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Fundamentals of Nursing

by
ISBN13:

9780323025867

ISBN10:
0323025862
Format:
Hardcover
Pub. Date:
6/4/2004
Publisher(s):
Mosby
List Price: $91.95

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Summary

Comprehensive, logically-organized, and easy to read, this market-leading fundamentals text provides students with a solid base for their nursing education. Encompassing principles, concepts, and skills, it offers thorough coverage, a nursing process framework, an emphasis on critical thinking, and a focus on care in all settings. This new edition addresses a number of key issues, including evidence-based practice, safety concerns, and end-of-life care. To better meet the needs of beginning students, care plans have been expanded to more clearly explain assessment findings leading to nursing diagnoses, as well as evaluation of outcomes. The 5-step nursing process provides a consistent framework for clinical chapters. The unique Critical Thinking Model visually demonstrates the application of the nursing process and critical thinking in each clinical chapter to help students understand the ongoing assimilation of knowledge and information that comprises critical thinking and its relationship to the nursing process. More than 65 skills, in a 2-column format, include rationales for each step and clearly explain both how and why nursing skills are performed. Procedural Guidelines boxes provide streamlined, step-by-step instructions for performing basic skills. The 3-tiered approach in implementation sections includes health promotion, acute care, and continuing care to address the diverse focus of today's care, as well as the various practice settings. Care Plans demonstrate the application of the 5-step nursing process to individual patient problems to help students understand how a plan is developed and how to evaluate care. Focus on Older Adults boxes, Research Highlight boxes, and Client Teaching boxes highlight key aspects of nursing care. The Caring in Nursing Practice chapter addresses the compassion nurses must incorporate with clinical competence to deliver comprehensive care. A CD-ROM companion, packaged with every text, includes a searchable audio glossary, Butterfield's Fluid and Electrolytes tutorial, NCLEX-style review questions, test taking tips, concept map situations, critical thinking model application, video clips, animations, and Spanish phrases. Unexpected Outcomes and Related Interventions for skills alert students to possible problems and help them determine the best nursing action. 18 Concept Maps more than any other fundamentals text visually demonstrate the association of multiple nursing diagnoses. Evidence-Based Practice Guidelines boxes review research that identifies best practices. The Care Plan format has been expanded to more clearly present assessment, defining characteristics, and evaluation of outcomes. Planning discussions include sections on Goals and Outcomes, Setting Priorities, and Continuity of Care to help beginning students plan and prioritize comprehensive client care. Safety Alerts provide information and techniques to ensure client and nurse safety. Cultural Aspects of Care boxes provide practical guidelines for how to meet the various cultural needs/preferences of clients and their communities. Rationales in care plans and procedures include references whenever possible to highlight evidence-based "best practice." NOC outcomes as well as NIC interventions are incorporated in Care Plans as appropriate. New 2002 CDC Hand Hygiene Guidelines are incorporated throughout. A new chapter on Nursing Today addresses emerging issues, including the nursing shortage. New coverage of bioterrorism has been added to the chapter on Safety. New content on end-of-life and palliative care has been added. The Spiritual Health chapter now offers expanded information to help students identify and meet their clients' spiritual needs. The Skin Integrity and Wound Care chapter has been revised

Table of Contents

Unit I The Client and the Health Care Environment
Nursing Today
1(25)
Historical Perspective Highlights
3(2)
Florence Nightingale
3(1)
The Civil War to the Beginning of the Twentieth Century
3(2)
Twentieth Century
5(1)
Twenty-first Century
5(1)
Societal Influences on Nursing
5(1)
Demographic Changes
5(1)
Women's Health Care Issues
5(1)
Human Rights Movement
6(1)
Medically Underserved
6(1)
Threat of Bioterrorism
6(1)
Needs of the Consumer
6(1)
Cultural Diversity
6(1)
Health Promotion and Wellness
6(1)
Influence of Today's Health Care Delivery System
6(1)
Rising Health Care Cost
7(1)
Evidenced-Based Practice
7(1)
Nursing and Biomedical Research
7(1)
Nursing Shortage
7(1)
Nursing as a Profession
7(9)
Standards of Professional Performance
7(5)
Standards of Care
12(4)
Nursing Education
16(1)
Professional Registered Nurse Education
16(1)
Graduate Education
16(1)
Continuing and In-Service Education
17(1)
Nursing Practice
17(1)
Nurse Practice Acts
17(1)
Licensure and Certification
17(1)
Science and Art of Nursing Practice
18(1)
Professional Responsibilities and Roles
