it bypasses the digestive system that can make oral magnesium harder to tolerate.
I especially love topical magnesium after workouts or on sore muscles. Many people also notice benefits when using topical magnesium on their calves or feet before bed, especially for muscle tension or restless legs. I often use it after sauna sessions or intense workouts when I know my mineral demand is higher.
Here are some ways I get topical magnesium:
Even though I think supplementation is necessary, food sources matter tremendously. Magnesium-rich foods provide not only magnesium, but other supportive nutrients and cofactors.
Some of the best dietary sources include pumpkin seeds, almonds, cashews, leafy greens, avocado, salmon, black beans, and dark chocolate. Interestingly, this may partly explain why many women crave chocolate around their menstrual cycle. The body may actually be seeking magnesium.
That said, I’ve also come to agree with many experts who now acknowledge that getting enough magnesium from food alone has become almost impossible. Soil depletion has changed the nutritional landscape dramatically compared to what previous generations experienced.
In my own life, I view magnesium as a both-and approach. I prioritize nutrient-dense foods while also supplementing intentionally, especially during higher stress periods or times of increased demand.
The more I learn about health, the more I realize the body constantly responds to signals of either safety or danger. Magnesium appears to play a surprisingly important role in that conversation.
Magnesium supports the parasympathetic nervous system, often called the “rest and repair” side of the nervous system. It helps relax smooth muscles, calm the limbic system, support digestion, and lower the body’s stress threshold.
For many of us living in chronic sympathetic dominance, constantly rushing, multitasking, and overstimulated, this matters a lot. The body can’t fully repair when it constantly thinks it’s in danger. It’s like magnesium is helping the body to take a deep breath out. Sleep becomes deeper, muscles unclench, and stress and recovery are easier.
That doesn’t mean magnesium is a magic cure or the only missing piece. However, it can be a foundational support that helps create an environment where healing and repair become more possible.
I already mentioned which topical products I use above, but you can find my favorite magnesium supplement here. I use Magnesium Breakthrough from BIOptimizers and have for years. It uses 7 different types of magnesium so I don’t have to worry I’m not getting the kind my body needs in the moment.
Magnesium has remained one of the most consistent parts of my own health journey because I’ve repeatedly noticed how foundational it is. It isn’t just about preventing deficiency symptoms. It’s about supporting the electrical, energetic, and nervous system processes that help the body function well in the first place.
You might not feel instant results, but the body gradually becomes more resilient and more rested. In a world that constantly pulls us into stress and depletion, this kind of support makes a meaningful difference over time.
Do you supplement with magnesium? Have you noticed a difference? Leave a comment and share below!
Happy Friday GPODers!
Dot Lenahan in Broomall, Pennsylvania (Zone 7b) shared her new garden for the first time just a couple of years ago. At the time she had only 3 years worth of garden growth, but the color and interest she had attained was already impressive. With each year she continues to share more interesting updates that showcase a wonderful range of plants (Check out her previous submissions: Roses and Clematis Save Spring in Dot’s Pennsylvania Garden, Summer Scenes in Dot’s Garden, and Dot’s 3-Year-Old Garden), and today’s submission it no exception. Spring has finally erupted into color after a long winter in Pennsylvania, and a wonderful array of blue and purple blooms make the beginning of the growing season spectacularly serene.
Spring has finally arrived after a VERY long and snowy winter. I have been redoing many beds in addition to adding two new areas for perennials and cutting flowers. Our dog Jack has been chasing the two rabbits who have eaten two rose bushes down to the ground. He is also patrolling for the constant deer visitors. Hope you enjoy the emerging clematis blooms!
A lovely verbascum
My “add on” garden, featuring allium
A bright blue larkspur glows in Dot’s garden.
Pinks (Dianthus gratianopolitanus ‘Bath’s Pink’, Zones 3–8) and phlox
‘Nelly Moser’ clematis (Clematis ‘Nelly Moser’, Zones 4–8)—as you can see, there is a purple/blue theme going on!
Thank you so much for this springtime update on your garden, Dot! It’s always a pleasure to see your seasonal highlights, and I hope you continue to share your moments of garden magic with us.
The weekend is here and I hope it brings you plenty of time to enjoy your garden—whether you have a long list of spring chores or get to sit back and enjoy spring flowers. While you’re enjoying time in your garden, please consider snapping a few photos to share with the blog. Follow the directions below to submit your photos to Garden Photo of the Day!
Have photos to share? We’d love to see your garden, a particular collection of plants you love, or a wonderful garden you had the chance to visit!
To submit, fill out the Garden Photo of the Day Submission Form.
You can also send 5–10 photos to [email protected] along with some information about the plants in the pictures and where you took the photos. We’d love to hear where you are located, how long you’ve been gardening, successes you are proud of, failures you learned from, hopes for the future, favorite plants, or funny stories from your garden.
