section name header

Appendix F

Four General Client Needs and Six Client Subneeds (With Detailed Knowledge, Skills, and Abilities)

The following outline of content (nursing knowledge, skills, and abilities) is organized in terms of four categories of client need: Safe, Effective Care Environment (SECE), Health Promotion and Maintenance (HPM), Psychosocial Integrity (PsI), and Physiological Integrity (PhI). Included in the outline of topics are six numbered client subneeds and corresponding task statements. These items are derived from a study of nursing tasks and are used in the development of the NCLEX-RN® test plan.

Students who have taken and evaluated their performance on the Pre-Tests or Final Tests in this resource will find this outline a useful guide for a concentrated review of specific problem topics. Repeat NCLEX-RN® test takers will also find this outline to be a useful guide for review of their problem areas. Refer to the pages listed in the right column for review of content in a particular topic.

The shaded areas and bold-faced topics and italics for subtopics are directly linked to the official NCLEX-RN® Test Plan.

Pages
A. SAFE, EFFECTIVE CARE ENVIRONMENT (SECE)
1. MANAGEMENT OF CARE: 16%–22%
a. Advance directivesSafe, Effective Care Environment
b. AdvocacySafe, Effective Care Environment, Safety and Infection Control for Infants, Children, and Adolescents
c. Case managementSafe, Effective Care Environment, Trends in Nursing Practice, Safety and Infection Control for Infants, Children, and Adolescents
d. Client rightsSafe, Effective Care Environment
e. Collaboration with multidisciplinary team, consultation, and referral Lifestyle Choices and Influences That Impact Health in Pregnancy, Intrapartum, Postpartum, and Newborn, Safety and Infection Control for Infants, Children, and Adolescents, Structural Defects, Kidney Tumor, The Four Major Curve Patterns in Idiopathic Scoliosis, Musculoskeletal and Neuromuscular Systems, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity
f. Concepts of managementSafe, Effective Care Environment
g. ConfidentialitySafe, Effective Care Environment, Safe, Effective Care Environment
h. Continuity of careTrends in Nursing Practice, Safety and Infection Control for Infants, Children, and Adolescents
i. Delegation Test-Taking-Tips and Guidelines: Sixty Strategies to Use in Answering Question, Safe, Effective Care Environment, Safety and Infection Control for Infants, Children, and Adolescents
j. Establishing priorities Test-Taking-Tips and Guidelines: Sixty Strategies to Use in Answering Question, Safe, Effective Care Environment
k. Ethical practiceSafe, Effective Care Environment
l. Informed consentSafe, Effective Care Environment, Safe, Effective Care Environment, Trends in Nursing Practice
m. Legal principles, rights and responsibilities (incorporated into client care)Safe, Effective Care Environment, Safe, Effective Care Environment
n. Performance improvement (quality assurance)Safe, Effective Care Environment, Safety and Infection Control for Infants, Children, and Adolescents
o. Organ donationSafe, Effective Care Environment, Safety and Infection Control for Infants, Children, and Adolescents
Resource managementSafe, Effective Care Environment, Safety and Infection Control for Infants, Children, and Adolescents
q. SupervisionSafe, Effective Care Environment, Safety and Infection Control for Infants, Children, and Adolescents
2. SAFETY AND INFECTION CONTROL: 8%–14%
a. Accident prevention
(1) Safety (by ages)The Newborn Infant, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance
(2) Assess safety in home environmentTable 3-10. Safety and Injury Prevention—Home Safety, Health Promotion and Maintenance, Physiological Integrity
(3) Safety needs of clients with perceptual disorders (e.g., Meniere’s)Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity
b. Disaster planning Safe, Effective Care Environment, Safety and Infection Control for Infants, Children, and Adolescents
c. Emergency response plan Safe, Effective Care Environment
d. Error prevention Safety and Infection Control for Infants, Children, and Adolescents
e. Preventive measures
(1) Infection controlHealth Promotion and Maintenance, Lifestyle Choices and Influences That Impact Health in Pregnancy, Intrapartum, Postpartum, and Newborn, Health Promotion and Maintenance, Nursing Care of Hospitalized Infants and Children: Key Developmental Differences, Integumentary System, Physiological Integrity, Table 3-6. Infection Control , Table 3-7. Infection Control When Caring for Infants, Children, and Adolescents
(2) Isolation proceduresRespiratory System - Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Table 3-2. Guidelines for Isolation Precautions
(3) Standard (universal)/transmission-based/other precautionsLifestyle Choices and Influences That Impact Health in Pregnancy, Intrapartum, Postpartum, and Newborn, Second-Trimester Complications, Obstructive Disorders, Integumentary System, Integumentary System, Integumentary System, Physiological Integrity, Physiological Integrity, Table 3-2. Guidelines for Isolation Precautions , Table 3-3. Contact Precautions—Summary , Table 3-4. Standard Precautions—Summary , Table 3-5. Airborne and Droplet Precautions—Summary , Table 3-8. Summary: Types of Precautions and Illnesses Requiring the Precautions
