Fundamentals of
NURSING
Concepts and Competencies for Practice
NINTH EDITION
Fundamentals of
NURSING
Concepts and Competencies for Practice
NINTH EDITION
Ruth F. Craven , EdD, RN, FAAN
Professor Emerita
Department of Biobehavioral Nursing and Health Informatics
University of Washington School of Nursing
Seattle, Washington
Constance J. Hirnle , MN, RN
Retired Faculty Member
Department of Biobehavioral Nursing and Health Informatics
University of Washington School of Nursing
Seattle, Washington
Christine M. Henshaw , EdD, RN-BC
Professional Development Specialist
Clinical Practice and Professional Development
Virginia Mason Medical Center
Seattle, Washington
Vice President and Publisher: Julie K. Stegman
Director of Nursing Content Publishing: Renee Gagliardi
Director of Product Development: Jennifer K. Forestieri
Senior Development Editor: Meredith L. Brittain
Editorial Coordinator: Tim Rinehart
Marketing Manager: Brittany Clements
Editorial Assistant: Molly Kennedy
Design Coordinator: Stephen Druding
Art Director, Illustration: Jennifer Clements
Production Project Manager: Barton Dudlick
Manufacturing Coordinator: Karin Duffield
Prepress Vendor: SPi Global
Ninth Edition
Copyright 2021 Wolters Kluwer
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ISBN: 978-1-9751-2042-9
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This work is no substitute for individual patient assessment based upon healthcare professionals examination of each patient and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all medical judgments and for any resulting diagnosis and treatments.
Given continuous, rapid advances in medical science and health information, independent professional verification of medical diagnoses, indications, appropriate pharmaceutical selections and dosages, and treatment options should be made and healthcare professionals should consult a variety of sources. When prescribing medication, healthcare professionals are advised to consult the product information sheet (the manufacturers package insert) accompanying each drug to verify, among other things, conditions of use, warnings and side effects and identify any changes in dosage schedule or contraindications, particularly if the medication to be administered is new, infrequently used or has a narrow therapeutic range. To the maximum extent permitted under applicable law, no responsibility is assumed by the publisher for any injury and/or damage to persons or property, as a matter of products liability, negligence law or otherwise, or from any reference to or use by any person of this work.
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DEDICATION
With sincere gratitude to our families and colleagues, and most importantly, to our students, who have taught us so much and helped shape this book over its many editions.
CONTRIBUTORS
CONTRIBUTORS TO THE NINTH EDITION
Marisa Gillaspie Aziz , MSN, RN, ACNS-BC
Senior Manager Oregon Region: Professional Practice, Outcomes, and Research
Providence Health and Services
Portland, Oregon
Chapter 24: Hygiene and Self-Care
Doris M. Boutain , PhD, RN, PHNA-BC
Associate Professor and John and Marguerite Walker Corbally Professor in Public Service
Department of Child, Family and Population Health
University of Washington School of Nursing
Seattle, Washington
Chapter 3: Values, Ethics, and Legal Issues
Diana Taibi Buchanan , PhD, RN
Associate Professor and Mary S. Tschudin Endowed Professor in Nursing Education
Department of Biobehavioral Nursing and Health Informatics
University of Washington School of Nursing
Seattle, Washington
Chapter 36: Sleep
Beth Desaretz Chiatti , PhD, RN, CTN-B, CSN
Associate Professor
College of Nursing and Health Professions
Drexel University
Philadelphia, Pennsylvania
Chapter 13: Culture and Diversity
B. Jane Cornman , PhD, RN
Senior Lecturer
Nursing and Health Care Leadership
University of Washington Tacoma School of Nursing
Tacoma, Washington
Chapter 11: Health, Wellness, and Integrative Healthcare
Ruth F. Craven , EdD, RN, FAAN
Professor Emerita
Department of Biobehavioral Nursing and Health Informatics
University of Washington School of Nursing
Seattle, Washington
Chapter 14: Communication in the NursePatient Relationship
Chapter 29: Sensory Perception
Chapter 41: Stress, Coping, andAdaptation
Tamara Cyhan Cunitz , MN, RN
Lecturer
Clinical Faculty Member
Department of Child, Family, and Population Health
University of Washington School of Nursing
Seattle, Washington
Chapter 31: Cardiac Function
Jessica Dunn , MSN, RN, NE-BC
Director, Nursing
Virginia Mason Hospital and Seattle Medical Center
Seattle, Washington
Chapter 16: Caring for the Older Adult
Kathryn Van Dyke Hayes , PhD, RN, CNE
Professor Emerita
School of Nursing and Allied Health Professions
Holy Family University
Philadelphia, Pennsylvania
Chapter 5: Nursing Process: Foundation for Clinical Judgment
Chapter 6: Nursing Assessment
Chapter 7: Nursing Diagnosis
Chapter 8: Outcome Identification and Planning
Chapter 9: Implementation and Evaluation
Christine M. Henshaw , EdD, RN-BC
Professional Development Specialist
Clinical Practice and Professional Development
Virginia Mason Medical Center
Seattle, Washington
Chapter 1: The Profession of Nursing
Chapter 2: The Nurses Role in Healthcare Quality and Patient Safety
Chapter 17: Safety
Chapter 32: Fluids, Electrolytes, and AcidBase
Sharon Jensen , MN, RN
Assistant Professor
School of Nursing
Chaminade University of Honolulu
Honolulu, Hawaii
Chapter 18: Health Assessment
Niki Kirby , MSN, RN-BC
Professional Development Specialist
Clinical Practice and Professional Development
Virginia Mason Medical Center
Seattle, Washington
Chapter 21: Medication Administration
Shirley Kopf-Klakken , MSN, RN-BC