1
Table of Contents
x* x*
, 2
Table of Con x* x*
1
tents
Chapter 01: Health Care Delivery and Evidence- x* x* x* x* x* x* 3
Based Nursing Practice Chapter 02: Community-Based Nursing Practice
x* x* x* x* x* x* x* 22
Chapter 03: Critical Thinking, Ethical Decision Making and the Nursing Process
x* x* x* x* x* x* x* x* x* x* x* 41
Chapter 04: Health Education and Promotion x* x* x* x* x* 64
Chapter 05: Adult Health and Nutritional Assessmentx* x* x* x* x* x* 83
Chapter 06: Individual and Family Homeostasis, Stress, and Adaptation Chapte
x* x* x* x* x* x* x* x* x* 104
r 07: Overview of Transcultural Nursing
x* x* x* x* x* 124
Chapter 08: Overview of Genetics and Genomics in Nursing Chapter
x* x* x* x* x* x* x* x* x* 144
09: Chronic Illness and Disability
x* x* x* x* x* 164
Chapter 10: Principles and Practices of Rehabilitation
x* x* x* x* x* x* x* 183
Chapter 11: Health Care of the Older Adult x* x* x* x* x* x* x* 220
Chapter 12: Pain Management x* x* x* 240
Chapter 13: Fluid and Electrolytes: Balance and Disturbance Chapte
x* x* x* x* x* x* x* x* 260
r 14: Shock and Multiple Organ Dysfunction Syndrome Chapter 15:
x* x* x* x* x* x* x* x* x* x* 280
Management of Patients with Oncologic Disorders Chapter 16: End- x* x* x* x* x* x* x* x* 300
of-Life Care x* 319
Chapter 17: Preoperative Nursing Management Chapte x* x* x* x* x* 338
r 18: Intraoperative Nursing Management Chapter 19: P
x* x* x* x* x* x* x* 357
ostoperative Nursing Management Chapter 20: Assess x* x* x* x* x* 376
ment of Respiratory Function Chapter 21: Respiratory C
x* x* x* x* x* x* x* 396
are Modalities x* 415
Chapter 22: Management of Patients With Upper Respiratory Tract Disorders
x* x* x* x* x* x* x* x* x* 434
Chapter 23: Management of Patients with Chest and Lower Respiratory Tract Disorders
x* x* x* x* x* x* x* x* x* x* x*
453
Chapter 24: Management of Patients With Chronic Pulmonary Disease Chapter
x* x* 472 x* x* x* x* x* x* x*
25: Assessment of Cardiovascular Function
x* x* 490 x* x* x*
Chapter 26: Management of Patients With Dysrhythmias and Conduction Problems Chapt 508
x* x* x* x* x* x* x* x* x* x*
er 27: Management of Patients With Coronary Vascular Disorders
x* x* 526 x* x* x* x* x* x*
Chapter 28: Management of Patients With Structural, Infectious, and Inflammatory Cardiac
x* x* x* x* x* x* x* x* x* x*
Disorders 545
Chapter 29: Management of Patients With Complications from Heart Disease Chapte
x* x* 564 x* x* x* x* x* x* x* x *
r 30: Assessment and Management of Patients With Vascular Disorders and Problem
x* x* x* x* x* x* x* x* x* x* x*
s of Peripheral Circulation
x* x* 582
x*
Chapter 31: Assessment and Management of Patients With Hypertension Chapte
x* x* 601 x* x* x* x* x* x* x *
r 32: Assessment of Hematologic Function and Treatment Modalities Chapter 33:
x* x* 620 x* x* x* x* x* x* x* x* x*
Management of Patients With Nonmalignant Hematologic Disorders Chapter 34: x* 638 x* x* x* x* x* x* x* x*
Management of Patients With Hematologic Neoplasms x* 656 x* x* x* x*
Chapter 35: Assessment of Immune Function x* x* 674 x* x* x*
Chapter 36: Management of Patients With Immune Deficiency Disorders Chapter
x* x* 692 x* x* x* x* x* x* x*
37: Assessment and Management of Patients With Allergic Disorders
x* x* 710 x* x* x* x* x* x* x*
Chapter 38: Assessment and Management of Patients With Rheumatic Disorders Cha
x* x* 728 x* x* x* x* x* x* x* x*
pter 39: Assessment of Musculoskeletal Function
x* x* 746 x* x* x*
Chapter 40: Musculoskeletal Care Modalities x* x* 764 x* x*