18(4)
Autonomy and Accountability
18(1)
Caregiver
18(1)
Advocate
18(1)
Educator
19(1)
Communicator
19(1)
Manager
19(1)
Career Development
19(3)
Professional Nursing Organizations
22(1)
Future Trends in Nursing
22(4)
Expansion of Employment Opportunities
22(1)
Nursing's Public Perception
22(1)
Nursing's Impact on Politics and Health Policy
22(4)
Health Care Delivery System
26(20)
Health Care Regulation and Competition
28(2)
Nursing Implications
29(1)
Levels of Health Care
30(9)
Preventive and Primary Health Care Services
31(2)
Secondary and Tertiary Care
33(2)
Restorative Care
35(2)
Continuing Care
37(2)
Issues in Health Care Delivery
39(4)
Competency
39(1)
Evidence-Based Practice
40(1)
Knowing Clients
41(1)
Assistive Personnel
41(1)
Quality Health Care
42(1)
The Future of Health Care
43(3)
Community-Based Nursing Practice
46(14)
Community-Based Health Care
47(1)
Achieving Healthy Populations and Communities
48(1)
Community Health Nursing
48(1)
Nursing Practice in Community Health
49(1)
Community-Based Nursing
49(6)
Vulnerable Populations
50(5)
Competency in Community-Based Nursing
55(1)
Case Manager
55(1)
Collaborator
55(1)
Educator
55(1)
Counselor
56(1)
Client Advocate
56(1)
Change Agent
56(1)
Community Assessment
56(1)
Changing Clients' Health
57(3)
Theoretical Foundations of Nursing Practice
60(13)
The Domain of Nursing Theory
62(2)
Components of a Theory
62(1)
Types of Theory
63(1)
Theoretical Models
64(1)
Relationship of Theory to the Nursing Process and Client Needs
64(1)
Interdisciplinary Theories
64(2)
Systems Theory
64(2)
Basic Human Needs
66(1)
Health-and-Wellness Models
66(1)
Stress and Adaptation
66(1)
Developmental Theories
66(1)
Psychosocial Theories
66(1)
Selected Nursing Theories
66(3)
Nightingale's Theory
66(1)
Peplau's Theory
67(1)
Henderson's Theory
68(1)
Abdellah's Theory
68(1)
Johnson's Theory
68(1)
Rogers' Theory
68(1)
Orem's Theory
68(1)
Neuman's Theory
68(1)
Leininger's Theory
69(1)
King's Theory
69(1)
Roy's Theory
69(1)
Watson's Theory
69(1)
Benner and Wrubel's Theory
69(1)
The Link Between Theory and Knowledge Development in Nursing
69(4)
Nursing Research as a Basis for Practice
73(16)
Historical Perspective
74(1)
Scientific Research in Nursing
75(1)
Knowledge Acquisition
75(1)
Scientific Method
76(1)
Nursing and the Scientific Approach
76(3)
Nursing Research
77(2)
Research Process
79(2)
Conducting Nursing Research
81(1)
Ethical Issues in Research
81(1)
Rights of Human Subjects
81(1)
Applying Research to Nursing Practice
82(7)
Research Report Versus Clinical Article
83(1)
Locating Research Studies
84(1)
Identifying Clinical Nursing Problems
84(1)
Research Utilization
84(5)
Unit II Caring Throughout the Life Span
Health and Wellness
89(17)
Healthy People Documents
90(1)
Definition of Health
91(1)
Models of Health and Illness
91(3)
Health Belief Model
91(1)
Health Promotion Model
92(1)
Basic Human Needs Model
93(1)
Holistic Health Models
93(1)
Variables Influencing Health and Health Beliefs and Practices
94(2)
Internal Variables
95(1)
External Variables
95(1)
Health Promotion, Wellness, and Illness Prevention
96(1)
Levels of Preventive Care
97(1)
Risk Factors
97(2)
Genetic and Physiological Factors
97(1)
Age
97(2)
Environment
99(1)
Lifestyle
99(1)
Risk Factor Modification and Changing Health Behaviors
99(1)
Illness
100(2)
Acute Illness and Chronic Illness
101(1)
Illness Behavior
101(1)
Variables Influencing Illness and Illness Behavior
101(1)
Impact of Illness on the Client and Family
102(4)
Behavioral and Emotional Changes
102(1)
Impact on Body Image
102(1)
Impact on Self-Concept
103(1)
Impact on Family Roles
103(1)
Impact on Family Dynamics
103(3)
Caring in Nursing Practice
106(12)
Theoretical Views on Caring
108(2)
Caring Is Primary
108(1)
The Essence of Nursing and Health
108(1)
Transpersonal Caring
108(1)
Swanson's Theory of Caring
109(1)
Summary of Theoretical Views
109(1)
Clients' Perceptions of Caring
110(1)
Ethic of Care
111(1)
Caring in Nursing Practice
112(2)
Providing Presence
112(1)
Touch
112(1)
Listening
113(1)
Knowing the Client
113(1)
Spiritual Caring
114(1)
Family Care
114(1)
The Challenge of Caring
114(4)
Culture and Ethnicity
118(21)
Population Diversity
119(1)
Health Disparities
119(1)
Understanding Cultural Concepts
119(3)
Culturally Congruent Care
120(2)
Cultural Conflicts
122(1)
Cultural Context of Health and Caring
122(2)
Cultural Healing Modalities and Healers
123(1)
Culture-Bound Syndrome
124(1)
Culture and Life Transitions
124(4)
Pregnancy
125(1)
Childbirth
125(1)
Newborn
125(1)
Postpartum Period
126(1)
Grief and Loss
127(1)
Cultural Assessment
128(3)
Census Data
129(1)
Asking Questions
129(1)
Establishing Relationship
129(2)
Selected Components of Cultural Assessment
131(4)
Ethnic Heritage and Ethnohistory
131(1)
Biocultural History
132(1)
Social Organization
132(1)
Religious and Spiritual Beliefs
132(1)
Communication Patterns
133(1)
Time Orientation
133(1)
Caring Beliefs and Practices
134(1)
Experience With Professional Health Care
134(1)
Nursing Decisions
135(4)
Caring for Families
139(16)
The Family
140(1)
Concept of Family
141(1)
Definition: What Is a Family?
