UNIT 1 The Nature of Nursing 1
CHAPTER 1 Historical and Contemporary Nursing
Practice 2
CHAPTER 2 Evidence-Based Practice and Research
in Nursing 27
CHAPTER 3 Legal Aspects of Nursing 39
CHAPTER 4 Values, Ethics, and Advocacy 70
UNIT 2 Contemporary Healthcare 86
CHAPTER 5 Healthcare Delivery Systems 87
CHAPTER 6 Community Nursing and Care
Continuity 105
CHAPTER 7 Home Health Nursing Care 119
CHAPTER 8 Electronic Health Records and
Information
Technology 131
UNIT 3 The Nursing Process 150
CHAPTER 9 Critical Thinking and Clinical
Reasoning 151
CHAPTER 10 Assessing 164
CHAPTER 11 Diagnosing 186
CHAPTER 12 Planning 199
CHAPTER 13 Implementing and Evaluating 219
CHAPTER 14 Documenting and Reporting 233
UNIT 4 Integral Aspects of Nursing 257
CHAPTER 15 Caring 258
CHAPTER 16 Communicating 269
CHAPTER 17 Teaching 295
CHAPTER 18 Leading, Managing, and
Delegating 319
UNIT 5 Health Beliefs and Practices 335
CHAPTER 19 Health Promotion 336
CHAPTER 20 Health, Wellness, and Illness 356
CHAPTER 21 Culturally Responsive Nursing
Care 371
CHAPTER 22 Complementary and Alternative
Healing Modalities 392
UNIT 6 Lifespan Development 409
CHAPTER 23 Concepts of Growth and
Development 410
CHAPTER 24 Promoting Health from Conception
Through Adolescence 428
CHAPTER 25 Promoting Health in Young and
Middle-Aged Adults 455
CHAPTER 26 Promoting Health in Older Adults 468
CHAPTER 27 Promoting Family Health 493
UNIT 7 Assessing Health 505
CHAPTER 28 Vital Signs 506
SKILL 28.1 Assessing Body Temperature 514
SKILL 28.2 Assessing a Peripheral Pulse 520
SKILL 28.3 Assessing an Apical Pulse 522
SKILL 28.4 Assessing an Apical-Radial Pulse 525
SKILL 28.5 Assessing Respirations 529
SKILL 28.6 Assessing Blood Pressure 535
SKILL 28.7 Assessing Oxygen Saturation 539
CHAPTER 29 Health Assessment 544
SKILL 29.1 Assessing Appearance and Mental Status 551
SKILL 29.2 Assessing the Skin 556
SKILL 29.3 Assessing the Hair 559
SKILL 29.4 Assessing the Nails 561
SKILL 29.5 Assessing the Skull and Face 562
SKILL 29.6 Assessing the Eye Structures and Visual
Acuity 565
SKILL 29.7 Assessing the Ears and Hearing 570
SKILL 29.8 Assessing the Nose and Sinuses 573
SKILL 29.9 Assessing the Mouth and Oropharynx 574
SKILL 29.10 Assessing the Neck 579
SKILL 29.11 Assessing the Thorax and Lungs 585
SKILL 29.12 Assessing the Heart and Central
Vessels 591
SKILL 29.13 Assessing the Peripheral Vascular
System 594
SKILL 29.14 Assessing the Breasts and Axillae 596
SKILL 29.15 Assessing the Abdomen 601
SKILL 29.16 Assessing the Musculoskeletal System 605
SKILL 29.17 Assessing the Neurologic System 609
SKILL 29.18 Assessing the Female Genitals and Inguinal
Area 617
SKILL 29.19 Assessing the Male Genitals and Inguinal
Area 620
SKILL 29.20 Assessing the Anus 622
CHAPTER 30 Pain Assessment and
Management 625
SKILL 30.1 Providing a Back Massage 654
UNIT 8 Integral Components of Client
Care 666
CHAPTER 31 Asepsis and Infection Prevention 667
SKILL 31.1 Performing Hand Washing 680
SKILL 31.2 Applying and Removing Personal Protective
Equipment (Gloves, Gown, Mask, Eyewear) 686
SKILL 31.3 Establishing and Maintaining a Sterile Field 692
SKILL 31.4 Applying and Removing Sterile Gloves (Open
Method) 696
CHAPTER 32 Safety 701
SKILL 32.1 Using a Bed or Chair Exit Safety Monitoring
Device 713
SKILL 32.2 Implementing Seizure Precautions 714
SKILL 32.3 Applying Restraints 724
CHAPTER 33 Hygiene 730
SKILL 33.1 Bathing an Adult Client 737
SKILL 33.2 Providing Perineal-Genital Care 742
SKILL 33.3 Providing Foot Care 747
SKILL 33.4 Brushing and Flossing the Teeth 754
SKILL 33.5 Providing Special Oral Care for the Unconscious
or Debilitated Client 757
SKILL 33.6 Providing Hair Care 762
