This book uses the latest research findings to apply critical thinking processes for the development of diagnostic reasoning and the selection of patient outcomes and nursing interventions.Four chapters describe the meaning of intelligence, critical thinking, and application of critical thinking processes within nursing. The case studies and their ultimate resolution to intervention and outcome illustrate these processes by enabling repeated practice. Case studies are organized into four sections; problem diagnoses, risk diagnoses, health promotion diagnoses, and strength diagnoses. A companion website provides on-line resources.

Margaret Lunney, RN, PhD, Professor and Graduate Programs Coordinator, College of Staten Island, Staten Island, NY, Doctoral Faculty, Graduate Center, City University of New York, New York, NY, USA.

Contributors	p. ix
Preface	p. xix
Acknowledgments	p. xxiii
How to Use this Book	p. xxv
Strategies for Critical Thinking to Achieve Positive Health Outcomes	p. 3
Use of Critical Thinking to Achieve Positive Health Outcomes	p. 5
Diagnostic Reasoning and Accuracy of Diagnosing Human Responses	p. 23
Guiding Principles for Use of Nursing Diagnoses and NANDA-I, NOC, and NIC	p. 39
Application of the Guiding Principles and Directions for Use of NANDA-I, NOC, and NIC	p. 55
Case Study Application of Strategies	p. 73
Case Studies with a Primary Focus on Problem Diagnoses and Associated Outcomes and Interventions	p. 77
Woman Admitted for Diagnostic Testing of a Lung Nodule	p. 78
Adaptation to the Pain of a Fractured Hip	p. 83
Acute Presentation of an Elderly Woman with Cancer	p. 87
Substance Abuse Crisis Associated with Stress Overload	p. 91
Communication of Perceptions and Mechanical Ventilation	p. 96
Preparing for Orthopedic Surgery with Other Health Problems	p. 100
Helping a School Child with Asthma	p. 105
Birth of a 25-week Neonate	p. 110
Emergency Care for a Seriously Burned Man	p. 115
Dilemma of Addressing Overlapping Diagnoses in Acute Care	p. 119
The Hypermetabolic State	p. 124
Low Accuracy Nursing and Medical Diagnoses Can Lead to Harm	p. 129
Cardiac Disease and Self Management	p. 133
Woman with a Neurological Problem	p. 137
Orthopedic Care of a Woman with Total Hip Replacement	p. 143
Using Orem's Theory for Care of a Woman with Terminal Cancer	p. 147
Cardiac Disease and Anticoagulation Therapy	p. 151
Diabetes Self Management when Other Family Members Need Care	p. 157
Impetus of Diabetic Crisis to Improve Self Management	p. 161
Self Management of Diabetes and Stress	p. 165
Telephone Nurse Advice and an AIDS-Related Crisis	p. 171
Woman who Experienced a Significant Childhood Loss	p. 176
Young Woman Whose Mother is Dying	p. 181
Rehabilitation of a Male with a Young Family after a Stroke	p. 186
Elderly Woman Who Thinks She Should Not be Discharged	p. 191
Elderly Man Who is Angry	p. 194
Homeless Woman's Reaction to Loss	p. 197
Family Stress and Alzheimer's Disease	p. 200
Family Struggling with Ostomy Care at Home	p. 206
Nonparticipation in Rehabilitation with a Colostomy	p. 211
Man with Urinary Incontinence After Prostate Surgery	p. 216
Palliative Care and the Outcome of Comfort	p. 220
Hospice and Palliative Care	p. 225
Two-Year-Old Bess's Response to Parents' Divorce	p. 229
Challenges in Helping a Person to Accept Long-Term Care	p. 234
Woman with a History of Being Battered	p. 238
Woman in Labor with Complications	p. 243
Integration of Neuman's Systems Model in Postpartum Nursing	p. 247
Business Woman with Stress in Her Personal Life	p. 252
Case Studies with a Primary Focus on Risk Diagnoses and Associated Outcomes and Interventions	p. 257
Role of Nurses in the Protection of Children	p. 258
Responses to Mechanical Ventilation	p. 263
Family Caregiving at End of Life	p. 268
Man with Renal Calculi and Stent Placement	p. 273
Helping a Man with Low Literacy	p. 277
Self Management of Chronic Illness and Financial Status	p. 283
Case Management for Homeless Man with Severe Pancreatitis	p. 286
Psychiatric Care of an Adult Male with Poor Impulse Control	p. 291
Response to a Diagnosis of Chronic Illness When Confounded by Other Life Events	p. 296
Case Studies with a Primary Focus on Health Promotion Diagnoses and Associated Outcomes and Interventions	p. 301
Support of a Mexican-American Woman in Postpartum Care	p. 302
Parenting of a Child with Spina Bifida	p. 307
Woman Who Experienced Early Childhood Trauma	p. 311
Living with Multiple Health Problems	p. 317
Response to Limitations Associated with Cardiac Disease	p. 321
Living with Chronic Obstructive Pulmonary Disease	p. 325
Case Studies with a Primary Focus on Strength Diagnoses and Associated Outcomes and Interventions	p. 329
Mother Breastfeeding Her Newborn	p. 330
Nursing Communication for Continuity of Care	p. 334
Appendices
Webliography	p. 337
Assessment Tool: Functional Health Patterns	p. 339
The Lunney Scoring Method for Rating Accuracy of Nurses' Diagnoses of Human Responses	p. 347
Nursing Diagnosis Accuracy Scale (NDAS)	p. 355
Index	p. 359
Table of Contents provided by Ingram. All Rights Reserved.

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