141(1)
Current Trends and New Family Forms
141(2)
Changing Economic Status
143(1)
Homelessness
143(1)
Family Violence
143(1)
Human Immunodeficiency Virus
143(1)
Theoretical Approaches: An Overview
143(1)
Family Health System
144(1)
Developmental Stages
144(1)
Attributes of Families
144(3)
Structure
144(1)
Function
145(1)
The Family and Health
146(1)
Family Nursing
147(1)
Family as Context
147(1)
Family as Client
147(1)
Family as System
147(1)
Nursing Process for the Family
148(7)
Assessing the Needs of the Family
148(1)
Family-Focused Care
149(1)
Challenges for Family Nursing
150(1)
Implementing Family-Centered Care
150(5)
Developmental Theories
155(16)
Growth and Development
156(2)
Major Factors Influencing Growth and Development
157(1)
Developmental Theories
158(1)
Four Areas of Theory Development
158(1)
Biophysical Developmental Theories
158(1)
Gesell's Theory of Development
158(1)
Psychoanalytic/Psychosocial Theory
159(5)
Sigmund Freud
159(1)
Erik Erikson
160(1)
Robert Havighurst
161(1)
Roger Gould
162(2)
Stella Chess and Alexander Thomas
164(1)
Cognitive Developmental Theory
164(2)
Jean Piaget's Theory of Cognitive Development
164(2)
Moral Developmental Theory
166(5)
Jean Piaget's Moral Developmental Theory
166(1)
Lawrence Kohlberg's Moral Developmental Theory
166(2)
Carol Gilligan
168(3)
Conception Through Adolescence
171(45)
Stages of Growth and Development
172(1)
Selecting a Developmental Framework for Nursing
172(1)
Conception
173(3)
Intrauterine Life
173(3)
Transition From Intrauterine to Extrauterine Life
176(1)
Physical Changes
176(1)
Psychosocial Changes
176(1)
Health Risks
177(1)
Newborn
177(3)
Physical Changes
177(2)
Cognitive Changes
179(1)
Psychosocial Changes
179(1)
Health Risks
179(1)
Health Concerns
179(1)
Infant
180(9)
Physical Changes
180(1)
Cognitive Changes
181(1)
Psychosocial Changes
181(1)
Health Risks
182(1)
Health Concerns
182(7)
Toddler
189(4)
Physical Changes
189(1)
Cognitive Changes
189(1)
Psychosocial Changes
190(1)
Health Risks
190(2)
Health Concerns
192(1)
Preschooler
193(3)
Physical Changes
193(1)
Cognitive Changes
193(1)
Psychosocial Changes
194(1)
Health Risks
194(1)
Health Concerns
195(1)
School-Age Children and Adolescents
196(2)
School-Age Child
198(6)
Physical Changes
198(1)
Cognitive Changes
199(1)
Psychosocial Changes
200(1)
Health Risks
201(2)
Health Concerns
203(1)
Preadolescent
204(1)
Adolescent
205(11)
Physical Changes
205(3)
Cognitive Changes
208(1)
Psychosocial Changes
208(2)
Health Risks
210(2)
Health Concerns
212(4)
Young to Middle Adult
216(18)
Young Adult
218(8)
Physical Changes
218(1)
Cognitive Changes
218(1)
Psychosocial Changes
218(3)
Health Risks
221(1)
Health Concerns
222(4)
Middle Adult
226(8)
Physical Changes
226(2)
Cognitive Changes
228(1)
Psychosocial Changes
228(1)
Health Concerns
229(5)
Older Adult
234(26)
Variability Among Older Adults
236(1)
Terminology
236(1)
Myths and Stereotypes
236(2)
Nurses' Attitudes Toward Older Adults
238(1)
Theories of Aging
238(1)
Developmental Tasks for Older Adults
239(1)
Community-Based and Institutional Health Care Services
240(1)
Assessing the Needs of Older Adults
241(7)
Physiological Changes
241(1)
Cognitive Changes
241(5)
Psychosocial Changes
246(2)
Addressing the Health Concerns of Older Adults
248(7)
Health Promotion and Maintenance: Physiological Concerns
249(4)
Health Promotion and Maintenance: Psychosocial Health Concerns
253(2)
Older Adults and the Acute Care Setting
255(1)
Older Adults and Restorative Care
256(4)
Unit III Critical Thinking in Nursing Practice
Critical Thinking in Nursing Practice
260(17)
Clinical Decisions in Nursing Practice
261(1)
Critical Thinking Defined
262(2)
Reflection
263(1)
Language
263(1)
Intuition
264(1)
Thinking and Learning
264(1)
Levels of Critical Thinking in Nursing
265(1)
Basic Critical Thinking
265(1)
Complex Critical Thinking
265(1)
Commitment
265(1)
Critical Thinking Competencies
265(4)
Scientific Method
265(1)
Problem Solving
266(1)
Decision Making
266(1)
Diagnostic Reasoning and Inference
267(1)
Clinical Decision Making
267(1)
Nursing Process as a Competency
268(1)
Critical Thinking Model
269(4)
Specific Knowledge Base
269(1)
Experience
270(1)
Attitudes for Critical Thinking
270(2)
Standards for Critical Thinking
272(1)
The Nursing Process Competency
273(1)
Critical Thinking Competencies
273(4)
Nursing Assessment
277(22)
Nursing Process Overview
279(1)
A Critical Thinking Approach to Assessment
279(5)
Organization of Data Gathering
281(1)
Data Collection
282(2)
Types of Data
284(1)
Sources of Data
284(1)
Client
284(1)
Family and Significant Others
284(1)
Health Care Team Members
284(1)
Medical Records
285(1)
Other Records
285(1)
Literature Review
285(1)
Nurse's Experience
285(1)
Methods of Data Collection
285(7)
Interview
285(4)
Nursing Health History
289(2)
Documentation of History Findings
291(1)
Physical Examination
291(1)
Diagnostic and Laboratory Data
292(1)
Formulating Nursing Judgments
292(1)
Data Validation and Interpretation