Chapter 41: Management of Patients With Musculoskeletal Disorders Chapt
x* x* 782 x* x* x* x* x* x*
er 42: Management of Patients With Musculoskeletal Trauma Chapter 43: A
x* x* 800 x* x* x* x* x* x* x* x*
ssessment of Digestive and Gastrointestinal Function Chapter 44: Digestive
x* x* 819 x* x* x* x* x* x*
and Gastrointestinal Treatment Modalities
x* x* 837 x* x*
Chapter 45: Management of Patients with Oral and Esophageal Disorders C
x* x* 855 x* x* x* x* x* x* x* x*
hapter 46: Management of Patients with Gastric and Duodenal Disorders Ch
x* x* 874 x* x* x* x* x* x* x* x*
apter 47: Management of Patients With Intestinal and Rectal Disorders
x* x* 893 x* x* x* x* x* x* x*
, 3
Chapter 48: Assessment and Management of Patients with Obesity
x* x* 911 x* x* x* x* x* x*
Chapter 49: Assessment and Management of Patients with Hepatic Disorders Cha
x* x* 921 x* x* x* x* x* x* x* x*
pter 50: Assessment and Management of Patients with Biliary Disorders Chapter 5
x* x* x* 940 x* x* x* x* x* x* x* x*
1: Assessment and Management of Patients with Diabetes
x* x* x* 959 x* x* x* x*
Chapter 52: Assessment and Management of Patients with Endocrine Disorders C
x* x* 978 x* x* x* x* x* x* x* x*
hapter 53: Assessment of Kidney and Urinary Function
x* x* x* 996 x* x* x* x*
Chapter 54: Management of Patients with Kidney Disorders C
x* x* 1015 x* x* x* x* x* x*
hapter 55: Management of Patients with Urinary Disorders
x* x* 1034 x* x* x* x* x*
Chapter 56: Assessment and Management of Patients With Female Physiologic Processes
x* x* x* x* x* x* x* x* x* x*
1054
Chapter 57: Management of Patients with Female Reproductive Disorders Cha
x* x* 1072 x* x* x* x* x* x* x*
pter 58: Assessment and Management of Patients with Breast Disorders
x* x* x* 1091 x* x* x* x* x* x*
Chapter 59: Assessment and Management of Patients With Male Reproductive Disorders
x* x* x* x* x* x* x* x* x* x*
1110
Chapter 60: Assessment of Integumentary Function
x* x* 1129 x* x* x*
Chapter 61: Managements of Patients with Dermatologic Problems Chapter
x* x* 1147 x* x* x* x* x* x*
62: Managements of Patients with Burn Injury
x* x* x* x* 1165 x* x* x*
Chapter 63: Assessment and Management of Patients with Eye and Vision Disorders
x* x* x* x* x* x* x* x* x* x* x*
1184
Chapter 64: Assessment and Management of Patients with Hearing and Balance Disorders
x* x* x* x* x* x* x* x* x* x* x*
1203
Chapter 65: Assessment of Neurologic Function
x* x* 1221 x* x* x*
Chapter 66: Management of Patients with Neurologic Dysfunction Cha
x* x* 1239 x* x* x* x* x* x*
pter 67: Management of Patients with Cerebrovascular Disorders Chap
x* x* x* 1257
x* x* x* x* x*
ter 68: Management of Patients with Neurologic Trauma
x* x* x* x* 1276 x* x* x*
Chapter 69: Management of Patients with Neurologic Infections, Autoimmune Disorders,
x* x* x* x* x* x* x* x* x*
and Neuropathies
x* 1294
Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders
x* x* x* x* x* x* x* x* x* x*
1312
Chapter 71: Management of Patients With Infectious Diseases
x* x* 1331 x* x* x* x* x*
Chapter 72: Emergency Nursing
x* x* 1349 x*
Chapter 73: Terrorism, Mass Casualty, and Disaster Nursing
x* x* x* 1367 x* x* x* x*
, 4
Chapter 01: Health Care Delivery and Evidence-Based Nursing Practice
x* x* x* x* x* x* x* x*
1. The public health nurse is presenting a health promotion class to a group of new mothers. How should t
x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x*
he nurse best define health?