(4) Medical and surgical asepsis The Intrapartum Experience, The Postpartum Period, The Postpartum Period, The Newborn Infant, The Newborn Infant, The Newborn Infant, Safety and Infection Control for Infants, Children, and Adolescents, Musculoskeletal and Neuromuscular Systems, Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Physiological Integrity
(5) Handling hazardous materials Safety and Infection Control for Infants, Children, and Adolescents, Physiological Integrity
f. Reporting of incident/event/irregular occurrence/variance Safe, Effective Care Environment, Safety and Infection Control for Infants, Children, and Adolescents
g. Safe use of equipment Safe, Effective Care Environment, Safe, Effective Care Environment, Safety and Injury Prevention—Home Safety, Table 3-9. Safety Considerations When Caring for Hospitalized Infants, Children, and Adolescents
h. Security plan Safety and Injury Prevention—Home Safety
i. Use of restraints: clients who need restraints (appropriately used, properly applied)Safe, Effective Care Environment, Physiological Integrity
B. HEALTH PROMOTION/MAINTENANCE (HPM): 6%–12%
Assessment: Physiological, Psychosocial, Developmental, Environmental
Period: Conception, Antepartal, Labor, Delivery, Postpartal, Newborn, Aging Process, Advanced Old Age
1. Growth and development through the life span Stages of Spiritual Development in Childhood, Young Adulthood (20 to 30 Years of Age), Young Adulthood (20 to 30 Years of Age)
a. Risk factors: identify maternal, fetal, newbornHealth Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, The Newborn Infant, The Newborn Infant
b. Complications (pregnancy and labor, delivery, postpartum and newborn)Prenatal Management, Second-Trimester Complications, The Intrapartum Experience, The Intrapartum Experience, The Intrapartum Experience, The Postpartum Period, The Newborn Infant
c. Prevention of maternal, fetal, and newborn complicationsHealth Promotion and Maintenance, Health Promotion and Maintenance, The Intrapartum Experience, The Intrapartum Experience, The Newborn Infant
d. Emergencies: measures to deal with maternal, fetal, and newbornHealth Promotion and Maintenance, The Intrapartum Experience, The Intrapartum Experience, The Intrapartum Experience, The Intrapartum Experience, The Postpartum Period, The Newborn Infant, The Newborn Infant, The Newborn Infant, The Newborn Infant
e. Antepartal
(1) Nursing history (reproduction, sexual)Health Promotion and Maintenance
(2) Assessment of maternal, physical status (e.g., breast, abdomen, pelvis)Health Promotion and Maintenance
(3) Maternal psychosocial profile (perception of pregnancy, expected body images, coping mechanism)Health Promotion and Maintenance, Prenatal Management, Psychosocial Integrity
(4) Routine care (nutrition, methods of childbirth)Prenatal Management, The Intrapartum Experience
(5) Common discomforts and complicationsHealth Promotion and Maintenance
f. Labor
(1) Assess maternal and fetal status (fetal heart rate, electronic fetal monitoring, descent of parts, etc.)Third-Trimester Complications, The Intrapartum Experience
g. Delivery The Intrapartum Experience, The Intrapartum Experience
(1) Immediate care The Intrapartum Experience, The Intrapartum Experience
(2) Promote adaptation to extrauterine lifeThe Newborn Infant
(3) Emergency deliveryThe Intrapartum Experience, The Intrapartum Experience
h. Newborn
(1) Newborn care (airway, cord, Apgar, eyes, weight and measuring, heat support, identification)The Intrapartum Experience, The Newborn Infant
(2) Assist with infant feeding: assess skills of new parents at infant feedingThe Postpartum Period
i. Postpartal care
(1) Perineal careThe Intrapartum Experience, The Postpartum Period
(2) BreastThe Postpartum Period
(3) NutritionThe Postpartum Period
(4) Teach: activities, diet, exercise, rest, infant careThe Postpartum Period
The Postpartum Period
j. Family planning: birth control measures; family systems Health Promotion and Maintenance, The Postpartum Period, Treatment Modes
k. Developmental norms: physical assessment: height, weight, head circumference (infants, toddlers), vital signs, dentition, growth, fine motor development, vision, sexual development, general changes of agingStages of Spiritual Development in Childhood, Normal Vital Signs: Measurements and Variations with Age, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Physiological Integrity, Sexual Behavior Throughout the Life Cycle
l. Developmental norms: behavioral. Psychosocial assessment:
vocalization/vocabulary, socialization, toileting, dressing, feeding, peer relationships, personal tasks, and social tasks; expected body image changes
Normal Vital Signs: Measurements and Variations with Age, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Psychosocial Integrity, Psychosocial Integrity
m. Anticipatory guidance (i.e., what to expect in current stage and next stage in developmental transitions–puberty, retirement, etc.)Stages of Spiritual Development in Childhood, Table 5-4. Pediatric Behavioral Concerns: Nursing Implications and Parental Guidance , Table 5-5. Pediatric Sleep and Rest Norms: Nursing Implications and Parental Guidance , Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance
n. Teaching parenting skillsSensory Disturbance
o. Human sexuality; problems related to sexuality/reproductionSterilization, Physiological Integrity, Physiological Integrity, Sexual Behavior Throughout the Life Cycle