292(1)
Data Clustering
293(1)
Data Documentation
293(6)
Nursing Diagnosis
299(18)
Evolution of Nursing Diagnosis
300(3)
Critical Thinking and the Nursing Diagnostic Process
303(3)
Diagnostic Process
303(3)
Formulation of the Nursing Diagnosis
306(1)
Components of a Nursing Diagnosis
306(3)
Diagnostic Label
306(1)
Related Factors
307(1)
Definition
307(1)
Risk Factors
307(1)
Support of the Diagnostic Statement
307(2)
Mind Mapping Nursing Diagnosis
309(1)
Sources of Diagnostic Errors
309(4)
Errors in Data Collection
309(2)
Errors in Interpretation and Analysis of Data
311(1)
Errors in Data Clustering
311(1)
Errors in the Diagnostic Statement
311(1)
Nursing Diagnosis and Other Health Care Problems
312(1)
Nursing Diagnoses: Application to Care Planning
313(4)
Advantages of Nursing Diagnoses
313(1)
Limitations of Nursing Diagnoses
314(3)
Planning Nursing Care
317(22)
Establishing Priorities
318(2)
Critical Thinking in Establishing Goals and Expected Outcomes
320(4)
Goals of Care
320(2)
Expected Outcomes
322(1)
Combining Goal and Outcome Statements
322(1)
Guidelines for Writing Goals and Expected Outcomes
323(1)
Critical Thinking in Designing Nursing Interventions
324(3)
Types of Interventions
324(1)
Selection of Interventions
325(2)
Planning Nursing Care
327(8)
Purpose of Care Plans
327(1)
Student Care Plans
328(1)
Institutional Care Plans
329(2)
Concept Maps
331(4)
Consulting Other Health Care Professionals
335(4)
When to Consult
336(1)
How to Consult
336(3)
Implementing Nursing Care
339(15)
Types of Nursing Interventions
341(1)
Protocols and Standing Orders
341(1)
Critical Thinking in Implementation
342(2)
Implementation Process
344(3)
Reassessing the Client
344(1)
Reviewing and Revising the Existing Nursing Care Plan
344(1)
Organizing Resources and Care Delivery
344(2)
Anticipating and Preventing Complications
346(1)
Implementation Skills
346(1)
Direct Care
347(2)
Activities of Daily Living
347(1)
Instrumental Activities of Daily Living
347(1)
Physical Care Techniques
347(1)
Counseling
347(1)
Teaching
347(2)
Controlling for Adverse Reactions
349(1)
Preventive Measures
349(1)
Indirect Care
349(1)
Communicating Nursing Interventions
349(1)
Delegating, Supervising, and Evaluating the Work of Other Staff Members
350(1)
Achieving Client Goals
350(4)
Evaluation
354(16)
Critical Thinking and Evaluation
356(1)
The Evaluation Process
357(6)
Identifying Criteria and Standards
357(4)
Collecting Evaluative Measures
361(1)
Interpreting and Summarizing Findings
361(1)
Documenting Findings
362(1)
Care Plan Revision and Critical Thinking
363(2)
Discontinuing a Care Plan
363(1)
Modifying a Care Plan
363(2)
Quality Improvement
365(5)
Outcomes Management
366(4)
Managing Client Care
370(18)
Building a Nursing Team
371(5)
Nursing Care Delivery Models
372(1)
Decentralized Decision Making
373(3)
Leadership Skills for Nursing Students
376(4)
Clinical Care Coordination
376(4)
Quality Management
380(8)
Quality in Nursing Practice
381(7)
Unit IV Professional Standards in Nursing Practice
Ethics and Values
388(17)
Ethics
389(4)
Basic Terms
389(2)
Professional Nursing
391(2)
Values
393(1)
Value Formation
393(1)
Values Clarification
393(1)
Bioethics
394(3)
Philosophical Constructions
395(1)
Consensus in Bioethics
396(1)
Nursing Point of View
397(1)
How to Process an Ethical Dilemma
397(2)
Institutional Resources
399(1)
Issues in Bioethics
400(5)
Quality of Life
400(1)
Genetic Screening
400(1)
Futile Care
401(1)
Allocation of Scarce Resources: Medical Technologies
401(1)
Allocation of Scarce Resources: The Nursing Shortage
401(4)
Legal Implications in Nursing Practice
405(18)
Legal Limits of Nursing
406(2)
Sources of Law
406(1)
Standards of Care
407(1)
Federal Statutory Issues in Nursing Practice
408(3)
Americans With Disabilities Act
408(1)
Emergency Medical Treatment and Active Labor Act
409(1)
Mental Health Parity Act
409(1)
Advance Directives
409(1)
Uniform Anatomical Gift Act
410(1)
Health Insurance Portability and Accountability Act
411(1)
Restraints
411(1)
State Statutory Issues in Nursing Practice
411(2)
Licensure
411(1)
Good Samaritan Laws
411(1)
Public Health Laws
412(1)
The Uniform Determination of Death Act
412(1)
Physician-Assisted Suicide
412(1)
Civil and Common Law Issues in Nursing Practice
413(6)
Torts
413(1)
Intentional Torts
413(1)
Unintentional Torts
414(1)
Consent
414(3)
Abortion Issues
417(1)
Student Nurses
418(1)
Malpractice Insurance
418(1)
Abandonment and Assignment Issues
418(1)
Risk Management
419(4)
Professional Involvement
419(4)
Communication
423(25)
Communication and Nursing Practice
424(2)
Communication and Interpersonal Relationships
425(1)
Developing Communication Skills
425(1)
Levels of Communication
426(1)
Intrapersonal Communication
427(1)
Interpersonal Communication
427(1)
Transpersonal Communication
427(1)
Small-Group Communication
427(1)
Public Communication
427(1)
Basic Elements of the Communication Process
427(2)
Referent
428(1)
Sender and Receiver
428(1)
