How to Use the Nurse’s Pocket Guide

xiii

Chapter 1

The Nursing Process

1

Chapter 2

Application of the Nursing Process

7

Chapter 3

Putting Theory into Practice: Sample Assessment Tools, Plan of Care, Mind Mapping, and Documentation

18

Section 1

Assessment Tools for Choosing Nursing Diagnoses

21

Adult Medical/Surgical Assessment Tool

22

Excerpt from Psychiatric Assessment Tool

34

Excerpt from Prenatal Assessment Tool

36

Excerpt from Intrapartal Assessment Tool

38

Section 2

Diagnostic Divisions: Nursing Diagnoses Organized According to a Nursing Focus

40

Section 3

Client Situation and Prototype Plan of Care

46

Plan of Care for Client with Diabetes Mellitus

54

Another Approach to Planning Client Care—Mind Mapping

62

Section 4

Documentation Techniques: SOAP and Focus Charting^®

64

Chapter 4

Nursing Diagnoses in Alphabetical Order

69

For Each Nursing Diagnosis, The Following Information is Provided:

Taxonomy II, Domain, Class, Code, Year Submitted/Revised

Diagnostic Division

Definition

Related/Risk Factors, Defining Characteristics: Subjective/Objective

Desired Outcomes/Evaluation Criteria

Actions/Interventions

Nursing Priorities

Documentation Focus

Sample Nursing Outcomes & Interventions Classifications (NOC/NIC)

Chapter 5

Health Conditions and Client Concerns with Associated Nursing Diagnoses

925

Appendix 1

NANDA-I’s Taxonomy II

1064

Appendix 2

Definitions of Taxonomy II Axes

1068

Bibliography

1070

Index

1111