Cognitive assessment: conceptualization, rational thinking, problem solving, decision makingYoung Adulthood (20 to 30 Years of Age), Young Adulthood (20 to 30 Years of Age), Table 10-3. Summary of Theories of Psychosocial Development Throughout the Life Cycle , Summary of Theories of Psychosocial Development Throughout the Life Cycle, Table 10-4. Piaget's Age-Specific Development Levels , Psychosocial Integrity
q. Fears (by ages)Stages of Spiritual Development in Childhood, Pediatric Sleep and Rest Norms: Nursing Implications and Parental Guidance, Psychosocial Integrity
r. HospitalizationNursing Care of Hospitalized Infants and Children: Key Developmental Differences
s. Health concerns (by ages), including midlife and agingTable 5-3. Recommended Health Screenings for Infants, Children, and Adolescents: Specific Conditions , Table 5-4. Pediatric Behavioral Concerns: Nursing Implications and Parental Guidance , Physiological Integrity, Table 7.2. Most Frequent Issues in the Care of the Geriatric Client
t. Stimulation strategies to maximize infants’ development (toys)The Newborn Infant, Health Promotion and Maintenance, Health Promotion and Maintenance
u. Play and recreational therapy (by ages)Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance
v. Retirement counselingPsychosocial Integrity
w. Aging process Physiological Integrity, Physiological Integrity, Physiological Integrity
x. Principles of teaching/learning Psychosocial Integrity
(1) Teach home caregivers (see health teaching sections in each unit)Respiratory System, Respiratory System, Respiratory System, Table 5-11. Guidelines for Home Care of Infant on Apnea Monitor , Respiratory System, Structural Defects, Structural Defects, Signs and Symptoms of Dehydration in Infants and Young Children, Obstructive Disorders, Health Promotion and Maintenance
y. Self care Health Promotion and Maintenance, The Postpartum Period, Musculoskeletal and Neuromuscular Systems, Physiological Integrity, Physiological Integrity, Rheumatoid Arthritis, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity
2. Prevention and early detection of disease
a. Disease prevention Safety and Infection Control for Infants, Children, and Adolescents, Structural Defects, Signs and Symptoms of Dehydration in Infants and Young Children
(1) Teach: avoiding infectionsSafety and Infection Control for Infants, Children, and Adolescents, Structural Defects, Signs and Symptoms of Dehydration in Infants and Young Children
b. Health and wellness Physiological Integrity
c. Health promotion programs Physiological Integrity, Young Adulthood (20 to 30 Years of Age), Physiological Integrity, Testicular Self-Examination
(1) Breast and testicular self-exam
d. Health screening Safety and Infection Control for Infants, Children, and Adolescents, Health Promotion and Maintenance, Table 5-2. Child Preventive Care Timeline , Recommended Health Screenings for Infants, Children, and Adolescents: Specific Conditions, Table 5-3. Recommended Health Screenings for Infants, Children, and Adolescents: Specific Conditions , Young Adulthood (20 to 30 Years of Age), Reduction of Risk Potential, Table 11-2. Newborn Screening Procedures
(1) Genetic counseling (genograms)Hematological System, Hematological System
e. High risk behaviors Health Promotion and Maintenance, Lifestyle Choices and Influences That Impact Health in Pregnancy, Intrapartum, Postpartum, and Newborn, Health Promotion and Maintenance, Physiological Integrity
f. Immunizations: schedule, administering, interpreting TB skin testSafety and Infection Control for Infants, Children, and Adolescents, Health Promotion and Maintenance, Young Adulthood (20 to 30 Years of Age), Respiratory System - Physiological Integrity, Physiological Integrity
g. Lifestyle choices Interruption of Pregnancy (Elective/Voluntary Abortion), Prenatal Management, Lifestyle Choices and Influences That Impact Health in Pregnancy, Intrapartum, Postpartum, and Newborn, Safety and Infection Control for Infants, Children, and Adolescents
h. Physical health assessment throughout life spanHealth Promotion and Maintenance, Prenatal Management, The Newborn Infant, Subjective Data, Physiological Integrity
C. PSYCHOSOCIAL INTEGRITY (PsI): 6%–12%
1. Coping and adaptation
a. Coping mechanisms (dependence, denial, dissociative, somatoform disorders)Psychosocial Integrity, Psychosocial Integrity
b. Counseling techniques:
(1) Communication for client with hearing, speech, or vision problem
Physiological Integrity, Physiological Integrity
Physiological Integrity
(2) Impaired verbal communication (nontherapeutic, noneffective)The Therapeutic Nursing Process
(3) Therapeutic (open) communication: accepting, non-judgmental, acknowledges feelings, etc.The Therapeutic Nursing Process
(4) Development of trusting, therapeutic nurse-client relationshipThe Therapeutic Nursing Process
(5) Mental status assessmentPsychosocial Integrity
c. Family dynamics Psychosocial Integrity, Treatment Modes
d. Grief and loss The Intrapartum Experience, Respiratory System, Respiratory System, Respiratory System, Sids: What to Tell Families, Table 5-12. SIDS: What to Tell Families , Psychosocial Integrity, Table 10-8. Analysis/Nursing Diagnosis: Altered Feeling States Related to Grief
(1) End-of-life: terminally ill clients and families (giving support)Specific Situations