Messages
428(1)
Channels
428(1)
Feedback
428(1)
Interpersonal Variables
428(1)
Environment
429(1)
Forms of Communication
429(4)
Verbal Communication
429(1)
Nonverbal Communication
429(2)
Symbolic Communication
431(1)
Metacommunication
431(1)
Professional Nursing Relationships
431(1)
Nurse-Client Helping Relationships
431(1)
Nurse-Family Relationships
432(1)
Nurse-Health Team Relationships
433(1)
Nurse-Community Relationships
433(1)
Elements of Professional Communication
433(1)
Courtesy
433(1)
Use of Names
433(1)
Privacy and Confidentiality
433(1)
Trustworthiness
433(1)
Autonomy and Responsibility
434(1)
Assertiveness
434(1)
Communication Within the Nursing Process
434(14)
Assessment
434(2)
Nursing Diagnosis
436(1)
Planning
436(1)
Implementation
437(7)
Evaluation
444(4)
Client Education
448(28)
Standards for Client Education
450(1)
Purposes of Client Education
450(1)
Maintenance and Promotion of Health and Illness Prevention
450(1)
Restoration of Health
451(1)
Coping With Impaired Functioning
451(1)
Teaching and Learning
451(3)
Role of the Nurse in Teaching and Learning
452(1)
Teaching as Communication
453(1)
Domains of Learning
454(2)
Cognitive Learning
454(1)
Affective Learning
455(1)
Psychomotor Learning
455(1)
Basic Learning Principles
456(4)
Motivation to Learn
456(2)
Ability to Learn
458(1)
Learning Environment
459(1)
Integrating the Nursing and Teaching Processes
460(16)
Assessment
460(2)
Nursing Diagnosis
462(1)
Planning
463(3)
Implementation
466(6)
Evaluation
472(4)
Documentation
476(24)
Confidentiality
478(1)
Standards
478(1)
Multidisciplinary Communication Within the Health Care Team
479(1)
Purposes of Records
479(2)
Communication
479(1)
Legal Documentation
480(1)
Financial Billing
480(1)
Education
481(1)
Research
481(1)
Auditing-Monitoring
481(1)
Guidelines for Quality Documentation and Reporting
481(2)
Factual
481(1)
Accurate
481(1)
Complete
482(1)
Current
482(1)
Organized
483(1)
Methods of Recording
483(4)
Narrative Documentation
483(1)
Problem-Oriented Medical Record
483(1)
Source Records
484(1)
Charting by Exception
484(1)
Case Management Plan and Critical Pathways
485(2)
Common Record-Keeping Forms
487(7)
Admission Nursing History Forms
487(1)
Flow Sheets and Graphic Records
487(1)
Client Care Summary or Kardex
487(5)
Acuity Records
492(1)
Standardized Care Plans
492(1)
Discharge Summary Forms
492(2)
Home Care Documentation
494(1)
Long-Term Health Care Documentation
494(1)
Computerized Documentation
494(1)
Reporting
495(5)
Change-of-Shift Reports
496(1)
Telephone Reports
497(1)
Telephone or Verbal Orders
497(1)
Transfer Reports
497(1)
Incident Reports
497(3)
Unit V Psychosocial Basis for Nursing Practice
Self-Concept
500(22)
Scientific Knowledge Base
501(1)
Nursing Knowledge Base
502(8)
Development of Self-Concept
502(1)
Components and Interrelated Terms of Self-Concept
503(2)
Stressors Affecting Self-Concept
505(3)
Family Effect on Self-Concept Development
508(1)
The Nurse's Effect on the Client's Self-Concept
509(1)
Critical Thinking
510(1)
Self-Concept and the Nursing Process
510(12)
Assessment
510(2)
Nursing Diagnosis
512(1)
Planning
513(3)
Implementation
516(2)
Evaluation
518(4)
Sexuality
522(21)
Scientific Knowledge Base
524(3)
Sexual Development
524(1)
Sexual Response Cycle
525(1)
Sexual Orientation
525(1)
Contraception
526(1)
Sexually Transmitted Diseases
526(1)
Nursing Knowledge Base
527(4)
Sociocultural Dimensions of Sexuality
527(1)
Decisional Issues
528(1)
Alterations in Sexual Health
529(2)
Critical Thinking
531(1)
Sexuality and the Nursing Process
531(12)
Assessment
531(3)
Nursing Diagnosis
534(1)
Planning
535(3)
Implementation
538(2)
Evaluation
540(3)
Spiritual Health
543(24)
Scientific Knowledge Base
545(1)
Nursing Knowledge Base
545(4)
Framework of Systemic Organization
545(1)
Traditional Concepts in Spiritual Health
546(1)
Spiritual Problems
547(2)
Critical Thinking
549(1)
Nursing Process
549(18)
Assessment
550(4)
Nursing Diagnosis
554(2)
Planning
556(3)
Implementation
559(4)
Evaluation
563(4)
The Experience of Loss, Death, and Grief
567(28)
Scientific Knowledge Base
568(4)
Loss
568(2)
Grief
570(2)
Nursing Knowledge Base
572(3)
Factors Influencing Loss and Grief
572(1)
Coping With Grief and Loss
573(2)
Critical Thinking
575(1)
The Nursing Process and Grief
575(20)
Assessment
575(4)
Nursing Diagnosis
579(1)
Planning
580(3)
Implementation
583(8)
Evaluation
591(4)
Stress and Coping
595(22)
Scientific Knowledge Base
596(5)
Medulla Oblongata
597(1)
Reticular Formation
597(1)
Pituitary Gland
597(1)
General Adaptation Syndrome
597(2)
Types of Stress
599(2)
Nursing Knowledge Base
601(2)
Nursing Theory and the Role of Stress
601(1)
Situational, Maturational, and Sociocultural Factors
601(2)
Critical Thinking
603(1)
Nursing Process
603(14)
Assessment
603(2)
Nursing Diagnosis
605(1)
Planning
606(2)
Implementation
608(5)
Evaluation
613(4)
Unit VI Scientific Basis for Nursing Practice
Vital Signs
617(54)
Guidelines for Measuring Vital Signs
619(1)
