Application of Nursing Process and Nursing Diagnosis An Interactive Text for Diagnostic Reasoning

Author: Marilynn Doenges, APRN, BC-retired, Mary Moorhouse, RN, MSN, CRRN, LNC
Affiliation: University of Colorado, Colorado Springs, Colorado
Publisher: F.A. Davis Company
Publication Date: 2013
ISBN 10: 0803629125
ISBN 13: 9780803629127
eISBN: 9780803639003
Edition: 6th


When you understand the whys of each step the nursing process, it's easier easy to understand how to apply them in the real world in which you will practice. Take an interactive, step-by-step approach to developing the diagnostic reasoning and problem-solving skills you need to think like a nurse with the resources you'll find in this unique workbook style text.

Table of Contents

Front Matter

  • Davis Plus Resources
  • Notes to the Educator
  • Notes to the Student
  • Acknowledgments
  • Practice Activities and Work Pages

1: The Nursing Process: Delivering Quality Care

  • Student Learning Outcomes:
  • The Nursing Profession
  • The Nursing Process
  • How the Nursing Process Works
  • Practice Advantages of the Nursing Process
  • Summary
  • WORK PAGE: Chapter 1

2: The Assessment Step: Developing the Client Database

  • Student Learning Outcomes:
  • The Client Database
  • The Nursing Interview: Questioning and Listening
  • Physical Examination: The Hands-On Phase
  • Laboratory Tests and Diagnostic Procedures: Supporting Evidence
  • Organizing Information Elements
  • Summary
  • WORK PAGE: Chapter 2

3: The Diagnosis Step: Analyzing the Data

  • Student Learning Outcomes:
  • Defining Nursing Diagnosis
  • Identifying Client Needs
  • Writing a Client Diagnostic Statement: Using PES Format
  • Summary
  • WORK PAGE: Chapter 3

4: The Planning Step: Creating the Plan of Care

  • Student Learning Outcomes:
  • Setting Priorities for Client Care
  • Establishing Client Goals
  • Identifying Desired Outcomes
  • Selecting Appropriate Nursing Interventions
  • The Client Plan of Care
  • Discharge Planning
  • Documenting the Plan of Care
  • Validating the Plan of Care
  • Professional Concerns Related to the Plan of Care
  • Putting It All Together
  • A Complementary Approach–Concept or Mind Mapping
  • Summary
  • WORK PAGE: Chapter 4

5: The Implementation Step: Putting the Plan of Care Into Action

  • Student Learning Outcomes:
  • Identifying Caregiving Priorities
  • Ethical and Legal Concerns
  • Delivering Nursing Care
  • Ongoing Data Collection
  • Summary
  • WORK PAGE: Chapter 5

6: The Evaluation Step: Determining Whether Desired Outcomes Have Been Met

  • Student Learning Outcomes:
  • Reassessment
  • Modification of the Plan of Care
  • Termination of Services
  • Enhancing Delivery of Quality Care
  • Summary
  • WORK PAGE: Chapter 6

7: Documenting the Nursing Process

  • Student Learning Outcomes:
  • Role of Documentation
  • Progress Notes
  • Techniques for Descriptive Note Writing
  • Summary
  • WORK PAGE: Chapter 7

8: Interactive Care Planning: From Assessment to Client Response

  • Student Learning Outcomes:
  • Instructions for Case Study
  • Case Study Care-Planning Worksheet
  • Care-Planning Evaluation Checklist
  • Practicing Critical Thinking
  • Conclusion
  • Putting Together What You Have Learned About the Nursing Process

Appendix A Code of Ethics for Nurses

Appendix B General Assessment Tool

Appendix C Self-Monitoring of Accuracy Using the Integrated Model: A Guide

Appendix D Clinical (Critical) Pathways: A Sample

Appendix E Glossary

Appendix F NANDA-I Taxonomy II: Definitions of Axes

Appendix G NANDA-I Nursing Diagnoses Organized According to Maslow’s Hierarchy of Needs and Nursing Framework: A Health Outcome Classification for Nursing Diagnosis

Appendix H NANDA International Nursing Diagnoses With Definitions, Related/Risk Factors, and Defining Characteristics