x* x* x* x*
A) Health is being disease free. x* x* x* x*
B) Health is having fulfillment in all domains of life.
x* x* x* x* x* x* x* x*
C) Health is having psychological and physiological harmony.
x* x* x* x* x* x*
D) Health is being connected in body, mind, and spirit.
x* x* x* x* x* x* x* x*
Ans: D
Feedback:
The World Health Organization (WHO) defines health in the preamble to its constitution as a state of c
x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x*
omplete physical, mental, and social well-
x* x* x* x* x*
being and not merely the absence of disease and infirmity. The other answers are incorrect because the
x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x*
y are not congruent with the WHO definition of health.
x* x* x* x* x* x* x* x* x*
2. A nurse is speaking to a group of prospective nursing students about what it is like to be a nurse. What is
x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x
one characteristic the nurse would cite as necessary to possess to be an effective nurse?
* x* x* x* x* x* x* x* x* x* x* x* x* x* x*
A) Sensitivity to cultural differences x* x* x*
B) Team-focused approach to problem-solving x* x* x*
C) Strict adherence to routinex* x* x*
D) Ability to face criticism x* x* x*
Ans: A
Feedback:
To promote an effective nurse-
x* x* x* x*
patient relationship and positive outcomes of care, nursing care must be culturally competent, appropriate,
x* x* x* x* x* x* x* x* x* x* x* x* x*
and sensitive to cultural differences. Team-
x* x* x* x* x* x*
focused nursing and strict adherence to routine are not characteristics needed to be an effective nurs
x* x* x* x* x* x* x* x* x* x * x* x* x* x* x*
e. The ability to handle criticism is important, but to a lesser degree than cultural competence.
x* x* x * x* x* x* x* x* x* x* x* x* x* x* x*
3. With increases in longevity, people have had to become more knowledgeable about their health and the
x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x*
professional health care that they receive. One outcome of this phenomenon is the development of organ
x* x* x* x* x* x* x* x* x* x* x* x* x* x* x*
ized self-care education programs. Which of the following do these programs prioritize?
x* x* x* x* x* x* x* x* x* x* x*
Table of Contents
x* x*
, 2
Table of Con x* x*
1
tents
Chapter 01: Health Care Delivery and Evidence- x* x* x* x* x* x* 3
Based Nursing Practice Chapter 02: Community-Based Nursing Practice
x* x* x* x* x* x* x* 22
Chapter 03: Critical Thinking, Ethical Decision Making and the Nursing Process
x* x* x* x* x* x* x* x* x* x* x* 41
Chapter 04: Health Education and Promotion x* x* x* x* x* 64
Chapter 05: Adult Health and Nutritional Assessmentx* x* x* x* x* x* 83
Chapter 06: Individual and Family Homeostasis, Stress, and Adaptation Chapte
x* x* x* x* x* x* x* x* x* 104
r 07: Overview of Transcultural Nursing
x* x* x* x* x* 124
Chapter 08: Overview of Genetics and Genomics in Nursing Chapter
x* x* x* x* x* x* x* x* x* 144
09: Chronic Illness and Disability
x* x* x* x* x* 164
Chapter 10: Principles and Practices of Rehabilitation
x* x* x* x* x* x* x* 183
Chapter 11: Health Care of the Older Adult x* x* x* x* x* x* x* 220
Chapter 12: Pain Management x* x* x* 240
Chapter 13: Fluid and Electrolytes: Balance and Disturbance Chapte
x* x* x* x* x* x* x* x* 260
r 14: Shock and Multiple Organ Dysfunction Syndrome Chapter 15:
x* x* x* x* x* x* x* x* x* x* 280
Management of Patients with Oncologic Disorders Chapter 16: End- x* x* x* x* x* x* x* x* 300
of-Life Care x* 319
Chapter 17: Preoperative Nursing Management Chapte x* x* x* x* x* 338
r 18: Intraoperative Nursing Management Chapter 19: P
x* x* x* x* x* x* x* 357
ostoperative Nursing Management Chapter 20: Assess x* x* x* x* x* 376
ment of Respiratory Function Chapter 21: Respiratory C
x* x* x* x* x* x* x* 396