e. Mental health concepts Psychosocial Integrity, Sexual-Health Counseling, Specific Situations, Specific Situations, Psychosocial Integrity, Psychosocial Integrity, Psychosocial Integrity, Psychosocial Integrity, Psychosocial Integrity, Psychosocial Integrity, Sleep Disturbance, Sensory Disturbance, Substance-Related Disorders, Substance-Related Disorders, Psychosocial Integrity, Somatoform Disorders, Schizophrenia and Other Psychotic Disorders, Schizophrenia and Other Psychotic Disorders, Psychosocial Integrity, Psychosocial Integrity, Psychosocial Integrity, Psychosocial Integrity, Selected Specific Crisis Situations: Problems Related to Abuse/Violence, Selected Specific Crisis Situations: Problems Related to Abuse/Violence, Treatment Modes, Treatment Modes, Treatment Modes, Treatment Modes
f. Religious, spiritual and cultural influences on healthSafe, Effective Care Environment, Stages of Spiritual Development in Childhood, Table 5-1. Stages of Spiritual Development in Childhood , Religious Considerations in Meal Planning, Psychosocial Integrity, Treatment Modes
(1) Ethnic/cultural beliefs and practices (impact when planning teaching)
g. Sensory disturbance: dementia, delirium, confusion, disorientation related to need for increase or decrease in stimulationPsychosocial Integrity, Sensory Disturbance, Psychosocial Integrity
h. Sensory/perceptual alterations: delusions, hallucinatory behavior; schizophrenia, paranoid (observe, decrease)Schizophrenia and Other Psychotic Disorders, Psychosocial Integrity
i. Situational role changes:
(1) Alterations in parenting
(a) Adjustment to parenthoodPrenatal Management
(b) Role adaptations in familyThe Postpartum Period
(c) Role changes due to illness, accident, or developmental changes (midlife crisis, aging)The Newborn Infant, Safety and Infection Control for Infants, Children, and Adolescents, Structural Defects, Young Adulthood (20 to 30 Years of Age), Psychosocial Integrity
j. Stress management: relaxation techniquesProgressive Relaxation
k. Therapeutic environment (milieu)Treatment Modes
l. Unexpected body image changes: body image disturbancesPhysiological Integrity, Types of Fractures and Terminology, Physiological Integrity, Psychosocial Integrity
2. Psychosocial adaptation
a. Crisis intervention Psychosocial Integrity, Psychosocial Integrity
b. Suicide risk: evaluate, assess environment for potential hazardsPsychosocial Integrity
c. Suicide precautionsPsychosocial Integrity
d. Chemical dependency: alcohol/drug withdrawal (s/sx, counseling); heroin withdrawalThe Newborn Infant, Substance-Related Disorders, Psychosocial Integrity
e. Psychopathology: recurring depression (early s/sx; managing); manic-depressive The Postpartum Period, Psychosocial Integrity, Psychosocial Integrity
f. Domestic violence: violence to self or others (assess potential); personality disorders Selected Specific Crisis Situations: Problems Related to Abuse/Violence, Psychosocial Integrity
g. Child and elder abuse/neglect victims (counseling; reporting)Victim Decisions Following a Sexual Assault
h. Psychopathology: fear/phobia Psychosocial Integrity
i. NoncompliancePsychosocial Integrity
j. Behavioral interventions for disruptive behavior: measures to control (anger, demanding, hostility, manipulation)Psychosocial Integrity
k. Psychopathology of anxiety: reduce symptoms; anxiety disorders (obsessive-compulsive)Substance-Related Disorders, Psychosocial Integrity, Psychosocial Integrity
l. Psychopathology of post-trauma response Psychosocial Integrity
m. Sexual abuse: rape trauma syndromeSelected Specific Crisis Situations: Problems Related to Abuse/Violence
D. PHYSIOLOGICAL INTEGRITY (PhI)
1. BASIC CARE AND COMFORT: 6%–12%
a. Alternative and complementary therapies Treatment Modes, Table 8-15. Dietary Supplements and Herbal Products Used for Psychiatric Conditions , Table 8-16. Herbs and Potential Dangers , Appendix E
b. Assistive devices, e.g., canes, splints, prosthesis, crutches, bracesMusculoskeletal and Neuromuscular Systems, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity
c. Elimination
(1) Tubes: Table 11-5. Review of the Use of Common Tubes
(a) Types: drainage, decompression, feedingPhysiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity
(b) Characteristic drainage (GI, GU, ascites, lymph)Table 11-5. Review of the Use of Common Tubes , Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity
(c) How to assess patencyRespiratory System - Physiological Integrity, Physiological Integrity, Physiological Integrity
(d) Care of drainage tubes (do’s and don’ts)Respiratory System - Physiological Integrity, Physiological Integrity, Table 11-5. Review of the Use of Common Tubes
(e) Ostomy irrigations/care (do’s and don’ts)Physiological Integrity, Table 6-26. Colostomy Irrigation , Table 11-6. Emptying Colostomy Appliance , Table 11-7. Changing Colostomy Appliance
(f) Promote normal drainagePhysiological Integrity, Physiological Integrity
(g) Drainage tube exit sites (dialysis) and handling of receptacles: cleanse and dress (colostomy appliances)Physiological Integrity, Table 11-6. Emptying Colostomy Appliance , Table 11-7. Changing Colostomy Appliance , Physiological Integrity, Physiological Integrity, Table 6-27. Comparison of Hemodialysis and Peritoneal Dialysis
(h) Maintain skin integrityPhysiological Integrity, Physiological Integrity, Table 11-7. Changing Colostomy Appliance
