Contents UNIT 1 NURSING AND THE HEALTH CARE UNIT 5 FOUNDATIONS FOR NURSING PRACTICE ENVIRONMENT 27 Patient Safety, 92 1 Nursing Today, 1 28 Infection Prevention and Control, 96 2 The Health Care Delivery System, 4 29 Vital Signs, 103 3 Community-Based Nursing Practice, 7 30 Health Assessment and Physical Examination, 110 4 Theoretical Foundations of Nursing Practice, 9 31 Medication Administration, 126 5 Evidence-Based Practice, 11 32 Complementary and Alternative Therapies, 136 UNIT 2 CARING THROUGHOUT THE LIFE SPAN UNIT 6 PSYCHOSOCIAL BASIS FOR NURSING 6 Health and Wellness, 14 PRACTICE 7 Caring in Nursing Practice, 18 33 Self-Concept, 140 8 Caring for the Cancer Survivor, 21 34 Sexuality, 144 9 Culture and Ethnicity, 23 35 Spiritual Health, 148 10 Caring for Families, 26 36 The Experience of Loss, Death, and Grief, 152 11 Developmental Theories, 30 37 Stress and Coping, 156 12 Conception Through Adolescence, 33 13 Young and Middle Adults, 41 UNIT 7 PHYSIOLOGICAL BASIS FOR NURSING 14 Older Adults, 46 PRACTICE 38 Activity and Exercise, 160 UNIT 3 CRITICAL THINKING IN NURSING 39 Hygiene, 164 PRACTICE 40 Oxygenation, 169 15 Critical Thinking in Nursing Practice, 51 41 Fluid, Electrolyte, and Acid-Base Balance, 176 16 Nursing Assessment, 54 42 Sleep, 184 17 Nursing Diagnosis, 57 43 Pain Management, 189 18 Planning Nursing Care, 60 44 Nutrition, 195 19 Implementing Nursing Care, 64 45 Urinary Elimination, 203 20 Evaluation, 67 46 Bowel Elimination, 209 21 Managing Patient Care, 70 47 Mobility and Immobility, 216 48 Skin Integrity and Wound Care, 220 UNIT 4 PROFESSIONAL STANDARDS IN 49 Sensory Alterations, 227 NURSING PRACTICE 50 Care of Surgical Patients, 233 22 Ethics and Values, 72 23 Legal Implications in Nursing Practice, 75 Answer Key, 245 24 Communication, 78 25 Patient Education, 84 26 Documentation and Informatics, 88 Study Guide for Fundamentals of Nursing Eighth Edition YOU’VE JUST PURCHASED MORE THAN A TEXTBOOK ACTIVATE THE COMPLETE LEARNING EXPERIENCE THAT COMES WITH YOUR BOOK BY REGISTERING AT http://evolve.elsevier.com/Potter/fundamentals Once you register, you will have access to your FREE STUDY TOOLS: • Prepare for Class, Clinical, or Lab Answers and Rationales for Review Questions, Answers to Clinical Application Questions, Case Studies with questions, printable Key Points, Video Clips, Interactive Skills Performance Checklists, Animations, Fluids and Electrolytes Tutorial, Audio Glossary, Concept Map Creator, Nursing Skills Online reading assignments, Calculation Tutorial, Key Term Flashcards, Interactive Learning Activities, and Content Updates • Prepare for Exams Review Questions with Rationales, Three comprehensive Fundamentals practice quizzes • Additional Resources Building Competency Scenarios and Answers REGISTER TODAY! Study Guide for Fundamentals of Nursing Eighth Edition Geralyn Ochs, RN, ACNP-BC, ANP-BC Associate Professor of Nursing Coordinator of the Acute Care Nurse Practitioner Program St. Louis University School of Nursing St. Louis, Missouri 3251 Riverport Lane St. Louis, Missouri 63043 STUDY GUIDE FOR FUNDAMENTALS OF ISBN 978-0-323-08469-7 NURSING, EIGHTH EDITION Copyright © 2013 by Mosby, an imprint of Elsevier Inc. Copyright © 2009, 2005, 2001, 1997, 1993, 1989, 1985 by Mosby, an affiliate of Elsevier Inc. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Nursing Diagnoses—Definitions and Classification 2012-2014. Copyright © 2012, 1994-2012 by NANDA International. Used by arrangement with Blackwell Publishing Limited, a company of John Wiley and Sons, Inc. Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. International Standard Book Number: 978-0-323-08469-7 Senior Content Strategist: Tamara Myers Content Development Specialist: Melissa J. Rawe, Tina Kaemmerer Publishing Services Manager: Deborah L. Vogel Senior Project Manager: Deepthi Unni; Jodi M. Willard Design Direction: Teresa McBryan Printed in United States of America Last digit is the print number: 9 8 7 6 5 4 3 2 Introduction The Study Guide for Fundamentals of Nursing, eighth The Review Questions in each chapter provide a valu- edition, has been developed to encourage independent able means of testing and reinforcing your knowledge learning for beginning nursing students. As a beginning of the material. All questions are multiple choice. As nursing student, you may be wondering, “How will I a further means for independent learning, each answer possibly learn all of the material in this chapter?” The requires a rationale (the reason why the option you essential objective of this Study Guide is to assist you selected is correct). After you have completed the review in this endeavor by helping you learn what you need questions, you can check the answers in the back of the to know and then testing what you have learned with Study Guide. hundreds of review questions. Chapters 27, 33-38, 40, 42-45, and 48-50 include This Study Guide follows the textbook layout chapter exercises based on the care plans and