are Modalities x* 415
Chapter 22: Management of Patients With Upper Respiratory Tract Disorders
x* x* x* x* x* x* x* x* x* 434
Chapter 23: Management of Patients with Chest and Lower Respiratory Tract Disorders
x* x* x* x* x* x* x* x* x* x* x*
453
Chapter 24: Management of Patients With Chronic Pulmonary Disease Chapter
x* x* 472 x* x* x* x* x* x* x*
25: Assessment of Cardiovascular Function
x* x* 490 x* x* x*
Chapter 26: Management of Patients With Dysrhythmias and Conduction Problems Chapt 508
x* x* x* x* x* x* x* x* x* x*
er 27: Management of Patients With Coronary Vascular Disorders
x* x* 526 x* x* x* x* x* x*
Chapter 28: Management of Patients With Structural, Infectious, and Inflammatory Cardiac
x* x* x* x* x* x* x* x* x* x*
Disorders 545
Chapter 29: Management of Patients With Complications from Heart Disease Chapte
x* x* 564 x* x* x* x* x* x* x* x *
r 30: Assessment and Management of Patients With Vascular Disorders and Problem
x* x* x* x* x* x* x* x* x* x* x*
s of Peripheral Circulation
x* x* 582
x*
Chapter 31: Assessment and Management of Patients With Hypertension Chapte
x* x* 601 x* x* x* x* x* x* x *
r 32: Assessment of Hematologic Function and Treatment Modalities Chapter 33:
x* x* 620 x* x* x* x* x* x* x* x* x*
Management of Patients With Nonmalignant Hematologic Disorders Chapter 34: x* 638 x* x* x* x* x* x* x* x*
Management of Patients With Hematologic Neoplasms x* 656 x* x* x* x*
Chapter 35: Assessment of Immune Function x* x* 674 x* x* x*
Chapter 36: Management of Patients With Immune Deficiency Disorders Chapter
x* x* 692 x* x* x* x* x* x* x*
37: Assessment and Management of Patients With Allergic Disorders
x* x* 710 x* x* x* x* x* x* x*
Chapter 38: Assessment and Management of Patients With Rheumatic Disorders Cha
x* x* 728 x* x* x* x* x* x* x* x*
pter 39: Assessment of Musculoskeletal Function
x* x* 746 x* x* x*
Chapter 40: Musculoskeletal Care Modalities x* x* 764 x* x*
Chapter 41: Management of Patients With Musculoskeletal Disorders Chapt
x* x* 782 x* x* x* x* x* x*
er 42: Management of Patients With Musculoskeletal Trauma Chapter 43: A
x* x* 800 x* x* x* x* x* x* x* x*
ssessment of Digestive and Gastrointestinal Function Chapter 44: Digestive
x* x* 819 x* x* x* x* x* x*
and Gastrointestinal Treatment Modalities
x* x* 837 x* x*
Chapter 45: Management of Patients with Oral and Esophageal Disorders C
x* x* 855 x* x* x* x* x* x* x* x*
hapter 46: Management of Patients with Gastric and Duodenal Disorders Ch
x* x* 874 x* x* x* x* x* x* x* x*
apter 47: Management of Patients With Intestinal and Rectal Disorders
x* x* 893 x* x* x* x* x* x* x*
, 3
Chapter 48: Assessment and Management of Patients with Obesity
x* x* 911 x* x* x* x* x* x*
Chapter 49: Assessment and Management of Patients with Hepatic Disorders Cha
x* x* 921 x* x* x* x* x* x* x* x*
pter 50: Assessment and Management of Patients with Biliary Disorders Chapter 5
x* x* x* 940 x* x* x* x* x* x* x* x*
1: Assessment and Management of Patients with Diabetes
x* x* x* 959 x* x* x* x*
Chapter 52: Assessment and Management of Patients with Endocrine Disorders C
x* x* 978 x* x* x* x* x* x* x* x*
hapter 53: Assessment of Kidney and Urinary Function
x* x* x* 996 x* x* x* x*
Chapter 54: Management of Patients with Kidney Disorders C
x* x* 1015 x* x* x* x* x* x*
hapter 55: Management of Patients with Urinary Disorders
x* x* 1034 x* x* x* x* x*
Chapter 56: Assessment and Management of Patients With Female Physiologic Processes
x* x* x* x* x* x* x* x* x* x*
1054
Chapter 57: Management of Patients with Female Reproductive Disorders Cha
x* x* 1072 x* x* x* x* x* x* x*
pter 58: Assessment and Management of Patients with Breast Disorders
x* x* x* 1091 x* x* x* x* x* x*
Chapter 59: Assessment and Management of Patients With Male Reproductive Disorders
x* x* x* x* x* x* x* x* x* x*
1110