(i) Prevention of complicationsRespiratory System - Physiological Integrity, Physiological Integrity, Physiological Integrity, Table 8-4. Complications Associated with Total Parenteral Nutrition , Table 11-5. Review of the Use of Common Tubes
(2) Bowel or bladder retrainingTable 11-11. Bladder Training , Table 11-12. Bowel Training , Physiological Integrity, Physiological Integrity
d. Mobility/immobility
(1) Immobility: prevent complicationsThe Perioperative Experience, Physiological Integrity, Types of Fractures and Terminology, Table 6-34. Complications of Immobilization
(2) Casts, frames, splints
(a) Cast: check for complications; provide cast carePhysiological Integrity, Physiological Integrity, Physiological Integrity
(3) Traction: proper setupPhysiological Integrity, Figure 6-14. Types of Skin and Skeletal Traction, Physiological Integrity, Physiological Integrity
(4) Use of assistive devices: crutches, canes, braces, walkers, etc. (do’s and don’ts)Musculoskeletal and Neuromuscular Systems, Teaching Crutch Walking
infoImage(5) PositioningFigure 11-1. Common Client Positions, Table 11-4. Positioning the Client for Specific Surgical Conditions , Physiological Integrity, Physiological Integrity, See in Chapter 4. Health Promotion and Maintenance, Chapter 5. Health Promotion and Maintenance, infoImageChapter 6. Physiological Integrity
(a) Position: spinal cord injuryPhysiological Integrity
(6) Contractures: preventPhysiological Integrity, Rheumatoid Arthritis, Physiological Integrity, Physiological Integrity, Physiological Integrity
(7) Assist in performing ROM exercises, ambulationPhysiological Integrity, Physiological Integrity, Respiratory System - Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity
e. Comfort
(1) Pain assessment:The Perioperative Experience, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Physiological Integrity,
(a) Physiological and behavioral responsesPhysiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity
(2) Nonpharmacological intervention (e.g., cutaneous stimulation, position change, distraction, relaxation, exercise, immobilization, elevation, comfortable environment, bed rest)The Perioperative Experience, Physiological Integrity, Respiratory System - Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity
(a) Teach relaxation techniquesProgressive Relaxation
(3) Palliative/comfort carePhysiological Integrity
foodImagef. Nutrition and oral hydration
(1) Hydration and nutrition status: assess, prevent complicationsStructural Defects, Signs and Symptoms of Dehydration in Infants and Young Children, Physiological Integrity, Physiological Integrity
(2) Nutrition:Chapter 9. Physiological Integrity: Basic Care and Comfort—Nutrition, Subjective Data
(a) Normal: newborn, childThe Postpartum Period, Population-Specific Nutritional Needs
(b) Weight gain (eating disorders, e.g., bulimia, anorexia nervosa)Physiological Integrity, Sleep Disturbance
(c) Special needs (pregnancy, elderly, therapeutic diets)Health Promotion and Maintenance, Physiological Integrity, Physiological Integrity, Population-Specific Nutritional Needs, Religious Considerations in Meal Planning, Religious Considerations in Meal Planning, Special Diets, Special Diets
(3) Restore, maintain adequate balance: caloric, fat, protein, carbohydrates, vitamins, and minerals (special diets)Special Diets
(4) Administer tube feedings (do’s and don’ts)Structural Defects, Physiological Integrity, Physiological Integrity, Physiological Integrity
(5) Evaluate lab findings (i.e., dehydration, over-hydration)Structural Defects, Signs and Symptoms of Dehydration in Infants and Young Children, Physiological Integrity, Physiological Integrity
g. Personal hygiene
(1) Perineal careThe Postpartum Period
(2) Care of artificial eyes, dentures, hearing aids (do’s and don’ts)Table 11-8. Care of Dentures , Table 11-9. Caring for an Artificial Eye , Table 11-10. Caring for a Hearing Aid
h. Rest and sleep
(1) Nursing measures to promote sleep Pediatric Sleep and Rest Norms: Nursing Implications and Parental Guidance
(a) Sleep patterns (stages, cycles)Sleep Disturbance
(b) Factors that affect sleepPediatric Sleep and Rest Norms: Nursing Implications and Parental Guidance, Sleep Disturbance
(c) Sleep pattern disturbancePhysiological Integrity, Sleep Disturbance
pillImage2. PHARMACOLOGICAL AND PARENTERAL THERAPIES: 13%–19%
a. Administration of blood and blood products The Newborn Infant, Physiological Integrity, Physiological Integrity
b. Central venous access devices, includingRespiratory System - Physiological Integrity, Physiological Integrity, Signs of Hypovolemic Shock, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity
(1) CVP readings (interpret)
c. Chemotherapy
(1) Assess for side effects: chemotherapy, radiation treatment (teach safety precautions)Physiological Integrity, Transfusion with Blood or Blood Products, Table 8-12. Common Side Effects of Chemotherapeutic Agents , Physiological Integrity
d. Dosage calculations Physiological Integrity, Physiological Integrity, Physiological Integrity
e. Intravenous therapy (start, maintain, discontinue)The Perioperative Experience, Physiological Integrity, Physiological Integrity
f. Medication administration:
(1) Assess interaction of drugs, food, fluidsTable 8-10. Food and Fluid Considerations with Drugs , Regional Analgesia-Anesthesia in Labor and Birth, Table 8-15. Dietary Supplements and Herbal Products Used for Psychiatric Conditions , Physiological Integrity