Body Temperature
620(17)
Physiology
620(2)
Factors Affecting Body Temperature
622(3)
Nursing Process and Thermoregulation
625(1)
Assessment
625(1)
Measuring Body Temperature
626(7)
Nursing Diagnosis
633(1)
Planning
634(1)
Implementation
634(3)
Evaluation
637(1)
Pulse
637(8)
Physiology and Regulation
637(1)
Assessment of Pulse
637(1)
Character of the Pulse
638(1)
Assessing the Radial and Apical Pulses
639(6)
Nursing Process and Pulse Determination
645(1)
Respiration
645(5)
Physiological Control
645(1)
Mechanics of Breathing
645(1)
Assessment of Ventilation
645(2)
Assessing Respirations
647(2)
Assessment of Diffusion and Perfusion
649(1)
Nursing Process and Respiratory Vital Signs
650(1)
Blood Pressure
650(16)
Measuring Oxygen Saturation (Pulse Oximetry)
651(2)
Physiology of Arterial Blood Pressure
653(1)
Factors Influencing Blood Pressure
654(1)
Hypertension
655(1)
Hypotension
656(1)
Measurement of Blood Pressure
656(1)
Measuring Blood Pressure
657(8)
Nursing Process and Blood Pressure Determination
665(1)
Health Promotion and Vital Signs
666(1)
Recording Vital Signs
666(5)
Health Assessment and Physical Examination
671(101)
Purposes of Physical Examination
673(1)
Gathering a Health History
673(1)
Developing Nursing Diagnoses and a Care Plan
673(1)
Managing Client Problems
674(1)
Evaluating Nursing Care
674(1)
Cultural Sensitivity
674(1)
Integration of Physical Assessment With Nursing Care
674(1)
Skills of Physical Assessment
674(4)
Inspection
674(1)
Palpation
675(1)
Percussion
676(1)
Auscultation
677(1)
Olfaction
678(1)
Preparation for Examination
678(4)
Infection Control
679(1)
Environment
679(1)
Equipment
679(1)
Physical Preparation of the Client
679(1)
Psychological Preparation of the Client
680(1)
Assessment of Age-Groups
680(2)
Organization of the Examination
682(1)
General Survey
682(5)
General Appearance and Behavior
682(3)
Vital Signs
685(1)
Height, Weight, and Circumference
685(2)
Skin, Hair, and Nails
687(9)
Skin
687(5)
Hair and Scalp
692(2)
Nails
694(2)
Head and Neck
696(20)
Head
696(1)
Eyes
697(6)
Ears
703(4)
Nose and Sinuses
707(2)
Mouth and Pharynx
709(3)
Neck
712(4)
Thorax and Lungs
716(6)
Posterior Thorax
717(4)
Lateral Thorax
721(1)
Anterior Thorax
721(1)
Heart
722(5)
Inspection and Palpation
724(1)
Auscultation
725(2)
Vascular System
727(8)
Blood Pressure
727(1)
Carotid Arteries
727(2)
Jugular Veins
729(1)
Peripheral Arteries and Veins
730(4)
Lymphatic System
734(1)
Breasts
735(6)
Female Breasts
735(6)
Male Breasts
741(1)
Abdomen
741(5)
Inspection
742(1)
Auscultation
743(1)
Percussion
744(1)
Palpation
744(2)
Female Genitalia and Reproductive Tract
746(4)
Preparation of the Client
746(1)
External Genitalia
746(3)
Speculum Examination of Internal Genitalia
749(1)
Male Genitalia
750(3)
Sexual Maturity
750(1)
Penis
751(2)
Scrotum
753(1)
Inguinal Ring and Canal
753(1)
Rectum and Anus
753(2)
Inspection
753(1)
Digital Palpation
753(2)
Musculoskeletal System
755(3)
General Inspection
755(2)
Palpation
757(1)
Range of Joint Motion
757(1)
Muscle Tone and Strength
758(1)
Neurological System
758(9)
Mental and Emotional Status
761(2)
Intellectual Function
763(1)
Cranial Nerve Function
764(1)
Sensory Function
764(1)
Motor Function
765(2)
Reflexes
767(1)
After the Examination
767(5)
Infection Control
772(49)
Nature of Infection
773(4)
Chain of Infection
774(3)
The Infectious Process
777(3)
Defenses Against Infection
777(2)
Nosocomial Infections
779(1)
The Nursing Process in Infection Control
780(41)
Assessment
780(3)
Nursing Diagnosis
783(1)
Planning
784(1)
Implementation
784(6)
Hand Hygiene
790(16)
Preparation of a Sterile Field
806(2)
Surgical Hand Hygiene: Preparing for Gowning
808(3)
Applying a Sterile Gown and Performing closed Gloving
811(3)
Open Gloving
814(2)
Evaluation
816(5)
Medication Administration
821(89)
Scientific Knowledge Base
823(14)
Pharmacological Concepts
823(1)
Medication Legislation and Standards
823(2)
Pharmacokinetics as the Basis of Medication Actions
825(4)
Types of Medication Action
829(1)
Medication Interactions
829(1)
Medication Dose Responses
830(1)
Routes of Administration
830(4)
Systems of Medication Measurement
834(1)
Clinical Calculations
835(2)
Administering Medications
837(3)
Prescriber's Role
837(1)
Types of Orders
838(1)
Pharmacist's Role
839(1)
Distribution Systems
839(1)
Nurse's Role
840(1)
Critical Thinking
840(3)
Experience
840(1)
Attitudes
840(1)
Standards
841(2)
Nursing Process and Medication Administration
843(7)
Assessment
843(2)
Nursing Diagnosis
845(1)
Planning
845(1)
Implementation
845(4)
Evaluation
849(1)
Medication Administration
850(60)
Oral Administration
850(1)
Administering Oral Medications
851(4)
Topical Medication Applications
855(2)
Administering Nasal Instillations
857(2)
Administering Ophthalmic Medications
859(5)
Administering Vaginal Medications
864(2)
Administering Rectal Suppositories
866(1)
Administering Medications by Inhalation
867(1)
Using Metered-Dose or Dry Powder Inhalers
868(3)
Administering Medications by Irrigation