Chapter 60: Assessment of Integumentary Function
x* x* 1129 x* x* x*
Chapter 61: Managements of Patients with Dermatologic Problems Chapter
x* x* 1147 x* x* x* x* x* x*
62: Managements of Patients with Burn Injury
x* x* x* x* 1165 x* x* x*
Chapter 63: Assessment and Management of Patients with Eye and Vision Disorders
x* x* x* x* x* x* x* x* x* x* x*
1184
Chapter 64: Assessment and Management of Patients with Hearing and Balance Disorders
x* x* x* x* x* x* x* x* x* x* x*
1203
Chapter 65: Assessment of Neurologic Function
x* x* 1221 x* x* x*
Chapter 66: Management of Patients with Neurologic Dysfunction Cha
x* x* 1239 x* x* x* x* x* x*
pter 67: Management of Patients with Cerebrovascular Disorders Chap
x* x* x* 1257
x* x* x* x* x*
ter 68: Management of Patients with Neurologic Trauma
x* x* x* x* 1276 x* x* x*
Chapter 69: Management of Patients with Neurologic Infections, Autoimmune Disorders,
x* x* x* x* x* x* x* x* x*
and Neuropathies
x* 1294
Chapter 70: Management of Patients With Oncologic or Degenerative Neurologic Disorders
x* x* x* x* x* x* x* x* x* x*
1312
Chapter 71: Management of Patients With Infectious Diseases
x* x* 1331 x* x* x* x* x*
Chapter 72: Emergency Nursing
x* x* 1349 x*
Chapter 73: Terrorism, Mass Casualty, and Disaster Nursing
x* x* x* 1367 x* x* x* x*
, 4
Chapter 01: Health Care Delivery and Evidence-Based Nursing Practice
x* x* x* x* x* x* x* x*
1. The public health nurse is presenting a health promotion class to a group of new mothers. How should t
x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x*
he nurse best define health?
x* x* x* x*
A) Health is being disease free. x* x* x* x*
B) Health is having fulfillment in all domains of life.
x* x* x* x* x* x* x* x*
C) Health is having psychological and physiological harmony.
x* x* x* x* x* x*
D) Health is being connected in body, mind, and spirit.
x* x* x* x* x* x* x* x*
Ans: D
Feedback:
The World Health Organization (WHO) defines health in the preamble to its constitution as a state of c
x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x*
omplete physical, mental, and social well-
x* x* x* x* x*
being and not merely the absence of disease and infirmity. The other answers are incorrect because the
x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x*
y are not congruent with the WHO definition of health.
x* x* x* x* x* x* x* x* x*
2. A nurse is speaking to a group of prospective nursing students about what it is like to be a nurse. What is
x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x
one characteristic the nurse would cite as necessary to possess to be an effective nurse?
* x* x* x* x* x* x* x* x* x* x* x* x* x* x*
A) Sensitivity to cultural differences x* x* x*
B) Team-focused approach to problem-solving x* x* x*
C) Strict adherence to routinex* x* x*
D) Ability to face criticism x* x* x*
Ans: A
Feedback:
To promote an effective nurse-
x* x* x* x*
patient relationship and positive outcomes of care, nursing care must be culturally competent, appropriate,
x* x* x* x* x* x* x* x* x* x* x* x* x*
and sensitive to cultural differences. Team-
x* x* x* x* x* x*
focused nursing and strict adherence to routine are not characteristics needed to be an effective nurs
x* x* x* x* x* x* x* x* x* x * x* x* x* x* x*
e. The ability to handle criticism is important, but to a lesser degree than cultural competence.
x* x* x * x* x* x* x* x* x* x* x* x* x* x* x*
3. With increases in longevity, people have had to become more knowledgeable about their health and the
x* x* x* x* x* x* x* x* x* x* x* x* x* x* x* x*
professional health care that they receive. One outcome of this phenomenon is the development of organ
x* x* x* x* x* x* x* x* x* x* x* x* x* x* x*
ized self-care education programs. Which of the following do these programs prioritize?
x* x* x* x* x* x* x* x* x* x* x*