Do you receive the GPOD by email yet? Sign up here
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Years ago I discovered the skin health benefits of tallow. While these DIY tallow lotion bars were a favorite, I wanted something with a softer consistency. The result is this nourishing whipped tallow balm, perfect for even sensitive skin.
I love how it makes my skin feel so silky and soft. Plus it has natural ingredients I feel good about using with my kids too. I really saw a big difference in my son’s eczema scars after using tallow. Here’s why tallow balm is so great, how to use it, and how to make your own!
Unlike other moisturizers and lotions with plant oils, tallow balm is a unique creature. It all starts with animal fat (usually beef fat, but mutton works nicely too) that’s then rendered and purified. It’s similar to lard, which comes from pigs.
The best fat to use for beef tallow comes from grass-fed suet or leaf fat. This leaf fat is what’s found around the kidneys. Tallow balm benefits the skin in so many ways.
Since tallow comes from an animal source it nourishes and soaks into our skin beautifully. You can use it for lip balm, soap, moisturizers, and salves. As a balm, it helps with dry skin, eczema, and anti-aging.
Many people use tallow balm for skin because it’s rich in naturally occurring fatty acids that closely resemble our skin’s own oils. It’s perfect for every age from babies on up. I used tallow balm for eczema on my son and it’s great for diaper rash too.
You could use just plain tallow on your skin, but it’s very firm and hard to spread. An easier way is to make tallow moisturizer made with a mix of tallow and liquid oils. This makes it much easier to apply and you get the best of both worlds. The result is a deeply nourishing beef tallow moisturizer that works well for both face and body care.
Some recipes add shea butter, coconut oil, or jojoba oil. I like to keep things simple and mainly use extra virgin olive oil here. I’ve also added a little bit of rosehip seed oil. Since rosehip is astringent it helps the tallow soak in a little better, plus it has amazing skin restoring properties. This anti-aging rosehip facial moisturizer is a reader favorite!
You don’t even need beeswax to thicken this. You can also add some of your favorite essential oils, though it’s totally optional. Frankincense, chamomile, and lavender essential oils are some good ones to consider.
This recipe feels like a whipped body butter, or you can skip the whipping step and it feels more like a salve. Either way works, but I prefer the feel of the whipped version. If you’ve been searching for a simple tallow balm recipe, this one works beautifully because it’s customizable and gentle enough for sensitive skin.
Another question I often hear is how to make tallow balm less greasy. Adding lightweight oils like rosehip seed oil and whipping the finished balm both help create a lighter texture that absorbs more easily into the skin. Olive oil is a heavier oil, so you can replace it with a lighter one (like grapeseed) if you need something less moisturizing.
Ok, so maybe I’ve sold you on how awesome tallow is for skin… but where do you get it? You might find high-quality grass-fed beef tallow from a local farmer in your area. If not, I also like to get my tallow online here.
Rendered tallow has an off-white color and may or may not have a beefy smell. Further purifying it helps to get rid of the tallow smell and yields a snow-white color.
If you’re using tallow for cooking (or even soap making) the smell isn’t strong enough to make a difference. For skincare products though you’ll want purified tallow. You can find a tutorial for how to render tallow here, but here’s how to purify it further.
Once your tallow is purified, you’re ready to make your own whipped tallow balm at home!
This silky tallow balm is great for dry skin and all sorts of skin irritations. Great for all ages!
Yield: 6 ounces
Add tallow to the top of a double boiler and melt tallow over low heat.
Once it’s completely liquid add the olive oil and stir.
Remove from the heat and add essential oils and rosehip seed oil if using.
Pour the tallow balm into a glass jar and put it in the refrigerator to harden.
For a whipped tallow balm version, pour the balm into a mixing bowl instead before putting it in the fridge. You want it to solidify to the point it’s firm, but not really hard.
Whip the tallow balm with the whisk attachment on a stand mixer or a hand mixer. If it’s too hard to whip, then let it set at room temperature just until soft enough to whip.
Transfer to a glass jar for storage.
You can include even more herbal skincare benefits in your tallow balm. Instead of using regular olive oil (or any liquid carrier oil) use herb infused oil instead. Calendula, lavender, chamomile, or plantain herb are some good options for skin. Here’s how to make an herb infused oil. I used some leftover dandelion infused oil for one batch.
Don’t feel like making it? Toups & Co Organics makes some great tallow balms my family loves.
Some tallow is harder than others, and some people like their tallow balm harder or softer. If you want a softer version, add a little more oil. If you want a harder version, then decrease the oil or add a little beeswax.
Yes! I do all the time. Whipped tallow balm on my face makes it feel silky smooth.
Yes, but purify it first. See the directions above. Mine still had a very slight beef smell after purifying, but it wasn’t strong.
Yes, most likely, unless it’s already been purified several times and doesn’t have a strong beefy smell.
Pig fat is lard and is too soft for this recipe (but makes great French fries!). Mutton tallow from lamb should work, but I haven’t tried it.
Have you ever used tallow on your skin before? What’s your favorite way to use it? Leave a comment and let us know!