871(1)
Administering Parenteral Medications
871(4)
Preparing Injections
875(5)
Administering Injections
880(1)
Administering Injections
881(13)
Adding Medications to Intravenous Fluid Containers
894(3)
Administering Medications by Intravenous Bolus
897(4)
Administering Intravenous Medications by Piggyback, Intermittent Intravenous Infusion Sets, and Miniinfusion Pumps
901(9)
Complementary and Alternative Therapies
910(19)
Complementary or Alternative Medicine Therapies in Health Care
912(2)
Nursing-Accessible Therapies
914(5)
Relaxation Therapy
916(2)
Meditation and Breathing
918(1)
Imagery
918(1)
Training-Specific Therapies
919(4)
Biofeedback
919(1)
Therapeutic Touch
920(1)
Chiropractic Therapy
921(1)
Traditional Chinese Medication
921(1)
Acupuncture
922(1)
Herbal Therapies
922(1)
Nursing Role in Complementary and Alternative Therapies
923(6)
Unit VII Basic Human Needs
Activity and Exercise
929(30)
Scientific Knowledge Base
931(3)
Overview of Body Mechanics, Exercise, and Activity
931(1)
Regulation of Movement
932(1)
Principles of Body Mechanics
933(1)
Nursing Knowledge Base
934(2)
Developmental Changes
934(1)
Behavioral Aspects
935(1)
Environmental Issues
935(1)
Cultural and Ethnic Influences
936(1)
Family and Social Support
936(1)
Critical Thinking
936(1)
Nursing Process
937(22)
Assessment
937(2)
Nursing Diagnosis
939(1)
Planning
940(1)
Implementation
941(13)
Evaluation
954(5)
Client Safety
959(42)
Scientific Knowledge Base
960(3)
Environmental Safety
960(3)
Nursing Knowledge Base
963(3)
Risks at Developmental Stages
963(2)
Individual Risk Factors
965(1)
Risks in the Health Care Agency
965(1)
Critical Thinking
966(2)
Safety and the Nursing Process
968(33)
Assessment
968(3)
Nursing Diagnosis
971(1)
Planning
971(2)
Implementation
973(11)
Applying Restraints
984(10)
Seizure Precautions
994(3)
Evaluation
997(4)
Hygiene
1001(65)
Scientific Knowledge Base
1002(3)
The Skin
1003(1)
The Feet, Hands, and Nails
1004(1)
The Oral Cavity
1004(1)
The Hair
1004(1)
The Eyes, Ears, and Nose
1004(1)
Nursing Knowledge Base
1005(2)
Social Practice
1005(1)
Personal Preferences
1006(1)
Body Image
1006(1)
Socioeconomic Status
1006(1)
Health Beliefs and Motivation
1006(1)
Cultural Variables
1006(1)
Physical Condition
1006(1)
Critical Thinking
1007(1)
Nursing Process
1008(58)
Assessment
1008(7)
Nursing Diagnosis
1015(2)
Planning
1017(1)
Implementation
1018(5)
Bathing a Client
1023(8)
Perineal Care
1031(4)
Performing Nail and Foot Care
1035(6)
Providing Oral Hygiene
1041(3)
Performing Mouth Care for an Unconscious or Debilitated Client
1044(12)
Making an Occupied Bed
1056(5)
Evaluation
1061(5)
Oxygenation
1066(68)
Scientific Knowledge Base
1067(13)
Cardiovascular Physiology
1067(3)
Respiratory Physiology
1070(2)
Factors Affecting Oxygenation
1072(2)
Alterations in Cardiac Functioning
1074(5)
Alterations in Respiratory Functioning
1079(1)
Nursing Knowledge Base
1080(2)
Developmental Factors
1080(1)
Lifestyle Risk Factors
1080(1)
Environmental Factors
1081(1)
Critical Thinking
1082(1)
Nursing Process
1082(52)
Assessment
1082(9)
Nursing Diagnosis
1091(1)
Planning
1092(1)
Implementation
1093(8)
Suctioning
1101(9)
Care of an Artificial Airway
1110(8)
Care of Clients With Chest Tubes
1118(5)
Applying a Nasal Cannula or Oxygen Mask
1123(4)
Using Home Liquid Oxygen Equipment
1127(3)
Evaluation
1130(4)
Fluid, Electrolyte, and Acid-Base Balances
1134(64)
Scientific Knowledge Base
1135(11)
Distribution of Body Fluids
1136(1)
Composition of Body Fluids
1136(1)
Movement of Body Fluids
1136(1)
Regulation of Body Fluids
1137(2)
Regulation of Electrolytes
1139(1)
Regulation of Acid-Base Balance
1140(1)
Disturbances in Electrolyte, Fluid, and Acid-Base Balances
1141(5)
Nursing Knowledge Base
1146(1)
Critical Thinking
1146(52)
Nursing Process
1146(1)
Assessment
1146(6)
Nursing Diagnosis
1152(3)
Planning
1155(2)
Implementation
1157(5)
Initiating a Peripheral Intravenous Infusion
1162(13)
Regulating Intravenous Flow Rate
1175(7)
Maintenance of IV System
1182(5)
Changing a Peripheral Intravenous Dressing
1187(6)
Evaluation
1193(5)
Sleep
1198(30)
Scientific Knowledge Base
1200(6)
Physiology of Sleep
1200(1)
Functions of Sleep
1201(1)
Physical Illness
1202(1)
Sleep Disorders
1203(3)
Nursing Knowledge Base
1206(3)
Sleep and Rest
1206(1)
Normal Sleep Requirements and Patterns
1206(1)
Factors Affecting Sleep
1207(2)
Critical Thinking
1209(1)
Nursing Process
1210(18)
Assessment
1210(3)
Nursing Diagnosis
1213(2)
Planning
1215(2)
Implementation
1217(6)
Evaluation
1223(5)
Comfort
1228(43)
Scientific Knowledge Base
1230(4)
Nature of Pain
1230(1)
Physiology of Pain
1230(3)
Types of Pain
1233(1)
Nursing Knowledge Base
1234(5)
Knowledge, Attitudes, and Beliefs
1235(1)
Factors Influencing Pain
1236(3)
Critical Thinking
1239(1)
Nursing Process and Pain
1239(32)
Assessment
1240(6)
Nursing Diagnosis
1246(1)
Planning
1247(1)
Implementation
1248(16)
Evaluation
1264(7)
Nutrition
1271(51)
Scientific Knowledge Base
1273(6)