SKILL 33.7 Removing, Cleaning, and Inserting a Hearing
Aid 767
SKILL 33.8 Changing an Unoccupied Bed 771
SKILL 33.9 Changing an Occupied Bed 774
CHAPTER 34 Diagnostic Testing 778
SKILL 34.1 Obtaining a Capillary Blood Specimen to Measure
Blood Glucose 786
SKILL 34.2 Collecting a Urine Specimen for Culture and
Sensitivity by Clean Catch 792
CHAPTER 35 Medication Administration 810
SKILL 35.1 Administering Oral Medications 838
SKILL 35.2 Preparing Medications from Ampules 851
SKILL 35.3 Preparing Medications from Vials 852
SKILL 35.4 Mixing Medications Using One Syringe 854
SKILL 35.5 Administering an Intradermal Injection for Skin
Tests 856
SKILL 35.6 Administering a Subcutaneous Injection 858
SKILL 35.7 Administering an Intramuscular Injection 865
SKILL 35.8 Administering Intravenous Medications Using
IV Push 870
SKILL 35.9 Administering Ophthalmic Instillations 874
SKILL 35.10 Administering Otic Instillations 876
SKILL 35.11 Administering Vaginal Instillations 879
CHAPTER 36 Skin Integrity and Wound Care 889
SKILL 36.1 Cleaning a Sutured Wound and Dressing a Wound
with a Drain 908
SKILL 36.2 Irrigating a Wound 910
SKILL 36.3 Obtaining a Wound Drainage Specimen for
Culture 915
CHAPTER 37 Perioperative Nursing 931
SKILL 37.1 Teaching Moving, Leg Exercises, Deep Breathing,
and Coughing 937
SKILL 37.2 Applying Antiemboli Stockings 943
SKILL 37.3 Managing Gastrointestinal Suction 958
UNIT 9 Promoting Psychosocial
Health 965
CHAPTER 38 Sensory Perception 966
CHAPTER 39 Self-Concept 986
CHAPTER 40 Sexuality 999
CHAPTER 41 Spirituality 1021
CHAPTER 42 Stress and Coping 1041
CHAPTER 43 Loss, Grieving, and Death 1059
UNIT 10 Promoting Physiologic
Health 1081
CHAPTER 44 Activity and Exercise 1082
SKILL 44.1 Moving a Client Up in Bed 1112
SKILL 44.2 Turning a Client to the Lateral or Prone Position
in Bed 1113
SKILL 44.3 Logrolling a Client 1114
SKILL 44.4 Assisting a Client to Sit on the Side of the Bed
(Dangling) 1115
SKILL 44.5 Transferring Between Bed and Chair 1118
SKILL 44.6 Transferring Between Bed and Stretcher 1120
SKILL 44.7 Assisting a Client to Ambulate 1125
CHAPTER 45 Sleep 1139
CHAPTER 46 Nutrition 1161
SKILL 46.1 Inserting a Nasogastric Tube 1188
SKILL 46.2 Administering a Tube Feeding 1194
SKILL 46.3 Administering an Intermittent Gastrostomy or
Jejunostomy Feeding 1197
SKILL 46.4 Removing a Nasogastric Tube 1200
CHAPTER 47 Urinary Elimination 1208
SKILL 47.1 Applying an External Urinary Device 1222
SKILL 47.2 Performing Indwelling Urinary
Catheterization 1227
SKILL 47.3 Performing Bladder Irrigation 1234
CHAPTER 48 Fecal Elimination 1245
SKILL 48.1 Administering an Enema 1260
SKILL 48.2 Changing a Bowel Diversion Ostomy
Appliance 1268
CHAPTER 49 Oxygenation 1277
SKILL 49.1 Administering Oxygen by Cannula, Face Mask,
or Face Tent 1294
SKILL 49.2 Oral, Oropharyngeal, Nasopharyngeal, and
Nasotracheal Suctioning 1304
SKILL 49.3 Suctioning a Tracheostomy or Endotracheal
Tube 1308
SKILL 49.4 Providing Tracheostomy Care 1311
CHAPTER 50 Circulation 1323
SKILL 50.1 Applying Sequential Compression Devices 1338
CHAPTER 51 Fluid, Electrolyte, and Acid–Base
Balance 1343
SKILL 51.1 Starting an Intravenous Infusion and Inserting
a Short Peripheral Catheter 1379
SKILL 51.2 Monitoring an Intravenous Infusion 1387
SKILL 51.3 Changing an Intravenous Container and
Tubing 1389
SKILL 51.4 Discontinuing an Intravenous Infusion and
Removing a Short Peripheral Catheter 1390
SKILL 51.5 Changing a Short Peripheral Catheter to an
Intermittent Infusion Device 1392
SKILL 51.6 Initiating, Maintaining, and Terminating a Blood
Transfusion Using a Y-Set 1398
APPENDIX A Answers to Test Your Knowledge 1407
GLOSSARY 1441
INDEX 1467