(2) Administration of medications: IM, optic, otic, subcutaneous, IV, oral, rectal to infants and children, Z-track method, inhalantPhysiological Integrity, Respiratory System - Physiological Integrity, Physiological Integrity, Physiological Integrity
(3) Parenteral fluids Physiological Integrity, Physiological Integrity, Physiological Integrity
(4) Counteract side effects of medicines and poisons Health Promotion and Maintenance, Musculoskeletal and Neuromuscular Systems, Physiological Integrity, Psychotropic Medications, Psychotropic Medications, Psychotropic Medications, Psychotropic Medications, Psychotropic Medications, Psychotropic Medications
(5) Agents/actions: purpose, normal dose, nursing implications (side effects and safety precautions, contraindications, when to withhold medication if adverse reaction); expected outcomes/effect Physiological Integrity, Regional Analgesia-Anesthesia in Labor and Birth, Physiological Integrity, Table 8-15. Dietary Supplements and Herbal Products Used for Psychiatric Conditions , Table 8-16. Herbs and Potential Dangers , Table 8-17. Common Medications , Physiological Integrity
g. Pharmacological pain management The Perioperative Experience, Physiological Integrity, Table 8-9. Regional Analgesia-Anesthesia for Labor and Birth , Table 8-13. Properties of Selected Analgesic Agents , Table 8-14. Equianalgesic Dosing for Opioid Analgesics
h. Teach:
(1) Self-administration of medication (purpose, action, side effects, administration techniques, disposal of equipment)Physiological Integrity, Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Uterine Contractants
i. Total parental nutrition (TPN) responseTransfusion with Blood or Blood Products, Physiological Integrity
j. Untoward reactions to immunizationsStreptococcus Infections/Sequelae
(1) Educate about potential adverse reaction; recognize; treatStreptococcus Infections/Sequelae
3. REDUCTION OF RISK POTENTIAL: 10%–16%
a. Diagnostic tests Physiological Integrity, Physiological Integrity
(1) Preparing client for diagnostic tests/proceduresAppendix H , Reduction of Risk Potential
(2) Interpreting results of diagnostic testsAppendix A Table 6.40. Papanicolaou (Pap) Smear Classes, Table 6.41. Uterine Cancer: Recommended Treatment, by Stage of Invasion, Table 6.42. International System of Staging for Cervical Carcinoma, Reduction of Risk Potential
(3) Maternal, fetal antepartal diagnostic tests
  • Biophysical profile
Third-Trimester Complications, Reduction of Risk Potential
  • Chorionic villi sampling
Third-Trimester Complications, Reduction of Risk Potential
  • Ultrasound
Health Promotion and Maintenance, Third-Trimester Complications, Reduction of Risk Potential
  • Daily fetal movement count
Third-Trimester Complications
  • Amniocentesis
Health Promotion and Maintenance, Figure 4-5. Amniocentesis, Lifestyle Choices and Influences That Impact Health in Pregnancy, Intrapartum, Postpartum, and Newborn, Third-Trimester Complications, Reduction of Risk Potential
  • Nonstress test
Health Promotion and Maintenance, Third-Trimester Complications, Reduction of Risk Potential
  • Contraction stress test, etc.
Third-Trimester Complications, Reduction of Risk Potential
b. Lab values
(See shaded areas on these pages, in chronological order, by each chapter)
Appendix A
Chapter 4. Health Promotion and Maintenance: Table 4.5. Blood Values,
Health Promotion and Maintenance, Health Promotion and Maintenance, Second-Trimester Complications, Third-Trimester Complications, The Postpartum Period, The Postpartum Period, The Postpartum Period, The Newborn Infant, The Newborn Infant, The Newborn Infant, The Newborn Infant
Chapter 5. Health Promotion and Maintenance:Neurological System, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Hematological System, Health Promotion and Maintenance, Health Promotion and Maintenance
Chapter 6. Physiological Integrity:Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, The Perioperative Experience, Physiological Integrity, Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Signs of Hypovolemic Shock, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Rheumatoid Arthritis, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Selected Cancer Problems, Selected Cancer Problems, Physiological Integrity, Physiological Integrity,
Chapter 8. Physiological Integrity:Psychotropic Medications, Psychotropic Medications, Psychotropic Medications,
Chapter 10. Psychosocial Integrity:
Chapter 11. Reduction of Risk Potential:Reduction of Risk Potential, Summary: Oxygen Delivery Equipment
c. Potential for alterations in body systems
(1) Cardiovascular status: assess, prevent complicationsHormones of Pregnancy, Health Promotion and Maintenance, The Postpartum Period, Sids: What to Tell Families, Sequelae of Strep Infections, Respiratory System - Physiological Integrity, Physiological Integrity, Physiological Integrity
(2) Circulatory: assess, prevent complicationsHematological System, The Perioperative Experience, Physiological Integrity, Physiological Integrity, Table 6-9. Postoperative Complications
(3) Gastrointestinal: assess, prevent complicationsHealth Promotion and Maintenance, Health Promotion and Maintenance, The Newborn Infant, Structural Defects, The Perioperative Experience, Physiological Integrity, Physiological Integrity
(4) Genitourinary: assess, prevent complicationsHealth Promotion and Maintenance, The Postpartum Period, Obstructive Disorders, The Perioperative Experience, Physiological Integrity