Nutrients: The Biochemical Units of Nutrition
1273(2)
Anatomy and Physiology of the Digestive System
1275(3)
Dietary Guidelines
1278(1)
Nursing Knowledge Base
1279(6)
Nutrition During Human Growth and Development
1279(6)
Alternative Food Patterns
1285(1)
Critical Thinking
1285(1)
Nursing Process and Nutrition
1286(36)
Assessment
1286(4)
Nursing Diagnosis
1290(1)
Planning
1291(4)
Implementation
1295(5)
Inserting a Small-Bore Nasoenteric Tube for Enteral Feedings
1300(5)
Administering Enteral Feedings via Nasoenteric Tubes
1305(4)
Administering Enteral Feedings via Gastrostomy or Jejunostomy Tube
1309(8)
Evaluation
1317(5)
Urinary Elimination
1322(51)
Scientific Knowledge Base
1323(7)
Kidneys
1323(1)
Ureters
1324(1)
Bladder
1325(1)
Urethra
1325(1)
Act of Urination
1325(5)
Nursing Knowledge Base
1330(1)
Infection Control and Hygiene
1330(1)
Growth and Development
1330(1)
Psychosocial Considerations
1330(1)
Critical Thinking
1331(1)
Nursing Process and Alterations in Urinary Function
1331(42)
Assessment
1331(5)
Collecting Midstream (Clean-Voided) Urine Specimen
1336(4)
Nursing Diagnosis
1340(1)
Planning
1340(3)
Implementation
1343(8)
Inserting a Straight or an Indwelling Catheter
1351(8)
Indwelling Catheter Care
1359(3)
Closed and Open Catheter Irrigation
1362(7)
Evaluation
1369(4)
Bowel Elimination
1373(47)
Scientific Knowledge Base
1374(2)
Mouth
1374(1)
Esophagus
1375(1)
Stomach
1375(1)
Small Intestine
1375(1)
Large Intestine
1375(1)
Anus
1376(1)
Defecation
1376(1)
Nursing Knowledge Base
1376(5)
Factors Affecting Bowel Elimination
1376(3)
Common Bowel Elimination Problems
1379(1)
Bowel Diversions
1380(1)
Critical Thinking
1381(1)
Nursing Process and Bowel Elimination
1381(39)
Assessment
1381(6)
Nursing Diagnosis
1387(1)
Planning
1387(5)
Implementation
1392(7)
Administering a Cleansing Enema
1399(4)
Inserting and Maintaining a Nasogastric Tube
1403(8)
Pouching an Ostomy
1411(5)
Evaluation
1416(4)
Unit VIII Clients With Special Needs
Mobility and Immobility
1420(62)
Scientific Knowledge Base
1421(6)
Physiology and Principles of Body Mechanics
1421(1)
Regulation of Movement
1422(3)
Pathological Influences on Mobility
1425(2)
Nursing Knowledge Base
1427(5)
Mobility-Immobility
1427(5)
Critical Thinking
1432(1)
Nursing Process for Impaired Body Alignment and Mobility
1433(49)
Assessment
1433(10)
Nursing Diagnosis
1443(1)
Planning
1444(3)
Implementation
1447(11)
Moving and Positioning Clients in Bed
1458(10)
Using Safe and Effective Transfer Techniques
1468(11)
Evaluation
1479(3)
Skin Integrity and Wound Care
1482(83)
Scientific Knowledge Base
1483(11)
Skin
1483(1)
Pressure Ulcers
1484(3)
Classification of Pressure Ulcers
1487(1)
Wound Classifications
1487(7)
Nursing Knowledge Base
1494(6)
Prediction and Prevention of Pressure Ulcers
1494(2)
Factors Influencing Pressure Ulcer Formation and Wound Healing
1496(4)
Critical Thinking
1500(1)
Nursing Process
1501(64)
Assessment
1501(3)
Assessment for Risk of Pressure Ulcer Development
1504(5)
Nursing Diagnosis
1509(1)
Planning
1509(4)
Implementation
1513(6)
Treating Pressure Ulcers
1519(10)
Applying Dry and Wet-To-Dry Moist Dressings
1529(9)
Implementation of Vacuum Assisted Wound Closure
1538(6)
Performing Wound Irrigation
1544(6)
Applying an Abdominal or Breast Binder
1550(2)
Applying an Elastic Bandage
1552(5)
Applying a Warm, Moist Compress to an Open Wound
1557(3)
Evaluation
1560(5)
Sensory Alterations
1565(28)
Scientific Knowledge Base
1567(2)
Normal Sensation
1567(1)
Sensory Alterations
1568(1)
Nursing Knowledge Base
1569(2)
Factors Affecting Sensory Function
1569(2)
Critical Thinking
1571(1)
Nursing Process
1571(22)
Assessment
1571(5)
Nursing Diagnosis
1576(1)
Planning
1577(3)
Implementation
1580(9)
Evaluation
1589(4)
Care of Surgical Clients
1593(52)
History of Surgical Nursing
1595(1)
Ambulatory Surgery
1595(1)
Scientific Knowledge Base
1595(1)
Classification of Surgery
1595(1)
Nursing Knowledge Base
1595(2)
Critical Thinking
1597(1)
The Nursing Process in the Preoperative Surgical Phase
1598(26)
Assessment
1598(9)
Nursing Diagnosis
1607(1)
Planning
1607(3)
Implementation
1610(8)
Demonstrating Postoperative Exercises
1618(4)
Evaluation
1622(2)
Transport to the Operating Room
1624(1)
Intraoperative Surgical Phase
1625(1)
Preoperative (Holding) Area
1625(1)
Admission to the Operating Room
1626(1)
The Nursing Process in the Intraoperative Surgical Phase
1626(2)
Assessment
1626(1)
Nursing Diagnosis
1626(1)
Planning
1626(1)
Implementation
1626(2)
Evaluation
1628(1)
Postoperative Surgical Phase
1628(3)
Immediate Postoperative Recovery
1628(1)
Discharge From the Postanesthesia Care Unit
1629(2)
Recovery in Ambulatory Surgery
1631(1)
Postoperative Convalescence
1631(1)
The Nursing Process in Postoperative Care
1631(14)
Assessment
1631(3)
Nursing Diagnosis
1634(1)
Planning
1634(1)
Implementation
1635(6)
Evaluation
1641(4)
Review Question Answers 1645(3)
Review Question Rationales 1648


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