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Fundamentals of Nursing

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Fundamentals of Nursing

43 lessons

One lesson for each chapter of Fundamentals of Nursing, in the book’s order. The lesson teaches what that chapter says you need to know, then checks it.

  1. 1Introduction to the Nursing Profession: Evolution, Theories, and PracticeIn the contemporary landscape, several trends shape nursing practice , including the increasing emphasis on technology, with EHRs and telehealth becoming integral to healthcare delivery.
  2. 2CommunicationThe nurse should establish a trusting relationship with the patient and use appropriate communication demonstrating active listening , pertinent inquiry, and empathy throughout each patient encounter.
  3. 3Healthcare Delivery SystemsWhen a patient needs a higher level of skill, knowledge, or diagnostic capability than what a primary care physician can provide, they move to the secondary health care level.
  4. 4Health, Wellness, and Community-Based Health CareThe most used model for wellness is Dunn’s Theory of Wellness , including four processes: being , belonging , becoming , and befitting .
  5. 5Cultural CompetenceVarious cultures have their own traditional healing practices and beliefs, and many people still use these practices either alongside or in place of Western medicine.
  6. 6Promoting Individualized CareNurses can provide multiple holistic interventions into patient care, such as aromatherapy , guided imagery , hydrotherapy , massage, and progressive relaxation .
  7. 7Vital SignsVital signs in the normal range indicate the presence of homeostasis, or balance, in the body.
  8. 8Admission, Transfer, and DischargeAcute care admissions are for patients who require inpatient monitoring and/or a professional level of care.
  9. 9Safety and SecurityThere are many aspects for the nurse to consider when maintaining individual safety including understanding a patient’s developmental stage of life, physical and psychosocial health risk factors, and any knowledge…
  10. 10Infection Control and PreventionThese six pieces are causative agent, reservoir , portal of exit , mode of transmission , portal of entry , and susceptible host .
  11. 11Medication AdministrationDifferent types of medication orders include routine orders, one-time orders, standing orders, STAT orders, PRN orders, and titration orders, each with specific indications for nursing practice.
  12. 12Assessment: Recognizing CuesAn accurate assessment is essential for a correct diagnosis and appropriate planning and emphasizes the significance of the data collected
  13. 13Diagnosis and Planning: Analyzing, Prioritizing, and Generating SolutionsNANDA-I supports nursing diagnosis through taxonomy and classification.
  14. 14Implementation and Evaluation: Taking Action, Evaluating Outcomes, and DocumentationThe implementation phase is crucial in the nursing process, involving the active execution of planned interventions while adapting to the patient’s evolving needs.
  15. 15Evidence-Based Research, Quality Improvement, and Collaborative PracticeOn larger scales, changes to implement EBP must be planned and negotiated with multiple stakeholders based as much on resources and institutional values as on the value of the research.
  16. 16Legal and Ethical ConsiderationsProfessional nursing values include altruism , autonomy , integrity , social justice, and human dignity .
  17. 17Patient and Family EducationFactors such as health literacy, feelings, and anxiety, and physical influences like pain or limitations influence patients’ adherence to and compliance with treatment and nursing care plans.
  18. 18Leadership and Management in NursingLaissez-faire leadership offers autonomy and independence, ideal for experienced teams, while servant leadership focuses on empowering and uplifting team members.
  19. 19Oxygenation and PerfusionSpecifics as to the role this system plays in ventilation, how respiration and gas exchange transpire, and the role the lungs play in the renin-angiotensin-aldosterone system are presented.
  20. 20Fluid, Electrolyte, and Acid-Base BalanceWhen homeostasis is not maintained, the patient is at risk for organ system dysfunction and even death.
  21. 21NutritionGood nutrition includes ingestion of quality macronutrients such as carbohydrates, proteins, and fats.
  22. 22ActivityThese systems work together to improve cardiovascular circulation, balance, coordination, posture, and even postural reflexes, which work unconsciously
  23. 23Neuromuscular FunctionThe musculoskeletal system is made up of bones, muscles, and various connective tissues.
  24. 24Skin IntegrityThe epidermis, dermis , and hypodermis are the three distinct layers of the skin.
  25. 25HygieneThe lack of adequate hygiene practices may lead to various hygiene-related diseases or infections such as lice (body, hair, and pubic), tooth decay, scabies , pinworm infection, ringworm , trachoma , swimmer’s ear …
  26. 26Urinary EliminationThe urinary system , composed of the kidneys, ureters, bladder, and urethra, is a vital component of the human anatomy, responsible for maintaining internal balance and waste elimination.
  27. 27Bowel EliminationThe stomach further digests food using gastric juices and muscular contractions.
  28. 28Sleep and RestOriginating in the brain stem, and involving other regions of the neurological system, sleep is influenced by factors such as circadian rhythms.
  29. 29Sensory AlterationsIdentifying the different states of arousal of the brain involves recognizing variations in consciousness, ranging from alertness and wakefulness to drowsiness, sleep, and coma , each influenced by complex interactions…
  30. 30Pain AssessmentThe physiologic process of pain describes how the brain is alerted to painful stimuli and how it can modify and adjust the amount of pain that is felt in the body.
  31. 31Perioperative Nursing CareDuring the last couple of decades, surgical advancements have been made exponentially to include robotic surgery, telesurgery, surgical uses of AI, Multi-Angle Rear-Viewing Endoscopic tooL (MARVEL), and 3-D printing.
  32. 32Self-ConceptThe primary components of self-concept are fundamental in developing personal identity, body image, self-esteem, and role performance
  33. 33SexualitySociety has long dictated that individuals should act according to their biological sex, adhering to the appropriate gender role expression; however, there has been an increase in awareness and understanding of gender…
  34. 34Stress, Adaptation, and HomeostasisAdaptive, or coping, responses support the body’s resistance to stress and ideally its resolution and return to a condition of homeostasis
  35. 35SpiritualitySpirituality encompasses a connection beyond oneself and a pursuit of meaning, distinct from religion yet often intersecting with faith based on shared aspects such as hope, love, conflict, and healing.
  36. 36Grief, Loss, Death, and DyingIn all areas of care, nurses will encounter patients experiencing death, dying, loss, or grief.
  37. 37Family DynamicsDefining family is a complex and culturally sensitive topic.
  38. 38Growth and DevelopmentFrom birth to end of life, patients are categorized into the following developmental stages: newborn (0-28 days), infant (0-12 months), toddler (1-3 years), preschool (3-5 years), middle childhood (6-11 years)…
  39. 39Conception Through AdolescenceGrowth and development start at conception and continue through adolescence.
  40. 40Young and Middle-Aged AdultsProminent growth and development patterns in the young adult years include psychological changes associated with increased independence, changing social networks, and continued brain development.
  41. 41Older AdultsPhysical changes in older adulthood affect all organ systems.
  42. 42Caring for Patients with Disability and Chronic IllnessThe terms disability and impairment are often used interchangeably.
  43. 43Clinical Judgment and Critical ThinkingSome of this growth was due to the development of the CJMM, a tool designed to measure critical thinking and clinical judgment in nursing students.