concept maps for chapter. For each chapter your instructor assigns, you found in the text. These exercises provide practice in syn- will use the same chapter number in this Study Guide. thesizing nursing process and critical thinking as you, the The outline format has been designed to help you learn nurse, care for patients. Taking one aspect of the nursing to read nursing content more effectively and with greater process, you will be asked to imagine you are the nurse understanding. Each chapter of this Study Guide has in the case study and write your answers in the appropri- several sections to assist you to comprehend and recall. ate boxes. You will have to think about what knowledge, The Preliminary Reading section is designed to teach experiences, standards, and attitudes might be used in prereading strategies. You will become familiar with caring for the patient. the chapter by first reading the chapter title, key terms, When you finish answering the review questions and objectives, key points (found at the end of each chap- exercises, take a few minutes for self-evaluation using ter), and main headings. Also pay close attention to all the Answer Key. If you answered a question incorrectly, illustrations, tables, and boxes. This can be done rather begin to analyze the thoughts that led you to the wrong quickly and will give you an overall idea of the content answer: of the chapter. ■■Did you miss the key word or phrase? Next you will find the Comprehensive Understanding ■■Did you read into something that wasn’t stated? section, which is in outline format. This will prove to be ■■Did you not understand the subject matter? a very valuable tool not only as you first read the chapter ■■Did you use an incorrect rationale for selecting your but also as you review for exams. This outline identifies response? both topics and main ideas for each chapter as an aid to Each incorrect response is an opportunity to learn. concentration, comprehension, and retention of textbook Go back to the text and reread any content that is still information. By completing this outline, you will learn unclear. In the long run, it will be a time-saving activity. to “pull-out” key information in the chapter. You will be The learning activities presented in this Study Guide reinforcing that content as you write the answers in the will assist you in completing the semester with a firm Study Guide. Once completed, this outline will serve as understanding of nursing concepts and process that you a review tool for exams. can rely on for your entire professional career. v Copyright © 2013 by Mosby, an imprint of Elsevier Inc. 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Chapter IInnttrroodduuccttiioonn This page intentionally left blank Contents UNIT 1 NURSING AND THE HEALTH CARE ENVIRONMENT 1 Nursing Today, 1 2 The Health Care Delivery System, 4 3 Community-Based Nursing Practice, 7 4 Theoretical Foundations of Nursing Practice, 9 5 Evidence-Based Practice, 11 UNIT 2 CARING THROUGHOUT THE LIFE SPAN 6 Health and Wellness, 14 7 Caring in Nursing Practice, 18 8 Caring for the Cancer Survivor, 21 9 Culture and Ethnicity, 23 10 Caring for Families, 26 11 Developmental Theories, 30 12 Conception Through Adolescence, 33 13 Young and Middle Adults, 41 14 Older Adults, 46 UNIT 3 CRITICAL THINKING IN NURSING PRACTICE 15 Critical Thinking in Nursing Practice, 51 16 Nursing Assessment, 54 17 Nursing Diagnosis, 57 18 Planning Nursing Care, 60 19 Implementing Nursing Care, 64 20 Evaluation, 67 21 Managing Patient Care, 70 UNIT 4 PROFESSIONAL STANDARDS IN NURSING PRACTICE 22 Ethics and Values, 72 23 Legal Implications in Nursing Practice, 75 24 Communication, 78 25 Patient Education, 84 26 Documentation and Informatics, 88 UNIT 5 FOUNDATIONS FOR NURSING PRACTICE 27 Patient Safety, 92 28 Infection Prevention and Control, 96 29 Vital Signs, 103 30 Health Assessment and Physical Examination, 110 31 Medication Administration, 126 32 Complementary and Alternative Therapies, 136 vii Copyright © 2013 by Mosby, an imprint of Elsevier Inc. CCooppyyrriigghhtt ©© 22001029,, 22000085,, 22000021 , b1y9 M97o sbbyy ,M Inocs.b, ya, fafinlia ateff ioliaf tEel soefv Eielsr,e Ivnice.r AInllc r.i gAhllt sri grehstse rrveesde.r ved. Chapter CCoonntteennttss UNIT 6 PSYCHOSOCIAL BASIS FOR NURSING PRACTICE 33 Self-Concept, 140 34 Sexuality, 144 35 Spiritual Health, 148 36 The Experience of Loss, Death, and Grief, 152 37 Stress and Coping, 156 UNIT 7 PHYSIOLOGICAL BASIS FOR NURSING PRACTICE 38 Activity and Exercise, 160 39 Hygiene, 164 40 Oxygenation, 169 41 Fluid, Electrolyte, and Acid-Base Balance, 176 42 Sleep, 184 43 Pain Management, 189 44 Nutrition, 195 45 Urinary Elimination, 203 46 Bowel Elimination, 209 47 Mobility and Immobility, 216 48 Skin Integrity and Wound Care, 220 49 Sensory Alterations, 227 50 Care of Surgical Patients, 233 Answer Key, 245 viii Copyright © 2013 by Mosby, an imprint of Elsevier Inc. 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