(5) Integumentary: assess, prevent complicationsHealth Promotion and Maintenance, Streptococcus Infections/Sequelae, Integumentary System, Typical Procedure for Involuntary Commitment, Physiological Integrity, Physiological Integrity
(6) Musculoskeletal: assess, prevent complicationsHealth Promotion and Maintenance, Musculoskeletal and Neuromuscular Systems, Figure 5-12. Signs of Developmental Dysplasia of the Hip, Figure 5-13. The Four Major Curve Patterns in Idiopathic Scoliosis, Physiological Integrity
(7) Neurosensory function: assess, prevent complicationsThe Newborn Infant, Neurological System, Musculoskeletal and Neuromuscular Systems, Physiological Integrity, Physiological Integrity
(8) Respiratory status: assess, prevent complicationsHealth Promotion and Maintenance, Health Promotion and Maintenance, Respiratory System, The Perioperative Experience, Respiratory System - Physiological Integrity
d. Potential for complications of diagnostic tests/treatments/procedures from surgery, and health alterationsInterruption of Pregnancy (Elective/Voluntary Abortion), Table 4-3. Interruption of Pregnancy (Elective/Voluntary Abortion) , The Intrapartum Experience, The Intrapartum Experience, The Intrapartum Experience, The Intrapartum Experience, The Postpartum Period, The Postpartum Period, The Newborn Infant, The Perioperative Experience, The Perioperative Experience, Table 6-9. Postoperative Complications , The Perioperative Experience, Physiological Integrity, Physiological Integrity, Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Signs of Hypovolemic Shock, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Table 6-28. Comparison of Diabetic Complications , Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Uterine Cancer: Recommended Treatment, by Stage of Invasion, Physiological Integrity, Transfusion with Blood or Blood Products, Table 8-2. Transfusion with Blood or Blood Products , Physiological Integrity, Table 8-3. Complications of IV Therapy , Psychotropic Medications, Table 8-4. Complications Associated with Total Parenteral Nutrition
(1) Explain expected outcome of treatment/recoveryHealth Promotion and Maintenance, Physiological Integrity, Physiological Integrity, Respiratory System - Physiological Integrity, Physiological Integrity, Topical Antimicrobials Used in Burn Care
e. System-specific assessments Health Promotion and Maintenance, Hormones of Pregnancy, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Prenatal Management, The Postpartum Period, Table 4-14. Physical Assessment of the Term Neonate , Table 4-15. Assessment: Normal Newborn Reflexes , Table 4-16. Estimation of Gestational Age: Common Clinical Parameters , The Newborn Infant, Stages of Spiritual Development in Childhood, Normal Vital Signs: Measurements and Variations with Age, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Physiological Integrity, Physiological Integrity
f. Therapeutic procedures
(1) Attach monitoring equipment (e.g., cardiac, fetal, infusion pumps)Figure 4-10. Fetal Heart Rate (FHR) Decelerations and Nursing Interventions, The Intrapartum Experience, Respiratory System, Physiological Integrity
(2) Check functioning of suction equipmentTracheostomy Suctioning Procedure, Table 11-5. Review of the Use of Common Tubes , Review of the Use of Common Tubes
(3) Care of client during/after treatment and procedures (e.g., conscious sedation)Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Treatment Modes, Reduction of Risk Potential, The Perioperative Experience
g. Vital signs Table 4-14. Physical Assessment of the Term Neonate , Table 5-6. Normal Vital Signs: Measurements and Variations with Age , Table 6-1. Factors Affecting Vital Signs , Table 6-20. Comparison of Symptomatology for Valvular Defects , Table 6-22. Signs of Hypovolemic Shock Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Signs of Hypovolemic Shock, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity
4. PHYSIOLOGICAL ADAPTATION: 11%–17%
a. Alterations in body systems include:
(1) Measures to deal with cardiac arrhythmiasPhysiological Integrity
(2) Level of consciousness (assess changes)Table 6-12. Levels of Consciousness , Table 6-13. Glasgow Coma Scale , Physiological Integrity, Physiological Integrity
(3) Intracranial pressure (assess changes)Neurological System, Neurological System, Physiological Integrity
(4) Skin integrity: measures to maintainThe Newborn Infant, Obstructive Disorders, Integumentary System, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity
b. Fluid and electrolyte imbalances
(1) Prevent complications from and correct alterations in nutritional and fluid balance (including pregnancy, lactation, elderly)Health Promotion and Maintenance, Health Promotion and Maintenance, The Postpartum Period, The Postpartum Period, The Newborn Infant, The Newborn Infant, The Newborn Infant, The Newborn Infant, The Newborn Infant, Respiratory System, Respiratory System, Respiratory System, Health Promotion and Maintenance, Structural Defects, Structural Defects, Structural Defects, Signs and Symptoms of Dehydration in Infants and Young Children, Obstructive Disorders, Obstructive Disorders, Health Promotion and Maintenance, Hematological System, Hematological System, Integumentary System, Signs of Developmental Dysplasia of the Hip, Health Promotion and Maintenance, Physiological Integrity, The Perioperative Experience, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity
c. Hemodynamics
(1) Bleeding: check for and controlLifestyle Choices and Influences That Impact Health in Pregnancy, Intrapartum, Postpartum, and Newborn, Hematological System, Health Promotion and Maintenance, Physiological Integrity, Physiological Integrity
d. Infectious diseases Table 3-6. Infection Control , Lifestyle Choices and Influences That Impact Health in Pregnancy, Intrapartum, Postpartum, and Newborn, Health Promotion and Maintenance, The Newborn Infant, Nursing Care of Hospitalized Infants and Children: Key Developmental Differences, Respiratory System, Health Promotion and Maintenance, Streptococcus Infections/Sequelae, Integumentary System, Integumentary System, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Physiological Integrity, Physiological Integrity
e. Medical emergencies Prenatal Management, Table 4-8. Emergency Conditions , Health Promotion and Maintenance, Second-Trimester Complications, The Intrapartum Experience, The Intrapartum Experience, The Intrapartum Experience, The Intrapartum Experience, The Intrapartum Experience, The Postpartum Period, The Newborn Infant, Pediatric Surgeries: Nursing Considerations - Table 5-22, The Perioperative Experience, Table 6-9. Postoperative Complications , Physiological Integrity, Physiological Integrity, Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Testicular Self-Examination
(1) Managing medical emergency until MD arrivesRespiratory System - Physiological Integrity, Physiological Integrity
(2) Chest trauma emergency careRespiratory System - Physiological Integrity
(3) CPRThe Intrapartum Experience, Figure 5-1. CPR Recommendations for the Healthcare Provider, Respiratory System, Physiological Integrity, Physiological Integrity
(4) Hemorrhage controlThird-Trimester Complications, The Postpartum Period
(5) Wound management, etc.The Perioperative Experience,Table 6-32. Topical Antimicrobials Used in Burn Care , Table 6-33. Wound Coverings
(a) Apply dressings, binders, and bandages (do’s and don’ts)
(b) Irrigate woundsThe Perioperative Experience
(6) Use seizure precautionsHealth Promotion and Maintenance, Second-Trimester Complications, Physiological Integrity
f. Pathophysiology Sterilization, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Health Promotion and Maintenance, Second-Trimester Complications, The Intrapartum Experience, The Intrapartum Experience, The Intrapartum Experience, The Intrapartum Experience, The Intrapartum Experience, The Intrapartum Experience, The Postpartum Period, The Postpartum Period, The Postpartum Period, The Postpartum Period, The Postpartum Period, The Newborn Infant, The Newborn Infant, The Newborn Infant, The Newborn Infant, The Newborn Infant, The Newborn Infant, The Newborn Infant, The Newborn Infant, The Newborn Infant, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Table 6-30. Recognizing Bioterrorism Agents and Associated Syndromes , Recognizing Bioterrorism Agents and Associated Syndromes, Table 6-34. Complications of Immobilization , Physiological Integrity, Teaching Crutch Walking, Rheumatoid Arthritis, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity, Physiological Integrity
g. Radiation therapy
(1) Radiation therapy precautionsPhysiological Integrity
h. Respiratory care: illness management Respiratory System - Physiological Integrity, Physiological Integrity
(1) Administering O2 (do’s and don’ts)Table 5-10. Comparison of Common Oxygen Delivery Systems , Respiratory System, Respiratory System - Physiological Integrity, Reduction of Risk Potential
(2) Tracheostomy care (do’s and don’ts)Table 6-16. Tracheostomy Suctioning Procedure , Tracheostomy Suctioning Procedure, Review of the Use of Common Tubes
(a) Suction respiratory tract (tracheal suction)The Newborn Infant, Structural Defects
(3) Monitor operation of continuous mechanical ventilatorRespiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Physiological Integrity, Physiological Integrity, Summary: Oxygen Delivery Equipment
(4) Chest physical therapyRespiratory System - Physiological Integrity, Respiratory System - Physiological Integrity, Respiratory System - Physiological Integrity
i. Unexpected response to therapies Table 4-1. Contraception , Table 4-2. Sterilization , Table 4-3. Interruption of Pregnancy (Elective/Voluntary Abortion) , Table 8-2. Transfusion with Blood or Blood Products , Table 8-3. Complications of IV Therapy , Table 8-4. Complications Associated with Total Parenteral Nutrition , Table 8-15. Dietary Supplements and Herbal Products Used for Psychiatric Conditions , Table 8-16. Herbs and Potential Dangers
INTEGRATED CONCEPTS AND PROCESSES
The following concepts and processes are basic to nursing practice. They are integrated throughout the four major categories of client needs:
1. Caring: nurse-client interactionsThe Therapeutic Nursing Process
2. Communication and documentation, accountabilitySafe, Effective Care Environment, Trends in Nursing Practice, Physiological Integrity, Physiological Integrity
3. Nursing process (see sections in each chapter: Assessment, Analysis/Nursing Diagnosis, Plan/Implementation, Evaluation/Outcome Criteria)
For an index to questions relating to each client need/subneed, see Appendix G .

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